Angeljho

Angeljho MSN, NP

Mental Health Nursing

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All Content by Angeljho

  1. Pt threw a bedpan...

    Angeljho replied to NanikRN's topic in Patient, Colleague Relations

    I am not a medical nurse, I'll admit that. I did LTC and I did med-surg (only for a month, I hated it). However, my job is not easy. I am a forensic psychiatric nurse. I once had a patient who...

  2. Pt threw a bedpan...

    Angeljho replied to NanikRN's topic in Patient, Colleague Relations

    My facility only uses oriented x3 not x4. I know situation is a real thing, but not every facility uses it at this time. Patients who are violent and not suffering from psychosis deserve to be in...

  3. Which to follow: MD or Policy?

    Angeljho posted a topic in General Nursing

    I work part time at an LTC facility. We have a clear policy that states when a patient is transferred to the hospital and stays out of our facility for more than 24 hours, the orders at our facility...

  4. Which to follow: MD or Policy?

    Angeljho replied to Angeljho's topic in General Nursing

    It may be a waste of time, but I rather a bad working relationship than to risk my license because a MD feels they're wasting their time. Nursing judgement and critical thinking sometimes trump...

  5. Pt threw a bedpan...

    Angeljho replied to NanikRN's topic in Patient, Colleague Relations

    Most have schizoaffective disorder on my unit. But we have some schizophrenics, paranoid

  6. Did I fail the NCLEX 265

    Angeljho replied to Flo4Prez's topic in NCLEX Exam, Programs

    Don't beat yourself up. Study and retake it. It's been a while since I took the NCLEX - sheesh, five years went by already - but I'm sure it hasn't changed much. To prep, I just repeatedly answered...

  7. Which to follow: MD or Policy?

    Angeljho replied to Angeljho's topic in General Nursing

    This may be the route to take at the moment. Sadly, we have lazy MDs (what facility doesn't); so the way I see it, if a nurse D/C's everything, they'll be backed by the policy and the MD HAS to write...

  8. Which to follow: MD or Policy?

    Angeljho replied to Angeljho's topic in General Nursing

    Yes, we do medication reconciliation. Usually our pharmacy is on top of things when it comes to this; but there are loopholes. When a patient is transferred to the hospital, the nurse has to fax that...

  9. I HATE Nurse Practitioners

    Angeljho replied to Angeljho's topic in Nurse Practitioners, NP

    Honestly, they're running themselves into the ground now. To make up for the Psychiatrists that we've lost, the current ones are doing more on-call time, taking on more patients, and covering more...

  10. Pt threw a bedpan...

    Angeljho replied to NanikRN's topic in Patient, Colleague Relations

    Patient: Hello, my name is Joe. It's March 11th, 2015. Obama is the president. I'm at so and so hospital. God is talking to me right now and is telling me that you're a nice person. I have a patient...

  11. 10 weeks pregnant

    Angeljho replied to Ellie90's topic in General Nursing

    I'm more worried about where you went to nursing

  12. Which to follow: MD or Policy?

    Angeljho replied to Angeljho's topic in General Nursing

    Yes, the policy definitely needs revising. MD orders to "continue previous meds" or "resume all meds" cannot be written at this facility. The pharmacy would call in a heartbeat. Even for internal...

  13. Which to follow: MD or Policy?

    Angeljho replied to Angeljho's topic in General Nursing

    I can't tell you how many times the nurses have been fighting with the MDs because they didn't want to follow the policy. I agree in some cases, its not that big of a deal. There was an incident a...

  14. Pt threw a bedpan...

    Angeljho replied to NanikRN's topic in Patient, Colleague Relations

    Whether or not the patient was psychotic at the time of the behavior cannot be determined without more information. I just wish people would stop equating alert/oriented with the absence of

  15. Pt threw a bedpan...

    Angeljho replied to NanikRN's topic in Patient, Colleague Relations

    So the guy who's HIV positive and threw urine at you is worse than a roller desk being tossed at you? Fair enough, it's your experiences so I get it. But why the need to mention he's HIV positive if...

  16. Forced to resign, new grad with only 1 year of experinece.

    Angeljho replied to Elan84's topic in General Nursing

    I'm sorry but when information is expressed in a way to clearly put someone down, it's not needed. You can't beat someone with a stick and then call it constructive

  17. Pt threw a bedpan...

    Angeljho replied to NanikRN's topic in Patient, Colleague Relations

    What happened to you is tragic. No one should have to experience that at work. As you have indicated, not all patients who have violent episodes are psych patients. Anyone can be aggressive and I...

  18. Pt threw a bedpan...

    Angeljho replied to NanikRN's topic in Patient, Colleague Relations

    @NanikRN, These types of incidents are happening more and more in the acute care setting. Hopefully in the future, there will be a better way to deal with psych emergencies in acute care. All of...

  19. Bullying

    Angeljho replied to LisalaRN99's topic in General Nursing

    I think the problem also lies in how this director works. A lot of directors like to do informal peer evaluations which consists of asking an employee about another employee's progress or performance....

  20. Forced to resign, new grad with only 1 year of experinece.

    Angeljho replied to Elan84's topic in General Nursing

    Don't worry, I'm sure you will be fine. I know a nurse who was fired, but recently accepted a job at one of the most prestigious hospitals in the country - yes, the COUNTRY. What type of position is...

  21. NCLEX- how many attempts is too many?

    Angeljho replied to dinah77's topic in NCLEX Exam, Programs

    There would be too much of a nursing shortage if there were restrictions on the number of NCLEX attempts. However, I do agree with having some form of mandatory standardized remediation after two...

  22. Forced to resign, new grad with only 1 year of experinece.

    Angeljho replied to Elan84's topic in General Nursing

    I didn't say the pace was manageable. I said it was a bit slower. It may suit her compared to the much faster-paced ER. Despite her mistakes, the OP still has a year of ER experience. Med-surg may be...

  23. Bullying

    Angeljho replied to LisalaRN99's topic in General Nursing

    While it isn't bullying, I think the matter is still bothersome and can create a poor work environment for someone (clearly how the OP feels). Some people just can't focus when others are constantly...

  24. Forced to resign, new grad with only 1 year of experinece.

    Angeljho replied to Elan84's topic in General Nursing

    Why not med-surg? The patients are more stable and it is a bit slower - not always of course - than ER. The OP will still have to work on her inability to focus, but med-surg might be the right step...

  25. Pt threw a bedpan...

    Angeljho replied to NanikRN's topic in Patient, Colleague Relations

    I've reread my earlier post and I do apologize for how I came off. I see a lot of, "Oh no, the patient is acting up, let's get an order for restraints or seclusion and meds" in my practice. Nurses are...