medsurgrnco

medsurgrnco BSN, RN

Med-Surg, Psych

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All Content by medsurgrnco

  1. really bad IV skills...suggestion?

    medsurgrnco replied to beachgirl01's topic in General Nursing

    Those huge, easily noticeable veins are the ones that roll. Instead of going for them, I look for veins above the elbow on those patients. Inserting IV tips has been covered several times in the last...

  2. Psychiatric Nursing Differences?!

    medsurgrnco posted a topic in Psychiatric

    I just started my new psych RN position, and am surprised at some of the differences from med/surg. Seems none of the nurses actually assess the patients (other than a few questions) and no one uses...

  3. JCAHO requirement? hourly rounds and written report at change of shift?

    medsurgrnco replied to blackberry's topic in General Nursing

    Last I knew JCAHO did not require hourly rounding or written shift reports. If they did require written reports, those would not be shredded as hospitals would want proof that they are in compliance....

  4. I was told that Psych Nursing is "too depressing"...

    medsurgrnco replied to cherubhipster's topic in Psychiatric

    Many in our society have negative opinions about working with those who are marginalized in our society. You liked working in special ed, so my guess is you might really like psych. For me, working...

  5. Is there anything else I can do for you? I have the time. (new hourly rounding sheet)

    medsurgrnco replied to FireStarterRN's topic in General Nursing

    One of the best articles I've read about the ridiculous situation in hospitals these days.

  6. Psychiatric Nursing Differences?!

    medsurgrnco replied to medsurgrnco's topic in Psychiatric

    Agree. And many of the replies were helpful. But there was a unnecessary condescending tone to some of the replies. I'm wondering if there is some weird stuff going on between psych and med/surg...

  7. Psychiatric Nursing Differences?!

    medsurgrnco replied to medsurgrnco's topic in Psychiatric

    I received numerous replies from others assuming I didn't know the differences between psych and med/surg patients. Don't know why others don't see it that

  8. Wages

    medsurgrnco replied to Jules A's topic in Psychiatric

    I'm being paid more as a psych nurse at my current position than I was in my previous jobs as a med/surg

  9. Psychiatric Nursing Differences?!

    medsurgrnco replied to medsurgrnco's topic in Psychiatric

    I asked when I started this thread if other psych units were similar to what I noticed at my facility. I did not ask for others to tell me what I should do, as if I don't know the difference between...

  10. So confused!!!.....

    medsurgrnco replied to yuyu75's topic in Psychiatric

    You might consider getting a bachelor's or master's in psych or social work. Then you would make much more $ than a CNA or MHW, but still have more patient contact than most psych

  11. Insomnia meds for psych patients?

    medsurgrnco replied to medsurgrnco's topic in Psychiatric

    Which of these meds have you seen work best for agitated patients who don't sleep for more than a couple of hours at a time AFTER being given insomnia

  12. Facility handles codes???

    medsurgrnco replied to aloevera's topic in Psychiatric

    IMO either the patient's nurse or the charge nurse should be the first to take charge of the situation. Sounds like something that could be addressed in a staff

  13. Starting my first job

    medsurgrnco replied to IamVickiRN's topic in General Nursing

    I don't know how orientation is usually done in nursing homes or for LPN's. But in hospitals, new RN grads work with a preceptor on the shift they will be working on for 6-12 weeks or more if

  14. Monitoring of psych patients

    medsurgrnco replied to medsurgrnco's topic in Psychiatric

    Yes, I know this is a disaster waiting to happen. Part of the problem is insufficient staff with our hospital setup while another problem is the MHW who are lax in their supervision of

  15. Monitoring of psych patients

    medsurgrnco replied to medsurgrnco's topic in Psychiatric

    Aloevera, your patients are monitored more closely than ours. Maybe you didn't realize I meant that even fall precaution, suicide precaution, assault precaution and escape precaution patients are...

  16. Irritating Coworker

    medsurgrnco posted a topic in Patient, Colleague Relations

    Wondering how others would deal with this situation. I am a nurse who recently started working on a very small unit at a different facility. One of the nurses there picks at me and corrects me...

  17. Irritating Coworker

    medsurgrnco replied to medsurgrnco's topic in Patient, Colleague Relations

    Appreciate all the responses. I haven't worked with this nurse much, and have been puzzled by her behavior, so have been biting my tongue while trying to figure out what's going on and how to address...

  18. Nurses, have you been told that you need to improve your time management skills?

    medsurgrnco replied to UM Review RN's topic in General Nursing

    This is management's standard reply when they think you are not fast enough to meet the ridiculous expectations of nurses these days, and you are caring enough to not cut corners in patient care in...

  19. Irritating Coworker

    medsurgrnco replied to medsurgrnco's topic in Patient, Colleague Relations

    Sent a PM. Trying to remain anonymous on this forum, and I don't know who reads posts

  20. Irritating Coworker

    medsurgrnco replied to medsurgrnco's topic in Patient, Colleague Relations

    Thanks. I do plan on dealing with it, just trying to figure out what to say. Fortunately we haven't worked together very often, and the comments are often said in the form of "informing" me about...

  21. What I don't like about my job-Interview

    medsurgrnco replied to certma's topic in General Nursing

    I've also talked about how I don't like the gossipping and backstabbing that some nurses do. Then I'm told that this is a cohesive unit that works well together ... only to find out the unit is bad...

  22. What I don't like about my job-Interview

    medsurgrnco replied to certma's topic in General Nursing

    Always turn a negative into a positive. You could say something like the lack of teamwork in *some* hospital units, then talk about what a great team player you are and how you help out the other...

  23. Should Supervisor help??

    medsurgrnco replied to aloevera's topic in General Nursing

    Now that you know she won't help, this is how I would handle the situation in the future. I would not take report and refuse the assignment. I would only stay if the house manager and sup immediately...

  24. Is there a future in Psych Nursing?

    medsurgrnco replied to rookie_rn's topic in Psychiatric

    It seems that many hospitals are eliminating their psych units because they lose $ on those patients. But psych issues are not going away, so there will continue to be psych facilities. Many RNs do...

  25. Should Supervisor help??

    medsurgrnco replied to aloevera's topic in General Nursing

    That was ridiculous! She certainly should have helped, but in my experience some supervisors & charge nurses don't seem to want to work much. Suggest you go up the chain of command next time this...