wonderbee

wonderbee BSN, RN

critical care; community health; psych

Member

All Content by wonderbee

  1. Nurses Day

    wonderbee replied to RN4life74's topic in Psychiatric

    If I recall there's some kind of a luncheon that few of us will actually be able to attend. They'll throw up some banners that we can look at as we get written up for whatever infraction of the day...

  2. Thinking of transferring

    wonderbee posted a topic in Psychiatric

    I recently started working on a general acute unit with a ratio of 1 med nurse to 13 patients. We have some partial to total care end stage alzheimers and TBI, mild to moderate MR, your standard mood...

  3. What's dual diagnosis like?

    wonderbee posted a topic in Psychiatric

    Please tell me how dual compares with general adult from a nursing perspective. Are there a lot of PRNs? Use of seclusion? Fights? I'm finding general adult to be overwhelming due to acuity versus low...

  4. How many patients per RN/LPN?

    wonderbee replied to medsurgrnco's topic in Psychiatric

    We're running 1:13 on days and evenings with 2 MTs, 1:27 nights with 2 PCAs. We have a complement of security officers who are available 24/7. I spend 5/8 hours on my feet. I work my butt off. It's...

  5. Losing your skills in psych?

    wonderbee replied to Jedi of Zen's topic in Psychiatric

    I think we all know what the OP means. Its like another poster says, use it or lose it. On the other hand, knowing what to do when a patient is seeing snakes all around him is a skill you never...

  6. What Now?????

    wonderbee replied to spirit08's topic in Psychiatric

    Have you tried outpatient like methadone treatment,

  7. do you talk about work?

    wonderbee replied to green12's topic in Psychiatric

    When my family asks "how was your day?", it's not out of politeness. They REALLY want to know. I give them the

  8. dread locks? Need info on care

    wonderbee posted a topic in Psychiatric

    This patient came in really really dirty. When we assessed her, we couldn't tell whether the discolorations on her dark skin were from dirt or actual lesions. But the worst was her hair. She has these...

  9. dread locks? Need info on care

    wonderbee replied to wonderbee's topic in Psychiatric

    Yeah, I think the daily hair washing thing is a bit much. I'll talk to the new resident who comes on on Monday to have the order changed to something more appropriate like 1x/week. Really though, it...

  10. Seclusion/restraint reduction

    wonderbee replied to kiwipsychnurse's topic in Psychiatric

    Our use of restraints has decreased dramatically. However talking down a psychotic individual bent on violence is just so much pie in the sky. With these individuals, when we see the first twinges of...

  11. dread locks? Need info on care

    wonderbee replied to wonderbee's topic in Psychiatric

    I agree this is a culturally sensitive issue which is why I came here to post. No one wants to strip her of her dignity by any means. Part of her mental illness is a marked lack of hygiene. As far as...

  12. Coping with a depressed boyfriend

    wonderbee replied to Ninja Nurse's topic in Psychiatric

    Yes, I've been through something similar. I got better. I have no idea what happened to the bf and frankly do not care. One day I got angry at allowing myself to be manipulated into an eggshell...

  13. disallusioned with nursing! psych new grad

    wonderbee replied to inthesky's topic in Psychiatric

    I wouldn't mind my patient load of 12-13 if all their issues were limited to psych. We have enough support staff in the milieu. It's all the med-surg issues the patients present with that put it over...

  14. Move to Pittsburgh?

    wonderbee replied to hpcat's topic in Pennsylvania Nursing

    I moved to Pittsburgh a couple of years ago from Florida, another expensive state in which to live (South Fl. anyway). I don't regret the move. Admittedly, I did have family here and that was the...

  15. Am I going to lose my license?

    wonderbee replied to unlucky_monkey888's topic in General Nursing

    While on orientation, I don't see the need for an aide to give notice since they are not not considered in staffing anyway. At least finish out the shift though. It's so unprofessional to just up and...

  16. disallusioned with nursing! psych new grad

    wonderbee replied to inthesky's topic in Psychiatric

    There is talk in my state about legislating the nurse patient ratio to 1:6. I think we could provide excellent care with that ratio but I know we would have to lock our doors if that happened or pay...

  17. Spinach/Vitamin K.

    wonderbee replied to megananne7's topic in General Nursing

    I don't think we're worried about dietary Vitamin K. Isn't protamine the antidote for

  18. Considering Home Care Nursing

    wonderbee replied to Nurse_Newbie's topic in Home Health

    Pros: Time for teaching, autonomy, balance in the patient/provider relationship (The patient has control over the environment), nice people who want to offer you their hospitality, beautiful seasonal...

  19. started new job

    wonderbee replied to RN007's topic in Psychiatric

    From one psych newbie to another,

  20. disallusioned with nursing! psych new grad

    wonderbee replied to inthesky's topic in Psychiatric

    Although a new grad, I am new to psych. I pass meds to 13 pts. Nearly half of them cannot come to the med window for behavioral or medical reasons. About 1/4 of them require meticulous skin care with...

  21. Frustrated and confused

    wonderbee posted a topic in Psychiatric

    I recently started as a new psych nurse in a big free standing facility that's part of a big medical center system. We're not allowed to draw blood, start IVs or do anything remotely medical except a...

  22. Frustrated and confused

    wonderbee replied to wonderbee's topic in Psychiatric

    Thank you all for your insightful replies. My unit is a general adult unit and we have a couple of TBI patients too. Although an acute facility, these patients have been here for months. They are...

  23. new job, mistakes

    wonderbee replied to cherilee's topic in Psychiatric

    Look, you have to cut yourself some slack. I'm new to my unit too and also to paper documentation. I'm constantly catching myself signing off meds in the wrong column or something similar. Now that...

  24. Question on Comp. Time

    wonderbee replied to Liz 0513's topic in Home Health

    It doesn't work with salaried employees. So you're looking at comp time again. The company I worked for had a separate pay arrangement for weekends. The choice was offered for straight time pay or...

  25. Chemical Dependency..URgent..Please Answer

    wonderbee replied to dobletruble's topic in Psychiatric

    You might need to go to your local medical center library. The information is out there. We have written protocols for all