Mandychelle79 ASN, RN

Psych

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All Content by Mandychelle79

  1. Mandychelle79

    Precepting my first new hire.

    Mandychelle79 replied to Mandychelle79's topic in General Nursing

    Well, I am going to be taking a preceptor course, however I will be precepting before I actually take the class. The way it happened, all the seasoned nurses that trained me have moved on. Because...
  2. Mandychelle79

    Antagonizing patients--just a vent

    Mandychelle79 replied to Isitpossible's topic in Psychiatric

    Caffeine free for patients ( staff can have it in the breakroom. Im not sure what the purpose of it, just one of the rules we are made to follow ( though patients are allowed to have chocolate, so I...
  3. Mandychelle79

    Antagonizing patients--just a vent

    Mandychelle79 replied to Isitpossible's topic in Psychiatric

    Im a very Type A personality and I love working psych. Do I call patients out on their behaviors, yes. Have I said things in the heat of the moment that were inappropriate, yes, and I reported...
  4. Mandychelle79

    Geodon IM

    Mandychelle79 replied to TerpGal02's topic in Psychiatric

    We have had patients come from the ER after a Geodon IM. We typically use the haldol/ativan combo, or sometime
  5. Mandychelle79

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

    Mandychelle79 replied to General E. Speaking, RN's topic in Patient, Colleague Relations

    Really, you are training the new staff. You do realize you rarely work this shift and you complain, moan, and do as little as possible, while you are
  6. Mandychelle79

    You know you are going to have an interesting day when you get report that . . .

    Mandychelle79 replied to anon456's topic in Patient, Colleague Relations

    When its a full moon, holiday weekend, with cold snap and a psychiatrist that admits anyone with a pulse on call When it is the Tuesday after said holiday weekend and the normal doctor decides to...
  7. Mandychelle79

    Emergency Psychiatric Medications

    Mandychelle79 replied to edie1's topic in Psychiatric

    If it is our normal psych doctor giving the orders, Haldol and Ativan most of the time. If we called a violent code, depends on what the doctor orders when they get there (
  8. Mandychelle79

    Honest advise needed

    Mandychelle79 replied to lynds80's topic in Psychiatric

    I figure so few actually like working in psych ( and I LOVE IT) that it is better for me and my patients to stay where I
  9. Mandychelle79

    No long distance for patients?

    Mandychelle79 replied to MunoRN's topic in Patient, Colleague Relations

    Since we get patients from all over the state ( limited psych beds, we get them as far away as a 6 hour ambulance ride) and unit rules state that they cannot have cell phones, our patients have long...
  10. Mandychelle79

    Hearing voices

    Mandychelle79 replied to YellowLindsey2013's topic in Psychiatric

    When I have a patient admit to having AH, first I ask them if they can make out what they are saying ( a lot of times I am told its just mumbling in the background), if they can I ask what the voices...
  11. Mandychelle79

    Do you talk about work at home?

    Mandychelle79 replied to blackvans1234's topic in General Nursing

    mine is usually explaining where yet another bruise came
  12. Mandychelle79

    involuntary hold question

    Mandychelle79 replied to 302queen's topic in Psychiatric

    Why would they not be aware that they are being held
  13. Mandychelle79

    2nd shift vs. 3rd shift

    Mandychelle79 replied to kennybania's topic in Psychiatric

    I work second shift, would prefer third shift. Depending on the unit- I get to finish up the d/c that day shift didnt do, get to triage all the possible transfers ( no unit secretary to take the...
  14. Mandychelle79

    Would you give a drug someone else pulled from a pyxis?

    Mandychelle79 replied to squatmunkie_RN's topic in Patient Medications

    I will give most meds, as long as they are still in the packaging. I will pull meds for people when asked. I will only pull narcotics/ count meds when the person is in the same room with me and I...
  15. Mandychelle79

    Recreational activitity ideas for male patients?

    Mandychelle79 replied to TheElephantSong's topic in Psychiatric

    For whatever reason the males on our unit love to do the melted bead projects. But a big one is Spades. They play a lot of Spades and poker (using puzzle peices or scrabble tiles as chips). I...
  16. Mandychelle79

    Full Moon Syndrome: Fact or Fiction

    Mandychelle79 replied to madwife2002's topic in General Nursing

    I find that any time the moon hits a designated phase we seem to have an increase of referrals from other hospitals and we are usually running a high census at the time. Also see it happen when the...
  17. Mandychelle79

    You Know You're A Nurse If...

    Mandychelle79 replied to Joe V's topic in Nursing Humor

    You go out for a few drinks and automatically reach out and keep a person who is about to be told "you're shutoff" as they are staggering drunk, from falling on the
  18. Mandychelle79

    For Fun--Kudos 2 Me...The "toot your own horn" thread

    Mandychelle79 replied to tammy1974's topic in General Students

    The attending psychiatrist (I work psych) and my manager both told me that I was to be the "go to" person for a patient to keep the patients behavior under control. Basically the patient was supposed...
  19. Mandychelle79

    Anybody LIKE working holidays?

    Mandychelle79 replied to wooh's topic in General Nursing

    I work 3-11. I have to leave for work by 130. My family has numerous people who work in healthcare, state police or other industries that do not get Holidays off. If it is my Holiday to work ( we...
  20. Mandychelle79

    Inpatient Psych Brain Sheet

    Mandychelle79 replied to LadyLovelilocks's topic in Psychiatric

    My brain sheet is basically the sheet I use for my admissions and my 1 to 1 sessions. One nurse passes meds to all the patients on our unit so I dont put meds on it. Basically my sheet has Pt...
  21. Mandychelle79

    Words and phrases that I didn't know before I became a psych nurse

    Mandychelle79 replied to Kay28's topic in Psychiatric

    Perservates ( finally have a word that describes what my daughter does) Sexually Preoccupied Repeated fecal
  22. Mandychelle79

    I love you boss ... BUT!!...

    Mandychelle79 replied to mindlor's topic in General Nursing

    I often volunteer to work an extra 4 before or after my shift, however my days off are my days off and I make plans with my
  23. Mandychelle79

    Arrrgghhh, get the smell off!!

    Mandychelle79 replied to Brian's topic in Nurses Rock

    Two time I can remember 1) Pt who was litterally rotting to death. 2) When I was rocking a ped patient ( probably 5) and was covered in head to toe vomit. I took a shower at work that
  24. Mandychelle79

    What are you really good at?

    Mandychelle79 replied to proud nurse's topic in First Year After Licensure

    Im good at getting patients to trust me enough to tell me what is actually going on instead of what they think we want to
  25. Mandychelle79

    What patients/behaviors/illnesses/injuries do you HATE the most?

    Mandychelle79 replied to JZ_RN's topic in Patient, Colleague Relations

    I am a psych nurse. I love most of my patients, but I will gladly trade assignments with someone if I have someone with a borderline diagnosis, if another coworker deals better with them. Luckily on...