Mandychelle79 ASN, RN

Psych

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All Content by Mandychelle79

  1. Mandychelle79

    knock it off or i'm going to put you in restraints!

    Mandychelle79 replied to celery_juice's topic in Psychiatric

    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...
  2. Mandychelle79

    If you want to work in psych you must be crazy yourself...

    Mandychelle79 replied to Msmedic68w's topic in Psychiatric

    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...
  3. Mandychelle79

    Has anyone else "sensed" when something was wrong with a patient?

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

    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...
  4. Mandychelle79

    Psychiatric Medication Nurse

    Mandychelle79 replied to fawnsternurse's topic in Psychiatric

    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...
  5. Mandychelle79

    Answering Phone Calls & Maintaining Confidentiality

    Mandychelle79 replied to PsychNurs's topic in Psychiatric

    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...
  6. Mandychelle79

    Non nursing duties

    Mandychelle79 replied to babynurse73's topic in Psychiatric

    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...
  7. Mandychelle79

    My First Code

    Mandychelle79 replied to motor_mouth's topic in Psychiatric

    I have a parasympathetic dump after codes. I actually take benadryl right after to help me not shake and
  8. Mandychelle79

    Ideas for groups run by RNs?

    Mandychelle79 replied to greenbeanio's topic in Psychiatric

    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...
  9. Mandychelle79

    discharge/scripts & pt responsibility

    Mandychelle79 replied to lily8585's topic in Psychiatric

    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...
  10. Mandychelle79

    Involuntary hold guidelines

    Mandychelle79 replied to 302queenpa's topic in Psychiatric

    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...
  11. Mandychelle79

    Does your facility ask you to sleep over when it snows?

    Mandychelle79 replied to oliveleaf's topic in Medical Assistant, CNA/MA

    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...
  12. Mandychelle79

    alcohol withdrawal-Ativan

    Mandychelle79 replied to sassyann85's topic in Addictions

    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...
  13. Mandychelle79

    Ratios in acute psych

    Mandychelle79 replied to Lano1's topic in Psychiatric

    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...
  14. Mandychelle79

    Alarms? Do they work?

    Mandychelle79 replied to Sixtyseven's topic in Geriatric, LTC

    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...
  15. Mandychelle79

    Nursing Culture

    Mandychelle79 replied to arborguy's topic in Nursing Professionalism

    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...
  16. Mandychelle79

    Security guards

    Mandychelle79 replied to studentnurse9806's topic in Psychiatric

    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
  17. Mandychelle79

    Patient rights to refuse?

    Mandychelle79 replied to wezzie, RN's topic in Psychiatric

    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...
  18. Mandychelle79

    How many have actually had to administer epi?

    Mandychelle79 replied to Kittery's topic in School

    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
  19. Mandychelle79

    Getting unemployment for called off

    Mandychelle79 replied to tiggerslilyrn's topic in General Nursing

    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...
  20. Mandychelle79

    Why can't CPI be 2 years like everything else?

    Mandychelle79 replied to adnrnstudent's topic in Psychiatric

    We don't use CPI but use Critical Crisis Management.... It's a yearly renew too. I don't
  21. Mandychelle79

    dischargin psych pts question

    Mandychelle79 replied to sassyann85's topic in Psychiatric

    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...
  22. Mandychelle79

    this is getting old

    Mandychelle79 replied to yoginurse29's topic in Psychiatric

    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
  23. Mandychelle79

    January 2015 Caption Contest: Win $100!

    Mandychelle79 replied to Joe V's topic in News, Announcements

    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...
  24. Mandychelle79

    Why do we not get paid for lunch even if we never get to take one?

    Mandychelle79 replied to leekaye's topic in General Nursing

    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...
  25. Mandychelle79

    Going that extra mile ... literally

    Mandychelle79 replied to Brian's topic in Nursing Humor

    Ive driven to work, making tracks, snow to door handles of the subaru I was driving. Three closed roads and 2 hours late ( and I left 1.5 hours earlier than I normally do, and kept them updated on...