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Catedi

Psychiatric
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Catedi has 10 years experience and specializes in Psychiatric.

Artist/Musician; Ohio native; English, Scotch/Irish, Welsh, and Norwegian descent; 50ish Mom of 3 boys, working in my 2nd career.

Catedi's Latest Activity

  1. Catedi

    Scope of Practice and medications?

    No offence, but this rule only pertains to controlled medications. Hydroxyzine is a non-controlled medication. There is no DEA oversite of non-controlled medications. Although I get your point - it is not standard nursing practice.
  2. My question is: If a physician writes a valid order for a non-controlled medication in a prison setting and the medication (Hydroxyzine) has not yet arrived, is it beyond the nurse's scope of practice to provide the inmate with an available dose of the medication not specifically RX’d to him, from a sealed and sterile blister-pack that was scheduled to be returned to pharmacy services, if this action is safe and appropriate to perform for the patient at the time, and it is verified by a second RN that the medication is unexpired, the Right Medication, the Right Time, the Right Dose, and the Right Route? I could not find any nursing or pharmacy laws or policy to prohibit such an action, as provided in the Ohio RN and LPN Decision Making Model. This act is also not prohibited in my facility's current policy.
  3. Catedi

    Why are so many nurses against unions?

    I don't know where you get your information at, but I work for a union protected facility and we have plenty of flexibility. If we want a day off, we can trade a day with a coworker and we don't have to use our personal time. But we do get lots of personal, vacation, and sick time to last. Also, if we work an overtime shift, instead of getting paid overtime we can get straight pay at our regular rate, then get the overtime hours worked as comp-time. I know one nurse who's at the top of seniority who parlayed her leave to nearly 6 months off of paid leave a year. The hours are the best. The pay and benefits are the best (I'm making $49 per hour in a market where the rate at the local hospital is only $29 per hour), and I can take every single day off I'm entitled to without a hassle or a cross look. My vacation pay is 3 weeks a year @ 7 years, and my personal time is 60 hours a year, and I have an additional 80 hours a year sick time. Why would I ever want anything else, and why would I ever care if someone thought it unprofessional to join a union? I hope their measly paycheck keeps them warm at night.
  4. Catedi

    Do I have to join the Union?

    I don't think I've ever met a lazy or stupid nurse. Nurses I've worked with at ALL facilities that did not have a union were treated horrific and blamed when things went south when it was truly management's fault for under-staffing. The nurses whom I've worked with, in unionized facilities, were able to safely meet a realistic goal. As I said before, no union existed that wasn't sorely needed!
  5. Catedi

    Staffing Ratios

    I've worked for them. When they took over the hospital I worked for they dropped an RN and an MHT on each unit, which meant I was the only RN left on the Acute unit of 12 patients, with one MHT. I lasted 6 months when a patent beat the MHT so bad they were in a coma for 2 weeks with a broken jaw, a broken orbital, and 3 fractured ribs, along with the skull fracture the poor woman endured. I quit a week later, when right after it happened, I told the nurse manager I was concerned that the 1:12 ratio was dangerous, and she pointed to the door and said, "There's the door if you don't like it. Don't let it hit you in the *** on the way out"! The following week, a patient grabbed my face and threw my glasses down the hall. I finished my shift and turned in my badge.
  6. Catedi

    Do I have to join the Union?

    First, I must congratulate you for having the opportunity to work in the most glorious of situations - that of a nurse in a state that employs safe nursing/patient ratios. To say I'm envious is an understatement, as 300,000 patients a year die due to RN understaffing. Right to Work laws essentially gives the EMPLOYER the right to let you work ON THEIR TERMS. They are not worker-centric laws. I live in Ohio. I belong to a Union. I am a nurse. What I've learned is, no workplace has a union simply because the thought it a cute idea. The union was sorely needed. Be supportive and pay your dues, and know that without that union your paycheck would be so much lighter than the dues you pay and your back would be so much closer to retirement than you could believe. Good luck with your career!
  7. Your role as a PMHNP will be much different than the role of a psychologist. I'd stick with the nursing track. You will need advanced medical education more than psychology. Generally, you will be Rx'ing meds more than counseling patients.
  8. Catedi

    HR wants meeting or report me to BON

    I'd go to the meeting, but email then a resignation before the meeting. Here in Ohio, we are an "At-Will" state, so just like they don't have to give you 2 weeks notice to can you, you don't have to give 2 weeks notice to quit. UNDER NO CIRCUMSTANCE, should you sign anything!!! They already plan on reporting, so let them and deal with the BON on their terms with your attorney.
  9. 20 years ago, I had a TBI and other injuries associated with falling from a vehicle on the Highway, doing 60mph. Long story short: Coming home late at night, from visiting friends, I hadn't closed the passenger door properly and was not wearing a seat belt; fell asleep against the door and when the driver hit a pot hole, the door flew open and I fell out. Yes, I certainly learned my lesson about seat belts. I sought to enter nursing school 10 years ago, because my prior work was too physical and I had been on SSD. No one can live on SSD with any degree of comfort or dignity, especially raising two children. The counselor at the Community College I went to told me that d/t TBI, I should forget nursing. I slunk away with my tail tucked between my legs and went to counseling for depression and was encouraged to go back and enroll. I am proud to say, I finished nursing school with a 3.9 GPA! I was employed last year by a Behavior Health hospital. Anyway, now at 50 yrs old and many therapies later, the only signs of disability i display is I move slower d/t having a knee replaced, chronic back pain, and some thought blocking, which to me, is the most troubling side effect because I have to allow what is being said to process before I can respond and I have some difficulty with spelling (thank goodness for spell-check). So, despite having a very high intelligence level, and I demonstrate critical thinking skills, I notice that when I talk to coworkers or colleagues they slow down the conversation to match me, which totally unnerves me. I'm also starting to experience some discrimination at work. I never acknowledged my disability to HR when I applied because I was advised I'd never get hired. I actually had a manager approach me recently with veiled threats about documentation fraud, stopping short of telling me I was lying when I verified a pt's medications with a pharmacy as being the correct dose being issued, because the pharmacist questioned the amount of a medication a pt reported as being Rx'd AND reordered by the physician assigned to the pt. Essentially, I've been told, in no definitive way, "Find another job, no one has confidence in you." It's hard to be disabled in the nursing profession. I'm finding that out, first hand, in a job that is not that physically demanding, that employers and colleagues do not like or trust a nurse who recovered from TBI.
  10. Catedi

    Drug seeking patients?

    A wise nursing instructor told me, "It is not for us to judge. Regardless of a pt's issues in the outside world, once they enter the hospital, they are equal in the eyes of the caring nurse." I love that saying and use it when I feel judgment start to bubble up. It helps me stay in the moment with my patients, and that's where I need to be.
  11. Catedi

    MA working beyond scope of practice

    In Ohio, there is a bit of confusion. There are two MA designations. One, like this person I am reporting about, goes to school for 6 mo. and leaves the technical school with a certificate. The other, goes to College, takes a year of prereqs and enters a two year MA program. They leave school with an Associate's Degree. The confusion is, they have different scopes but nothing like a separate suffix, like RN opposed to LPN, to identify them. I have a family member working in a hospital who has the Associate MA degree, and they can do allot of what an RN can do, like assist with surgeries, dressing changes, post-surgical monitoring, etc. But, they are not allowed to start an IV or give medications through an IV. I am determined to not drop the ball on this. I appreciate the input, and use it as a start. Thanks.
  12. Catedi

    MA working beyond scope of practice

    Also, @ Dogwmn, LPNs can start an IV in Ohio if they've received a certificate to do so. They can be delegated to give medications through an IV, under the licensed RN.
  13. Catedi

    MA working beyond scope of practice

    Just to be clear, she is not my friend. She is an acquaintance I met through my sister, who used to do her nails and is now her friend. We were visiting my sister on the same afternoon when we had our conversation. She truly believes the patients are in no danger, stating she feels the doctors trained her very well. I do not want this on my conscience, and will report it as soon as I know who I can report it to. I was hoping a more experienced medical professional could direct me to where I needed to go with this. It's so crazy, I can hardly believe it!
  14. I'm not sure what to do here. Someone I know told me this week that her employers allow her to work beyond her scope of practice. I always thought she was a Surgical Tech, although, she never went into details about what she did, other than assist in surgery. I just found out she went to a school for medical assisting. Her program was 6 months long and she graduated with a certificate. She's not even registered, as in Ohio, registration is not required. Essentially, she is an unlicensed medical assistant. She stated to me that her employers, a private dermatology and cosmetic surgery practice, have her assist in surgery, such as starting IVs, injecting medications into the IVs, monitor patients under anesthesia and do post surgical care. I was floored when she told me this. I calmly questioned her on why they don't have an RN doing these things and she stated, they only have one nurse on board because the 'practice' feels it's too expensive to pay RNs, when the physicians at her practice can just train MAs to do what she's doing. I'm a newly licensed RN, so I'm not sure what to do or say about this situation. Nor, do I know who to turn to to report this. I just know this is beyond her scope and this is endangering patient' safety. This person understands what she is doing is beyond her scope, but doesn't care, since she is compensated beyond what an MA would ever make with a certificate. She also feels the risk of getting caught is minimal, as she asked, "How could anyone possibly find out?". I'm wondering, does a patient death have to occur for this to stop? Any advice would be welcome.
  15. Catedi

    Which scrubs have some "stretch" to them?

    Nu dimensions has stretch to them-very cute styles and the white pants are NOT see through!
  16. Catedi

    Best shoes for school

    I have used Marrell mocs for nursing school and liked them very much. I need good shoes since i have back and knee issues. I've worn Birkenstock for everyday wear, for about 20 years. Love them. I think I'll get a pair of white Alpro c100, by Birkenstock. I love the orthotic foot bed. I also have a pair of Dansko shoes, but don't like them as much as the Merrell brand. I really am a believer in well made shoes if you are on your feet all day.