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ChickenHealer

ChickenHealer

Psych
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ChickenHealer has 2 years experience and specializes in Psych.

ChickenHealer's Latest Activity

  1. ChickenHealer

    Student Attempted IV 7 Times

    Two angiocaths. One for each site. Sorry- I posted while tired, only really looking for guidance on what to do next. I didn't think the topic would have gone in these directions or I'd have added more detail. Could you imagine seven needles? I work in psych for a reason, I'm not sure I'd still be on my feet seeing that!
  2. ChickenHealer

    Student Attempted IV 7 Times

    Sorry- I didn't know if there was another word for this. Yes, this was what I was counting as an attempt. She had to pull the angiocath back, reposition, and advance hoping to get the vein. The thing that was most shocking to me was switching sites and not cleaning said site at all, even after I insisted it wasn't cleaned.
  3. ChickenHealer

    Student Attempted IV 7 Times

    Yes, I completely agree. I saw a few people commented similar things- I did speak up about it. I told the nurse that this isn't something that we should be doing. I spoke up when the site wasn't cleaned, I spoke up and told the nurse that she should take over. And when it ended, I reported it to someone higher up. I keep seeing people post that I should have been a better advocate- I'm really not sure what more I could have done in the moment, unless someone was expecting me to physically intervene. I posted it here, horrified, nervous, and exhausted, looking for further advice on what to do, and most of what I got was essentially, either that I was lying, or that I should just get my nose out of it and do what I know is right in my own practice, which I do. This is another point that I completely agree with. As I said, I reported the event and I spoke up to the nurse and student involved. I never once touched the patient myself and I absolutely would never have done something like this my self. I've had family sedated in the ICU. It's uncomfortable to see people talk about how they think patients shouldn't be able to refuse a student, as I thought care was supposed to involve the patient's choice. To answer a previous post- Yes the patient DID need another IV site inserted. Sorry. I've been working 16 hour shifts and was a little too run down to hop on and check the replies after I posted my follow up.
  4. ChickenHealer

    Nursing Products We'd Like To See

    I would LOVE an air conditioned gown. Working in a gown for hours on end is too hot and sweaty, especially when patients have the heat on.
  5. ChickenHealer

    Vaccine Hesitancy

    I'm not sure if its the same thing, as I haven't engaged in something similar, but I was given a QR code to scan, which enrolled me in a symptom tracker. Every day, I was texted a symptom survey, asking about how I felt, any symptoms, including write-in sections for anything not listed. The code generated an account that contains my name, the vaccine batch, the facility that gave the vaccine, etc. I go for my second round in a couple days!
  6. ChickenHealer

    Student Attempted IV 7 Times

    Thanks for you guys who gave me advice. I will just be sticking to what I know we're allowed to do. An update, I talked to my classmate about it, and she had admitted that even though I mentioned that we weren't allowed to do the IV insertion, she didn't want to miss a chance at it on a real person. She said when she started, she got so nervous and forgot everything, and was just trying to go as fast as she could and ended up messing up a lot. She apologized for making me uncomfortable and we had a good conversation. We scheduled to go to the skill sim center and practice on the mannequin together later today. So, We have a clinical instructor who unfortunately is overseeing groups of students on med surg, ED, ICU, and PCU throughout the hospital. She tells us to send a text or call if we need something, and honestly I only saw her that day one time, when she dropped us off at the unit. The school's clinical coordinator drops by each site occasionally, last semester I saw her twice. We're pretty much alone for most of the clinical, which while it gives us room to grow under the floor nurses, it can lead to situations like this.
  7. ChickenHealer

    Volunteeering to give COVID immunizations

    One of the local healthcare systems here is allowing nursing students to volunteer as a vaccinator. We get community service hours, which are required for most of the schools around here.
  8. ChickenHealer

    What CNA to RN, "now I understand" realization have you had?

    Wow, that seems so weird to me that wages changed so much in a short time! Almost an RN, but one thing that I see now, is the mountain of paperwork that comes alongside most simple tasks/events. I never realized it when I first started as a tech.
  9. ChickenHealer

    Student Attempted IV 7 Times

    The nurse was in the room with the student. I meant alone as in without help. The nurse just stood there doing nothing. Sorry, I was freaking out last night thinking about it and messed up my title. Our coordinators are required to show up to clinical sites a few times each semester. Last semester was the same way.
  10. ChickenHealer

    Student Attempted IV 7 Times

    Not sure where to post this but I saw something today in clinical that was just eating me up. My school has an agreement with a few clinical sites to allow students to return to clinical early, and I saw something today that made me very uncomfortable. A nurse allowed myself and another student to go into her (sedated) patient's room, and offered to let us start an IV. IV insertion is strictly prohibited and the clinical coordinator specifically told us not to even attempt it, as it can result in "major consequences". I told this to the nurse, but my classmate decided to try to insert the IV anyway. The classmate poked the patient 1, then 2, then 3.... until the nurse finally stopped her, at 7 attempts. 7 insertions, including one on a different site which was not cleaned. The school's clinical coordinator showed up on site about 30 minutes after the event, and she asked me if we had gotten to do any IVs. I had the feeling that she knew about it, and I told her about my classmates IV attempts. It turns out that she had no idea about the event, she just happened to show up and ask. She was angry at me for reporting it and told me not to tell anyone about it, or there would be consequences. The student and I are paired to go into the ED this week, and she was going on about how she hopes that we'll have more tries at starting IVs and that she'll make sure I can do it next. I have no idea what to do. I feel that if I report it further, the clinical coordinator will do something to take it out on me. I can't stop thinking about how that patient was sedated and didn't have any idea a student was involved in their care, the potential pain, or the risk of infection from all of those repeated insertions, including a site that wasn't cleaned at all.
  11. ChickenHealer

    I don't know if I should call out or not r/t snow storm

    I understand where you're coming from. I live in Pennsylvania, in an area where we're expected to have about 12-18 inches of snow. Based off of how much we have right now I imagine we might have more than that much. One of the nurses I work with lives in a development that plans to start plowing the snow at 5 PM tomorrow. Her shift is at 7 AM that same day and will likely be unable to leave for work even if she wants to. I wouldn't blame you for calling off if you're in a situation like she is- where you actually cannot get to work even with best efforts. Our hospital enlisted the national guard to help transport hospital staff to / from work. Interesting times.
  12. So to start off, I am a mental health technician, graduating nursing school soon. I float to many different units, but my usual unit is adolescent/children psych. Anybody have any resources on care for patients with eating disorders? My hospital doesn't offer any specific guidance or resources other than requiring that we lock their bathroom doors for 30 minutes after meals. I don't see a lot of patients with eating disorders at my facility, but it can feel like we don't offer anything other than medication stabilization for these patients. Our therapists do not offer specially tailored psychotherapy for patients with eating disorders- my unit's therapist often says that she is more of a "paperwork-signer" than a therapist due to the scope that she is given. I've tried blind weights, but other staff are not compliant. Discussing relationships with food and building a support system seem to be the most effective methods that I've used with these patients, but I am pretty inexperienced when it comes to these patients, sometimes it can be hard to know what to say. Usually I can get the conversation started, but sometimes I feel like I hit roadblocks. For example, an adolescent patient was telling me that she feels extremely fat and that she was raised to measure her waist daily, and if the number is above a certain threshold, her family used to starve her and tell her to make herself throw up. (The patient was slightly underweight). I talked to her about taking one step at a time, deviating away from strict standards, maybe loosening up her calorie counting, and she seemed to be understanding what we were talking about, but then she told me that she feels that she can improve how she feels about food, but she doesn't want to because it never worked for her before. I offered some motivational words and praise for her effort in identifying problem behaviors and verbalizing some realistic goals, but she told me that our conversation wouldn't matter and that no positivity would change her mind. I felt a little lost as to where to go next. Any advice or resources would be appreciated, be it about treating eating disorders or about the specific scenario.
  13. ChickenHealer

    Nurses and other staff refusing to Treat COVID patients

    Something similar is happening in my hospital. Techs and nurses have seen that they are floating to the covid unit and decide to call off. We're a psych hospital, so the "covid unit" is covid positive psych patients who have mild symptoms or are asymptomatic. Staff have refused to be floated to the unit, made it known to management that they will not work on the unit, and do not want to work with those who have worked the unit, and management is complying with their demands. I have a few coworkers who have told me that they purposely failed their fit test to avoid being placed on covid units. In my opinion it isn't fair to the rest of us- I'm young and healthy, and got mandated to work the covid unit for 5 days in a row. My also young and healthy, single, lives alone coworker refused to work and is excused from doing so. Plus working while understaffed, without services such as phlebotomy, dietary, EVS, security, makes the days a lot more stressful and dangerous.
  14. Agreed. I asked a friend who works in management about this when I applied for my first healthcare job, and I got similar advice. A resume is just there to give employers an idea of why they should hire you, leaving something off is fine. Applications often ask you to list past employers, and all of your history should be listed there as employment history is usually seen during credit / background checks, and a discrepancy there would look bad.