DAL2010

Latest Activity

1. Famous person as patient?

   DAL2010 replied to MarkMyWords's topic in General Nursing

   I've had well known politicians, athlete and news anchor (comes with working for a high-quality system in a big city.) 1) Psych: Athlete: super well known, 90 day stay for substance detox/rehab. No special treatment. 2) IMCU: 1 major news anchor, ve...

2. Nursing for Intimate care for men

   DAL2010 replied to RNMikeMiller's topic in General Nursing

   Um...which rock do you live under? Not every city even has both male and female OBGYNs, not every insurance provider has both genders in their network, etc. Lots of reasons that patientd may not be able to choose their providers. Also, I really fe...

3. Nursing for Intimate care for men

   DAL2010 replied to RNMikeMiller's topic in General Nursing

   I've worked medical and psych. In medical, sometimes male colleagues had to request female staff to assist male patients to the bathroom or with cathing because some male pts were uncomfortable with male staff handling their genitals. In psych, eve...

4. My Ultimate Warning based on personal Experience with COVID+ patients and co-workers.

   DAL2010 replied to theoneandonly's topic in COVID

   I'm sorry some people here are giving you flak. I for one, heed your warnings seriously, as does my entire hospital system (large system in central Texas). I get very frustrated with other nurses (like some on this thread) minimizing the risks and ...

5. Is it wrong to turn down a shift?

   DAL2010 replied to Lovethenurse2b25's topic in COVID

   I'm sorry you're going through this. My hospital system (central Texas) has put practices into place for staff to request re-assignment to non-Covid units r/t personal or family risks (if the staff member is or lives with a family member who is high...

6. Why are some RNs rarely busy, while others are always busy

   DAL2010 replied to DesiDani's topic in General Nursing

   I used to work with a nurse on Child/Adol Psych who always seemed busy. My shift started at 1845, so I assessed all my patients (10-12 pts per shift, ages 6-17 years old), gave meds, monitored snack and hygiene time, spoke with parents and CPS, rece...

7. Staffing Levels

   DAL2010 replied to ginalouise's topic in Addictions

   1 RN to 8 pts; 1 Tech to 16 pts. Acute detox, all substances.

8. "Addiction" Nursing is an outdated term.

   DAL2010 replied to havenrn's topic in Addictions

   I remember a while back we were told to not say PTSD but to say PTSS (replacing Disorder with Syndrome). The goal was to improve patient participation in care with the thinking that no one wants a Disorder, but hey, a Syndrome, not so bad, anyone co...

9. Anyone NEVER been hit/hurt working psych?

   DAL2010 replied to kingvonnBSN2017's topic in Psychiatric

   I have never been assaulted in Psych (5 1/2 years in). When I worked medical (med-surg, Cardiac/Neuro ICU/IMCU), I was hit, kicked, scratched, bitten and groped.

10. Always feeling rushed/stressed!

    DAL2010 replied to TexasmedicRN's topic in General Nursing

    I think a lot of people have felt this way before. This is how I approached my shift when I worked medical: Get assignmentLabel report short for each pt (or one sheet, segmented off for each pt)Quickly glance at lab results, timed labs due, timed me...

11. Violating Theraputic Bounderies as an RN?

    DAL2010 replied to peaceluvandnursing's topic in Psychiatric

    As a Psych nurse, our standard is that if we believe a patient to be concealing items that are unsafe, we address it with the patient first, then if necessary, we call the doctor to report our concerns, then conduct a skin assessment if doctor orders...

12. Medical Clearance for Psychiatric Unit

    DAL2010 replied to smcRN2592's topic in Safety

    I disagree with canoehead. I have a strong background in Cardiac/Neuro ICU/IMC and have worked the past number of years in a free-standing Psych hospital, in Admissions. A big part of my job is screening patients for medical clearance (in addition ...

13. Thinking of Transitioning to Psych

    DAL2010 replied to silentRN's topic in Psychiatric

    Background is Cardiac/Neuro IMC/CCU. Have been exclusively Psych for a few years. Psych Nursing experiences can vary greatly based upon patient population. My facility has distinct units: Detox, Mood Disorder, Gen Psych, Psych ICU. Detox can be me...

14. Home Health Nurse pay??

    DAL2010 replied to Okie51's topic in Home Health

    Former Home Health. Enjoyed the work. Could not live on the pay. Paid per visit: $30 regular, $45 admission/recert. Recerts are every 3 months. Medicare/Medicaid require 60 minute visits. Private insurance 45 minutes. So, while a company may sa...

15. Do Psych Nurses Travel?

    DAL2010 replied to hppygr8ful's topic in Psychiatric

    I have worked as a Travel Nurse in Cardiac, IMC, ICU and Psych. Yes, there are horror stories (and people love to share them!) that Travel Nurses get the most challenging assignments. This was not my personal experience, but I saw it happen with ot...