Mandychelle79 ASN, RN

My objective of the patient is toeing the line is to eliminate the audience so I offer going back to their room or going into the seclusion room with the door open for a calm down period. When they make their choice we offer prns if ordered.

I work psych, and while I have never been dx with a mental illness officially... ADHD and Antisocial personality disorder traits, per our attending psychiatrist. I often say if I wasnt a bit crazy I would not be able to do my job. Seriously what sa...

I called the dr one night at 2 am based on a gut feeling. Luckily it was the dr I have a good rapport with because there was nothing I could pinpoint what was wrong. I just kept saying, I dont like this feeling, I needs meds for him now, no he isnt...

I am usually charge but on our unit EVERYONE during the shift is assigned safety check times. When making out the assignment sheet I take into consideration what times the med pass is for the 3-11 shift there is a small one around 5 and our large on...

If they call in asking to speak to a patient we just send the calls to the pt. phone whether they are there or not. The patients will either find the person or say I'm sorry he or she is no longer here/ never been. If they call in asking about info...

I don't expect my mht's to do anything I won't do. So yes I do checks, pass out trays, open bathrooms, get educational packets, go through belongings, take triages. Most shifts I have two hours of checks, visitors or a group. There are some that b...

I have a parasympathetic dump after codes. I actually take benadryl right after to help me not shake and puke.

I can facilitate any group that is scheduled and depending on staffing matrix do so. Groups that go over well with me running Med group coping skills relapse prevention (dual unit) anger management areas I have experience in

Even with paper scripts you run into the issue of the pharmacy not having the Med. My friend is on sapharis, new order last friday, not available till Monday. Happened enough with my daughters adhd med that I called around to make sure they had it ...

The county i work in can be interesting if the 302 proceeds to a 303. I've gotten pretty good at knowing what will or won't stand, what the lawyer will pounce on. If we feel the likelihood of losing the 303 is high doc typically holds the patient a...

I try not to say anything but Im usually only in the ER/ Quick Clinic. I even said to my husband about not disclosing I was a nurse in the ER and he said well babe, most dont say I flushed my eye with about 500 cc's of saline ( allergic reaction). ...

I have a full set of scrubs, contacts, glasses, brush, sweat pants and t shirt for sleeping in at a coworkers house. If I cant make it home in my 4x4, I stay at her house. Heck I stayed there last night and didnt have to work today, just didnt feel...

I used to think something similar until I took the time to talk to my cousin who was dealing with his own addiction issues. He put it in perspective for me and I have never forgotten it. They forget what the pain of w/d is like, just like a woman f...

Over all ratio is 1:4-1:5. Usually get 2 nurses 2 mts at 14, below 14 it's a crap shoot.... Could be 1rn/2 mts. 2 rn/1 my, 2 RNs or 1rn/ 1 mt. Nights it is a 1:8 1rn/ 1 mt till 16, over 16 gets 3 staff, usually 1 RN and 2 mts

I worked LTC and a geri psych unit where alarms were used. My mom has worked LTC for 35 yrs. We have the same opinion... more often than not the alarm just tells us that someone is already on the floor. For ever fall I prevented from happening ab...

I dont know if it is a generation thing or just a work ethic thing. Without getting into shift wars, though heaven knows our unit has them, this seems to be the case. 7-3 does have the more experienced nurses but the therapists are the same age as ...

We have two per shift for entire hospital. Though Pts have told me im scarier than security (and they kniw if im calling the code, there's big issues)

At times the TREATMENT team decides that it is in the patients best interest to be locked out of the room between certain hours. It is part of the patients individual treatment plan. The treatment plan usually says if x does not attend 3 groups x w...

Not a school nurse... But ive dosed myself with Epi... dang wasps. My instructions are if reacting to inject and go to er if needed. For a kiddo, Id be calling and shipping.

I live in Pa and yes you can do this. I have ( well when I was an aide). Basically, you have to be a set schedule so if you are a 1.0 if you drop below your 40 hours, if you are a .6 you would have to drop below the six days a pay. And if you pick...

We don't use CPI but use Critical Crisis Management.... It's a yearly renew too. I don't mind

When we d/c someone we require their ride to come to the unit to pick them up. If they have their car on property we send them out the door. Taxi, picks up at unit, and by bus a staff member walks over with them and makes sure they get on the bus.

Because I am a smart alek I would just shoot back then why the heck do you guys kick the patients you cant handle to us ( usually without being medically stable)

What do you mean you didn't order an enema.... Yes you did, I wouldnt have given it had you not*** * true story. Doc reconciled a PTs home meds from a nursing home and an enema was part of the bowel protocol and who ever put in the home meds missed ...

My thought process is they are either going to pay me for my lunch that I didnt take or for the 30 mins I stay over to clean up things. Less flack for staying over 30 cause I can also "document" why I was late punching out. I also FORCE my other st...