Mandychelle79 ASN, RN

Psych

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All Content by Mandychelle79

  1. Mandychelle79

    Is night shift healthier for some people?

    I wish I could work 3 12 hour shifts. Only because it would save me 200 dollars per
  2. Mandychelle79

    Is night shift healthier for some people?

    I work straight 3-11 shifts by choice ( shocking I know). But it is the shift that works the best with my bodies natural sleep cycle. I also do very well on
  3. Mandychelle79

    That awkward moment when....

    I often have thought someone was responding to internal stimuli when they are using blue
  4. Mandychelle79

    No Visitors

    I work on a locked unit, so we often have patients not wanting to see the person who petitioned or was going to petition for them to be there, or the family member of the person they were .... yeah...
  5. Mandychelle79

    Precepting my first new hire.

    We are now a few weeks into orientation. She has 4 more weeks of orientation to go, but in all honesty I would feel totally comfortable if they counted her towards the staffing numbers. She has been...
  6. Mandychelle79

    Reinforcing a Perception of Reality

    With dementia patients I call it Jumping Realities. Ive told little old ladies their husband ( who I happened to know was an excellent mechanic back in the day) was out fixing my car. When they ask...
  7. I go with the if I was in this position what would I want. I would want my kids to be able to visit me ( or any close relative, and I have a huge close family) if I were in the ICU. My mom already...
  8. As others have said each facility has their own guidelines, and sometimes even when we have followed the guidelines I have had to defend why we called
  9. Mandychelle79

    Just a vent... medical vs psych

    Yes I understand what the ER is supposed to do. To send to patients to the appropriate unit where they need to go which may be a MEDICAL unit, not the PSYCH unit, but a lot of times it is a psych...
  10. Mandychelle79

    Male Neonatal Nurse

    Not male, or a NICU nurse, but as a parent of a NICU graduate my husband and I LOVED the male nurse my daughter had. By joking around ( yelling at me for not having a full battery in my camcorder for...
  11. Mandychelle79

    Just a vent... medical vs psych

    The unit I am on does treat the basic medical issues. We do wound care ( even though we usually have to scrounge around for supplies and beg, borrow and steal from the rehab units), we treat brittle...
  12. Mandychelle79

    Precepting my first new hire.

    We both survived our first week. Yesterday, while we were talking through things, she said the best thing to me. She said I didn't make her feel like a
  13. Mandychelle79

    Denied Medical Leave Post-Op, Still Recovering

    I worked at a company that was like this. If you didnt qualify for FMLA or your FMLA ran out, you were encouraged to resign, because then you would be eligible for rehire once cleared to come back to...
  14. Mandychelle79

    Just a vent... medical vs psych

    You are right, it doesnt take much time at all to know if a person has a line. One of the ED/BH transfer items, our staff has to go over and have patient sign the voluntary, and has to make sure that...
  15. Mandychelle79

    Just a vent... medical vs psych

  16. Mandychelle79

    Just a vent... medical vs psych

  17. Mandychelle79

    Just a vent... medical vs psych

    True. We do run IV's at times on our unit so at least 1 RN per shift is comfortable with them ( just not starting them, and usually when ours need IV's even the IV team has trouble finding one. I...
  18. Mandychelle79

    Just a vent... medical vs psych

    Re The PICC- it wasnt that the patient had a PICC, it was the fact that the admitting dr was not told about the PICC even existing ( we would have accepted anyway) and when we asked about an IV they...
  19. Mandychelle79

    Just a vent... medical vs psych

    But that is the thing psych patients get sick. And in our hospital they do get a 1:1 sitter. A lot of the issue is that the medical people aren't trained to handle the psych patients. Just like we...
  20. Mandychelle79

    Precepting my first new hire.

    And she did return today and actually felt confident enough to do a few 1:1 ( with the lesser challenging patients) on her own when she seen how much I was trying to get done. She jumped right in to...
  21. Mandychelle79

    Needing shoes

    Love my Danskos. Got them on clearance, will pay full price if needed next time. Have had them a year and other then some scuff marks ( plain white ones) and some tread wear, nothing wrong with them...
  22. Mandychelle79

    Precepting my first new hire.

    Well, we both survived our first night together. I feel that I threw a lot at her, but the majority of the stuff was the here is where you put requests off, here are the fire pull stations, here are...
  23. Mandychelle79

    Working with colleagues diagnosed with mental illness

    I work inpatient psych, many of us have a dx or undx mental illness. I often say you have to be a bit on the crazy side to work on a psych unit. Us having many of the same illnesses as our patients...
  24. Mandychelle79

    Is this uniform appropriate?

    I guess when our unit opened they did street clothes, but now we wear solid colored scrubs. I'm glad we wear scrubs, much easier to move
  25. Mandychelle79

    You Know You're A Nurse If...

    Got a new one- Remember that I work on a unit, where isolation gowns are NOT kept near the patients room for safety reasons When you willing run into a room of a patient in Isolation for CDIFF without...