Mandychelle79 ASN, RN

Psych

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All Content by Mandychelle79

  1. Mandychelle79

    Just a vent... medical vs psych

    I am getting so fed up with the medical portion of our hospital. We are NOT a medical psych floor. Patients we have are SUPPOSED to be medically stable. When we send a patient to the medical side for something it would be AWESOME if all the testin...
  2. As I was in psych then went to med surg I usually get hey we made sure room 4 was in your assignment
  3. Mandychelle79

    Dosage Question

    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.
  4. Mandychelle79

    What's your best 'Nurse Hack'?

    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 some...
  5. Mandychelle79

    Pain Scale

    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 ...
  6. 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 t...
  7. Mandychelle79

    How to deal with a bully patient?

    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 t...
  8. Mandychelle79

    HIPAA and Making Appointments

    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.
  9. Yes it is overtime (or should be) but I don't think it's considered like being Mandated is
  10. Mandychelle79

    Med/ surg nurse to patient ratio

    I only work nights... 1:6is normal ratio... days is 1:4-6 with charge with no assignment to help
  11. Mandychelle79

    "I Narcanned Your Honor Student"

    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 int...
  12. Mandychelle79

    Self scheduling and sick calls!

    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 ev...
  13. Mandychelle79

    What is a med/surg - neuro floor like?

    We get back/neck surgeries, falls, and yeah everything else
  14. Mandychelle79

    Risk of getting your family members sick?

    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.
  15. Mandychelle79

    Staff Matrix

    What shift?
  16. Mandychelle79

    The difficulties of trying to be proactive

    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.
  17. Mandychelle79

    Doctors Say the Darnedest Things

    While reading psychiatric notes from a family meeting, talking about pts mother.... who escaped institutionalization by some unseen benovolent force
  18. Mandychelle79

    taste of medication

    Keflex pills taste how I expect gas/kerosene to taste and give nasty burps
  19. Mandychelle79

    Administration of PRN narcs too close to scheduled meds??

    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 ...
  20. Mandychelle79

    Unreasonable requests

    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.
  21. Mandychelle79

    April 2017 Caption Contest - Select $100 Winner!

    I did warn you that my stethoscope may be cold
  22. Mandychelle79

    Night shift and mandatory meetings

    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 jo...
  23. Mandychelle79

    Dilemma - family as a possible patient on my unit

    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 ...
  24. 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 s...
  25. Mandychelle79

    Drug calculation

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