wonderbee

wonderbee BSN, RN

critical care; community health; psych

Member

All Content by wonderbee

  1. Need advice on whether to pursue nursing

    It's something you have to experience to be able to make that decision. The only way to find out is to jump in and test the waters. Take a part time job as a student nursing assistant when you get...
  2. How will Obama's health care plan affect nurses?

    I see four more years of the same for us regardless of who is in the White House. Washington is in a state of political gridlock. Besides, anything that's going to really affect us is going to happen...
  3. disallusioned with nursing! psych new grad

    It's gotten so bad that nurses are being mandated to work 16 hour shifts that usually run to more like 17. That same mandated nurse gets to go home to sleep for four hours and show up for her next...
  4. stupid question about hours

    Maybe you might want to look into some alternatives to hospital nursing. It might put your mind at ease. Home health is a good
  5. Made a mistake!!

    Sure as the sun's going to rise in the morning, there will be med errors made by solid
  6. How did it come to this?

    I have come to a similar conclusion. One knee has a chronic miniscus tear, the opposite foot has plantar fasciitis and an ankle that never fully healed from a stress fracture. It doesn't help that I'm...
  7. Day to life as a psychiatric nurse

    I take report, prepare meds for 13 patients, do a full narrative charting on 4-5 patients but chart on all 13 to some degree. I do everything from running IV fluids to dressing changes, take off...
  8. how do you manage a patient who has delusions

    During my first days as an psych RN, I thought it was my job to redirect patients to reality. I don't think that way anymore. I realize that the medication has to do its work before any reasoning can...
  9. web of manipulation?

    I believe what happened was not in the patient's best interest. It really shouldn't have come down to that though. The RN should have thought ahead. It's not about us and what we think. We can only...
  10. Vacation Time

    Seven weeks is an amazing amount of PTO. They are apparently able to offer it because not everyone can take it. Nice little racket. Unfortunately, seniority rules the roost pretty much everywhere....
  11. Why no nursing love from Grey's?

    At my facility, The docs aren't permitted to push meds or touch the IV pump. I've never seen one try to start a peripheral line and I'm not sure whether they are even allowed to do that either. During...
  12. Where Do They Go?

    Many go to transitional facilities, personal care homes, etc. The lucky ones go to their own homes where they are followed by community treatment teams. A lot of them try to make it with few resources...
  13. What is a nurse tech?

    It's another name for a student nurse working as unlicensed assistive personnel (UAP). The duties may be more expansive than an aide and may include drawing blood and other labs or doubling as a unit...
  14. What states allow RN's to pronounce death?

    Pennsylvania in the hospice
  15. 3 hot's and a cot

    If any nurse has uneasy feelings about any particular presentation of a patient, I defend his/her right to have them. That aside, I don't think there is a person here who doesn't strive to offer the...
  16. 3 hot's and a cot

    Who said anything about my not liking my specialty? It's not all black and white. I get great joy out of watching a schizo or bipolar clear and watching bedside crisis intervention with a borderline...
  17. 3 hot's and a cot

    I often feel like a prison warden with a medical perspective. The criminals are here. Their problems are behavioral. They know exactly what they're doing. I despise treating them with drugs. I despise...
  18. Working in Psych and then being a patient in your unit!

    I've noticed a good number of people who choose a career in psych have had personal experience with psych issues, either in themselves or a loved one. If the personal issues are unresolved, working in...
  19. Psychiatric Nursing Differences?!

    Yes, we do chart a physical assessment. But a physical assessment on a psych unit is not a head to toe assessment. I'm looking for cogwheel rigidity r/t psych meds, staggering gait, slurred speech,...
  20. working with little staff--suggestions?

    Our working conditions are likewise tenuous. We are a union shop, SEIU. It doesn't seem to profit us any. I wish I had suggestions. It seems to be everywhere. Maybe getting out of the acute inpatient...
  21. why are nurses stations so chaotic?

    Why? It's the brain of the floor. A brain is a pretty busy organ organizing, communicating, making things happen. Work
  22. Management of the med window

    Thanks for all the ideas. I usually work 3-11 so 9p med pass is mine. We experimented with giving snacks at the med window. That was successful for the most part. What we finally settled on was not...
  23. It's a phrase I've come to despise. Nurses are under a lot of stress. There's not a lot of time for the courtship phase. It's sad but true. That being said, there are meanies out there. They're in...
  24. new job and they replaced me

    It sounds like there was bad chemistry between the two of you from the very start. The doc would have done well to set the tone for a successful working relationship. He is the leader of his practice....
  25. Management of the med window

    Tried that one. The result is no meds = sicker patients and angry docs and nurse manager. I like the rationale in the abstract