Mandychelle79 ASN, RN

Psych

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All Content by Mandychelle79

  1. Mandychelle79

    Nurse yelling at patient

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

    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...
  2. Mandychelle79

    Leaving Psych

    Mandychelle79 posted a topic in Psychiatric

    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...
  3. Mandychelle79

    Leaving Psych

    Mandychelle79 replied to Mandychelle79's topic in Psychiatric

    i can see me eventually going back. Not the same hospital (if same manager/dr) but who knows what the future will
  4. Mandychelle79

    What Nurses really Want to Say When They Chart

    Mandychelle79 replied to SICUshortCait's topic in General Nursing

    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,...
  5. Mandychelle79

    What is the Registered Nurse Patient Ratio at your hospital?

    Mandychelle79 replied to LinenP's topic in General Nursing

    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...
  6. Mandychelle79

    How true this is

    Mandychelle79 posted a topic in Psychiatric

    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...
  7. Mandychelle79

    Hosptial call out policy

    Mandychelle79 replied to floridaRN38's topic in General Nursing

    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...
  8. Mandychelle79

    What Nurses really Want to Say When They Chart

    Mandychelle79 replied to SICUshortCait's topic in General Nursing

    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...
  9. Mandychelle79

    How true this is

    Mandychelle79 replied to Mandychelle79's topic in Psychiatric

    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
  10. Mandychelle79

    Too sick to leave AMA?

    Mandychelle79 replied to Rexie's topic in General Nursing

    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
  11. Mandychelle79

    Nurse with ADD :(

    Mandychelle79 replied to WheresMyPen's topic in Nurse Disabilities

    ."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...
  12. Mandychelle79

    How true this is

    Mandychelle79 replied to Mandychelle79's topic in Psychiatric

    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...
  13. Mandychelle79

    How true this is

    Mandychelle79 replied to Mandychelle79's topic in Psychiatric

    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...
  14. Mandychelle79

    How did you decide your specialty?

    Mandychelle79 replied to Irish_Mist's topic in General Nursing

    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
  15. Mandychelle79

    Visible tattoos

    Mandychelle79 replied to brittiany96's topic in Nursing Professionalism

    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...
  16. Mandychelle79

    Nurse forced to work as a CNA

    Mandychelle79 replied to hillbillienurse's topic in General Nursing

    Yes. The administration can do that. She was on call and
  17. Mandychelle79

    Nurse forced to work as a CNA

    Mandychelle79 replied to hillbillienurse's topic in General Nursing

    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...
  18. Mandychelle79

    A safe nurse to pt ratio?

    Mandychelle79 replied to _zoubisoubisou_'s topic in Psychiatric

    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...
  19. Mandychelle79

    Nurse patient ratio

    Mandychelle79 replied to RebecaRN's topic in Psychiatric

    4:1 total ratio, 2nd nurse usually when over 10 pts on days/Eve's. Minimum 3
  20. Mandychelle79

    Unethical?

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

    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...
  21. Mandychelle79

    Unethical?

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

    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...
  22. Mandychelle79

    Unethical?

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

    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...
  23. Mandychelle79

    Call Off Policy?

    Mandychelle79 replied to Lpeacock12's topic in General Nursing

    If we have one it's not enforced on the unit I work on. People late daily, nothing happens. People call off excessively, nothing
  24. Mandychelle79

    Disrespectful patient

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

    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
  25. Mandychelle79

    How long was your new employee training?

    Mandychelle79 replied to Marisette's topic in General Nursing

    I think my orientation was 6