chevyv BSN, RN

Acute Mental Health

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All Content by chevyv

  1. chevyv

    drug/alcohol pt questions

    chevyv replied to sassyann85's topic in Psychiatric

    We use CIWA for ETOH and for long term alcoholics that are withdrawing, we often use a librium taper. Other than that, we rarely have scheduled Ativan, only if the pt scores high enough. We don't...
  2. chevyv

    Am I doing something wrong?

    chevyv replied to x19amanda's topic in Psychiatric

    I used to have a pt that had injections with the same result no matter who did the IM. The doctor finally had to switch meds because it was a reaction. I would give in the gluteal though and see if...
  3. chevyv

    how to get certified as a psychiatric RN

    chevyv replied to rpnrn's topic in Psychiatric

    When you do go for CEU's, make sure the ANCC approves the course before you pay $$. The CEU's are not too time consuming or expensive, but I didn't check to make sure the first few I took were...
  4. chevyv

    Psych nursing is easy

    chevyv replied to studentnurse9806's topic in Psychiatric

    Easy it is not! OP, you have it good! I rarely see a 30 minute lunch. Between putting out the small fires before they become blazing infernos, the charting, the admits, the more charting, the...
  5. chevyv

    Occurence reporting to punish other nurses

    chevyv replied to sistrmoon's topic in Patient, Colleague Relations

    I would rather fix the mistake than write it up. I've seen many nurses take to writing incidents up but it never seems to occur to them to just fix the error if you can. I'm guess I'm kind of old...
  6. chevyv

    Constant worries about getting reported to BON one day

    chevyv replied to cthorste40's topic in General Nursing

    I took a course about charting to keep you out of the courtroom. I also always use the CYA approach. I refuse to live my life playing the 'what if' game. Do your best, don't lie, and don't divert...
  7. chevyv

    I feel like an illegitimate nurse

    chevyv replied to Laura Polifka's topic in General Nursing

    Well go ahead and be happy doing something it sounds like you like to do! My first job was psych and I felt somewhat the same. No iv's, a few caths but not many, no serious physical stuff. Part of...
  8. chevyv

    Psychiatric Mental Health Nursing Class

    chevyv replied to Buddytink's topic in Pre-Nursing Students

    Ummm notecards? You simply can't memorize all of the psych meds. I've been a mental health nurse for about 5yrs and I haven't memorized all of them. Not even close. Break it up maybe into groups:...
  9. chevyv

    Patient on patient abuse?

    chevyv replied to Vedder316's topic in Psychiatric

    I was just wondering if you are able to use ambs or 4pnts? If not, how do you gain any resemblance of safety on your floor once pts get into it with each other? They can't just battle it out until...
  10. chevyv

    Patient on patient abuse?

    chevyv replied to Vedder316's topic in Psychiatric

    I immediately step in and say "We all need to keep our hands to ourselves and respect each others personal space". Or something like that. If you don't step in right away, it will escalate. If...
  11. chevyv

    Doesn't It Make You Want To Scream, Part 3

    chevyv replied to CapeCodMermaid's topic in LTC: Directors, Assistant

    I recently found new employment and assessment goes something like this: they are up and moving so pulses are obviously present, they are talking so lungs are clear, they ate supper so bowels are...
  12. chevyv

    Dementia resident hoarding, shredding, destroying toilet paper

    chevyv replied to MemorycareRN's topic in Geriatric, LTC

    Actually, I have worked with Alzheimers/dementia pts for years and haven't seen the tpaper bx. However, I have seen great success with medications. No, I don't want to just medicate a pt to make my...
  13. chevyv

    Dementia resident hoarding, shredding, destroying toilet paper

    chevyv replied to MemorycareRN's topic in Geriatric, LTC

    That doesn't sound like typical dementia behavior to me. I would request the doc evaluate and see if pt needs a psych consult. Does he do this throughout the day or just certain times of the day?...
  14. chevyv

    New nurse hired for inpatient detox facility

    chevyv replied to nurseash412's topic in Addictions

    empatheticRN, I did my preceptorship in a womens prison and loved it! They tore me up the first 2 weeks but then I gained some confidence and did well. They can smell fear, I swear, lol....
  15. chevyv

    New nurse hired for inpatient detox facility

    chevyv replied to nurseash412's topic in Addictions

    This is a great place to come for tips and support! I have learned so much from other nurses here. I hope other nurses pipe in because I'm sure there is so much more experience out there! Again,...
  16. chevyv

    Nurses that are obligated to work overtime.

    chevyv replied to diazchris1124's topic in General Nursing

    I got mandated to work nocs last year. I had been up since 0600 to get my children off to school, then I worked pms and was mandated. It was the most horrible noc I have ever had. I did the least...
  17. chevyv

    Frustrated and burned out rookie nurse. Please advise!

    chevyv replied to Veronica.c's topic in Long Term Acute Care

    I love the fact that you carry a stethoscope too! There are only a few that do where I work as well. I actually asked one of the more seasoned nurses and the reply I got was....."well the pt is...
  18. chevyv

    Sundowning?

    chevyv replied to Adele_Michal7's topic in Private Duty

    Never seen it in peds, but I don't work peds. Now in geriatrics.....lots and
  19. chevyv

    How to become a PMHNP?

    chevyv replied to Julie_0507's topic in Psychiatric

    I'm not sure you can go into a NP program without your BSN regardless if you have a BA in psych. There may be a few schools where you can bridge and earn your BSN and NP kind of together, but it is...
  20. chevyv

    With an ASN will it be hard to find a job?

    chevyv replied to MissJessie's topic in Diploma, ADN, BSN

    It is very difficult to find a job with an ADN here in WI. However, I am an ADN grad and am working towards my BSN and recently started a new job. If you can, go for the BSN. Or, you might get...
  21. chevyv

    Should I do my preceptorship in psych?

    chevyv replied to BlackBettyRN,OCN's topic in Psychiatric

    I think it's important to tell them what you want and why. I always felt drawn to psych. I started on a gero-psych unit as a CNA back in the early 90's. I tried other units but always wanted psych....
  22. chevyv

    Holding Antihypertiensives

    chevyv replied to jamiejohnson2007's topic in Patient Medications

    I would hold the med and call the doc. I would question the doc if he/she would tell me to give it anyway. I don't question to be difficult, I question to learn. I usually don't have a problem with...
  23. chevyv

    New Nurse Multiple med errors

    chevyv replied to Doll Head's topic in Patient Medications

    I think you should slow down and really pay attention to your med pass. Is someone interrupting your med pass? Missing times? Sometimes there are a few outliers that you have to mark on your sheets...
  24. chevyv

    DON ordering nurses to administer meds contrary to MD's order

    chevyv replied to Myra Gail's topic in Patient Medications

    Perhaps let your DON know that DON does not stand for MD. Also, ask if he is willing to put that in writing. It would make reporting so much easier for them to have the proof right in their hands...
  25. chevyv

    New nurse hired for inpatient detox facility

    chevyv replied to nurseash412's topic in Addictions

    I would go for it! But, I would also advocate a little on the training if you feel it's not enough. We do a lot of detoxing where I work and it's not so difficult. A lot of CIWA's, meds, support,...