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Search Results Type: Posts; User: Mandychelle79

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  1. How do you keep a calm milieu?
    And RESPECT the patients. That is a huge one. Often times when I have asked patients why they act out on one shift and not the another one the recurring theme is that they can tell that I respect...
    Apr 20
    Forum: Psychiatric Nursing
  2. Patients who want to be admitted for minor things
    The psych nurse in me is just shocked then when he found out he was being discharged he didnt say he wasnt safe to go home, that he felt like harming himself, etc. Many of the patients we get are...
    Apr 20
    Forum: Emergency Nursing
  3. padded isolation
    What do you want to know about them? We have one padded isolation/seclusion room and one restraint room that is also padded. I have allowed patients to go into " Open seclusion" where they can come...
    Apr 20
    Forum: Psychiatric Nursing
  4. Meds & jail
    If we know a patient is being discharged to jail the doctor works with the jail and only prescribes meds that with will continue because like psych guy said our local jails do not prescribe any...
    Apr 20
    Forum: Addictions Nursing
  5. How do you keep a calm milieu?
    Oh and having a reputation of being a nurse that doesnt take any nonsense helps, especially when frequent flyers are on the unit. I have overheard them say, She's the cool nurse, but dont make her...
    Apr 20
    Forum: Psychiatric Nursing
  6. How do you keep a calm milieu?
    Make yourself more visible on the unit, redirect the biggest offenders, offer 1:1 time to see what is causing the tension, call them out on their behaviors. I have noticed if the unit is hyped up (...
    Apr 20
    Forum: Psychiatric Nursing
  7. What age of patient's are the most difficult for you?
    The ones I have the most issue with are the elderly dementia patients, who are assigned to the unit because of aggressive behaviors, not able to return home and their medical issues have resolved so...
    Apr 20
    Forum: Patient Education
  8. Nakedness
    I think when weve have someone who was prone to disrobe we had more often than normal checks, possibly a 1:1, and would continually just redress the patient or encourage them to dress themselves.
    Apr 18
    Forum: Psychiatric Nursing
  9. That person
    My son broke his arm right before he turned two, it was 3 days before I took him to the ER for treatment ( who breaks their arm tripping over a high chair) so I am sure that the break drew abuse...
    Apr 18
    Forum: Nurse Colleague / Patient Relations
  10. April 2014 Caption Contest: Win $100!
    We just finished our HESI, Bring on the ETOH.
    Apr 18
    Forum: allnurses News and Announcements
  11. April 2014 Caption Contest: Win $100!
    If their patients only knew what they actually ate and drank
    Apr 18
    Forum: allnurses News and Announcements
  12. Describe your 10/10 pain. Piggybacking off of recent pain discussions.
    I do the same thing, with one of my gall bladder attacks ( that start out like the worlds worst indigestion) I dreamed that I stole a patients medication out of the accudose... what did i steal, not...
    Apr 17
    Forum: General Nursing Discussion
  13. Charge nurses
    All of the nurses can be charge. The clinical manager is in charge during the day unless on an admin day. Then someone else is assigned charge ( even if assigned can change before punching in). I...
    Apr 14
    Forum: General Nursing Discussion
  14. drug/alcohol pt questions
    We do not do a taper for ETOH withdrawal. Depending on the doctor we do a WAS score and treat based on their score, monitor vs/subjective symptoms and give PRN Librium, or a high dose, limited...
    Apr 11
    Forum: Psychiatric Nursing
  15. Critical Thinking in Mental Health Setting
    Critical thinking in psych is different, but I use it all the time. I guess the main time I use them is when there is a major change in a patient that is well known. A frequent flyer comes in and...
    Apr 11
    Forum: Psychiatric Nursing
  16. How Not To Bring Germs Home...
    I leave my shoes in my locker, though that is more so I do not wear them without socks and end up with stinky shoes. I dont change as soon as I get home, my kids hug me in my scrubs all the time, I...
    Apr 11
    Forum: General Nursing Discussion
  17. Describe your 10/10 pain. Piggybacking off of recent pain discussions.
    My worst pain in my life was my first gall bladder attack. It was enough pain that I was willing to go to an ER on a holiday weekend. I think I rated it at a constant 6 that would flare to a 8-9. ...
    Apr 11
    Forum: General Nursing Discussion
  18. When You Request I Switch Shifts with You
    And how am I inconveniencing them by asking them 2 months in advance for a schedule change? Maybe our unit is just more willing to work together but none of the nurses seem to have an issue trading...
    Apr 8
    Forum: Nurse Colleague / Patient Relations
  19. When You Request I Switch Shifts with You
    Nope, normally 6 days is not enough time. If I dont already have plan, sure I will do it with short notice, do it all the time when I pick up extra shifts to cover a call off. But if I have already...
    Apr 8
    Forum: Nurse Colleague / Patient Relations
  20. When You Request I Switch Shifts with You
    The only issue that I have when people are asking me to reciprocate is the amount of notice they give me. I recently asked a co-worker to work one of my weekend days for me on a schedule that has...
    Apr 8
    Forum: Nurse Colleague / Patient Relations
  21. LPN forced to work as CNA
    Ive been pulled from my unit ( psych) to do CNA duties on our TCU unit. I figured if they were willing to pay me my normal wages, I was willing to do the work ( but I did work as a CNA prior to...
    Apr 4
    Forum: LPN / LVN Corner
  22. Sense of Entitlement
    Well when I have patients who feel like someone is getting more attention than they are... Chairs may go flying, walkie-talkie patients with no fall history suddenly " passed out" in the bathroom, or...
    Apr 4
    Forum: About A Nurse - Nursing Cartoon Series
  23. Pet Peeve
    And depending on their job responsibilities, may know what they have. Part of my job as a PCTA was to transcribe orders. The MT's I work with provide patients with a list of their medications as...
    Apr 1
    Forum: Nursing and Patient Medications
  24. Pet Peeve
    Nah, my skills were always there, we just were not allowed to call them that. If they were not I would not have noticed patients with low blood sugar, or those whose SPO2 was too low. So yes I was...
    Apr 1
    Forum: Nursing and Patient Medications
  25. Being pulled to medical
    If we get pulled to the medical side ( Ive been pulled one time to Transitional Care, where I functioned as an CNA for the shift) we can do physical assessments, pass PO medications, hang IV's and...
    Mar 31
    Forum: Psychiatric Nursing


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