sleepdeprived1

I recently transitioned from psych inpatient nursing to med surg. I quit my job in psych - working there for a year as a new nurse. I didn't want to lose my nursing skills and wanted to be involved in more acute medical care nursing. I applied and go...

I could really use some urgent career advice. I graduated winter 2011 from nursing school. My first nursing job was inpatient psych (I loved mental health and still do). I worked there for a year before deciding to look for something in the medical f...

Thanks Esme..if given another chance I will use these..I was sent home today and told that this unit was not the right fit for me and that I wasnt making enough progress yesterday i had 4 patients and struggled some and then got an admission which i...

Well tomorrow will determine the fate of my future with this company..meeting with the NM after/during work to see what she thinks of my progress thus far..I am a firm believer of strong orientation process to the unit-I think its safer for the patie...

Thanks for the words of encouragement and feedback! Hopefully the hospital will continue to work with me to develop my skills/training because I know with my time I can be successful as all of us newbies can especially transferring into a new departm...

Okay. So for the past year I have been working as a psychiatric nurse at private psych hospital (new grad, first RN job). I recently decided I needed to get out of psych to keep up my skills as RN including critical thinking skills ..and current emp...

Census on adult/gero unit "full" is 18-22 and if we have 16 or less patients only get 1 tech with myself. Sometimes its a busy week with high acuity patients and census over 18+ and supposed to get 2 techs but it doesn't always happen. Mgmt. doesn't ...

So, I have been an RN for little more than 9 months. I remember the talks in nursing school from our professors regarding expectations of doctors yelling at us, cussing us out once we became an RN..I always thought 'I dont care,it won't bother me' I ...

RECENT UPDATE: This Doc who gives me a hard time had another nurse speak to me and tell me I was "calling him too much" I could NOT believe it! I NEVER page for meaningless crap. EVER I am VERY mindful for what I page for..and since I last posted th...

HouTx, Thank you soo much for this!! I was looking on the Internet for exactly this and could not find it! I knew there had to be standards/expectations...I have printed out a copy for my own reference and I am thinking about hanging up a copy at wo...

I understand where you are coming from. I see many orders unchecked and I work the graveyard shift..Im talking med orders from 9am sometimes that never get faxed to pharmacy to be entered/ordered and patient doesnt receive med. I see order where doc ...

Our facility does post the on call schedule for the week on the unit and on the intranet. I always check it before calling (usually check like 3 times just to be sure)and they also post who is on vacation and covering... One example where this did no...

1. We request records from ob/gyn to determine current health of unborn baby (if pt. signs consent), and we also have transport. many times so that preg. patients can still attend their ob appts. 2. Yes. 3. Protocols in place... psych docs request i...

Ok. So I have been a nurse (first RN job) little more than 6months. At first my job was a honeymoon-ie: never any complaints, always willing to pitch in and help other shifts, very tolerant of others mistakes on previous shifts that I need to clean/p...

I KNOW I am not safe at work. No security and MINIMAL staffing on my shift so all hell breaks loose I am screwed until 911 police show up! Let's just fill EVERY available bed we can though! Doctors arent on my shift either to deal with these severely...

Okay, can ANYONE tell me if they think this sounds like bath salts. Younger middle aged male admit Emergency Detention-medical clearance at hospital .Drug results negative except for opiates ..CT scan normal labs WNL for most part nothing critical .s...

I am not one to complain, BUT I am getting very tired of never being able to start my shift by getting report like the other shifts ALWAYS do. I work 3rd shift and everytime I come on the unit the report book is NEVER completed. Either 2nd shift is w...

I work psych inpatient hospital. Report is PRIMARILY done from written, but I ALWAYS stay till shift after me is done reading the book so I can f/u with questions they may have and always tell them what meds ive given in meantime and other issues tha...

WOW! That's impossible! I don't think any nurse could do all that in one shift and be out on time! Any who do are skipping treatments and other cares...that's the ONLY way-before I became a nurse I worked in LTC-it was horribly understaffed and beyon...

I am having many of the same issues where I work (psych hospital). Gero's are mixed in with detoxers and mental health patients. Also I am ALWAYS the only nurse on at night with mostly one (sometimes two) psych techs(cna's). Census ranges from about ...

As a new nurse I never thought that I would have a problem with a Doctor returning my page, Boy! Was I wrong! I had a patient with a history of seizures with current multiple acute medical conditions and had grand mal seizure x 4 within 2 hours. Long...

You make a good point! All nursing jobs can be dangerous. For the most part my mental health patients are able to maintain boundaries and are not aggressive and very thankful for treatment..but there have been some incidents of situations with aggres...

So, lately I have been feeling completely overwhelmed at work! This is my first nursing job after nursing school and have been working mental health nights for about 5 months. 3 or so have been on my own. It was always my dream to work mental health ...

Medchica: It sounds like you've definately had your share of "challenging" days, and yeah for the most part patients do sleep at night but it all depends on the group for the current week. Sometimes be a good group other times not so much. I find it ...

Yes, I am soo sick of people asking me are you afraid of losing your skills??... I have to say that I do get scared sometimes, not right away but have had a few aggressive/agitated/psychotic AVH patients who were escalating fast..and without proper s...