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General adult inpatient psychiatry
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pinkiepie_RN's Latest Activity

  1. pinkiepie_RN

    low volume days & ed pay

    I think hospitals have these rules where you can't use PTO until you've been there so long to discourage call-offs and spontaneous vacation days. If you can only have so many staff on the floor for the census, they have to staff appropriately to that requirement. Sure you could stay, but eventually the ball will get back to you, even though you're new. I don't think there's anything that says you can't be cancelled with low census just because you're new, regardless of how much PTO you have. Either use the PTO you do have, or say that you'll take a day off without pay.
  2. pinkiepie_RN

    Psychiatric nursing

    Springfield is a State Hospital, as you know. I was there for my psych clinical. I found it very boring and I rarely saw the nurses outside of the nursing station. One LPN was a med nurse and the rest were supposed to be on the milieu, but it was not true. PCAs ran an exercise group and I think there was an activity counselor but the facility is old and it needs to come to the 21st century. I've heard good things about SEPH-EC. I worked at SEPH-Towson and it was an interesting place, with well trained staff. I'd cross-post this to the Maryland thread.
  3. pinkiepie_RN

    What are the top 5 medications YOU administer daily?

    is III? Wow...I have patients who are often up to 10-15 meds (psych and somatic) but seriously, that's alot! Age/Axis I/Axis III?
  4. pinkiepie_RN

    What are the top 5 medications YOU administer daily?

    Protonix Ativan Zyprexa HCTZ Metoprolol
  5. That's a great way to spin my complaints and needs into positive questions. :)
  6. i know the new position is on a smaller, more specialized unit, with more services available to the patients on the unit. i'm going to be doing some research among students that have been there and see what kind of other info i can get. thanks for the support!
  7. I'm up to my limit with my work environment. There's no teamwork or morale, acuity is through the roof, and my NM is oblivious and is making things more inhospitable. I'm applying for an internal bid within my hospital system (one of our sister hospitals), same specialty possibly different job and I've never left a job for reasons other than graduating school before. I've been an RN for about a year and a half now. There's no real potential for me to grow in my position and I don't think my NM wants it. She isn't interested in me mentoring new grads and even though I've been told by the majority of my co-workers that I'd make a good charge RN, she isn't up for doing anything other than berating me. I'm pretty sure there's nothing I can do to make my work environment any better for myself and that talking to my NM will get me no-where. How do I talk about this in a way that isn't whining to a potential new employer?
  8. pinkiepie_RN

    Becoming a nurse with being bipolar

    I would definitely get my therapist's and psychiatrist's input on the matter. I'm in MD, so there were no such questions related to hospitalization or bi-polar diagnosis when I applied. I think one of the big things is to make sure you're stable and on the right medications. I was actually dx'ed with bi-polar while I was in nursing school and though it was the end of the world. I managed to make it through, take my boards and here I am, working on a psych unit. It's not easy, but it's worth it. I second having a good support system and coping skills, but I think that's important for everyone entering nursing school.
  9. pinkiepie_RN

    need ideas for nights off

    That's a brilliant idea - video games. I may not have gone to "bed" so early on my nights off if I had been playing some sort of video game, but (this is going to sound funny) I just don't have the attention span for video games. Or at least the patience. *makes a mental note to pick up the Wii-mote more often and play "Donkey Kong Country: Returns*
  10. pinkiepie_RN

    Did your Docs get you a Christmas gift or recognize your work?

    Our medical attending let us each order lunch from a local restaurant, on her. One of our psychiatrists brought chocolate covered pretzels, which day shift gobbled up. A psychiatrist we consult with sometimes brought butter cookies, one box for each shift. I was just glad that they all seemed to be in good spirits. I made sure to be nice to our one psychiatrist who covered for Christmas Day, even though she's Jewish and I probably had other places to be than our unit all day.
  11. pinkiepie_RN

    Our new hire, new grad charge nurse

    Just curious, because I haven't seen this stated anywhere, who is orienting her to the "charge" position? Is this a regular position she will have at all times? Will she be running "charge" immediately, as in, while she's in orientation? I work with all RNs but not all BSNs and while I know a couple of BSNs who run "charge", I know more diploma nurses or AA nurses who run the position and do it well than if we just had BSN charge nurses. I assume unless she's working 7 days/week, someone else will have to be in charge when she's not working - what's up with that?
  12. pinkiepie_RN

    tell me

    Going based off of my nursing experience, the medications I tend to give out that are with meals are Geodon, Metformin, Insulin (for IDDM patients) and Iron tablets. I would think that patient leaflet/handouts would tell you if a medication has a specific timing, but if all else fails, I think it's something most drug books would take note of. :)
  13. pinkiepie_RN

    What were you doing last year?

    Last year, I was miserable, missing time from work, ready to go crazy, and exhausted, with an extended orientation on night shift. My manager wasn't sure I was going to be able to hack it. Now I'm mentally stable, in my second full semester of graduate school for my MSN in Nursing Education, on day shift, have a social life, and am helping out with new grads and nursing students. I'm on a policy committee and my NM says she'd be willing to have me orient to charge nurse this year. I'm so much happier and comfortable in my position. I started in July 2009 and waited until April 2010 to start asking about switching to a days position. I filled in a few day shifts and even a few weeks, but didn't start FT on days until August. I've grown a lot and although I still have questions, I know most of my medications and my communications skills with doctors, colleagues, and patients have improved vastly!
  14. pinkiepie_RN

    Young Looking Nurses

    During my last shift, I had a few patients get together and tell me that I looked 14 in my Bambi scrubs and doe eyes that came with me wearing contact lenses. I've had lay people say that I look 18 or 19, but never that young! I'm 23. The only make-up I wear is lightly tinted lip gloss but I'm going to start wearing some eyeliner and stronger make-up, as well as more solid sets of scrubs. I managed to convince them of my age by telling them to add the age that people are when they graduate high school with the number of years it takes to graduate with a Bachelor's degree, but they were still skeptical. My co-workers assured me that it was a compliment, but I still took it to heart. I was caught off guard and they didn't say it because I wasn't professional in my attitude, but simply based on my looks.
  15. Not sure if this has already been posted (skimming through before work) but in my hospital, Psych and ED nurses are taught CPI, which stands for crisis prevention and intervention. It's an initial 8 hour class with 4 hour yearly review classes that teaches verbal de-escalation techniques as well as how to get out of basic grabs and holds. We're encouraged to use the skills we've gained in it, while keeping the patient's in the "least restrictive environment possible". Our management encourages us to medicate if they're acutely psychotic or delusional, before they get to the point of physical aggression and while it doesn't always work, I've only heard of a handful of staff on my unit who have ever been injured by a patient.