Mandychelle79 ASN, RN

Psych

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All Content by Mandychelle79

  1. Mandychelle79

    That person

    Mandychelle79 replied to AmandaRn912's topic in Patient, Colleague Relations

    My son broke his arm right before he turned two, it was 3 days before I took him to the ER for treatment ( who breaks their arm tripping over a high chair) so I am sure that the break drew abuse...
  2. Mandychelle79

    April 2014 Caption Contest: Win $100!

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

    We just finished our HESI, Bring on the
  3. Mandychelle79

    April 2014 Caption Contest: Win $100!

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

    If their patients only knew what they actually ate and
  4. Mandychelle79

    Describe your 10/10 pain. Piggybacking off of recent pain discussions.

    Mandychelle79 replied to 0.adamantite's topic in General Nursing

    I do the same thing, with one of my gall bladder attacks ( that start out like the worlds worst indigestion) I dreamed that I stole a patients medication out of the accudose... what did i steal, not...
  5. Mandychelle79

    Charge nurses

    Mandychelle79 replied to turnforthenurse's topic in General Nursing

    All of the nurses can be charge. The clinical manager is in charge during the day unless on an admin day. Then someone else is assigned charge ( even if assigned can change before punching in). I...
  6. Mandychelle79

    drug/alcohol pt questions

    Mandychelle79 replied to sassyann85's topic in Psychiatric

    We do not do a taper for ETOH withdrawal. Depending on the doctor we do a WAS score and treat based on their score, monitor vs/subjective symptoms and give PRN Librium, or a high dose, limited number...
  7. Mandychelle79

    Critical Thinking in Mental Health Setting

    Mandychelle79 replied to EatYourVeggies's topic in Psychiatric

    Critical thinking in psych is different, but I use it all the time. I guess the main time I use them is when there is a major change in a patient that is well known. A frequent flyer comes in and is...
  8. Mandychelle79

    How Not To Bring Germs Home...

    Mandychelle79 replied to sparky605's topic in General Nursing

    I leave my shoes in my locker, though that is more so I do not wear them without socks and end up with stinky shoes. I dont change as soon as I get home, my kids hug me in my scrubs all the time, I...
  9. Mandychelle79

    Describe your 10/10 pain. Piggybacking off of recent pain discussions.

    Mandychelle79 replied to 0.adamantite's topic in General Nursing

    My worst pain in my life was my first gall bladder attack. It was enough pain that I was willing to go to an ER on a holiday weekend. I think I rated it at a constant 6 that would flare to a 8-9....
  10. Mandychelle79

    When You Request I Switch Shifts with You

    Mandychelle79 replied to Nurse SMS's topic in Patient, Colleague Relations

    And how am I inconveniencing them by asking them 2 months in advance for a schedule change? Maybe our unit is just more willing to work together but none of the nurses seem to have an issue trading...
  11. Mandychelle79

    When You Request I Switch Shifts with You

    Mandychelle79 replied to Nurse SMS's topic in Patient, Colleague Relations

    Nope, normally 6 days is not enough time. If I dont already have plan, sure I will do it with short notice, do it all the time when I pick up extra shifts to cover a call off. But if I have already...
  12. Mandychelle79

    When You Request I Switch Shifts with You

    Mandychelle79 replied to Nurse SMS's topic in Patient, Colleague Relations

    The only issue that I have when people are asking me to reciprocate is the amount of notice they give me. I recently asked a co-worker to work one of my weekend days for me on a schedule that has not...
  13. Mandychelle79

    LPN forced to work as CNA

    Mandychelle79 replied to jg24's topic in LPN, LVN Corner

    Ive been pulled from my unit ( psych) to do CNA duties on our TCU unit. I figured if they were willing to pay me my normal wages, I was willing to do the work ( but I did work as a CNA prior to...
  14. Mandychelle79

    Patient Entitlement

    Mandychelle79 replied to Joe V's topic in Nursing Humor

    Well when I have patients who feel like someone is getting more attention than they are... Chairs may go flying, walkie-talkie patients with no fall history suddenly " passed out" in the bathroom, or...
  15. Mandychelle79

    Pet Peeve

    Mandychelle79 replied to SleeepyRN's topic in Patient Medications

    And depending on their job responsibilities, may know what they have. Part of my job as a PCTA was to transcribe orders. The MT's I work with provide patients with a list of their medications as...
  16. Mandychelle79

    Pet Peeve

    Mandychelle79 replied to SleeepyRN's topic in Patient Medications

    Nah, my skills were always there, we just were not allowed to call them that. If they were not I would not have noticed patients with low blood sugar, or those whose SPO2 was too low. So yes I was...
  17. Mandychelle79

    Being pulled to medical

    Mandychelle79 replied to Sissybee1's topic in Psychiatric

    If we get pulled to the medical side ( Ive been pulled one time to Transitional Care, where I functioned as an CNA for the shift) we can do physical assessments, pass PO medications, hang IV's and any...
  18. Mandychelle79

    Pet Peeve

    Mandychelle79 replied to SleeepyRN's topic in Patient Medications

    So my assessment skills only started when I had the RN behind my name instead of the PCTA? Funny, how I don't notice that. I'm glad the other nurses I worked with on a regular basis trusted that...
  19. Mandychelle79

    Pet Peeve

    Mandychelle79 replied to SleeepyRN's topic in Patient Medications

    When I was a CNA I told the nurse that the patient was in need of a PRN, I could see the signs that he was revving up. I was told basically what you said here, she was the nurse and she would make...
  20. Mandychelle79

    Prospective employee's psych hx

    Mandychelle79 replied to ashleed's topic in HIPAA Challenges

    Ive had insurance like that before, but it allowed for mental health and maternity coverage
  21. Mandychelle79

    Would you give PRN percocet and scheduled Oxycodone together?

    Mandychelle79 replied to lunaro16's topic in Patient Medications

    Another possibility is that the pt cheeked the long acting ( if it is a controlled release) or chewed it when it was administered, making the dose more of an immediate effect vs a long acting
  22. Mandychelle79

    Doctor resigning after explosive incident

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

    I have also found that some of the doctors or departments (and patients) who give some of the other staff issues dont give me the same type of treatment. I am female, but I am also a strong advocate...
  23. Mandychelle79

    Looking for some info from the parents side

    Mandychelle79 replied to aeris99's topic in Psychiatric

    Did his med happen to switch to generic 8 months ago . B cannot tolerate the generic forms of any stimulant that we have
  24. Mandychelle79

    Looking for some info from the parents side

    Mandychelle79 replied to aeris99's topic in Psychiatric

    Well, I would hope that he has already been seen by the psychiatrist, our patients are seen within 24 hours of admission and a diagnosis is made at that time. Instead of waiting for them to call you,...
  25. Mandychelle79

    Charting on psych patients

    Mandychelle79 replied to studentnurse9806's topic in Psychiatric

    Which ones are you not sure