macfar28

macfar28

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All Content by macfar28

  1. Turning the scripting around for our benefit.

    I absolutely LOVE this post!!!
  2. Benzo free inpatient hospital?

    Absolutely agree. As you said, sometimes ativan is the only thing that's going to help a violent patient. There are also providers who truly aren't thinking about the safety of the patient, staff and overall milieu for whatever reason (inexperience, ...
  3. You just described most of the directors I've encountered! LOL
  4. Lottery winner hands down!!!
  5. What is this question asking?

    If alcohol is no longer an issue then that's a no.
  6. What do I do here?

    Couldn't agree more!!
  7. Nursing shortage

    We have a ton of openings in my health system presently and they are offering $5000 to employees for referrals. Nevermind they cut our pay last year by 13%. Good times.
  8. No 1:1 sitter for fall risk patient

    I have been told this is illegal, at least in my state. A 1:2 or 1:3 is in violation of the order. Also, our policy states 1:1 means within arms reach at all times so we cannot use a recliner by the nurses station. As previously suggested, if it com...
  9. Why can't CPI be 2 years like everything else?

    We don't use CPI but something similar. We have to do an annual 8 hour training and I find it tedious as the morning session on verbal de-escalation is the same thing every year (x10 for me now). As in the SAME THING. Handouts don't change and neithe...
  10. Security guards

    I work in a free standing 80 bed hospital and we only have 1 guard. (I work nights.) No police unless we call 911. During the day we still only have 1 guard for the inpatient units already mentioned as well as our outpatient department. Seems crazy t...
  11. Should I take time off? Help!

    You've said you don't want to be on opposite schedules as your husband and you can afford to quit. I say do it. I too had a part time job and it was very difficult finding affordable and reliable child care. I don't regret the years I was home and fo...
  12. Well here was my scenario this year.... Traditionally we have a procedure of alternating Thanksgiving with Christmas (the only 2 holidays our hospital designates as requiring special attention in scheduling). One year we work Thanksgiving and the nex...
  13. application problem

    Actually, I was just asked this during an interview and it was specifically "disciplined by an employer." I was surprised.
  14. Children's psych...

    Don't forget that with C/A psych you also have to deal with the families who many times are the root of the patient's problems. Certainly not in every case but as the saying goes..."the apple doesn't fall far from the tree..."
  15. family not supportive

    I think you have to do just do what makes you happy and tune them out. I hear criticism sometimes too from my non healthcare family members as to why I work weekend nights but at the end of the day, they aren't the ones paying my mortgage or providin...
  16. Regretting charge nurse training...

    Right, I guess my question was more rhetorical as it appears OP is actually being punished for pushing herself further in her practice. It shouldn't be her problem that nights doesn't have more available charge nurses. I would take a day position as...
  17. Regretting charge nurse training...

    I'm not following why your experience charging on nights wouldn't be applicable to charging on days?
  18. Studer Group "Bedside Shift Report SM"

    I find bed side reporting disastrous. Yes, in theory, it sounds wonderful but in reality, not so much. Working in psych and substance abuse there are things that we need to say outside of ear shot of the patient (I'm sure in other areas of nursing to...
  19. What's Your Best Nursing Ghost Story?

    As a long time psych nurse I can say this happens. We admit kids as young as 5 some of whom have already attempted suicide:( Glad this worked out the way it did.
  20. I did some research on UHS facilities a few years ago and their restraint deaths/injuries to patients were alarming. Maybe that's changed but I remember being shocked.
  21. Career Frustrated

    I've been a psych nurse for almost 17 years and started with a BA in Psychology. Truth be told, while I graduated cum laude from a strong university, I didn't get into the 3 grad schools to which I applied. My mom was a career nurse and it just seeme...
  22. Did I shoot myself in the foot by disclosing?

    This just seems so unfair and discriminatory to me. Shall we start asking nurses, "hey are you diabetic?" and then expect them to produce a letter from their GP showing diet and insulin compliance? How about those with poorly controlled HTN or other ...
  23. Med pass practice

    Wow. I didn't know this was even in practice. We are constantly interrupted during med passes, even to admit patients who have arrived. Granted, we may only have from 4-10 meds per patient but it is quite difficult.
  24. Does Psych translate to public health?

    I worked psych as a new grad, went to public health and am now back in psych. I think you will be fine. Best wishes.
  25. Psych nursing v. 1 to 1 observation with a psych patient

    Sure there are times that a patient might get under my skin but that's when I remind myself the person in most, though not all, cases is ill. In the situation you described I would have asked to switch out. Eight hours is too long with that difficult...