PMHNP10

PMHNP10

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All Content by PMHNP10

  1. What punishment should this nurse get?

    PMHNP10 replied to Daytonite's topic in General Nursing

    Wow, soooo many posts, can't believe I read (or at least skimmed) them all. I quoted the above because one thing that kept going thru my mind was my personal experience as it relates to this. There...

  2. Medication Nurse Assistants

    PMHNP10 replied to K205's topic in General Nursing

    If CMAs were a good idea, why haven't they been accepted in every state; rather outright rejected? In fact, why is NC (I believe) having to attempt to get them passed after failing a first time by...

  3. Calif RN disagrees with CNA in many ways. Am I alone?

    PMHNP10 replied to imkw_np's topic in California Nursing

    So you've had a taste of CA nursing and u like I'm guessing? I missed my job the day I leff out of the hospital. And now that I'm back in TX I'm looking again...not for a floor position though cause...

  4. Working in State Prison

    PMHNP10 replied to Cntw82BanRN's topic in California Nursing

    I would not recommend a new grad work in the CDC. For one, the system is a mess, but for another, you really have to know your stuff because the inmates will tell you whatever they need to tell you...

  5. Is A Sign On Bonus Worth A 3 Yr Contract?

    PMHNP10 replied to cnpta's topic in General Nursing

    never never never never never never never never sign your life away to a hospital for a sign-on bonus. Why? u ask. Man I'm glad u asked. Cause if you are miserable at your job and quit or get fired...

  6. I'm supposed to wear an "Ask me if I washed my hands!" button?!

    PMHNP10 replied to daisybaby's topic in Activism, Healthcare

    If I didn't know better I woulda sworn this was a Joko doing. I didn't read all of the posts, but I'd rather have a pair of buttons which states: "Ask me how many other acutely ill patients I'm...

  7. Salary shock post hurricane katrina

    PMHNP10 replied to cenote's topic in General Nursing

    To answer your question about how "hospitals can get away with this?"; the best I can respond is that they get away with it because we as nurses allow them to. It is unacceptable; noone should accept...

  8. Did I miss something? (rant and need help)

    PMHNP10 posted a topic in Psychiatric

    Ok, here's the situation. We have an adolescent on our unit who is pretty sick (psychotic). Mother brought him in a few days ago and basically said do what you have to do to help him. Yesterday he...

  9. Did I miss something? (rant and need help)

    PMHNP10 replied to PMHNP10's topic in Psychiatric

    Yeah, we're moving back to TX (Sugar Land area) specifically. In spite of this one doc (who believe me when I say he is a problem child--he wrote a 6 page rant on the RNs because they wouldn't...

  10. Did I miss something? (rant and need help)

    PMHNP10 replied to PMHNP10's topic in Psychiatric

    I'm not quite sure where you get that we did anything wrong nor where we altered any physician orders. The first incident had a PO ordered still; the 2nd we called the psych director (who happened to...

  11. Did I miss something? (rant and need help)

    PMHNP10 replied to PMHNP10's topic in Psychiatric

    To us, it's both. The director for altering a legal document on more than one occasion, and the doc for charting in his progress note that we were not following orders by offerring the PO when in...

  12. Did I miss something? (rant and need help)

    PMHNP10 replied to PMHNP10's topic in Psychiatric

    No, we (the NOC shift) knew why he wanted to use IMs because he charted in his progess notes how we weren't following orders and why he feels an only IM course of zyprexa was better for the patient....

  13. Want to move to Texas

    PMHNP10 replied to pinkyface's topic in Texas Nursing

    true, but perhaps even a better place to start as a new grad would be next door at Zale Lipshy. You go thru the parkland internships thru the different units (which is definitely a wonderful...

  14. Union Wins Decertification Election at Scripps, CNA Stays

    PMHNP10 replied to Sheri257's topic in Activism, Healthcare

    I feel your pain. I have never worked in a union so I can't give you an opinion based on experience. But since you asked a specific question I'm going to give you the best answer I can. Lord knows...

  15. Union Wins Decertification Election at Scripps, CNA Stays

    PMHNP10 replied to Sheri257's topic in Activism, Healthcare

    I must say I'm growing tired of this discussion. I continue to hear anti union folks say that life was better before the union but offer little/no examples of how that is so; and when they do, pro...

  16. Did I miss something? (rant and need help)

    PMHNP10 replied to PMHNP10's topic in Psychiatric

    This kid was perfectly willing to take PO. Of course he hasn't put up any fight with the IMs but IMHO there is a violation of his rights, and unfortunately noone other than us on the night shift have...

  17. I may be losing my job because of an interview with another job, HELP!!!

    PMHNP10 replied to ava'smomRN's topic in General Nursing

    AMEN to that. JKM...please don't ever sell yourself short. You didn't get more money offerred because you didn't ask. I can almost guarantee you won't ever get anything you want until you tell...

  18. Takedowns and Security Training?

    PMHNP10 replied to Town & Country's topic in Psychiatric

    By chance is there a link to some page within the CMS website which states what you posted above about emergency meds? I'd be ever so grateful if you were able to provide

  19. New Med/Surg manager wants your input on staffing matrix

    PMHNP10 replied to catalyst's topic in Medical-Surgical

    I'm trying to get a sense of this, but the "clinical supervisor" seems to be a middle management type of person. Is there any reason this person can't take a pt assignment or function as a charge RN?...

  20. Input on borderline BD

    PMHNP10 replied to TitaniaSidhe's topic in Psychiatric

    A healthy dose of long term intensive 1:1 therapy. Of course research changes from day to day, but overall, I'm unaware of any gold standard med for personality disorders. However, if you are...

  21. Takedowns and Security Training?

    PMHNP10 replied to Town & Country's topic in Psychiatric

    Also keep in mind in TX (and I'm sure many other states) if you have to restrain a pt (if only for a few seconds) to give an emergency med and immediately let go, you still have to document the event...

  22. Unprofessional & Jealous!!!

    PMHNP10 replied to CRNANUPE_2B's topic in Certified Registered Nurse Anesthetist, CRNA

    More and more I hear that med schools are placing more emphasis on non pre med/science majors and more on liberal arts and interview skills. What good does it do to be a scholastic genius, but have...

  23. Forced to be charge nurse. Help!

    PMHNP10 replied to malraymal's topic in General Nursing

    How long have you been a nurse? If less than a year, I'd say no way, unless it's a pretty simple floor...lol, that's an oxymoron. How long at that facility? If under 90 days, I'd hesitate. What...

  24. I may be losing my job because of an interview with another job, HELP!!!

    PMHNP10 replied to ava'smomRN's topic in General Nursing

    what a deal. You can spend more in gas (and more and more that is becoming a significant factor), probably work harder and make less money doing it. If they are "really eager" to have you on staff...

  25. Worried that experienced nurse may know nothing

    PMHNP10 replied to krob0729's topic in General Nursing

    Wow. I thought that you were just a new nurse to that facility, not a new grad. You are orienting with 3 months of nursing experience? Wow. Just wow. Imagine the census of your facility if that...