Mandychelle79 ASN, RN

Psych

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All Content by Mandychelle79

  1. Mandychelle79

    Precepting my first new hire.

    Well I did it. And apparently my boss thought I did a good job, since I am going to be the preceptor of the next newbie to the unit also. And my minion ( thats what decided to call her) is doing...
  2. Mandychelle79

    power struggles

    Honestly, I just treat people how I would want to be treated if I was in that situation. Just last night, I was running a med compliance group and we had an influx of new patients over the weekend (...
  3. Mandychelle79

    Sick employees in the workplace

    I have worked for companies that if you call off during your first 90 days for ANY reason, including a car accident on your way to work, could lead to your dismissal. People went to work ill all the...
  4. Mandychelle79

    Do you have a nickname at work?

    I have a few. Some based on my name, some based on my personality. The patients give some too, when we have long term patients introduce me as the "cool nurse" or the " Crazy as we are nurse"......
  5. Mandychelle79

    power struggles

    When my staff is acting like that ( and yes I say my staff, Im charge for that shift, I usually work with the same people day after day) I normally just ask them if this is the hill they want to die...
  6. Mandychelle79

    power struggles

    I think it has to do a lot with YOU not them. I can get our Axis 2 patients to cooperate more than other staff. You approach seems very much like mine. I dont make a HUGE deal out of non safety...
  7. Mandychelle79

    Just a vent... medical vs psych

    recently it was the pt who stopped drinking and was starting to go through the DT's. Luckily, the admitting dr agreed that the pt needed to be on a medical floor where they could be on an ativan
  8. Mandychelle79

    What do you think of 12 hour shifts?

    Switching from a 9 day 8 hour shift work week to a 6 day 12 hour shift work week would save me close to 100 dollars per pay. Yes, I want 12 hour
  9. Mandychelle79

    August 2013 Caption Contest: Win $100!

    No, I wont have an issue falling asleep when I get home... why do you
  10. Mandychelle79

    RN with below knee amputation

    my father is a Left BKA who works not in nursing but in construction. And while nursing is tough, Im pretty sure he is working physically harder than I am on any given day. People who meet my dad,...
  11. Mandychelle79

    Things you'd LOVE to tell coworkers...and get away with it!

    how on God's green earth did you get your
  12. Mandychelle79

    Time Limit on Time out for patients

    If those stipulations exist why is the door even open? As for length of time, we have to have orders to continue renewed based on patients age. Since we only have over 18, the order has to be...
  13. Mandychelle79

    Precepting my first new hire.

    So we are at her last two weeks of orientation after today. We have survived. For these last few weeks, she is doing all the aspects of charge, and is filling the rule very well. Now if something...
  14. Mandychelle79

    When did you start precepting new nurses?

    I am precepting my first new hire right now and ive been there for almost 2
  15. Mandychelle79

    Time Limit on Time out for patients

    When we do open seclusion we basically tell the patient when they feel like they are in control they are permitted to leave the room. we have no time limits because they can leave the room whenever...
  16. Mandychelle79

    You know you've been a nurse too long when...

    When my dd loses control of her ADHD and says I know I know Im perseverating again. Or my son knows that my response to injury is any blood, any bones, no go back and play Or when husband complains...
  17. Mandychelle79

    The patients you love working with.

    My favorites are the paranoid schizophrenics ( not sure why they feel comfortable with me, but time and time again I can get them to agree to take their meds, or heck even talk when no one else can)...
  18. Mandychelle79

    Narcotic count (Drug and Alcohol Rehab)

    We do it both ways where I work. If we are counting the accudose narcs for a once a week check, we use two from the same shift. If we have a narc locked in the narc closet, we use the out going...
  19. Mandychelle79

    Need advice on a job offer........

    Who knows, you may find out that you love it. My mom has worked LTC since 1980. Start as an aide, got her LPN, then RN and is now the DON ( A rule she has had in the past, but wanted to go back to...
  20. Mandychelle79

    Ins and outs- what's the point?!

    I think it depends on what type of unit you are on. Right now we have a psych patient on a fluid restriction. The pt is ambulatory and non-compliant. It is impossible to get an accurate recording...
  21. Mandychelle79

    Just a vent... medical vs psych

    i was shocked, after talking all day with the hospitalist *who never laid eyes on the patient* running 1000 ml of NaCl wide open, and bp/ pulse in the toilet. Not to mention the complaints of the...
  22. Next time check to see who the weekend doctor is before agreeing to switch with someone, pretty sure I got the short end of the stick on this
  23. I will never forget the time I called the on call doctor and said So and so is throwing furniture I am going to give 2 of ativan and 5 of haldol IM now, is that ok? He laughed and said sure. The...
  24. Mandychelle79

    What type of shoes do you buy?

    I used to get a cheap pair of tennis shoes and get a new pair when my heals started to hurt, about 6 weeks to 3 months. For my anniversary, I treated myself to a pair of Danskos that were on...
  25. Mandychelle79

    IV insertion problems

    From the other side... I know I am a hard stick. I never tell someone they have only one shot. For my surgery they started one IV and then put me under and started the other one. I had major...