She's 65 with no other comorbidities. I fully expect this to be a challenging case, not to mention emotional. In the ICU setting, I would manage this with propophol, IV dex, cooling blankets,...
wonderbee replied to Little Panda RN's topic in Psychiatric
Too bad they weren't up front with you from the get go. Better to go now than wait till later when you're more invested and poorer to boot. May you find happiness at your new position. Nursing is like...
wonderbee replied to InmyblooD's topic in Emergency
Those are a lot of "ifs". It would be safe to assume, until it can be ruled out, that any clear fluid leaking from the ears is CSF in a head trauma event. As for the noncompliant diabetic thing, we...
wonderbee replied to linda2097's topic in Psychiatric
We wear body alarms and have an imposing security staff whose job it is to respond to any threatenting or potentially threatening situation. They are present to display a show of force or actually...
wonderbee replied to bknyrn's topic in Home Health
I swore I'd never go back to hospital nursing. The politics, the backbiting, the personalities, the constant meetings about how we need to do better by our patients on shorter staff, etc. Who wants...
wonderbee replied to laramiejane's topic in Psychiatric
My but you have been through a lot! A good H&P is essential to the right treatment for the right disorder. Unfortunately, there are no labs or x-rays or anything like that to rely upon when...
wonderbee replied to DontDoThat's topic in Psychiatric
It's no secret I'm a big proponent of getting some med/surg experience first. We have recently had two instances where patients' physical conditions went unrecognized and untreated leading to...
wonderbee replied to bknyrn's topic in Home Health
You might want to consider working for a company that uses laptops if that's not currently the case. It can be a time saver and contribute to autonomy. I left HH for the very reasons you stated. We...
From my experience, there are nursing specialties which attract specific personalities. My critical care time seemed to have more than its fair share of merciless outright in-your-face types. The work...
wonderbee replied to Little Panda RN's topic in Psychiatric
I say the same thing. Some times that's exactly what is needed. The patient needs taking down for his safety and yours. It could be to give an IM. We had two days of safety training where we actually...
I have to leave the general area if I don't want to be bothered. Our lunches are scheduled by the charge at the beginning of the shift. I make an announcement when I'm about to take that lunch and...
Me chiming in again. Just popping in to say what you probably already know. It couldn't hurt to talk with HR about your concerns about terms for repayment. It's not like you're the first employee that...
I received a bill within a short time after leaving for a prorated amount of the original amount. It was payable in full. I didn't dispute it. The debt was secured by a promissory note. Not much else...
wonderbee replied to PurifiedH2O's topic in Psychiatric
I bring this particular situation up because I was that patient. I went through a rough patch around 20 years ago and wound up on a psych unit with clinical depression. I'm glad you would ask to...
wonderbee replied to angelchick's topic in Psychiatric
It's no secret that MH attracts practitioners with their own issues. It's a shame that more of us can't be more up front about them with each other. Valuable insight can be gained. I carry the keys to...
I miss the cap too. I never wore one but I still miss it. One was handed to me on my graduation which I promptly filed away on a remote closet shelf to collect dust. One thing's for sure though, I...