Meriwhen ASN, BSN, MSN, RN

Psych ICU, addictions

Member

All Content by Meriwhen

  1. Meriwhen

    Panic attacks triggered by rapid position change

    Oh yes, OP: that's not to say that your patient's problem isn't psychiatric in any way--it may very well be. But the physiological conditions should be ruled out--or at least figure out what role(s)...
  2. Meriwhen

    Panic attacks triggered by rapid position change

    It comes down to the patient's ability to get oxygen. Some s/sx of low oxygenation include altered LOC, anxiety and (my personal favorite) a sense of impending doom. Seriously. Think about when you...
  3. Meriwhen

    Blacklisted by your Nursing School?

    Unless a letter of recommendation was guaranteed in the enrollment contract, the school isn't obligated to do anything. As far as affecting employment, the school isn't stopping her from finding a...
  4. Meriwhen

    Panic attacks triggered by rapid position change

    My impression is that her emotional state may be partly due to changes in oxygenation and not a psych issue. She's got a whole host of conditions already compromising her gas exchange as it
  5. Meriwhen

    Dealing with calls from work

    1. Get caller ID 2. When the phone rings and you see it's your job, let voice mail get it. 3. After screening the call, decide if and when you wish to return the message. I do recommend returning...
  6. The bad news: yes, your plasma experience will place you out of a lot of new grad residency programs. Both facilities I work for only consider candidates for their new grad programs who have less...
  7. Meriwhen

    Your first experience with a dead person

    Whenever I encounter dead patients in psych, it's because they committed suicide or
  8. Meriwhen

    benzo use in hospital

    If she's only had the Ativan for a week, it's very unlikely she has developed a physiological dependence. It's too short of a time period. However, she could have developed a psychological...
  9. Meriwhen

    suboxone

    Suboxone does not show up on your standard UDS: if you were to pop positive for opiates, it almost certainly means that you relapsed on opiates. However, it could show up on a qualitative/specific...
  10. Meriwhen

    Can a nurse survive on several per diem jobs?

    One thing to remember if you have multiple per-diem jobs: each employer will expect from you that your other job(s) will not impinge on your committment to them. Each employer will expect them to be...
  11. Meriwhen

    Blacklisted by your Nursing School?

    As others have said, the school is not legally obligated to give you a letter of recommendation/reference. You could try talking to a lawyer to see if they could enforce any verbal promises of a...
  12. Reality check: you will be a new grad. The deck is already stacked against you in the job hunt. Why further risk your chances with a wild haircut? Sure, it may not matter to all employers...but it...
  13. Meriwhen

    What is it like to be a california nurse?

    We have ratios, yes. But a lot of the time it's primary care nursing--you're incredibly lucky if you get a CNA or LVN to help you out. You may only have 4 patients, but get used to doing it all for...
  14. Meriwhen

    offered to shadow after interview

    Being offered to shadow is a very good sign; however, it doesn't mean that you have the job just yet. Be sure to bring your A-game when you shadow. Best of
  15. Meriwhen

    Psychiatric Emergency! Fumbling Syringes?

    It can be hard to keep both your focus and your cool in the midst of a code, especially if it's one of the wilder ones. What I have found helps is to not let yourself be rushed: just because...
  16. Meriwhen

    Mental Health First Aid vs CPI Training

    Honestly, I have never heard of a mental health first aid course...but yay, Google. CPI is more crisis stabilization and internvetion, whereas this mental health first aid class appears to be more of...
  17. Meriwhen

    L&D not for me :(

    Of which, in this litigation-happy society, there is
  18. Read this and take heart: 10 Reasons They Haven't Contacted You After a Job Interview | Susan P. Joyce The hiring process is rarely as prompt and efficient as we'd hope it would be. It sounds like...
  19. I don't think that it is technically a HIPAA violation if all you did was make an appointment. However, making an appointment in this manner probably circumvented your facility's P&P for...
  20. Meriwhen

    Incompetency of california board of nursing

    In fact, US citizens have also been denied licensure depending on where they went to nursing school. As Esme pointed out, the best example of this is Excelsior: graduates of their ADN program can not...
  21. Meriwhen

    Can I challege CNA exam in California?

    Unfortunately for the OP, just because Illinois licensed her doesn't mean that California automatically will. ANY applicant, whether by testing or endorsement, has to submit transcripts to the CA BRN...
  22. Meriwhen

    New grad job interview in psych

    Congratulations! Unfortunately, you need to decide which job is better for your situation--that's a decision we can't make for you. If your finances are tight, keep in mind that a per-diem job...
  23. Meriwhen

    Pre-Employment Testing

    The best answer is B. You need to tell the DON/Staffing right away so they can find coverage for you. If you call out just because you want the day off, you're not going to make friends with staffing...
  24. Meriwhen

    Pre-Employment Testing

    IMO, you scored a 50%. 1: If the patient has the Ativan ordered, it's been 6 hours since their last dose and isn't heavily sedated (e.g., RASS 0 or higher), give it to them. It is not your place to...
  25. Meriwhen

    Can I challege CNA exam in California?

    Aide / Technician You will need to contact them and ask. Best of