wonderbee

wonderbee BSN, RN

critical care; community health; psych

Member

All Content by wonderbee

  1. Day in the life?

    Other takes on a day in the life of a psych nurse: Decide whether I'm going to be angel of mercy or nursezilla with syringe and 1-1/2 inch needle and, more importantly which patients are going to be...
  2. So confused!!!.....

    For me it's true. My patient contact is often limited to the med window and treatments. There just isn't enough time for anything more than the superficial "how was your day" sort of conversation. I...
  3. In mourning and trying to study for boards...

    Oh my. NCLEX can wait. Wishing you
  4. "Women Are Catty"

    The men I work with are just as catty as the
  5. I got slapped by a pt. at the med window. Pretty hard too I might add. She took a dislike to me for no particular reason she can articulate and I can't fathom. Her consequences were wing restriction....
  6. Got slapped by pt. Staff splitting. Need feedback.

    Cluster B, Axis II. MR is mild. Very manipulative. Knows just what she is doing. Giving in to her is not the correct therapeutic choice. We choose our battles with our Axis II's. This is definitely...
  7. Got slapped by pt. Staff splitting. Need feedback.

    Wow, this thread kind of took off. I just want to clarify that this patient didn't just target me. There is only one RN left on the unit that has not been either physically assaulted or verbally...
  8. Thank you for your sympathy NOT

    Isn't it a shame. We're supposed do dole out compassion yet we are shown none. I know the OP has moved on but isn't there something that can be done to hold that facility's management practices to the...
  9. Male psych nurses

    The worst thing we fear as nurses is aggression against staff. Size is definitely an advantage. I see little difference between male and female nurses when it comes to comfort levels of the patients....
  10. Got slapped by pt. Staff splitting. Need feedback.

    Pt. in question is MR with a diagnosis of impulse control disorder. A behavior plan was drawn up for her which emphasized reward and contraindicated consequences. Of course most of us snickered at it...
  11. Pennsylvania: No seclusion, PRN or restraint.

    Not restraint or seclusion free. Just used sparingly. The deck is stacked in favor of the patient, and against staff who are at risk. There are lots of staff
  12. After a few years of nursing, you don't care anymore?

    Yes, it can happen. But obviously by the response you're getting, it doesn't happen to everyone. If and when it does happen, it's time to consider alternatives. I care. But the way I care now is not...
  13. How does a psych career affect the psych nurses?

    I haven't been at psych nursing very long. Just 4 months. I work on a general adult unit with plenty of violence and drama. I've numbed out a little at home. At the sound of anything loud, I tend to...
  14. Psychiatric Nursing Differences?!

    Our unit is a dumping ground for the local medical facility. Our docs have been strong armed into clearing patients who had no business being released. We do not have the time or the resources to take...
  15. Assuming the nogin is working ok, flexbility is pretty
  16. Want to get off of disability

    I have two bum knees and plantar fasciitis x1 foot. I've also had multiple surgeries and have been told that my kneeling days are over and, in fact, they are. I live on Ibuprofen and tylenol. My limp...
  17. How dangerous is Psych nursing?

    Could be dangerous. Things happen
  18. Got slapped by pt. Staff splitting. Need feedback.

    I've put in my request to go into the casual pool. Very casual. Yes, I have to agree that management is poor to nonexistent. I think a lot of it is attributed to working short. It's easier and less...
  19. Management of the med window

    I'm looking for ideas on how to better manage our straggling patients that show up whenever they want to for their meds. We do have some patients that are on close obs or wing restriction or have some...
  20. Mandatory Overtime Agreement in New York!

    It is a victory but without a ratio law, they can make you work short. They're going to find any way they can to save $$. I hope it won't take long to get that ratio law passed. That would be
  21. Got slapped by pt. Staff splitting. Need feedback.

    This patient has since slapped one of the docs and pummeled another patient. Still no locked seclusion. We're lost. Who are the ones not playing with a full deck here. The patients or the
  22. We're all so stressed. Sometimes it appears that the other RN has it better. Short staffing frazzles nerves. This can lead to everyone looking out for themselves instead of pulling together as a team....
  23. lunch time insubordination

    So staff's breaks are not important and they are expected to be in two places at the same time. This perspective is a perfect illustration of why health care is going down the tubes and we are all so...
  24. If you had to to do all over again...

    Yes. It's something I wanted since I was in my 20's. BUT, I would have tried harder, done more research and stood my ground to make it happen back in my 20's. Back then understaffing wasn't the issue...
  25. severe anxiety

    Have you had your thyroid