Latest Comments by jmiraRN

jmiraRN 8,973 Views

Joined: Sep 8, '10; Posts: 362 (33% Liked) ; Likes: 227

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    I actually came on here looking for some tips too since I will be transitioning into pre-op OR for the remainder of my pregnancy as my unit is too physical at this stage in my pregnancy.
    I just wanted to let you know that all new grad jobs are stressful and you will second guess a lot of things. My first RN job was a thrown to the wolves mess and there was a few nights I even cried at home, questioning myself. But you need to have adequate training and support to do your job. Do not be afraid to ask for what you need!
    Transitioning into acute hospital OR shouldn't be an issue once you get some experience under your belt. Once I had 2 years of RN experience and looked for a new job, I had multiple offers to choose from. Just keep workng towards that BSN

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    Ive had 2 placed on different occasions. Both had a burning feeling going in, similar to a mild UTI. Nothing too crazy. For some odd reason the nurse removed the foley as I was standing up by the sink and as it was removed I accidentally peed on her lol. Boy it feels so good to urinate normally after they are removed!

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    LoneStar1908 likes this.

    Quote from elkpark
    Although I realize that sounds v. counterintuitive (give a sedating medication to someone whose problem is he appears too sedated?), Ativan is the first-line treatment for catatonia. I've seen it work wonders for people. Once the catatonia is improved, the dosage can be reduced to a maintenance level (or maybe discontinued entirely).
    Yes. OP, true catatonia will be treated with ativan. I have seen it used as both one time doses that were frequently re-ordered as well as routine (TID/QID) orders. Its very effective. Always be mindful that when a patient comes to they can remember everything that is said from others around them during their catatonic state, so I always remind the other staff to keep that in mind and explain things to them in detail just as if they were responding. Even though it should go without saying to be professional at all times, well you know how that goes.

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    Hi guys, been a long time since I posted. I took some time off from the program after completing the first 4 classes and will next month be starting classes up again beginning with intro to nursing research.

    How is everyone doing? Ill admit Ive had some trouble being in an online only program and have had to adapt myself to learn and be productive in a virtual setting. Any tips on staying dedicated during the program? I like GCU and the classes Ive taken so far (except statistics lol) and am eager to get the rest finished

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    Quote from Meriwhen
    I took an ED nursing course which has been an enlightening and educational appearance, plus my psych skills came in very handy. And the procedures I learned in nursing school but didn't often use came back to me very fast (I'm now a Foley pro ). I liked the course enough that I've applied to a couple of ED training programs, both at facilities I work at...which does give me the internal applicant advantage, what little that may be.
    Thanks for replying. I was wondering how you go about finding an ED training program? That sounds like a really good idea

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    nrsang97, NRSKarenRN, and poppycat like this.

    I, like many of the other nurses who have posted, make recommendations to doctors frequently. Whenever the doctor is thinking something different, they simply give that order instead. I havent yet had a doctor get upset with me for making a recommendation

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    congratulations on the position, I know nothing of NICU nursing but I wish you the best! My advice would be dont be afraid to ask questions

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    Hello all,

    I've been in inpatient psych nursing for the last 2 years, which i entered into it as a new grad and it is the only nursing that I have done outside of school clinicals.

    As I start to wonder about taking a second job, my heart loves psych nursing but part of me still burns to work in the acute medical side of nursing that I learned in school.

    How have others found the transition from psych nursing to the predominately medical side of nursing and what hurdles, if any, did you have to jump? Were jobs hard to find coming from psych? What were some of the biggest changes between psych and non-psych?

    Would love some input. Thanks

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    Jules A likes this.

    Quote from Jules A
    So what I don't understand about using Geodon in an emergency setting is that #1 have you ever tried reconstituting that stuff? your staff will be getting their brains bashed in while you are shaking the vial for hours and #2 the pharm company really pushed it as a great med because it isn't as sedating. Well news flash folks that is usually one of my goals when ordering emergency IM meds.
    Thoe darn vials! Haha and that last sentence had me laughing! Aint that the truth

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    I'd love to see someone with a bachelors in psychology and zero clinical experience step on and run a unit of acute patients in psychiatric crisis, all just informed of their 14 day holds. What a circus that would be!

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    In the 2 psych facilities Ive been in, the LPT (licensed psych tech) works the same as an LVN. No degree but definitely a license. Passing medications, organizing am group, and pt cares. We utilize MHWs for rounding and meals and vitals and milieu therapy. I love working with them

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    Davey Do likes this.

    Ahhhh the MR psych patient... When I first started I couldnt fathom how someone could be in an acute, locked psychiatric hospital for a few months, let alone 2+ years. Then I learned how things work and how extremely hard it is to find placement. Most of these MR?DD pts have burned every bridge in the book. Its really sad and eye opening when you realize the lives of these individuals. They, IMO are the abosulte hardest pts ive dealt with in psych. But at the same time, the most rewarding. As you might have gathered, I actually miss working with that population. I'll take a MR with absolutely no pending placements over an axis 2 malingerer any day

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    Hello fellow psych nurses,

    Although I do care for many MI patients with chronic health problems, it is not the meat and potatoes of my job. This is my first job as an RN and without any real medical experience other than clinicals and working as a nursing assistant, I find myself reading through textbooks from time to time to keep non-psych nursing fresh in my brain.

    What tools/resources do you guys utilize to keep up the bedside knowledge/skills? Any particular reading materials, classes, or certs that you feel are beneficial? (Aside from BLS/ACLS/NIHSS)

    Thanks guys! Hope we all made it through the recent full moons just fine

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    Where I work all prn Haldol IMs come with 50mg of Benadryl. and Ativan as well. POs are different tho