Meriwhen ASN, BSN, MSN, RN

Psych ICU, addictions

Member

All Content by Meriwhen

  1. You have no license, so what can the BON do? Also, unless you gave this person your real name, address, etc...how can they prove this is you? I'm not going to judge what you said or why you said...
  2. Meriwhen

    Advice needed for RN with probationary license!

    Agreed. I work in detox a lot, and you'd be surprised at the number of ex-users that are working there in all sorts of roles including nursing. They do require that you are clean/sober for a certain...
  3. Meriwhen

    Can taking prescribed medications bite you in the butt?

    If a. you have a valid script for these medications and b. aren't coming to work impaired by them, then I don't see why there would be a problem. However...my facility is another place that does a UDS...
  4. Meriwhen

    So why did you want to be a psych nurse?

    Landed here by chance...ok, it was a choice, but it had never been one of my first choices all through school, and not particularly afterwards either. Still, when the decision came down to between...
  5. Meriwhen

    Has anyone ever med errored with geodon

    Usually if a doctor's ordered an stat increased dose for a PT and I've already given the scheduled/PRN dose, I'll let the dcotor know about it and he/she will usually tell me to give just the...
  6. Meriwhen

    I'm a traitor.. from LTC to MD office

    Good for you! Just ignore the critics--you need to decide what is best for
  7. I made a med error due to distraction. I had noticed that a medication was d/c for a patient and so I didn't pull it...but the unit was crazy that day (no pun intended) and we were overwhelmed with...
  8. Meriwhen

    Should I call?

    If you don't ask, you don't get...so why not call? If she's open and receptive when you call, take the chance to sell yourself! Also, if she's not interested in you now, she may pass you onto someone...
  9. Meriwhen

    Are most shifts usually 12 hours?

    Like everyone says, it depends on the facilitiy. I work 8s. I could work 12s at my facility if I wanted to...but I don't want to right now. When my little one is older, I'll probably go back to 3...
  10. Meriwhen

    Suboxone side effects

    Sweating is listed in my drug guide as one of the common side effects. Also, I've had a patient on suboxone who kept running hot flashes and sweats while they were with us...though we were never able...
  11. Meriwhen

    Rights of Psych Patients?

    I think your facility needs to have a better system for handling psych patients because as it stands right now, it's not very good. I hope your facility realizes that they can't legally detain a psych...
  12. Meriwhen

    My Favorite Pen Has Been Banned! Help!!!!

    I use only the Pilot G-2, either extra fine or very fine. They're a pain to find in most stores, so whenever I hit OfficeMax I stock up--mostly blacks and a couple of reds. I always have several...
  13. Meriwhen

    Rights of Psych Patients?

    Well, if the patient is unconscious (sleeping does not count), in most states that implies consent for treatment unless there is a advanced directive/living will on file for the patient stating...
  14. Meriwhen

    How long is the ATT taking?

    It varies. I got my ATT about a week after graduation, most of my classmates got theirs within 2 weeks; a few didn't get theirs until more than a month later. There's no way to tell how long you will...
  15. Meriwhen

    Rights of Psych Patients?

    I agree--unless you have an in-house psych unit, why not get them transferred to a psych facility? A lot of psych places offer telephone/mobile assessment services, so the patient need not show up at...
  16. Meriwhen

    errors

    Take responsibility for your role in the mistake, and learn from it so you can avoid making it again. And yes, it's normal to feel incompetent for a little while afterwards...ask me how I know
  17. Meriwhen

    Rights of Psych Patients?

    If there's no court order mandating otherwise, the patient can refuse treatment (i.e., to give the urine). If she refuses the cath but you cath her anyway, then that's battery, and (again, if there's...
  18. Meriwhen

    Rights of Psych Patients?

    Their verbalizing SI/HI is not automatic grounds for keeping them. To keep them, you would have to get a temporary detaining order--you'd have to prove to the magistrate that this person is an...
  19. Meriwhen

    Rights of Psych Patients?

    For the most part, Psych patients have the same rights as any other patient. They can refuse treatment and medications (unless they are court ordered), and unless they are being temporarily detained...
  20. Another vote for "check with your BON" to see if you are able to do it and what your scope of practice would be. Also, keep in mind that a lot of hospitals/facilities won't hire RNs as CNAs because...
  21. Meriwhen

    Do You Remember Your Patient's Name?

    My secret is the q 15 minute safety rounds we have to do on every patient: within an hour or so, I've got most of their names pegged...oh never mind, I thought you were talking about patient names :)...
  22. Meriwhen

    How frequently do you do physical assessments in psych?

    They are physically assesseed on admission, then daily. If a patient's medical status is fragile, we assess them more frequently...but every single patient gets at least one assessment a day. I should...
  23. Meriwhen

    Psch Nursing Question from Newbie

    It definitely doesn't happen at my facility. I would think there'd be too many liability issues to allow visitors without cause (and unless this shadowing is a sanctioned part of your clinical, you're...
  24. Like everyone said above me, Keep your psych history to yourself. Yes, it will probably be helpful to you in your role of psych nurse. However, disclosing such things could also be used against you...
  25. Meriwhen

    Tips for New Graduate Nurse Starting a job

    Remember that you can learn something from everybody, be they the CEO of the company or a maintenance person, the DON or a CNA. So don't close off learning opportunities because of where/who the...