Umberlee

Umberlee

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All Content by Umberlee

  1. End result efficacy P.O. vs I.M. PRNs like Haldol / Ativan

    Usually our orders state IM or PO. I'm relatively new to acute psych but I was just wondering this tonight as we treated a patient who was extremely psychotic but did agree (for me only) to take PO...
  2. I enjoy helping people, and I've been told throughout the years by patients and co-workers that I'm a great nurse. But I'm not sure I'm passionate about it. I don't like surprises and I feel...
  3. Multiple jobs

    I work PRN/relief at both jobs, so it takes two pools of schedules to comfortably assure me of the hours I need to meet my financial obligations. One of my jobs is really feast-or-famine as far as...
  4. Physicians Who Don't Do Assessments

    We have a doc who is really great about giving orders for whatever it is we ask for...but when it comes to actually doing his due diligence with patient evaluation, yeah, not so much. It works...
  5. one month

    Very cool...I graduate at the beginning of February. It's so close I can almost taste
  6. Or he may have slipped through the cracks somehow in screening. He said as much himself. He dropped out of high school, his high school GPA was 2.1 before dropping out. GPA is supposed to be at...
  7. I may be in over my head. For the past, gosh, maybe ten years I have noticed an increase in "fuzziness" and difficulty concentrating. My memory has started to get progressively worse and my ability...
  8. Problem with reference from previous employer

    Like any interaction with the police, I'm sure much of varies depending on the individual officer you're dealing with. My employer did contact the police and an officer called me to ask about my...
  9. I think my state board licensing process includes questions like "do you currently have an addiction to drugs or alcohol" or something like that, and says to say no if you are currently participating...
  10. My sister-in-law and her husband, to whom I am very VERY close, just moved to San Antonio in the spring and I would love nothing more than to get to go to the conference and spend a few days with...
  11. Why did you become a Psych Nurse?

    I'm new to acute psych, but I've worked in psych-heavy settings in the past (group homes first for brain-injured adults and next for developmentally disabled adults). I really wanted to get more...
  12. What do you think of 12 hour shifts?

    I worked 8-hour shifts, office hours, for years before starting 12s within the last couple of years. I'm not sure which I prefer. 12s are nice for knocking your workweek out sooner but it's hard to...
  13. I agree that if you want to stay a nurse, you need to find a job where you don't have access to controlled/narc meds. You just can't trust yourself around medications. You just can't. Not now for...
  14. Any luck fighting PA BON?

    Gosh, I hope so! Lawyer up for sure. Monitoring programs should be about ensuring the safety of the public, not pinning people with scarlet letters. Sometimes I feel like these programs are so...
  15. Problem with reference from previous employer

    I keep wondering how to handle this as time goes on. Right now, being in a monitoring program, I don't have much of a choice so I obviously disclose the circumstances of my departure from my job. I...
  16. Interview questions

    Ugh, I feel even worse about my interview now. I am applying to a psych NP program, and the questions were very general but I was not really prepared at all and just rambled and made no sense. They...
  17. Well, I've turned in all my required materials for application to a PMHNP program, at least I think I have. My transcripts were apparently lost prior to my interview and when I contacted the program...
  18. Has this ever happened to you??

    I'm new to my place of employment, but we have two nurses for a max of 16 patients here. If a shift can't be covered, instead of the off-going staff having to stay, the on-coming staff will work with...
  19. AA meeting and addicts

    I've been to some AA meetings where they were very finicky about addict vs. alcoholic. I always identified as an alcoholic because I did have a drinking problem, although I am definitely NOT an...
  20. Ugh, I just feel sick about this! I sort of knew ahead of time that the interview would be your basic "what strengths do you have/what are your biggest concerns about being a graduate student" etc...
  21. Are there any specific questions you ask or things you check to make sure a patient is medically cleared before coming in? We had a patient who had been mechanically ventilated after a suicide...
  22. In fact I'm pretty sure I came across about
  23. Introduction and Looking for Support

    My current job (in psych) has been the most program-friendly of all my jobs since beginning monitoring. However, I've been told that isn't necessarily the norm. The place that originally fired me...
  24. I'm having such a hard time lately meeting all my deadlines, getting my paperwork turned in, not missing call-ins for UAs (on weekends, when we never have to test but still have to call every day)....
  25. I have so many qualms

    I considered moving right at the onset of my contract because the black mark against my reputation locally was incredibly hard for me to bear at the time. My contract here is four years, but in PA...