Umberlee

Umberlee

Member

  • Content

    123

  • Visitors

    4,779

  • Followers

    0

  • Likes

    0

All Content by Umberlee

  1. The perfect bag

    Umberlee posted a topic in Home Health

    I have a bag I used for home health visits for years but with times changing as they are, I need to upgrade. I'll now be hauling around a laptop and work phone in addition to my nursey things, so...

  2. PNAP

    Umberlee posted a topic in Nurses Recovery

    I'm set to graduate my program here in Colorado shortly, but I've read somewhere about states requiring a new contract due to past action and I can't stop fretting about this. A move to PA is a...

  3. Networking for ACT/CTT?

    Umberlee posted a topic in Psychiatric

    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...

  4. How many different nursing positions have you had?

    Umberlee replied to LittleMissVixen410's topic in General Nursing

    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...

  5. Psych nursing? scope of practice

    Umberlee replied to Infofreak411's topic in Psychiatric

    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...

  6. Keeping up nursing skills

    Umberlee replied to Jmira.BSN.RN's topic in Psychiatric

    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....

  7. Networking for ACT/CTT?

    Umberlee replied to Umberlee's topic in Psychiatric

    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...

  8. Networking for ACT/CTT?

    Umberlee replied to Umberlee's topic in Psychiatric

    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...

  9. long-acting IM going SQ?

    Umberlee posted a topic in Psychiatric

    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...

  10. Networking for ACT/CTT?

    Umberlee replied to Umberlee's topic in Psychiatric

    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...

  11. How important is your 'look' as a nurse

    Umberlee replied to Nola009's topic in Nursing Professionalism

    Awesome, now where can I find 40-inch

  12. How important is your 'look' as a nurse

    Umberlee replied to Nola009's topic in Nursing Professionalism

    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...

  13. Working Alone

    Umberlee replied to clarinets's topic in General Nursing

    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...

  14. Your first experience with a dead person

    Umberlee replied to ixchel's topic in General Nursing

    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...

  15. haldol

    Umberlee replied to sassyann85's topic in Psychiatric

    I typically see the haldol only given when the patient has a history of

  16. Yikes! Violence?

    Umberlee replied to Rnrpnwannabe's topic in Psychiatric

    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...

  17. Working crazy hours

    Umberlee replied to francoml's topic in General Nursing

    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...

  18. Areas with a great mental health system?

    Umberlee posted a topic in Psychiatric

    I'm consistently impressed with the degree of mental health services offered in my fairly rural community. My husband, in the throes of a midlife crisis, is looking at delving into the mental health...

  19. Suggestions for the RN new to Psych

    Umberlee replied to PG2018's topic in Psychiatric

    Well it sure depends on what kind of psych nursing you'll be doing. The outpatient side is a horse of a completely different color and there are patients all along a continuum of psych disorders...

  20. Why Psychiatric Nursing?

    Umberlee replied to Mar933's topic in Psychiatric

    I really wanted to get med surg or more home health experience and then work in a wound clinic, hoping to go on to get my FNP and practice wound care. However, after struggling with an alcohol and...

  21. Nursing theorists

    Umberlee replied to kp1987's topic in Nursing Student Assistance

    I work psych, so I've become fond of Phil Barker's Tidal Model of Mental Health Nursing. Apparently Phil is pretty anti-psychiatry and since I'm going for my APN in psych I really want to take a...

  22. Any experience with pseudoseizures?

    Umberlee posted a topic in Psychiatric

    I guess it's preferred that "pseudoseizures" be phased out in favor of conversion disorder (pt is diagnosed with both) but we have a pt now who presented with pseudoseizure activity all day. If she...

  23. Any experience with pseudoseizures?

    Umberlee replied to Umberlee's topic in Psychiatric

    There is no postictal state because she isn't..."ictal." I think it's a bit unfair to just characterize it as being something she should just knock off. We know what's wrong...she's having...

  24. When you find you're riding a dead horse, the best thing to do is get off of it

    Umberlee posted a topic in Nurses Recovery

    I keep reminding myself of this wise adage, but despite this, I can't seem to get over the desire to try and make amends with my former employer. I worked there for 12 years and reported myself for...

  25. Urinary cath rant!

    Umberlee replied to DedHedRN's topic in General Nursing

    I tore a young incomplete quad patient's urethra once. I did not insert to the hub (and his anatomy was, ahem, undersized). I definitely got urine return first but wasn't careful about keeping the...