MollNick

Latest Activity

1. patient/license safety

   MollNick replied to MollNick's topic in Psychiatric

   For 30 pts we would have 3 techs. When the other charge nurse said anything, the charge nurse was ignored and didn't want to push it further. The other charge nurse asked to go to 32 hrs/week and was told the position was not available and had no cho...

2. patient/license safety

   MollNick posted a topic in Psychiatric

   I work in an acute care psych unit of 30 beds. The ratio averages 10-15:1. Being the charge nurse, I have always split the pts with the other nurse so that more time can be spent with our pts and the charting can be more thorough. When working with a...

3. What is the nurse-patient ratio where you work?

   MollNick replied to kaliRN's topic in Safety

   In our psych unit, the ratio is around 10-12:1 but can go as high as 15:1

4. Drug Testing

   MollNick posted a topic in Correctional

   I should probably know the clearance time frame for all these drugs but I don't. What is the clearance time for BZO, OPI, and BAR? We are testing with urine drug screens using the i-cup. I know the clearance for THC is about 2 weeks if a patient smok...

5. Clearance of THC, BZO, OPI, BAR?? Writing a policy.

   MollNick posted a topic in Psychiatric

   I should probably know the clearance time frame for all these drugs but I don't. What is the clearance time for BZO, OPI, and BAR? We are testing with urine drug screens using the i-cup. I know the clearance for THC is about 2 weeks if a patient smok...

6. Staff splitting; disrupting unit; need opinions please

   MollNick replied to MollNick's topic in Psychiatric

   Unit is a locked down acute adult unit. The sup. is a psych nurse for psych hospital. We take E.D's, detox, pt's too sick to be in reg. adult unit. I spoke with mgr. about the sup. once. Sup. still doing the same things. After thinking about it and a...

7. Staff splitting; disrupting unit; need opinions please

   MollNick posted a topic in Psychiatric

   I recently had a situation I am not sure how to handle "the next time". Scenario: 14 adult patients, me (RN) and 1 MHT. Patient A is diabetic, manipulative, intrusive, frequently asking for extra breakfast, snacks, extra juice, milk. For AM med pass,...

8. Is this staffing normal???

   MollNick posted a topic in Psychiatric

   Currently working in adult acute care 22 bed unit. We take care of ED's, OPC's, detox, too unstable for other unit patients. I have taken (total) care of 15 patients with 1 MHT. And, I have taken care of 22 patients with 1 RN (myself) also charging, ...

9. How is your unit staffed?

   MollNick replied to Mashira's topic in Psychiatric

   The unit I work on is an acute adult (PICU). Max is 22. Staffing matrix used includes MHT's. For 15 or less= 1 RN and 1 MHT days. For 16 or more= 3 staff persons which would be 1 RN and 2 MHT's. I have cared for 21 pt.s with 1 RN (me), 1 LVN (meds) a...

10. Staffing on Inpatient Unit

    MollNick replied to swimrn1's topic in Psychiatric

    I have been on unit dayshift, 1RN (me), 1 LVN (meds), and 1 tech for 21 patients in adult intensive care unit.

11. need feedback on med problem

    MollNick posted a topic in Psychiatric

    I had this pt. who became extremely psychotic. The Dr. phone ordered a med for the pt. There was another nurse (LVN) and myself (charge RN) working. The LVN told me the med. could not be overrided in the PYXIS. As the pharmacy person was leaving the ...

12. ACLS on-line review

    MollNick replied to shearernurse's topic in General Nursing

    I just recently did my BLS/ACLS renewal with an instructor I found in my area through the AHA website. It was hands on and the class was very quick since there was only one other student and myself. I paid $175 for both. Many hospitals in my area do ...

13. Your best ER story

    MollNick replied to ShatteredAngel's topic in Emergency

    This 50 something year old man came to ER with CP. He started having VT, first stable then unstable. Shocked a total of 17 times with a couple of thumps in there. We finally got him stable enough to move to CCU. After his CABG and recovery, he came b...

14. Question on hiring status

    MollNick replied to MollNick's topic in General Nursing

    Somebody from HR called me and clarified that I am eligible for rehire.

15. Question on hiring status

    MollNick replied to MollNick's topic in General Nursing

    I have an e-mail from this manager replying they would be a reference for me.