Latest Comments by arkool2004

arkool2004 838 Views

Joined: Mar 13, '12; Posts: 11 (36% Liked) ; Likes: 4

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    suzycap likes this.

    We also do the checks as previous posters state. One person responsible for rounds w/clipboard that has every pt on list and we document the appropriate behaviors with a corresponding letter from a key on the bottom of the page.

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    I may be misunderstanding but it seems the problem per the instructor in OP was also the "airspace" above the glove. I was also taught that way that at no point can you cross over your sterile field bc "microscopic droplets could fall onto the sterile gloves".

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    I too am a psych nurse and by no means take offense to your post. I have been told by numerous people that I will lose my skills but here's my response... I learned those skills over a span of two years, often with only a few weeks of practice. If I worked on an adult med surge unit I would gain little focused skill in being a nicu nurse (or insert a number of other specialties). What you will gain is time management, assessment (psych patients still have physical issues), communication with patients, families, and staff. I could go on and on but the point is focus on the positive and when it ones time to move on highlight what you have gained versus shortcomings.

    I also would like to point out there are so many specialties in nursing and many of them require significantly different "skill sets" all with a foundation in therapeutic communication and patient advocacy. At the end of my career I'd rather be known as the nurse that took time with my patients and helped them through difficult times than being the best dressing changer or the best at IV's.

    Good luck with whatever path you take!!

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    Tazhaz likes this.

    Here are the questions:
    1. What is it like to work nightshift?
    Generally a slower pace but not as much supportive staff availability when things occur

    2. Can you tell me a little about your sleeping habit before a night shift?
    I sleep normal and then try and take a 1-2 hr nap later in the day (spend that day being busy so maybe I'm ready for a nap)

    3. During night shift, are you allowed to take a short nap during breaks by the hospitals?
    We clock out for a 30 min lunch and can rest in the breakroom but can not go out to our car and sleep or anything like that

    4. If you are and you do, how long do you usually take a nap for? See above

    4. Do you feel groggy after? If so, how long does it take you to recover?
    Not really

    5. Where do you take a nap? Is there a special room provided by the hospital for nurses to take a nap in?
    No

    6. What do you think are the barriers on having a nap on night shift?
    Staffing is usual less and therefore we all need to be available in case something goes wrong. I work in mental health and there are 2 RN's for 24 patients with 3-4 techs

    7. Do you have any concerns about driving home during night shift?
    There have been days when I do but usually on mornings when I need to stay late for a meeting or something

    8. If there is an especially designed 'Nap Room' available at the hospital, would you use it? What feature would you like it to have?
    Prob not

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    It is my understanding that there has been a change from staging them to just identifying them as partial thickness, full thickness etc. but not necessarily staging

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    Found this and thought it would help...

    Used with permission NPUAP:
    "Full thickness tissue loss in which the base of the ulcer is completely covered by slough (yellow, tan, gray, green or brown) and/or eschar (tan, brown or black) in the wound bed"

    "Further Description: Until enough slough and/or eschar is removed to expose the base of the wound, the true depth and stage cannot be determined. However, it will be either a Stage III or IV".

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    dashingdiva likes this.

    My interview was pretty traditional "give me an example..." My facility uses system wide interviewing questions. As far as questions to ask them I think asking what type and how long orientation is always a good one. I know you have worked in hospitals but bin new in psych having a good orientation may prove useful. A typical day is medications, assessing progress/meds, working with docs/case mgr to plan dc, and a lot of communicating, talking down, and deescalating situations as necessary.

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    serenitylove14 likes this.

    I'm new to psych nursing and love it. I never felt overly passionate about procedures so this seems like a great it. I always knew peds was a passion and mental health and peds really have a lot in common when you get down to how you work with the population. I work in an acute adult unit and the patients are till needy and assume you at there to fulfill their ever loving request. The flip side is they perform their own ADL's and if a med consult comes back needing further med assistance they are sent to ER. Time met is necessary bc we hv 8 patients and the meds/assessment take about 30 min per patient. When you add that to new admits and dc the day can get away from u if u aren't organized. I really enjoy he doctors we work with as well. Overall I don't think you'll know until you try it.

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    I would call to let them know because they may have tests going on next day that could be affected by holding the med. as long as the orders state to hold med insert parameters then your license is okay but anytime treatment is altered it should be reported in my opinion. I know I had a PA once who wrote orders for NPO and my patient was only on po meds, she was very upset that the BP meds had not been given all day and no one had told her I had to remind her that if she wanted meds the order should've been NPO except meds. She even went to my supervisor and luckily my supervisor backed me up. Just a miscommunication but what I took from that was always to report to provider

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    I went to SCC but assume it will be similar. It's fast, a lot of info in a shorter amount of time because you have to do preceptor. It was my favorite block though! Just take the time to study and ask questions if you don't understand because with critical care you really have to be able to follow pathology start to finish to identify priorities and what may happen next. I agree with previous post psych wasn't bad until the final!!



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