Mish56

Mish56 BSN, RN

Psych

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All Content by Mish56

  1. Yale New Haven

    Mish56 replied to EnergizerNurse's topic in Connecticut Nursing

    I've worked at YNHH on and off since 1981. Left and came back due to moves vs. looking for different employer. Like any place it has it's pro's and con's, but personally for me, it's been a pretty...

  2. forensic nursing?

    Mish56 replied to lsvalliant's topic in Psychiatric

    Forensic's has their own specialty forum. I found it fascinating

  3. Psych Nurses being Floated to other floors

    Mish56 replied to utrocks84's topic in Psychiatric

    Utrocks; this is hysterical!! I work on general psych adult in-pt, university hospital. We sometimes have to float to another psych unit (adol, geri, duel)...but to a med-surg floor??? In my case...

  4. heroin addict POC - help!

    Mish56 replied to linda1959's topic in Psychiatric

    Linda; 1st of all, welcome back! 2nd: daytonite CERTAINLY did a wonderful job answering your question! It's a plan of care your instructor is asking for. 3rd: real life??? send the kid to a well...

  5. psych patients and high blood pressure!!!!

    Mish56 replied to inthesky's topic in Psychiatric

    Here is a link to an article from Advance for Nurses magazine, that addresses technique in obtaining a bp, but the reason I send it is that number 1 reason for an inaccurate reading is wrong cuff...

  6. do you talk about work?

    Mish56 replied to green12's topic in Psychiatric

    Alright, so I am amazingly late replying to this post but I'm not sure I get the humor here. So...Green12, you think its funny when a patient has radioactive poop, and ducks are strangled?? You...

  7. disallusioned with nursing! psych new grad

    Mish56 replied to inthesky's topic in Psychiatric

    Our mental health workers can chart observations; I ususally just sign off on them, ie: "Concur with above notation", unless it's a newer MHW and then I talk with them before they chart, as a teaching...

  8. disallusioned with nursing! psych new grad

    Mish56 replied to inthesky's topic in Psychiatric

    Rumor has it the State of California is legislating patient/staff ratios. I think Vermont is toying with the idea also. I hate government intervention in life (in general); but I think that's the...

  9. bipolar pt. not manic on ad´s?

    Mish56 replied to ulmaulma's topic in Psychiatric

    and as an add on....I should "someday" do a study on the seasonal effect of bipolar "breaks". I used to think it was a religious thing, always around Easter, people coming in saying they are Jesus,...

  10. bipolar pt. not manic on ad´s?

    Mish56 replied to ulmaulma's topic in Psychiatric

    I hate to dive in between two bipolars, but hey, what the heck.... You both describe to a tee the struggles I see my patients go through. Being hypomanic looks like a blast! Little need for sleep,...

  11. what about a Private facility?

    Mish56 replied to lilia123's topic in Psychiatric

    Elkpark, I'll be right behind you in the bread

  12. Why the high drop out rate of nursing students?

    Mish56 replied to newhere_noname's topic in Nursing Educators, Faculty

    hey, I just re-read my post. Man, I sound like a total *****. Sorry, didn't mean it to come out as a negative. I just think the nursing shortage is a massive problem, so I get all churned up about...

  13. Why the high drop out rate of nursing students?

    Mish56 replied to newhere_noname's topic in Nursing Educators, Faculty

    Wow, you educators are a passionate group! But...as a former nursing student, I've gotta put my 2 cents in here. I had an instructor that just plain hated me, and she was a lousy instructor. Never saw...

  14. Where Do They Go?

    Mish56 replied to handyrn's topic in Psychiatric

    well, good luck!Glad the psych MD at least saw the guy. SOMEDAY, when I get around to getting my masters I want to research the difference in amount of prescribed meds when 1). the doc gets called...

  15. what about a Private facility?

    Mish56 replied to lilia123's topic in Psychiatric

    oh wait!!!!!!!!!!!!! And one more thing!! Did I ever block this out. Very recently I worked for a "for profit" theraputic boarding school, owned by a large corporation who owns many treatment...

  16. what about a Private facility?

    Mish56 replied to lilia123's topic in Psychiatric

    I currently work in a large university hospital, our pay and staffing are competitive. Our patient population runs the socio-economic gambit. A few years back, I worked for one of the oldest free...

  17. bipolar pt. not manic on ad´s?

    Mish56 replied to ulmaulma's topic in Psychiatric

    No, not "daauuhh". As a matter of fact you have tapped into a long running controversy about using antidepressants at all with bipolars, vs. a mood stabilizer. Most of the time tho, you are right,...

  18. Where Do They Go?

    Mish56 replied to handyrn's topic in Psychiatric

    Holy Cow!!! Has a psych consult been called? This guy is floridly psychotic and paranoid (he thinks you are poisening him). He doesn't need placement, he needs acute care psych treatment!! I hate to...

  19. Where Do They Go?

    Mish56 replied to handyrn's topic in Psychiatric

    God help them, they go wherever they can. In CT where I work, the state facilities have years long waiting lists; somehow "they" have decided that nursing homes are not appropriate for psych...

  20. Take a Job in Psych???

    Mish56 replied to Pretty in Ink's topic in Psychiatric

    This is a common question from new nurses. I've been a psych nurse for 30 years now, so I am biased. 1). There is nothing boring about psych nursing. 2). Med Surg?ZZZZZZZZZZZZZZ. wake me up when it's...

  21. Leaving Psych Nursing

    Mish56 replied to Little Panda RN's topic in Psychiatric

    ND MOM; Sorry to hear you will be leaving psych!! I admire your obvious dedication and interest in learning a new area of nursing. That said, like others, I did have concerns about ratios and safety...

  22. Mixing Medications For Emergency Treatments

    Mish56 replied to New2ER's topic in Psychiatric

    We've always given Haldol and ativan together and the cogentin separately. Don't use benedryl IM in emergency, but hey, maybe it works well. Call the pharmacy or check micromedex. Our pharmacists are...

  23. How can I prepare for the field and employment opportunities

    Mish56 replied to MoyCoy's topic in Psychiatric

    You shouldn't have a bit of trouble getting a job. You have a BA is Psych, and then a nursing degree. Should be golden! Elkpark leads you to the ongoing, neverending discussion of med-surg exp....

  24. Lots of changes at new job (vent)

    Mish56 replied to Little Panda RN's topic in Psychiatric

    ND__mom, left you a note on your other thread, then saw this! Is this correct? 16 inpatients and 2 nurses, so a 8:1 ratio?? 2 mental health techs? It's hard to tell from here, but is your license...

  25. Getting over being nervous

    Mish56 replied to Little Panda RN's topic in Psychiatric

    So nd__mom, how goes the job? Your nerves? Have you run into a pro who will mentor you? Come on, I just got off of 3 days and 40 hours working with some great nurses and some very green mental...