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Psych, Med/Surg, LTC
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GooeyRN has 21 years experience as a ADN, BSN, CNA, LPN, RN and specializes in Psych, Med/Surg, LTC.

GooeyRN's Latest Activity

  1. GooeyRN

    Holding voluntary patients - illegally?

    When our patients sign in, they sign a form that they agree to stay for a minimum of 72 hours after they wish to sign out. So if they sign the 72 hour notice form on a Monday at 900am, they can leave Thursday morning by 9am. We can not hold them any longer. They are supposed to have a Dr discharge them, so the Dr will come in early to see them. If they Dr doesn't make it in time, they are free to leave, but they will be doing so without having medications called in/scripts and they will not have aftercare set up. This obviously is not a good thing for the Dr, so the Dr.'s do get in in time to discharge them. Sometimes a Dr will let them discharge prior to the 72 hours being up. Typically, the Dr will have the pt rescind their notice, so it isn't then considered an AMA. I'm guessing insurance doesn't always pay with ama discharges.
  2. I wear black or khaki scrub pants with a sweater. You can't tell they are scrubs then. I get them from purple yoga.
  3. GooeyRN

    ANCC Psychiatric & Mental Health Nursing exam

    Where did you get your CEU's to take the exam?
  4. GooeyRN

    Has anyone failed the PMHN (RN) exam?

    I am interested in this exam. where do you get your ceu's to be eligible to test?
  5. Where do you guys get your ceu's for the Psychiatric and Mental Health Certification?
  6. Sadly, you live in area with no jobs. There were more jobs in the Binghamton area, which I know was pretty poor when it comes to jobs as well. (I used to live very close to there until last year.) Have you applied to psychiatric hospitals or floors? An adolescent or children's unit would have very minimal lifting involved, if any, though you may have to be involved in applying restraints/take downs. Have you applied for home health? How about the red cross? Walk in clinics or urgent care centers? Even volunteer at a free clinic if you need experience. It is a tough place out there for newer nurses, especially those who are disabled. :-(
  7. BTDT... Time for a new job or career. Your health is not worth it. I went through years of chronic diarrhea and cramps b/c of work stress... I switched jobs and things got somewhat better, but still not good. I am looking to leave nursing.
  8. GooeyRN

    Taking time away from career-help!

    I vote work somewhere, anywhere, prn. Do even one shift a month so you are still considered in the work force. You will be hireable that way when you are ready. I am off now a year after having a baby. I am going back just 1-2 days a month next month just so I am still considered employed. I have done this after each of my kids (I have 3) and it has not been a problem finding work. No, I am not moving forward with promotions and whatnot. That isn't important to me right now. Right now being with my kids when they are young (6,4,1) is what is important to me, but I don't want to totally throw away my career, either. I guess you can say I am on the mommy track.
  9. GooeyRN

    psych tech to psych nurse?

    Yes!!! It will help a lot. You will get to do a lot of patient care, vitals, run groups, etc. Do it!
  10. GooeyRN

    holiday pay this year-what??

    We get nothing extra. Well, maybe the pleasure of working short staffed...
  11. GooeyRN

    Nursing vs. Engineering

    I am an RN and my dh is a structural/civil engineer. I don't think I can find anything at all in common with the two, other than we both have people asking us for stuff all of the time. One you will be on your feet and doing physical stuff a lot, the other you will be sitting in a cube. What sounds better to you? One you will be doing most talking via phone or email, the other is mostly face to face. You do have to work with others in both... Nursing you will have odd hours but your shift generally ends and you go home. Your off time is YOURS. There is the odd call about something off duty, but it doesn't have to be your life. Engineering... Well, it is part of your life/is your life and the two go together. My husband has his own business now, and works from home. Sure, he is home and sees the kids a lot, but he is working and is always on call. Many dinners are without him, he works after kids are in bed, he lives with his phone on his body. He can not run to the store for milk or take a kid to pre-school without having his phone on her person. I do not have to carry a phone like that. I can eat and shower without having to answer right then. If I am called from work, it is something like needing a clarification that can usually wait 15 minutes, or can I work such and such date. If dh misses a call, he loses a job or client. OUCH. I work holidays and weekends, he does not. Neither of us get a 4 day weekend. For instance, Thanksgiving. If a nurse gets it off, they will work the day before, the day after, and the weekend. The engineer gets the holiday itself off. Before doing his own business, he could take vacation and not really be available whenever he wanted, as long as it wasn't a busy season. Now that he has his business, he works while on the beach. Like I said, he works it into life. He gets to be at all of the cute little kid stuff, like pre-school graduations. With his phone, of course. That doesn't happen to easily for nurses. You miss a LOT of kid stuff. You miss a lot of holidays. Many times you have to find someone to cover the time you want off. I had to do this for my wedding. But when you are off, you are OFF. You can forget about work. I will say he makes about triple what I would if I worked full time. So money is a big thing to think about, how much of it you desire. I am unavailable when at work. I can't really take 5 minutes to call home and check on the kids. If a kid gets sick, I can not go home. He has to take them to the dr. or Er or wherever. He can call off if he is sick, generally nurses go to work unless they can't physically make it there/are hospitalized. Looking back, if I was able, I would choose engineering over nursing. The mandatory overtime, swing shifts, weekends, and holidays get to you after awhile. So does missing your kids stuff.
  12. I work with my mom. We are both rn's. There are several other mother daughter pairs too. It works great especially when covering empty shifts. Therearentas many short shifts IMO when family tries to help cover each others vacation days. I love working alongside my mom and so do the other pairs. We are not union. We both speak English only.
  13. I would go in unless you are contagious with the flu, stomach bug, strep, or something else you REALLY wouldn't want someone to get. In that case, go to the dr. so you can get a note. If you are coming down with a cold or just generally don't feel well, go in. Calling off is something that REALLY doesn't go over well in health care. If you aren't going to the doctor for it, I honestly wouldn't call off. I don't call off without a dr.'s note to go in my file. I called off in 2009 when I had H1N1, but other than that, I haven't ever called off. What is this people say if you are well enough to post, you are well enough to work... You can post from a phone, Ipad, or laptop while in bed between barfing episodes or trips to the bathroom. You don't have to be totally knocked out to be too sick to work. What about those who are hospitalized but posting from their smartphones? I was posting while in transition during labor, and again as soon as baby was taking his first nap. Should I have been at work, knowing a baby was going to pop out of me within minutes?
  14. GooeyRN

    Painless labor?

    My 3 were quite painful, but I almost enjoyed them... I am an oddball that considers labor/childbirth a personal challenge. I think a lot of it is the mindset going in. I won't allow myself pain meds unless something major is going on, just a personal choice, I have nothing against them for others.. (I recently also avoided all pain meds after an incisional breast biopsy) I enjoy the whole process of labor and delivery. I have LONG labors. First 23 hours, second 18 hours, third was on and off for 1.5 weeks.
  15. GooeyRN

    Only 5 units of insulin per injection site??

    That is CRAZY. There is a limit on how many cc's/ml's one can inject at a time, but not units.
  16. GooeyRN

    How to Cope With Job-Related Anxiety

    Like others said, take some easy classes to start. I was a nervous wreck in nursing school all of the time. It gets better once you settle into a job. Those feelings do decrease after the first 6 months to a year.