Isitpossible

Isitpossible LPN, LVN

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All Content by Isitpossible

  1. Hi all, I do attend Walden, the PMHNP. I am in my next to last class. If you have any questions feel free. :) Walden and other online programs will be mandated in 2019 toprovide clinical placement...
  2. Nursing School Needs Repair (And Why I Quit)

    That was a dumb comment: maybe try psych nursing? clearly OP is not cut out for nursing school. Psych nurses undergo the same training as any other RN and pass the same boards. So what makes "psych...
  3. What happened to all the Walden Haters?

    Hello and Congrats on your successes! I am a current Walden student and find the program challenging and I am learning so much. I do enjoy it. I compared Waldens Classes to other Psych NP...
  4. Skilled Notes

    I am new to LTC w/30 patients. Three of my residents are skilled, and I was told that skilled care requires documentation every shift.. I'm really not sure what to put in a skilled note exactly...I...
  5. Are you finding Walden excruciatingly slow with financial aid? Their already driving me
  6. New grad working in ltc. I've notice that during med passes, if the pt does not have the prescribed med, they are "borrowed" from another patient (particularly narcs) and then documented in narc book...
  7. Problems with q15 rounds

    Gosh couldnt agree with lala more!! God firbid there is a murder, (yes it happened at my facikity), suicide, rape or any other event..Heads are going to roll including yours#! Please dont let this...
  8. Yes I love using humor on my detox floor.. One standing joke I use is when pts ask for a med.. I say "how much you willing to pay..50 cents will work and I accept IOU.." For some reason the pts love...
  9. Insulin

    Im having a issue with diabetes care in the hospital setting. All the diabetic pts are on sliding scale with meals and Lantus at night. It seems that we are not doing a great job with controlling...
  10. On probation for being too "anxious"

    Im new to med surge also. Its a very different environment than what Im accustomed to. Been a nurse just three years. Im learning on med surge to stop panicking. When orders are flying phones...
  11. Overmedicating...NO!!

    I'm a little frightented by some of my colleagues actions...most epecially with psych patients. I see nurses giving more anti psychotics than ordered. One night my pt was seizing..doc ordered 1mg Iv...
  12. Transfer Psych to Medsurg

    As a psych nurse new to med surge one skill that completely came in handy just today was de-escalation!!! A family member was going off on my fellow nurse!! I interceded quickly, therapeutically and...
  13. Overmedicating...NO!!

    Rose Queen..No I did not report. I was not on the unit of the RN who gave that Haldol.. It was second hand information. Of the ativan no need to report I simply did it myself and pt got correct...
  14. Psych nurse cross training to MS

    So I've been a nurse for three years now. I have (and still do) work primarily psych. I also did LTC for about a year when I graduated in 2012. Med-surge is somewhat different from psych, and I...
  15. OP, hopefully your okay with this now.. No can really know what made the family member request another nurse. I think its very mature of you to reflect and try to figure out why you werent requested....
  16. Not going to play that game

    Good for you!!! they were looking for scapegoat, and had the wrong one.. lol...
  17. Nervous about new job!!

    I absolutely love psych...congrats and good luck. Some great information, never turn your back, keep safe distances ALWAYS, no matter how harmless a patient seems, and therapeutic communication is a...
  18. No, I think they should be grouped separately. I work in a acute psych facility and I work in another hospital on a detox unit. While working acute, there was a pt who was on the dual diagnosis...
  19. Who punches a cancer patient?

    So sorry for you/Dad... Please reconsider pressing charges... I too shared this story with my black son (14) and he is totally disgusted... We are praying for your
  20. New Grad Salary

    When I started psych as a new grad (2012) I earned 29.37 per hour (shift diff 10%)... now make $55 weekend program.. Im in
  21. New Nurse Mistakes

    My very first job working in an LTC facility. The MARS for Coumadin were a bit confusing, and I missed giving Coumadin two nights straight... YIKES... reported immediately to my DON, family,...
  22. Before you judge the addicted nurse.....

    Michirn, thank you for sharing your
  23. confused about PRN use

    If the patients is calm like you described, I like to ask the patient what works best for them.. (they usually know) And explain the difference between the Haldol and Ativan if they didn't. We can...
  24. Assumptions

    I recently had a conversation at my new employer with the director of social services. We were just shooting the breeze, getting to know one another, and began discussing which shift we would work as...
  25. Assumptions

    to been there done that: not sure where YOU perceived a chip on my shoulder? it was a reflection of what I thought was good conversation until the assumptions began.. but such is