Mandychelle79 ASN, RN

Psych

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All Content by Mandychelle79

  1. Mandychelle79

    June 2014 Caption Contest: Win $100!

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

    Did you see the newest patient satisfaction scores... since we all have to wear the same scrubs patients are complaining that they can not tell who their nurse
  2. Mandychelle79

    June 2014 Caption Contest: Win $100!

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

    Well, we warned them. Now that we have mandated colors no one can tell us
  3. Mandychelle79

    "hard" restraints?

    Mandychelle79 replied to sassyann85's topic in Psychiatric

    The main difference I have seen at work is that the when a patient is in soft restraints on the medical side ( we dont do soft) they do not require a 1:1 sitter, when we have someone in hard...
  4. Mandychelle79

    Nurses selling at work?

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

    We all just put the information in the back and if people want to buy fine, if people dont, fine. Oh and for the girl scout magazine sales I have coworkers that will give me their home email address...
  5. Mandychelle79

    Difference in Psych Hospital vs Mainstream Hospital w/ Psych Unit

    Mandychelle79 replied to jeaniekadinee's topic in Psychiatric

    oh and the big psych hospital in the area has separate floors based on DX where we are a mixed unit ( no
  6. Mandychelle79

    Difference in Psych Hospital vs Mainstream Hospital w/ Psych Unit

    Mandychelle79 replied to jeaniekadinee's topic in Psychiatric

    Around here it means the stand alone pysch hospitals are more selective on who they will admit. I work on a unit inside a main hospital and we are more of a medical psych unit than a typical psych...
  7. Mandychelle79

    15 minute rounding sheet

    Mandychelle79 replied to HannahBell's topic in Psychiatric

    We have separate sheets for 0005-0800 and 0805-0000, each hour is broken into 5 min blocks ( the most we ever chart is q5min) and there is no code on the sheet for where they are, there is a...
  8. Mandychelle79

    First externship in a psych floor, what to focus on?

    Mandychelle79 replied to Coumarin's topic in Psychiatric

    In three years we have had 2 or 3 patients with a trach and they performed their care themselves. I have had to cath both males and females and wound care we do a lot
  9. Mandychelle79

    Could someone paint a picture for me, please?

    Mandychelle79 replied to spiderslap's topic in Psychiatric

    Oh and I worked LTC for 6 yrs prior to going to psych. The staffing ratio will seem like heaven to you and imagine your worst acting dementia patient, medicated. That is one thing with the unit I...
  10. Mandychelle79

    Could someone paint a picture for me, please?

    Mandychelle79 replied to spiderslap's topic in Psychiatric

    I have been trying to get a better sense of a psych nurse's job, but have been finding more abstract answers rather than how the day is spent. Punch in, get report, enter unit, say hello to the...
  11. Mandychelle79

    Panic attacks triggered by rapid position change

    Mandychelle79 replied to dandk1997RN's topic in Psychiatric

    Orthostatic Hypotension? The feelings could be similar to what the patient experiences when having a panic attack ( dizzy, heart pounding,
  12. Mandychelle79

    Is making appts for friends/family/ a hipaa violation?

    Mandychelle79 replied to hhnurse0407's topic in HIPAA Challenges

    I make appointments all the time for my husband/mom. Why because I work 3-11 or 11-7 so am actually home when the offices are open. Ive never been told I
  13. Mandychelle79

    How do you emotionally deal with this?

    Mandychelle79 replied to mrnightinggale's topic in Psychiatric

    How do I do it. I truly believe everyone can make an improvement, not matter how small that improvement is. We have a lot of frequent flyers ( as many units do) and when we have one I make sure to...
  14. Mandychelle79

    Mental Health First Aid vs CPI Training

    Mandychelle79 replied to krysta28's topic in Psychiatric

    Both the facilities I worked at in psych do not use CPI. I have been trained in CCM or Comprehensive Crisis Management. We are required to take a yearly class. My training is coming up
  15. Mandychelle79

    Who's for banning rotating shifts?

    Mandychelle79 replied to Lev's topic in General Nursing

    I rotate between Eves, Nights and 12 hour nights. I do not want to work day shift. Most of the staff is scheduled either days or evenings with 2 nurses who cover most night shifts with me plugged in...
  16. Mandychelle79

    Does your hospital require color coded scrubs?

    Mandychelle79 replied to Loo17's topic in Scrubs, Uniforms, Gear

    Because people complain that they dont know who is who. Like the BIG RED RN on my name tag doesnt tell you my position. Soon it will be people are complaining that none of the nurses wear fun print...
  17. Mandychelle79

    Would you give it to them?

    Mandychelle79 replied to ProudMom511's topic in Geriatric, LTC

    I have ibuprofen in my locker. My locker has a lock on it but those who work with me know how to get into my locker. If they need something for a headache, they get it
  18. Mandychelle79

    Yikes! Violence?

    Mandychelle79 replied to Rnrpnwannabe's topic in Psychiatric

    Can it happen? Sure. How often does it happen? Depends on the facility and the type of patients accepted. For the most part the patients we accept are not violent and the ones that are, lets just...
  19. Mandychelle79

    Millennials in the workplace

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

    I am at the very end of Generation X and most of the ones I work with are millenials. Guess what, I would much rather work with them than any of the boomers that typically work day shift. Guess...
  20. Mandychelle79

    Night Shift Snack

    Mandychelle79 replied to NextGenRPN's topic in General Nursing

    Lets see... Many times someone makes a Sheetz run for junky, fried foods but... I take breakfast bowls, breakfast sandwiches, left overs, basically anything I will eat when I am on 3-11. Sometimes I...
  21. Mandychelle79

    Important development

    Mandychelle79 replied to BeOne77's topic in Psychiatric

    Eh, I can handle it. We tried numerous non medical ways to treat her. But tonight, when she sits across from me, without having a melt down that would earn her a trip to the seclusion room on many...
  22. Mandychelle79

    Important development

    Mandychelle79 replied to BeOne77's topic in Psychiatric

    Seeing that she had uncontrolled anxiety that made it impossible for her to behave like a normal 10 yr old, no matter how much therapy we did. And a child who cannot focus in school, which raises her...
  23. Mandychelle79

    Nursing topic groups

    Mandychelle79 replied to BlessesRN_2011's topic in Psychiatric

    We have a nurse led medication group twice a week. I usually harp about compliance. My other favorite groups to do anger management ( I have my own issues, which the patients notice when I want to...
  24. Mandychelle79

    Important development

    Mandychelle79 replied to BeOne77's topic in Psychiatric

    I let them spend a week with my daughter unmedicated and then have them spend a week with her medicated. Do I think the drugs are needed for everyone, no. But they have a
  25. Mandychelle79

    May 2014 Caption Contest: Win $100!

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

    They were right, my patients are