Popwhizbangz

Popwhizbangz LPN

psych, geriatrics

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  1. Being forced to work while sick

    Where I work they let you stay home sick. Forced work while sick sounds to me not only quite totally wrong, but also like a big scandal someday, just a matter of
  2. Need help with charting...

    I finally managed to scan & attach that pesky documentation form for psych staff. The main point is, if you want to save time/effort and/or improve your documentation, pre-made forms are the way...
  3. I'm psych, although havea fair amount of forensic experience- folks or their families avoiding court, drug dealers, et al and/or seeking a viable legal defense from a psych eval. I'd be happy to...
  4. Been there - I actually left med school, later went into nursing. Everyone was into me being a doctor, except folks that really knew me & asked why I was punishing myself so. Went pre-med...
  5. It's NOT fair!!!!

    Don't give up - you find yourself entering job market at a particularly bad time, not fair at all but still a fact. Make sure you look at ALL options, including moving (I here TX is good from another...
  6. Help: Can't find a preceptor

    Do they make you find your own lecturers? It's weak of them to dump the legwork on you, they should be ashamed to take your money. Good
  7. Need help with charting...

    OK, another update: 1) Please understand my dismay & embarrassment for moving so slow on providing what I thought would be very simple & easy to provide (one page!!!!! with very little text...
  8. What's the scariest thing you've ever seen as a nurse?

    From your description, I'd say you have a Physician who has problems that need to be addressed, and IS a problem that needs to be addressed. Does your institution have a Civil Rights Officer or the...
  9. ammonia capsules for fainting?

    I like it - very clever. There are many variations on this theme- As you describe, I also tell patients the jigs up, so to speak, matter of fact and diplomatically, e.g. many times I've told pts in...
  10. ammonia capsules for fainting?

    Perhaps in some circumstances such a practice is justifiable. Not where I work - I prefer to keep the use of interpersonal sledge hammers (so to speak) to an absolute minimum. At least in my...
  11. ammonia capsules for fainting?

    I know of one physician (trained in Soviet Med School by the way), and no nurses (except on this post) who use ammonia clinically, and that, as far as I can tell when I've (rarely) seen it used, was...
  12. lost meds help?

    If there is one time in your career when you are the least responsible for your own errors, its when you're a student, not even licensed yet let own fully trained. Your instructor is the one with the...
  13. Verbal assault by a pt.

    Thick skin is good not only for you - if you take advantage of it, you can also provide better care as well: more patient, less distressed and distracted, better able to think
  14. Need help with charting...

    Another useful mnemonic is SIGECAPS, for symptoms often found with Depression: S: Suicidality. Assess/document SI, intent, plan (Viable? Immediate?), impulsivity, contracting for safety I: Interest...
  15. Need help with charting...

    Here's a cut & paste from a sheet I wrote up for students and patients. Its the DIGFAST mnemonic for Manic symptoms: "D - Distractable I - Inflated and/or Impaired G - Grandiose F - Flight of...
  16. Need help with charting...

    Documentation Help Update - Been experimenting with providing URL links - doing individual emails is a bit clumsy & slow on this site (limit one every 60sec & hard for my brain to keep track...
  17. lost meds help?

    I wouldn't call that teaching - I'd call it abuse. Is the lesson we should always protect ourselves from our
  18. Could You Use A Snippet Of Humour, Today?

    Nice.....
  19. lost meds help?

    Personally I'd say don't catastrophize - you're a student, right? Mistakes are part of the package, use the experience to help you develop a more efficient reliable routine, and move on. Keep...
  20. OK we get it STUD, you're straight

    :yeah:Gotta say, I hadn't notice that flaming red heard icon before -
  21. OK we get it STUD, you're straight

    I've had years of the "Why aren't you a doctor" thing, and the 'male nurse' thing. None of it really bothers me anymore, I'm at peace. It might help that I'm in Psych, one of the traditional...
  22. Narc count short!!

    I'd say you're in the clear, as you and another nurse documented the count was correct when you left. I have had many many narc count problems, overwhelmingly paper problems, easily fixed with a...
  23. Verbal assault by a pt.

    One last thing - I wholeheartedly endorse, and practice, zero tolerance for threatened or actual violence - such a basic threat to safety warrants and ethically & legally justifies use of force,...
  24. Verbal assault by a pt.

    It also helps, a skill that takes time and persistent effort over years perhaps, but anyone can build, I think, to sort out negative feedback and ignore the unreasonable stuff ( I only register...
  25. Verbal assault by a pt.

    Its not an easy situation, common as it is, but there are things you can do to lessen it. Part of the skill is figuring out the underlying cause(s) of a rant and tailor your response to the cause. If...