bekindtokittens

Hello! It's been a long, long time since I've been here. Life got in the way, and I'm currently an unemployed RN who is a SAHM. My daughter goes to daycare part time. The center asked if I would be interested in performing physicals for the employees once a year. The employee would pay me directly. I've seen the worksheet they use, and it's barely even a physical, just seeing if they can perform job duties. I can handle that, and I can handle performing physicals. But how does this work? Can I just work independently like that? I would not be employed by the center directly. It would be nice to earn some extra cash on such a flexible schedule. If I sound clueless, it's because I am, so please don't flame me. My friend google has been no help.

As long as the underwear don't somehow tie in to the reasons why he is there on your unit, I don't see the problem. I wonder if the parents or caregivers have made this request? If so, the boss and the patient advocate have gone about the situation all wrong. If the parents are concerned with the choice of clothes, this should be brought up in a family meeting. Denying this patient his clothing has turned the situation into a power struggle, which I'm sure you know is not therapeutic. Instead of participating in treatment, he's going to be dwelling on why he can't wear his clothes. And yes, in the adolescent setting, we are somewhat dictatorial. Most of these kids have had either no discipline or the wrong kind of discipline in their lives. We set rules, we are the adults, and what we say goes. It's amazing what a little structure will do for these kids. But we are fair, and if we had a male who wanted to wear female underwear, if he kept his undergarments private (as we expect with ANY kind of undergarment), and if it didn't interfere with treatment, he would wear his choice of underwear!

I'm a psych nurse who works on both adult and adolescent acute units. I completely agree with Davey; working with adolescents is like herding cats. I won't lie; I prefer the adult patients to the child/adolescent. I find that 90% of my time working with the under 18 population is spent addressing behavior problems. I relate better to adults. But at my facility, there are other nurses who feel the opposite--they can't stand working with the adults and prefer to work with the children. So we have a good balance! I loved my psych rotation and I love working psych. I think you should take the PRN position and give the field a try.

To the OP--I understand. I've had similar problems with some of the therapists who lead groups on my unit. We as staff don't sit in group, but we listen as we work so we can anticipate any changes in the "vibe" of the milieu afterwards. If the patients act out during group, then it's my fault as the charge nurse because I wasn't paying enough attention and should have stepped in. If the therapist starts using non-therapeutic communication and after the group you ask the therapist why, you're told that you aren't educated and don't know what you're talking about. (I've had therapists tell patients to turn to Jesus and they would be fine, disclose way too much personal information, etc) I got tired of being talked down to. I began to listen carefully to groups and document my butt off for my supervisor. Slowly but surely, things are changing.

I'm another employee of a PSI owned facility who is in the dark. All I've heard is that the changes will be starting with the new year? What changes? No idea.

Originally Posted by mspontiac Maybe you need to get a friend who is a little more bright. I never had to explain that much when I was taking pre-reqs! I agree, I never had any problems either Really, so when quoting that original post, you were only agreeing with the second sentence? I don't believe that is true. I think what is clear is that you do not like other posters disagreeing with you, which I did. This bulletin board is pretty strict, so in order to keep this thread open, I'm going to stop arguing now.

And that was your experience, not mine. Which is why you decided to stick with the "I'm in pre-nursing", and I decided to say "I'm a nursing student". And are you missing the post above questioning the brightness of my friends, and your agreement with said post? Since my original post seems to be misunderstood, I felt the need to clarify. Is everything clear now?

Oh goodness. I guess I figured that since my hypothetical conversation was dripping with sarcasm, people would understand that "Bob" was a random person or far flung acquaintance who started a conversation with me. Of course friends in pre-req classes are going to know what I mean when I say "prerequisites". And my personal friends are going to know what I'm talking about because they are my friends and are aware of what's going on in my life. Congratulations! Everyone you must come across in your life must be exquisitely bright and insightful about all things.

Let me illustrate the conversation I would often get into as a student doing my pre-reqs. Let's say I'm talking to Bob... Bob: What are you in school for? Me: I'm in pre-nursing. Bob: What is pre-nursing? Me: it means I'm taking prerequisite courses for nursing. Bob: Prerequisites? What do you mean? Do you go to the hospital next semester? Me: No, I have to take these classes before I can even apply to get into the nursing program. Bob: That sucks, I don't have to do that for my super lucrative and promising philosophy degree. When do you get to go to the hospital? Me: Well, first I have to take all these science classes in a certain order, get good grades, become a CNA, get on a list, and if I work in healthcare already I might be bumped up, and-- Bob: Yeah, I gotta go. After about fifty repeats of this conversation, I told people I was a nursing student. End of long drawn out conversation. And about the kit, holy crap. If people wanted two kits, maybe they should have bought two kits. How dare someone buy something for sale in the bookstore. I'm going to go to my old school's bookstore and buy a World Religions textbook and think of this thread and laugh...

I only wear the Dickies "W" line.

Buying a beautiful, sleek, black Jaguar. Loved the car, hated the high cost of repairs...and there were many.

I had to revive this thread because this pain scale is HILARIOUS. I now have a new blog to follow. Thank you. :)

My facility has a policy that we are not allowed to have our phones on us while working. That said, myself, and everyone I work with, carry our phones with us. It's not an enforced rule, and it sure comes in handy. I love my drug programs. I use them all the time. And sometimes I can really make a patient's day when I can look up a football score for them. :)

I went into psych as a new grad. I recently felt the urge for a change and spent two weeks at a job in sub-acute. I felt threatened there just as much as I have working on my acute psych unit. I've since returned to psych full time and realize where my passion lays. However, if I was ever in a position in which a situation got out of control and I didn't have enough staff in order to do a "proper" take down, I'd do what needed to be done to keep myself alive. If an employer wants procedures followed, they'd better staff the unit appropriately.

I wore mine for a month or two and then threw them into the back of my closet. They were very heavy and not very comfortable. I didn't see or feel any "shaping up" benefits with them, and nearly ate the floor several times when I didn't pick up my feet correctly while walking. I went back to my Keens. I am thinking of trying out the Danskos.