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AlwaysTired's Latest Activity

  1. AlwaysTired

    Patient rights v. Clinical instructor?

    Get a copy of the hospitals patient rights policy (don't they all have one?) and slip it under her door.
  2. AlwaysTired

    Not a real nurse?

    I am a psych nurse and proud of it. I tried working M/S and couldn't handle it so I'm in awe of hospital nurses but I know that we are all important and valued in whatever field we choose. However, my issue is with my family (husband, in-laws, etc) who ALWAYS have to point out that I'm a nurse to any healthcare provider we encounter, especially when one of us is hospitalized. It embarasses me. Don't misunderstand...I'm not at all embarassed about being a nurse. I just feel like they're saying in code "watch what you do...my "daughter in law, wife, or whatever is a nurse and she's WATCHING YOU!!" Then I respond with "well, I'm a psych nurse" which almost sounds like I'm demeaning myself but it's really just that I don't want them to think I'm gonna critique everything they do. Oh well... I wish my family wouldn't do that, guess I just need to tell them!
  3. AlwaysTired

    Bad experience - is this typical?

    Anyone else find it hard to believe that the surgeon walked out of an ongoing operation to go and check on an ER patient? Just sayin...
  4. AlwaysTired

    Bad experience - is this typical?

    Why didn't you leave and go to another ER??
  5. AlwaysTired

    I need advice about mental health facility

    You haven't indicated what specific Mental Health field you will be working in. Is it Developmental Disabilities, Substance Abuse, Chronically Mentally Ill, Geriatric, Pediatric, a combination of all? Inpatient/Outpatient? I work in an Adult Detox/Crisis Stabilization Unit. The best advice I can give you is to study all the different disorders you may encounter on your unit (very often they will co-exist) and be very familiar with presenting symptoms and therapeutic interventions. Always be on guard and ready for unpredictable behaviors. I like to think that even though I work in a high risk area that we are better trained and prepared for violent and unsafe situations than hospital nurses are. Our patients can literally be laughing one minute and throwing things and cursing the next. Expect the unexpected and never let your guard down. Make it a priority to go to training sessions and learn ways to keep your co-workers and yourself safe. I love my job, though some days I feel like crying all the way home (I think that is a part of all nursing). One thing I can say though is that it is never boring!! Best of luck to you!
  6. AlwaysTired

    A Morbid Poll I know.

    My Dad passed the day after Thanksgiving. I'll keep some of his ashes in a wooden trinket box that he built along with his beloved crossword puzzles and a few small items to remember him by. While we were at the funeral home I remember seeing a display where you can have the thumbprint of your loved one made into a gold or silver pendant to wear on a necklace. I thought that was a nice thing to do. I want to be cremated because I can't stand the thought of being in the cold ground! The bugs bother me but it's more the cold. I don't really know why I think about this so much, but I really hate being cold and I can't stand the thought of it. I'm also surprised about how many people specify that they don't want anyone looking at them after their dead. I've said this for years and I thought I was the only one!! Wonder why it bothers us so much?
  7. AlwaysTired

    3 medication errors in 7 months!

    I made one today and I've cried so much I can't hardly see to type this. Patient is ok but I can't even express how stupid I feel. I let the pressure to hurry up get to me and got careless. Clerical told me patient was in for shot, I checked for a current Rx but didn't even pay attention to date of last shot on MAR (I know, stupid) and gave shot too early. I'm new and was too trusting of clerical. I know what I have to do now but it was so humiliating to call the Dr. after he had complimented me earlier in the day on what a fine job I was doing. I hate myself right now.
  8. AlwaysTired

    why are nurses stations so chaotic?

    When I first got my present job (psych nursing) the med room was across the hall from the nurses station. It was so peaceful and quiet...just me and the patients at my half-door of course. (It's not the patients that bother me). So after a few months they moved the med room into a corner of the nurses station and walled it off with a door in between the station and med room that everyone wants kept open except of course when admin is in the bldg. This entire space including med room and nurses station is only about 12'X15' and at any given time we've got 2 nurses, 2 techs, 2 secretaries, 4 or 5 case managers, housekeeper, maintenance man, Nurse Mgr, transporter, and whoever else can cram in there. It's sooo noisy and chaotic and I'm over here in this corner trying to pass meds, take orders off, call the Dr, count pills, or whatever and it's driving me nuts!!! I'm a person who likes quiet, serene surroundings (I used to want to be a librarian for goodness sake!) and I'm having a hard time dealing with this. Some of our employees are so loud and there can be 5 or 6 conversations going on (and competing for volume) at one time. We've just hired a male nurse that has the most deep, booming voice I've ever heard. Any suggestions? I LOVE my job but jeez...I'm going crazy. I work every weekend already and whew, it's such a relief but I can't survive on 2 days alone, have to work some weekdays. I remember in hospital clinicals how loud nurses stations were. Am I the only one it bothers?
  9. I had a cute little 'ol lady that told everyone that she was a "diabetical" and a guy who always asked for his "Blistaril" (Vistaril). Oh... and I have a precious Aunt from Alabama who rants about her 70 year old brother taking "that damn Viagner"!!!
  10. AlwaysTired

    Do you have enough time to help yr patients?

    I work in crisis stabilization for substance abuse and MH patients (we call them consumers). There are 2 nurses on duty per shift for 30 consumers. The charge nurse works up referrals and does the initial nursing assessment on admission. After that she has no patient contact. The med nurse on the other hand has a lot. I'm the only nurse that works at this facility who always volunteers to be med nurse. Yes, I have a lot of paperwork also but I do have periods of time when I'm not counting stock, pulling meds or taking off orders. When I don't mind interruptions I leave my half door open and welcome the consumers stopping by just to talk. And when I have down time I get out and walk the floor interacting with them or just checking to see what they are doing. And of course when there is a medical emergency everyone yells for the med nurse! I love it. The charge nurse, on the other hand is bogged down with loads of paperwork, phone calls, and meetings. I view her job as strictly a desk job. By the end of my first shift of the week I always know all 30 of our consumers by first name. The charge nurse is always asking "who is so and so?" or "show me a picture of him". I don't have as much contact as I'd like, but it's way more than she does. Do I feel like I help people? Yes! (of course not all 30, but some) and it makes me feel good. Also, a bit of advice: techs are invaluable! Keep a good working relationship with them because the are a great resource. MH patients are hard to assess in short intervals and some won't even converse with a nurse or Dr at all. The techs will give you wonderful insight into what goes on with them throughout the day. Oh, and I just wanted to vent that there's SO much paperwork involved with nursing and it's frustrating, so get ready for it. And I tried the hospital, it's even worse there! Good luck!!
  11. AlwaysTired

    Anybody work with addicted population?

    I work in a detox facility and I love it. I've been doing it for less than a year so I can't address the burn-out issue, but I suspect that it's no worse than any other field of nursing. I'm emotionally tired a lot of nights when my shift ends as opposed to physically tired. It's frustrating at times but intensely rewarding. I remember thinking in school that "therapeutic communication" was the biggest bunch of nonsense that I'd ever heard, but let me tell you, I use it every day on my job and it is a very powerful tool. Yes, we get tired, disgusted, irritable when we see the same folks coming back time after time, but I think the most overwhelming emotion for me is pity. And I strive to be respectful and treat everyone with a caring and compassionate attitude no matter what I say about them inside our box (our nurses station). You just never know when you will do or say something that WILL finally make a difference. It may never happen but you must keep trying. Every human life has worth.
  12. I work in crisis stabilization which is acute detox for substance abuse and stabilization for MH patients off of their meds and in crisis. Our patients are up walking around and perform their own ADL's but do quite frequently get sick or have a medical emergency that keeps up a lot of our skills. I love it and we make more than the Med-Surg nurses in our area.
  13. AlwaysTired

    Phobias anyone???

    Just wondering...does anyone dream about their phobias? I've got a few: rats, roaches, heights and elevators. For some darned reason I dream about elevators quite frequently. It's not always the same dream, just stupid, crazy dreams that don't make a bit of sense but involve me being inside an elevator. I've done it as long as I can remember and it creeps me out for a few hours after waking up. Crazy, huh? I can ride an elevator for just a few floors while getting quite anxious, holding my breath, having palpatations, etc. But I can't for the life of me ride those huge ones that go way up or are made of glass or hang on the outside of a building (don't even like talking about those). I've had my hotel room assignment changed many times when I saw the monster (I mean elevator) that I had to ride! I wonder what happened to me in my past life? Ha!
  14. AlwaysTired

    Attempted suicide on my shift

    Thanks for the positive comments. I'm off duty today and when I called to check in on a coworker who was there that day she says that all of the people in management and all of our doctors are raving about our performance. That makes us both feel better. I don't know what's up with the others but I guess you just can't get compliments or positive feedback from some people no matter what happens.
  15. AlwaysTired

    Attempted suicide on my shift

    A couple of days ago we had an attempted suicide on my shift. I'm a new psych nurse (less than a year) and it was one of the most horrible things I've ever seen or been through but instinct kicked in and I am confident that me and all my coworkers did everything right. All of us are still really shaken up about it and I truly wish it didn't happen, but looking back makes me really proud of myself and all staff on duty that day. There is honestly NO doubt in my mind that staff did anything wrong or inappropriate. I think we did a great job and the patient ended up being physically o.k. So why are we getting negative feedback from other staff who weren't on duty? We haven't really spoken to administration in depth and I don't think there will be any question about our actions but our coworkers that work other shifts or were off duty that day are all second guessing us and kind of insulting us about it. I think it's one of those "you had to be there" situations but it's really hurtful and makes those of us that went through it angry and defensive. It's like we have a secret club now and have to go off in another room to talk about it. There's nothing secretive about our actions, we just don't want to hear the negative, condescending comments from others. Can't we get a little sympathy?? What gives??
  16. Is the term you are looking for: "chemical restraint"?