angeloublue22

angeloublue22 BSN, RN

Addictions, psych, corrections, transfers

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All Content by angeloublue22

  1. Psych RN-A Thankless Job?

    angeloublue22 replied to femaleRN's topic in Psychiatric

    You are doing what you should be doing. Face it, this is a talking job so we need to talk to patients. I'm wondering if they are getting frustrated that you are not available if needed or they don't...

  2. Small Minds Only

    angeloublue22 replied to notanumber's topic in Nursing Humor

    I love being a weird night shifter. We have a running gag of whoever's relief is first to arrive wins. More pranks seem to happen too. We like to send a new night shifter to the basement using the...

  3. Questioning a doctors order

    angeloublue22 replied to MrsJt's topic in Patient, Colleague Relations

    I think that's part of our job as nurses is to question, assess, and learn. The reaction you received is counterintuitive to the move in health care to provide team based care. We are supposed to be...

  4. Orders from hell...

    angeloublue22 replied to Leonardo Del Toro's topic in General Nursing

    I had a doctor order smoke breaks for a COPD client. I had to have long conversation with him about what can be

  5. Tell on yourself, if you dare...

    angeloublue22 replied to audreysmagic's topic in General Nursing

    In my first clinical, I was assisting a man to get out of bed and I thought his other leg was folded under him. I asked him, "Where is your other leg?" As I was trying to take the 4 blankets off him....

  6. Moderate Sedation and GI

    angeloublue22 replied to sameasalways's topic in Gastroenterology

    I can't speak to all of it but I understand your apprehension at the order situation. Many places have protocol orders that can be given without the provider explicitly ordering them because the...

  7. My patient complained about what?

    angeloublue22 posted a topic in General Nursing

    I work in addictions and mental health so dealing with difficult clients is my forte. I had a client today that was upset when I informed him that we must crush a certain controlled medication that...

  8. Real vs fake chest pain

    angeloublue22 replied to Findingmynitch's topic in Correctional

    We had an onsite EKG for this very reason. Spending the money on the EKG cost less than what we were paying for the ED needlessly. Follow your protocol and use your assessment skills. It's difficult...

  9. Hired at a correctional....any advise?

    angeloublue22 replied to Xxlala02's topic in Correctional

    As to manipulative BX. I a good article to read Downing a Duck Downing A Duck (An Inmate's Version) It was written by an inmate on how they use insidious manipulation to get what they want out of you....

  10. What skills are needed?

    angeloublue22 replied to Msmedic68w's topic in Correctional

    It's definitely a learning curve but you do have a one up with your experience with manipulative clients (there will be many), de-escalation, and setting boundaries. I came from acute psych/addictions...

  11. 15 Minutes in the Life of a Nurse

    angeloublue22 replied to NurseJulie31's topic in General Nursing

    Yes, indeed. You captured 15 minutes as a nurse so accurately. I worked in acute psych and addictions detox. I love the providers that actually will jump in and help. I used to work with a NP who, if...

  12. Weight loss for nurses

    angeloublue22 replied to tortillaRN17's topic in General Nursing

    After trying every diet out there and always being active, I got up to over 300lbs. I was so frustrated because I'm very good at following diets without cheating. After a ton a research, I started the...

  13. Double Checking subQ Insulin Requirement

    angeloublue22 replied to KTakami25's topic in Patient Safety Issues

    I'm the only nurse so there's no one to check with. I always verify with the

  14. Why do patients.....?

    angeloublue22 replied to ArrowRN's topic in Nursing Humor

    It's hard for them to take all those meds at once and they don't have the dexterity to pick them out of the cup, I'm guessing. Maybe you can start handing them out on trays. That's a joke, but it...

  15. first shift experience in ltc

    angeloublue22 replied to Newgurl17's topic in LPN, LVN Corner

    Yes, this is right on par with first nursing jobs. I love training new nurses and I always tell them if they say they feel incompetent, I tell them "you're supposed to feel that way because you're new...

  16. From night shift nursing to Fitness Model

    angeloublue22 replied to laurendrainfit's topic in General Nursing

    I work nights at a mostly desk job and I got up to 300 lbs while trying different diets. The treats at work are hard and it's even worse when patients are trying to encourage you to eat them too. I...

  17. 5 Weird Questions Patients Have Asked As An OB Nurse

    angeloublue22 replied to JanineKelbach's topic in Ob/Gyn

    I have to say before I became a nurse I also thought that the IV needle was left in the arm. I kept wondering if it hurt when they moved. LOL! When we first learned about IVs, I thought, "Oh, that's...

  18. I have a real problem with ancillary staff and am at my wits end. I need help.

    angeloublue22 replied to dec2007's topic in General Nursing

    I was just about to say this. I have used this tactic a few

  19. Suspended for a Medication Error

    angeloublue22 replied to Nurse Beth's topic in General Nursing

    Within my first month of nursing in a psych facility I had 2 men walk up for their meds both with the same first and in the same room. I gave one the other's medication but caught it immediately so it...

  20. Forcing patients to attend groups?

    angeloublue22 replied to femaleRN's topic in Psychiatric

    Our facility took away privileges like smoke breaks or outside time (yes, ours had smoke breaks) for the reasons stated above and it seemed to work beautifully. Our rooms didn't lock so we couldn't do...

  21. Should nursing pay remain modest?

    angeloublue22 replied to Longleggedstar's topic in General Nursing

    No, back then they didn't have competencies they had to pay for, massive tuition and loans to pay back, and they weren't required to go to school even longer. There is nothing wrong with valuing hard...

  22. What % of women don't know basics of female anatomy?

    angeloublue22 replied to Emergent's topic in General Nursing

    Unfortunately, as long as parents and politicians fight against sex education, the number will continue to grow. It's sad. People should at least know about basic sexual anatomy. In my own community,...

  23. Nursing in crisis

    angeloublue22 replied to historylady's topic in General Nursing

    When I became an LPN it took me 4 months and at least 100 or more applications to only get one interview at a job I took. Then with 4 years LPN experience, I became an RN and again took about 3 months...

  24. family member is patient of practice-HIPAA violation?

    angeloublue22 replied to JordanRose's topic in HIPAA Challenges

    It depends on what your policy is. I work in a very small town so it is impossible for our staff not to treat their family or friends and frequently. I work in mental health and addictions which is...

  25. Nursing student orientation

    angeloublue22 replied to ADN_Is_Complete's topic in Pre-Nursing Students

    You'll mostly likely get fitted for a uniform if your school has those and they will have multiple speakers. They may have you pick out your textbooks. Mine was only 4 hours but I went to different...