Umberlee

Umberlee

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About Umberlee

Umberlee has 10 years experience.


Latest Activity

  1. How many different nursing positions have you had?

    I spent 12 years working in a residential setting for adults with brain injuries, but only part of that was as a nurse. Then I went to group homes for the developmentally disabled and then acute...
  2. Psych nursing? scope of practice

    Different places have different names/titles for direct care staff in psych settings. We used to require our mental health workers be CNAs, but now the job qualifications emphasize more training or...
  3. Keeping up nursing skills

    I'll admit I was kind of appalled when I started working the floor at my psych hospital and saw the lack of comfort that long-term psych nurses had developed regarding routine medical procedures....
  4. Networking for ACT/CTT?

    Part of the issue is that the fidelity model we're following is one provided by the state, since they are funding the grant paying for our team. It's quite a bit different than the model espoused by...
  5. Networking for ACT/CTT?

    Yeah, your staffing is insane compared to ours. They expect us to take on 40 clients with the 3.7 FTE staff we have now. And one car, and double-staffing appointments. Honestly we couldn't stop...
  6. Networking for ACT/CTT?

    This has been a big issue for us too...housing is such a problem, and when these guys disappear onto the streets it can be soooo tough to find them and figure out how to keep them stable/safe/etc. We...
  7. long-acting IM going SQ?

    Ugh, I feel like such an idiot...I have a client who is getting stable on haldol decanoate, but he is gaining weight due to taking PO lithium as well. I gave his decanoate in his deltoid, per his...
  8. How important is your 'look' as a nurse

    Awesome, now where can I find 40-inch
  9. Networking for ACT/CTT?

    It seems that this forum is heavily crisis stabilization/inpatient, and the public health nursing forum is heavily medical. As a community-based psych nurse, I'm desperate for a little networking and...
  10. How important is your 'look' as a nurse

    I've been thinking about this more and more recently. My very first job as an LPN I was made to take out my nosering due to my supervisor's opinion that it was "unprofessional." As I'm feeling some...
  11. Working Alone

    One of my jobs is as a nurse contractor, and that's about the "alonest" of a nursing job I've gotten. I do 90% of my job via phone calls, texts, emails, and faxes. I don't have to staff appointments...
  12. Your first experience with a dead person

    I remember a tiny, extremely contracted little lady with very advanced dementia. She was just like a little ball of a woman, arms and legs and back and everything bound up so tightly from strokes and...
  13. haldol

    I typically see the haldol only given when the patient has a history of
  14. Yikes! Violence?

    I worry about violence too...I'm now working a mixture of inpatient and outpatient, but primarily outpatient. As part of a local brand-new ACT team, we're seeing clients in their homes and in the...
  15. Working crazy hours

    Right now I have four jobs, and I'm not all that happy with any of them. My "main" job is only 27 hours a week but it's split over four days which is ridiculous and costs me an extra couple hundred a...