Mandychelle79

As I was in psych then went to med surg I usually get hey we made sure room 4 was in your assignment

Basically since it says you have 1000 mL you will pour out 90 and mix with 110 for the total of 200 like you had posted.

I work nights. I hate to wake people up unexpectedly. I combine as many of my med passes as I can at one time. When I'm doing my assessment I tell them about what times I will need to bug them. At the same time letting them know if they need something before that just to call. So I may say Mr. Smith I will be back in about an hour with your bedtime pills and I will be in at 11 to empty your drain. Good news is that I then can leave you rest until 5 am when I have your antibiotic, and it's IV so if you make sure I can scan your band and access your iv site I barely have to bother you. if you need your pain meds or anything though please call out. If there pain has been not well controlled I offer to wake someone when the PRN is avaible to try to get them to the point that they don't need the breakthrough medication.

As a nurse, I medicate per pt rating and my facility uses numeric scale. I tend to increase the scale if I walk in the room, look at the patient and say I can see you're in pain, how bad is it, because I typically get a 6. As a patient I have found saying I'd rather give birth without an epidural again (I was having a gallbladder attack) was a way to accurately describe the pain because 6 baseline 8 when in a spasm wasn't being understood.

I only care when the LBM is if they are being admitted for something like lower abdominal pain, illeus, etc. most of the time I'm asking people not to read me the computer screen. Give me he basics because this is most likely not my only admit of the night.

Honestly, by nature I'm a snarky individual who can be very blunt and apparently has a deamenor that warns others to not even try. I've had patients and families "warn" me that they were demanding patients and were going to make my night hell. My typical response is I worked in psych for 7 yrs so it takes a lot. That alone (especially those who have been on bu before) usually curbs most behaviors. I also don't get into a power struggle... you don't want scds, fine, here's the possible consequence. I use empathy and tell patients the truth... I don't mind calling your pcp regarding pain, however they gave deferred all pain medications changes to chronic pain service who has not been here to see you yet, has noted this, etc.

I would have waited an hour, called in as Ali, said luckily my plane had a lay over, and rescheduled. But I call places as my mom all the time (with her permission/ asking me to) since my hours allow me to do so.

Yes it is overtime (or should be) but I don't think it's considered like being Mandated is

I only work nights... 1:6is normal ratio... days is 1:4-6 with charge with no assignment to help

Coming from someone who addiction has been forefront the majority of my adult life (friends, family) I find this shirt to be the kick in the gut some parents need. One of my uncles would make comments basically saying how his kids would never get into that. Two of my cousins had known addictions. One of them is clean, raising a family, and is doing well. The other one died from sepsis while starting her recovery journey, leaving behind a daughter. She was the child of my uncle who swore up and down his kids would never.

i could see how self scheduling could reduce calloffs. Depending on the units policies. At my last place of employment when I was hired we were allowed to request it's less than 3 days per year. Now where I am we are allowed to request 7 days off every 6 weeks and we have "self scheduling" I have that in quotes because the higher ups can change/deny my schedule requests. If I want more than those 7 requests I purposefully schedule myself off the days that I would like (I say my requests for drs appointments and things that are a need off vs a want). If my request off was denied, I couldn't find a person to switch and couldn't change/find a family member to help, I'd be calling off.

We get back/neck surgeries, falls, and yeah everything else

Honestly other than the weird chronic things my kids have going and need to see specialists for my kids miss very little school due to illness.

What shift?

I'm sorry you experienced that. I used to think it was only mental health that was broken but after just 5 months of med surg I guess it's across the boards. Pts admitted because PCP can't get them in in a reasonable amount of time. It's frustrating.

While reading psychiatric notes from a family meeting, talking about pts mother.... who escaped institutionalization by some unseen benovolent force

Keflex pills taste how I expect gas/kerosene to taste and give nasty burps

Everywhere I have worked they are considered seperate orders. So I would give the scheduled. The way our emar is set up though others nurses may not because it would take time to research if it was the prn dose vs the standing dose. Is there any a difference in the dosage? Like say for Ativan I may give 2 mg bid scheduled and then 0.5 mg q4 hrs for anxiety.

We have a recommendations portion of the chart where we note family requests. I also write notes on the patient white board to help remind patient to ask.

I did warn you that my stethoscope may be cold

My last job did that. I didn't go to the meetings and sent my boss my reason why. They tried the am meeting for a while but didn't do it like normal. There were 2 meetings per month one at 730 and one at 1500 but didn't cover same topics. Current job has 2 meetings hat cover same topic and the option to call in to listen

My best friend traveled over an hour to go to the hospital I worked at because the local one ignored her symptoms. When she told me where she was being admitted, it was my floor in my block of rooms that I had been assigned the night before (we try to keep same assignments). I called into the unit, told them what was going on, and she was assigned to another nurse. No biggie.

What were you looking for in the first place? With the given information it's not a calculation problem

So I went from inpatient psych to med/ surg at the beginning of the year. I know psych patients can be anywhere but I can definetly see how my approach differs from those who haven't worked psych. I recently had a patient who during introductions stated I'm going to be a pain in your... I said well I worked psych for 7 years so you can try. Apparently I was the only nurse he didn't give a hard time about things to. He definitely had a antisocial (my abosulte favorite Pd) or male borderline (I can handle make borderline better than female) flavor and mix in the hx of addiction and pig got my favorite type. I also recently had another pain patient who wasn't getting the answers. I explained/educated him and his wife about why the drs couldn't order more, why it seemed like not working, etc. While he did not get what he wanted he atleast understood why things were going how they were.

I'm a loud person by nature and get louder as my emotions/adrenaline increase. When I meet new patients I tell them if I sound like I'm yelling it's ok, I'm just excited... now if I drop my voice low and it has a steel edge to it.... yeah not good. Effective, but not good. I just transferred fron psych but got to put psych nurse skills to good use when dealing with a pt in DTs. Said pt responded well with set boundaries and a little humor... like me saying I don't what everyone to see your bits and pieces when trying to convince pt to stay dressed.