ChryssyD

ChryssyD

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All Content by ChryssyD

  1. First job in the nursing home, need help!

    You finished nursing school and attended medical school. I think you aren't giving yourself enough credit. Wear scrubs, because scrubs are always acceptable in a nursing setting, and try to relax....
  2. Insubordination

    Tricky: You know, I'm kind of in a similar situation. Staffing is really bad, they can't get anyone in, and when they do the people don't stay once they see the problems in the facility. It's so...
  3. Behavioral health patients requiring 1:1 sitter

    JRichmond: I work on an admissions unit in a state psychiatric hospital. We often have 1:1s, for everything from suicidal ideation, inappropriate sexual threats or behavior, fall risk, to serious...
  4. abandonment

    Quit this job NOW if you haven't already. In most states, abandonment is a reportable offense, no matter the circumstance--you cannot just walk out on your patients. But I know how you feel: I have...
  5. What type of nurses work regular hours?

    Well, you can try for a job in a walk-in clinic or doctor's office. Unfortunately, these places usually want nurses with some hospital, or even nursing home, experience, as you need to understand the...
  6. Feelings after first loss

    dharmalove: I feel your pain. Death is painful to witness, no matter who you are. The first death I saw as a student was a man in end-stage liver disease. He was positively orange. His belly was...
  7. Worried

    You know, I've dozed off in many a class and meeting. I mean, I didn't start drooling or snoring, but I did nod off briefly. If you've been up most of the night, this is understandable--lots of...
  8. Seeking Guidance

    Beenie: Sorry you didn't pass the Boards and get your dream job--I'm sure you are very disappointed. I hope you pass next time. Study hard and work on some relaxation techniques, because test...
  9. Finally decided to quit nursing

    Didn't read all the comments--just lazy I guess! I always hate to see anyone leaving nursing--we need caring nurses so badly. But you've gotta take care of you--no one else will. If you can't do...
  10. Geriatrics and Acute Care nursing

    You can work pretty much anywhere you like, except management (in most places). I only have an ADN, and I have worked peds, pediatric ICU, pedi sub-acute, adult sub-acute, acute rehab, hospice,...
  11. I'm Sorry

    Sorry, but if your patient doesn't understand that you may have more important things going on than his coffee, then he doesn't deserve his java fix. 'Nuf
  12. Net Neutrality

    Oh, wow. Net neutrality is one of the last bastions of free speech. I just watched a piece about how the CDC is not allowed to use certain words or phrases in their communications, like fetus,...
  13. First combative pt

    Wow, so many good ideas posted here--I'm really impressed. My first thought was sundowning, as this is definitely an issue with many patients who have neurocognitive issues. UTIs are also a major...
  14. General peds, definitely. There will be too many conditions and situations in both NICU and adult ICU that you will never see in PICU. If you want to be a PICU nurse, might as well start out with the...
  15. Is this fair?

    CallMeSally: You don't specify the subject, but I find it hard to believe you can teach any nursing course from handouts. You are attending an unscrupulous diploma mill that is charging a load of...
  16. Unfair, unfair, unfair

    These programs provide opportunities for redemption to nurses who genuinely need help and supervision to be sure they get it; I remember walking to the office of my first case manager and passing a...
  17. Sensing stigma

    Assuming you choose to leave corrections--you may love it so much you stick with it! If you sense attitude from a recruiter, that is the perfect time to explain how corrections requires amazing...
  18. I want to quit during orientation?

    If you decide to quit, definitely give at least 2 weeks' notice: It's just common courtesy, and if you leave without it many facilities will put you on a no-rehire status, which they may report to...
  19. Patient abuse, difficult situation

    I'm so sorry you're in this position. I work in a setting much like yours and I know what your staff is going through, but there is simply no excuse for the scenes you have described. Your manager...
  20. 2nd tb test is freaking me out

    Diagnosis of what exactly is going on with you is up to the responsible MD. That being said, the technique used in giving the PPD can make a difference. If it's given too deeply a skin reaction can...
  21. How To Document Sleeping On Night Shift

    Anything out of the ordinary, of course, but generally you just chart "Asleep without distress, respirations even/unlabored." That pretty much says it
  22. Hand Massages

    The nightly back-rub used to be standard nursing practice. I don't believe nurses nowadays have time for that, of course, but the principle is sound--nursing is the ultimate hands-on profession. It...
  23. any advice and hugs would be lovely, please!

    Fire-hose skills=stamping out fires, crazy acute problems--you know: we've all come on shift to discover there's a fire that needs extinguishing PDQ! Anyway, RNRNRN (yay, you did it!), there are bad...
  24. Integrity and abuse vs Safety

    If you can't ban smoking altogether, at the very least this lady needs limits. Maybe your facility could enforce a Q2hr smoking schedule for all patients--be there at the appointed hour or wait 'til...
  25. So sorry--I know the feeling I had during the early days: It was like that awful commercial for some RA medicine where a woman is trying to play piano and the keys are literally disintegrating...