medsurgrnco

medsurgrnco BSN, RN

Med-Surg, Psych

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All Content by medsurgrnco

  1. When good vent threads go bad.....

    Respectfully suggesting that an OP reflects on their actions is fine, its the character bashing and superior tone that gets on my nerves which unfortunately happens way too often on this forum....
  2. Haldol and cogentin IM

    Maybe some patients would become too sedated to take PO
  3. Hourly Rounding / Walking Reports

    I didn't like walking rounds as I found it was inefficient. Patients often had questions so that it took too long. The offgoing nurse usually would give me a very brief report leaving out important...
  4. Help! I need career (change) advice

    Depends on what facilities are located in your area, or on whether you are willing to relocate. I am making approx. $2/hr more as a psych nurse than I did in my last med/surg job. If interested, you...
  5. Maybe it was a big mistake to be a nurse :(

    Suggest you read through some posts in specialty forums on AllNurses.com to get a feel for those
  6. Questions about Missing Narcs

    Some of the machines do dispense only the number of pills
  7. Is this really what psych nursing is like?

    Each facility and each nurse is likely to be different. I try to de-escalate patients rather than resort to
  8. Help! I need career (change) advice

    You might also look into a psych nursing
  9. Questions about Missing Narcs

    Thanks for all the replies. When the count is off, we go through the MARS to try to figure out what wasn't entered. Apparently they couldn't figure it out this shift. Seems as tho my facility could...
  10. Questions about Missing Narcs

    That sounds like a good way to deal with it. A UA was not done on those nurses, which I thought should have been done. If a UA didn't come up positive in the situation you discussed, do you think they...
  11. Questions about Missing Narcs

    Thanks for the information. In our recent situation, the missing narc could not be accounted for as no patient currently had that narc ordered by the
  12. Activities for mental illness in a psychiatric institution

    Suggest you do some searching on the web. Maybe check out the games at your local toy store, and wander the aisles of your local crafts
  13. freaking out

    Chalk this up to a learning experience... IM meds seem to be pretty rare. When I have IM meds, I mark the route in red to make it stand
  14. How much sleep?

    I work 7P-7A. When I get home, I shower and eat something light and quick if I'm hungry. I'm usually in bed by 0830 or 0900 and stay in bed till 1600. If I can't sleep, I take a tylenol PM to help me...
  15. Maybe it was a big mistake to be a nurse :(

    Since you like psych, why not try it out? Suggest you look at factors involved when you were attacked as a MHW to see what you could change. I worked in med/surg for several years and was so stressed...
  16. When good vent threads go bad.....

    I too am shocked at the number of threads that go bad. And was really shocked when a few times I was the OP that ended up being bashed, when all I was doing was asking for advice on an issue. Suggest...
  17. Need new job - NO MORE HOSPITAL!

    Sounds like a community health job in CM or a mental health clinic might be good options. You might check out CraigsList.org for nursing jobs as they listed many that were non-hospital jobs when I...
  18. Nursing Role in a Multi-Disciplinary Team

    I've had similar struggles at my new job. Some MHWs think they know the patients better than the nurses, as they are around them more and some have more experience working in psych than the nurses....
  19. Haldol and cogentin IM

    Can't answer your questioni regarding mixing those meds. But I don't trust asking other nurses. I would look the info up in a drug book or call a
  20. Jobs outside clinics, hospitals or offices.

    There's also psych nursing in psych facilities. Working night shift is one way to avoid some of the office politics. And working in a small facility/unit can sometimes work out better as fewer...
  21. When the hospital where I worked started hourly rounding, I was so tempted to say to each patient, "I'm here to do rounds. Do you have any needs regarding pain, positioning, and
  22. Beyond Meds and Charting

    Nurses salaries are much higher than psychotherapists, but you may need to search around a bit to find a nursing job that comes close to fulfilling your desires to do
  23. Hospital Nurses -- Give it to me straight...

    Most hospital jobs I've had wanted me to work half the holidays. I had modified self-scheduling at most jobs also. You sign up for a schedule, and then the schedule is changed slightly to balance the...
  24. If administrators want patients to think we have the time, they need to stop making us carry spectralink phones that ring all the time showing patients just how busy we actually are. The last hospital...
  25. Psych Interview on Tuesday

    Sounds like not knowing ahead that you needed to fill out so much paperwork threw the schedule off. I suggest you ask for a tour of the facility before making your decision, if you are still open to...