Mandychelle79 ASN, RN

I'm a loud person by nature and get louder as my emotions/adrenaline increase. When I meet new patients I tell them if I sound like I'm yelling it's ok, I'm just excited... now if I drop my voice low and it has a steel edge to it.... yeah not good. ...

I have spent the majority of my health care career working in psych. But because of things occurring on the unit I cannot support I am leaving psych. Amazingly I was able to find a floor position who was willing to give me a chance (I had been look...

i can see me eventually going back. Not the same hospital (if same manager/dr) but who knows what the future will hold.

Pt is exhibiting poor adls and is malodorous. Encouraged patient to shower and offered clean clothing. Pt rAtes pain 15/10 but has been observed resting quietly in bed, playing on cell phone, engaged with peers.

Our unit is based on overall ratios 1:4 with a minimum staff of 3 days/eves 1:9 with minimum staff of 3 on nights nurses can have up to 13 patients to chart on (some entire assessment others just the physical portion) on days/eves nights nurse can ha...

While our patients are supposed to be medically stable we get quite a few that end up going medical a day or so after admission... Sometimes hours after. My new guilty pleasure are zdoggmd videos and I can see this happening in our er...

the only portion I know is if you call off a weekend day you have to make it up on your weekend to be off the next schedule period. I'm not 100 percent sure what our call off policy is because in 5 yrs I've only called off 3 times. My other 2 sick ...

Pt educated about unit rules.... Other patients are complaining but pt not yet to the point where anything can be done. Pt had frequently been requesting PRN medications---'med seeking While talking to patient pt became irrational and later was foun...

I don't have that luxury. My unit is inside a general hospital. Though I do call a condition and have had people transferred immediately upon arrival.

We have had individuals kept in the hospital on a 302 (Pa's involuntary commitment) when the doctor felt necessary. I think in 5 yrs I've seen it happen once.

."I too am a adhde. I work psych. I know my limits... If in a long stretch day 3 is my limit. After that I'm very distractable so would alter how I did things. Such as doing my assessments where I couldn't see what was going on in the hall. They ...

i honestly didn't realize this happened in other facilities. Umm no we are not picking up the patient we transferred medically for this issue when you haven't completed the testing to r/o reasons why we sent in first place. Then you have when you ar...

my favorite quote from a hospitalist (who I have a great relationship with).... Well technically he is medically stable just more medically complex than you normally deal with..... Consistent Bps in the 190/120 range with huge cardiac/ cva hx.

It was the unit that offered me a job. And so few actually enjoy psych patients and individuals with addiction issues that I feel it would be a disservice to leave.

I work psych (though in sure I would do this in other areas just more accepted on my unit) and while my tattoos are able to covered in usually comparing tattoos with patients and discussing who in the area did there's etc. it's often a topic they wi...

Yes. The administration can do that. She was on call and needed

I've been pulled to other floors to perform duties usually delegated to CNAs and LPNs. My mom who is the DON in a SNF has went in on weekends to work alongside the CNAs when they are short or when a resident needs help and she's there. It never cros...

Our unit is a 4:1 ratio for days and Eve's 9:1 at night with a minimum of three staff on at all times. However the staff isnt all nurses. Like last night only RN FOR 12. Days and Eve's get second Rn after 10

4:1 total ratio, 2nd nurse usually when over 10 pts on days/Eve's. Minimum 3 staff

I do not know I responding to the post regarding the three (my error it's only two) year stipulation regarding professional relationships because a previous poster said about not being aware of a time frame. I'm in Pa so I did remember seeing it for...

taken directly from the Pa BON website Professional relationship— (i) For a registered nurse not involved in providing mental health services, the relationship which shall be deemed to exist for a period of time beginning with the first p...

Until you said psych I would have said no issue, not something I would do, but the professional relations ends at d/c. For psych patients it may vary by state but in my state it's 3 yrs. rarely do we have a patient last that long without coming bac...

If we have one it's not enforced on the unit I work on. People late daily, nothing happens. People call off excessively, nothing happens

Well some benzos don't show up in a uds, klonopin is notorious for that. Also depending on the time between consumption and the uds it may not show up

I think my orientation was 6 weeks