Mandychelle79 ASN, RN

Psych

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All Content by Mandychelle79

  1. Mandychelle79

    Tattoos and unique shoes?

    Mandychelle79 replied to Blur2713's topic in General Nursing

    I work psych too and I often use the " so how bad did that one hurt there, Ive been thinking about getting one in a similar location" as an ice
  2. Mandychelle79

    Interventions for Auditory Hallucinations

    Mandychelle79 replied to Isastorm's topic in Psychiatric

    Ive had patients use the eff off method also. When I have a patient having AH I tell them I have three questions. 1- Telling you to hurt yourself or others? 2-Bothersome to you? 3- Degrading you?...
  3. Mandychelle79

    Bingo for Your Unit

    Mandychelle79 replied to HyperSaurus, RN's topic in General Nursing

    Psych. 1) orders put in after pharmacy leaves and the only place to get the med is the pharmacy 2) No sterile water to mix the zyprexa IM 3) Pt acting out and no PRN's ordered 4) Pt with negative...
  4. Mandychelle79

    Meds & jail

    Mandychelle79 replied to both sides's topic in Addictions

    My cousin was on a methadone program when she was arrested for a probation violation ( FTA I think) had to detox of methadone in jail. Been told by patients they will say they are suicidal to be...
  5. Mandychelle79

    Brown-Nosing Co-Workers Anyone?

    Mandychelle79 replied to Brian's topic in Nurses Rock

    Do you work on my
  6. Mandychelle79

    Brown-Nosing Co-Workers Anyone?

    Mandychelle79 replied to Brian's topic in Nurses Rock

    My shift is usually the rebellious one too. Ticks the brown nosers off because we toe the line but never cross it and fess up if the line has been crossed, so no one can
  7. Mandychelle79

    Brown-Nosing Co-Workers Anyone?

    Mandychelle79 replied to Brian's topic in Nurses Rock

    There are quite a few brown-nosers on the unit I work on, everyone hates them and finds great joy when they mess
  8. Mandychelle79

    New Geri-Psych unit opening Monday..

    Mandychelle79 replied to HAWKIRN's topic in Psychiatric

    Many of the activities she did at LTC will cross over to Geri-psych... how do I know? Ex activity director turned CNA on a geri-psych unit, turned RN on an acute, adult psych unit that takes geri...
  9. Mandychelle79

    I realized that I was an old Psych Nurse when...

    Mandychelle79 replied to Davey Do's topic in Psychiatric

    Wonder if I can suggest this to my patient who are worried about what people say about
  10. Mandychelle79

    I realized that I was an old Psych Nurse when...

    Mandychelle79 replied to Davey Do's topic in Psychiatric

    I do this all the while out and
  11. Mandychelle79

    How do you keep a calm milieu?

    Mandychelle79 replied to Isastorm's topic in Psychiatric

    Yep. Sometimes calling a bully out on their behavior is the best way to deal with said behavior and if there is one thing I can do it is cover my butt with my charting.
  12. Mandychelle79

    How do you keep a calm milieu?

    Mandychelle79 replied to Isastorm's topic in Psychiatric

    So sorry that you are going through this right now. We once had a patient that would do things similar to what you are describing, simply because he was an addict and knew that acting out would get...
  13. Mandychelle79

    Critically ill pts wanting to go AMA?

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

    Yep it is possible to grab them before they leave, happens all the time. Security is notified and the patient is not allowed to leave. If said patient does leave and the involuntary commitment...
  14. Mandychelle79

    Critically ill pts wanting to go AMA?

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

    It if is a case where the patient would be a danger to themselves if they left it is also possible to have them involuntarily committed/ treated. I see orders like that for a lot of our transfers,...
  15. Mandychelle79

    What age of patient's are the most difficult for you?

    Mandychelle79 replied to ddane94's topic in Patient Education

    As a student I took care of the mother of one of the CRNP's that consulted where I worked. She was nice enough to step outside the room while I was completing/ learning the
  16. Mandychelle79

    I'm All Ears

    Mandychelle79 replied to Brian's topic in Nurses Rock

    Maybe, but I have been told one of the reasons the patients don't act out when im working is because I look like I'm somebody they don't wanna mess
  17. Mandychelle79

    I'm All Ears

    Mandychelle79 replied to Brian's topic in Nurses Rock

    I can't say I have any stories that I would rather forget :) But I have had lots of patients tell me things that they have never told anyone else ( which is good since I work psych), as they are...
  18. Mandychelle79

    How do you keep a calm milieu?

    Mandychelle79 replied to Isastorm's topic in Psychiatric

    And RESPECT the patients. That is a huge one. Often times when I have asked patients why they act out on one shift and not the another one the recurring theme is that they can tell that I respect...
  19. Mandychelle79

    Patients who want to be admitted for minor things

    Mandychelle79 replied to Emergent's topic in Emergency

    The psych nurse in me is just shocked then when he found out he was being discharged he didnt say he wasnt safe to go home, that he felt like harming himself, etc. Many of the patients we get are...
  20. Mandychelle79

    padded isolation

    Mandychelle79 replied to 302prince's topic in Psychiatric

    What do you want to know about them? We have one padded isolation/seclusion room and one restraint room that is also padded. I have allowed patients to go into " Open seclusion" where they can come...
  21. Mandychelle79

    Meds & jail

    Mandychelle79 replied to both sides's topic in Addictions

    If we know a patient is being discharged to jail the doctor works with the jail and only prescribes meds that with will continue because like psych guy said our local jails do not prescribe any...
  22. Mandychelle79

    How do you keep a calm milieu?

    Mandychelle79 replied to Isastorm's topic in Psychiatric

    Oh and having a reputation of being a nurse that doesnt take any nonsense helps, especially when frequent flyers are on the unit. I have overheard them say, She's the cool nurse, but dont make her...
  23. Mandychelle79

    How do you keep a calm milieu?

    Mandychelle79 replied to Isastorm's topic in Psychiatric

    Make yourself more visible on the unit, redirect the biggest offenders, offer 1:1 time to see what is causing the tension, call them out on their behaviors. I have noticed if the unit is hyped up (...
  24. Mandychelle79

    What age of patient's are the most difficult for you?

    Mandychelle79 replied to ddane94's topic in Patient Education

    The ones I have the most issue with are the elderly dementia patients, who are assigned to the unit because of aggressive behaviors, not able to return home and their medical issues have resolved so...
  25. Mandychelle79

    Nakedness

    Mandychelle79 replied to imapsychrn's topic in Psychiatric

    I think when weve have someone who was prone to disrobe we had more often than normal checks, possibly a 1:1, and would continually just redress the patient or encourage them to dress