wonderbee

wonderbee BSN, RN

critical care; community health; psych

Member

All Content by wonderbee

  1. Pennsylvania: No seclusion, PRN or restraint.

    As regarding staff injuries, I have been assaulted 4 times in one year. None of them serious. Two of them were from MR patients with latent responses. They gave no indication of what was coming. One...
  2. Pennsylvania: No seclusion, PRN or restraint.

    Can you provide me a link to the research paper please? I work at an acute care hospital. The closest state facility is over a hundred miles away because Pennsylvania has decided to close most of its...
  3. Psych Staff in need of Support post tragedy

    I'm very sorry. It's a reminder of the vulnerability of all caregivers in this field. Also many cargivers are drawn to the profession because of a personal history. Statistics bear that out to be...
  4. well they closed down a floor of the hospital

    Our psych unit of 27 beds is always filled to capacity. We had 4 discharges on the 23rd, and 4 admissions by the 24th. We never have enough staff and are always pulling from other units and rely...
  5. Bad Day!!!

    It's called horizontal violence. It is not to be tolerated. To be honest, I didn't read the whole post because it doesn't matter. There is never an excuse for that kind of behavior, no matter what you...
  6. Bad weather and getting to the hospital

    The combination of ice and hills is potentially deadly. I've watched the salt trucks drive cautiously. It's not worth it to bang up myself or my car and there's no place to crash on the unit so I call...
  7. SubQ butterflys: How long can they be used for?

    Do you mean IV
  8. What is your wish for Christmas ?

    I'm so sorry
  9. I've lived in south Florida and in SW Pennsylvania. Florida is sunny and uncomfortably hot, Pennsylvania is often cloudy and winters are brutal but the rest of the year is pleasant. My next choice...
  10. update on kizzykat

    Awww, glad your KizzyKat is on the mend. Yes, your vet sounds like a
  11. Clock out by 8am or get reprimanded!!!

    I think management turns a blind eye to shortcuts to keep within budget constraints as long as no one raises a stink... if you don't see it, it doesn't exist. But the minute one of those shortcuts...
  12. Narc problem. Plz Help me!

    There are really no options here. Expect and prepare for the worst. Start checking around to see what's out there if you have to find a new job right away. That's the most helpful advice I can come up...
  13. Our conversations used to be fun. Now they're all about medical stuff. I got a call from my sister ship to shore from somewhere in Mexico. Her elder friend's uterus prolapsed. Forget there was a...
  14. I made a med error

    My guess is that you were in a hurry because you had a million things to do when you were only resourced to do half of them and you were tired. If this is the case, those in charge of staffing and...
  15. Do you know of any nurses who have become lawyers?

    Yes, she was a junior partner in a prestigious high powered Florida law firm. I was her assistant. She specialized in medical malpractice defense. She made lots of money and had a unique status with...
  16. No You Can't (Long)

    You will see things in the psych population that will get your adrenaline pumping and generally mess with your chemistry. You will have to be in tune to the early signs of relapse and be on it right...
  17. moving new state 1st yr OUT of school?!?

    I would say it depends on several factors. How adaptable are you? Are you moving to a part of the country where you would have to adapt to a new climate? New geography like flat vs. hills or...
  18. Does this sound right to you?

    I call it the "X" factor. Unfortunately it happens and when it does, it's a nightmare. You don't know where to run first but your first instinct is out the
  19. The New Grad Delima

    If every nurse went straight into psych, it would be detrimental to the unit. Granted, we are not talking about "every" nurse. Yet, if I were a hiring manager, I would court the med-surg nurse making...
  20. more layoffs

    Western PA
  21. I quit my job and am seriously considering quitting nursing

    The work is tough and if you've run into some turbulence along the way, try to realize that all nurses get tried by fire. This profession takes a lot of mental and emotional stamina as it does...
  22. Am I just burning out?

    Some if it is for payment. With a dual dx, admissions are covered for payment. There are also the behavioral "patients" who have been given the choice of inpatient psych treatment vs. jail. We've seen...
  23. more layoffs

    In my daily encounters, I wouldn't recognize a "non-essential" position of I saw one. They're all essential. With the job freezes, they're relying more on casual staff to fill in the holes which = me....
  24. PBDS for ICU

    It's a good tool. It presents true to life scenarios. No multiple choice. Sometimes the question asks to identify the situation and your actions based on the video scenario. I found the scenarios to...
  25. How do you assess this video of fainting public official?

    TIA cannot be ruled out with imaging. My first impression is a