MollNick

MollNick

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All Content by MollNick

  1. patient/license safety

    I work in an acute care psych unit of 30 beds. The ratio averages 10-15:1. Being the charge nurse, I have always split the pts with the other nurse so that more time can be spent with our pts and the...
  2. patient/license safety

    For 30 pts we would have 3 techs. When the other charge nurse said anything, the charge nurse was ignored and didn't want to push it further. The other charge nurse asked to go to 32 hrs/week and was...
  3. In our psych unit, the ratio is around 10-12:1 but can go as high as
  4. I recently had a situation I am not sure how to handle "the next time". Scenario: 14 adult patients, me (RN) and 1 MHT. Patient A is diabetic, manipulative, intrusive, frequently asking for extra...
  5. Drug Testing

    I should probably know the clearance time frame for all these drugs but I don't. What is the clearance time for BZO, OPI, and BAR? We are testing with urine drug screens using the i-cup. I know the...
  6. I should probably know the clearance time frame for all these drugs but I don't. What is the clearance time for BZO, OPI, and BAR? We are testing with urine drug screens using the i-cup. I know the...
  7. Unit is a locked down acute adult unit. The sup. is a psych nurse for psych hospital. We take E.D's, detox, pt's too sick to be in reg. adult unit. I spoke with mgr. about the sup. once. Sup. still...
  8. Is this staffing normal???

    Currently working in adult acute care 22 bed unit. We take care of ED's, OPC's, detox, too unstable for other unit patients. I have taken (total) care of 15 patients with 1 MHT. And, I have taken care...
  9. How is your unit staffed?

    The unit I work on is an acute adult (PICU). Max is 22. Staffing matrix used includes MHT's. For 15 or less= 1 RN and 1 MHT days. For 16 or more= 3 staff persons which would be 1 RN and 2 MHT's. I...
  10. Staffing on Inpatient Unit

    I have been on unit dayshift, 1RN (me), 1 LVN (meds), and 1 tech for 21 patients in adult intensive care
  11. need feedback on med problem

    I had this pt. who became extremely psychotic. The Dr. phone ordered a med for the pt. There was another nurse (LVN) and myself (charge RN) working. The LVN told me the med. could not be overrided in...
  12. ACLS on-line review

    I just recently did my BLS/ACLS renewal with an instructor I found in my area through the AHA website. It was hands on and the class was very quick since there was only one other student and myself. I...
  13. Your best ER story

    This 50 something year old man came to ER with CP. He started having VT, first stable then unstable. Shocked a total of 17 times with a couple of thumps in there. We finally got him stable enough to...
  14. Question on hiring status

    Somebody from HR called me and clarified that I am eligible for
  15. Question on hiring status

    I resigned within 90 day probationary period for inability to continue working due to back injury. Manager totally supportive and understanding with my decision. There were issues my last shift worked...
  16. Question on hiring status

    I have an e-mail from this manager replying they would be a reference for
  17. mood stabilizers and school

    Did BSN prior to diagnosis of BP disorder. Now on Trileptal and planning on going back to school. Anyone have a problem with concentrating/learning while in school on mood stabilizers or anti-seizure...
  18. I hate nursing!!!

    There are many areas of nursing you could go into. If you are not happy with where you are now, find someplace else to work since it is so possible to be happy in a different area of
  19. Overwhelmed at my new job..

    It will get better for you and much easier. Don't beat yourself up over it. Give it some time, this is all very new to
  20. Is it ok to do this?

    It's also a good idea to send a formal letter to the manager thanking them for the
  21. Info on lna training..please help

    I have never heard of a LNA myself. If you want to be a nurse, don't waste your time and spend a bunch of time on courses that will not transfer to a nursing program so you don't have to retake them...
  22. Tele nurse wants to explore other fields in nursing

    I did one year tele and am in 15th year ICU/CCU. I am currently looking to change to home health since I am totally burned out on critical care. Actually, I am also burned out on hospital bedside...
  23. which route to go...

    There are hospital systems that offer nursing programs through the local colleges which is easier to get into than trying to apply directly to the college for nursing. This is available to only...
  24. nursing research topics!!!

    You might think about diabetes among tribal groups since diabetes is so prevalent in this population, more so than any other
  25. Registry nurse....is this advisable for new grads?

    Whatever area of nursing in the hospital you want to work in, look for an internship in that area. You will receive the best training there. As for the registry and working in an ICU as a new grad,...