Mandychelle79 ASN, RN

Psych

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All Content by Mandychelle79

  1. Mandychelle79

    Just a vent... medical vs psych

    Mandychelle79 posted a topic in Psychiatric

    I am getting so fed up with the medical portion of our hospital. We are NOT a medical psych floor. Patients we have are SUPPOSED to be medically stable. When we send a patient to the medical side...
  2. Mandychelle79

    Do you consider it helpful or not to be given a Pt’s attitude during a report?

    Mandychelle79 replied to DesiDani's topic in General Nursing

    As I was in psych then went to med surg I usually get hey we made sure room 4 was in your
  3. Mandychelle79

    Dosage Question

    Mandychelle79 replied to dancrinme's topic in Nursing Student Assistance

    Basically since it says you have 1000 mL you will pour out 90 and mix with 110 for the total of 200 like you had
  4. Mandychelle79

    What's your best 'Nurse Hack'?

    Mandychelle79 replied to KimasaurusRex's topic in General Nursing

    I work nights. I hate to wake people up unexpectedly. I combine as many of my med passes as I can at one time. When I'm doing my assessment I tell them about what times I will need to bug them. At...
  5. Mandychelle79

    Pain Scale

    Mandychelle79 replied to 5228shamrock's topic in General Nursing

    As a nurse, I medicate per pt rating and my facility uses numeric scale. I tend to increase the scale if I walk in the room, look at the patient and say I can see you're in pain, how bad is it,...
  6. Mandychelle79

    When will everyone understand things are different in the ER

    Mandychelle79 replied to ClayH's topic in Emergency

    I only care when the LBM is if they are being admitted for something like lower abdominal pain, illeus, etc. most of the time I'm asking people not to read me the computer screen. Give me he basics...
  7. Mandychelle79

    How to deal with a bully patient?

    Mandychelle79 replied to DesiDani's topic in General Nursing

    Honestly, by nature I'm a snarky individual who can be very blunt and apparently has a deamenor that warns others to not even try. I've had patients and families "warn" me that they were demanding...
  8. Mandychelle79

    HIPAA and Making Appointments

    Mandychelle79 replied to Jolie's topic in HIPAA Challenges

    I would have waited an hour, called in as Ali, said luckily my plane had a lay over, and rescheduled. But I call places as my mom all the time (with her permission/ asking me to) since my hours allow...
  9. Mandychelle79

    CALL OUT & MAKE UP DAYS in NJ...? IS IT MANDATORY OVERTIME?

    Mandychelle79 replied to GRAB1's topic in General Nursing

    Yes it is overtime (or should be) but I don't think it's considered like being Mandated
  10. Mandychelle79

    Med/ surg nurse to patient ratio

    Mandychelle79 replied to aloha16's topic in General Nursing

    I only work nights... 1:6is normal ratio... days is 1:4-6 with charge with no assignment to
  11. Mandychelle79

    "I Narcanned Your Honor Student"

    Mandychelle79 replied to EAGirl's topic in General Nursing

    Coming from someone who addiction has been forefront the majority of my adult life (friends, family) I find this shirt to be the kick in the gut some parents need. One of my uncles would make comments...
  12. Mandychelle79

    Self scheduling and sick calls!

    Mandychelle79 replied to MRSKMS's topic in General Nursing

    i could see how self scheduling could reduce calloffs. Depending on the units policies. At my last place of employment when I was hired we were allowed to request it's less than 3 days per year. Now...
  13. Mandychelle79

    What is a med/surg - neuro floor like?

    Mandychelle79 replied to DanielleD's topic in General Nursing

    We get back/neck surgeries, falls, and yeah everything
  14. Mandychelle79

    Risk of getting your family members sick?

    Mandychelle79 replied to Pete_soon2bRN's topic in General Nursing

    Honestly other than the weird chronic things my kids have going and need to see specialists for my kids miss very little school due to
  15. Mandychelle79

    Staff Matrix

    Mandychelle79 replied to martymoose's topic in General Nursing

    What
  16. Mandychelle79

    The difficulties of trying to be proactive

    Mandychelle79 replied to JonathanClouse's topic in Psychiatric

    I'm sorry you experienced that. I used to think it was only mental health that was broken but after just 5 months of med surg I guess it's across the boards. Pts admitted because PCP can't get them in...
  17. Mandychelle79

    Doctors Say the Darnedest Things

    Mandychelle79 replied to allnurses's topic in General Nursing

    While reading psychiatric notes from a family meeting, talking about pts mother.... who escaped institutionalization by some unseen benovolent
  18. Mandychelle79

    taste of medication

    Mandychelle79 replied to socoamaretto's topic in General Nursing

    Keflex pills taste how I expect gas/kerosene to taste and give nasty
  19. Mandychelle79

    Administration of PRN narcs too close to scheduled meds??

    Mandychelle79 replied to pumpkinspice's topic in Patient Medications

    Everywhere I have worked they are considered seperate orders. So I would give the scheduled. The way our emar is set up though others nurses may not because it would take time to research if it was...
  20. Mandychelle79

    Unreasonable requests

    Mandychelle79 replied to emmafrancis's topic in General Nursing

    We have a recommendations portion of the chart where we note family requests. I also write notes on the patient white board to help remind patient to
  21. Mandychelle79

    April 2017 Caption Contest - Select $100 Winner!

    Mandychelle79 replied to Joe V's topic in News, Announcements

    I did warn you that my stethoscope may be
  22. Mandychelle79

    Night shift and mandatory meetings

    Mandychelle79 replied to aprilrazz's topic in General Nursing

    My last job did that. I didn't go to the meetings and sent my boss my reason why. They tried the am meeting for a while but didn't do it like normal. There were 2 meetings per month one at 730 and one...
  23. Mandychelle79

    Dilemma - family as a possible patient on my unit

    Mandychelle79 replied to Nurseannieb's topic in General Nursing

    My best friend traveled over an hour to go to the hospital I worked at because the local one ignored her symptoms. When she told me where she was being admitted, it was my floor in my block of rooms...
  24. Mandychelle79

    Left psych but still get the psych patients

    Mandychelle79 posted a topic in Psychiatric

    So I went from inpatient psych to med/ surg at the beginning of the year. I know psych patients can be anywhere but I can definetly see how my approach differs from those who haven't worked psych. I...
  25. Mandychelle79

    Drug calculation

    Mandychelle79 replied to foleyu's topic in General Nursing

    What were you looking for in the first place? With the given information it's not a calculation