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jdewberry

jdewberry

ICU, CCU, ED, Med Surg, Mental Health
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jdewberry specializes in ICU, CCU, ED, Med Surg, Mental Health.

I am in my 3rd semester of my BSN program at Texas Tech University Health Sciences Center School of Nursing. I will be graduating in May 2012 with a BSN and am eventually hoping to enter an FNP program.

jdewberry's Latest Activity

  1. jdewberry

    New Grad Terrell State Hospital

    I work for Austin State and we need nurses really bad right now. We hire new grads, a month long training program, along with a month long orientation. I absolutely love where I work and would not change it for the world. I heard back within 2 weeks, had my interview and was hired the same day. I am making $27/hr. Plus all of the benefits on top of that. It's pretty awesome. Of course it's because of the risks of psych but you will know if psych is for you or not within a week or two of being on the unit.
  2. jdewberry

    To lock or not to lock the rooms

    We do lock the doors at our facilities but for patient safety reasons. We do not have enough staff to monitor halls at all times. However, if a patient wants to go to their room, we immediately unlock it and staff the hall. We would never keep them locked out to make them go to class. That is a restriction and a violation of their rights. It would take a doctors order to do that here and I have yet to see it done. I also work for a state facility in Texas.
  3. jdewberry

    Things I wish I could tell my patients

    I believe that in certain cercumstances it can be extreamly benefical and therapeutic for a patient to hear about your experience and see that there is hope. While it is not appropriate in all cercumstances, not the majority in fact, I have done this as it was one of the most powerful things that helped me in my recovery. I too went into psych because I too have PTSD, anxiety, and depression (they all fall under PTSD). I was in a psych hospital myself, twice actually. I do not tell my patients this. But, the most powerful thing I ever experienced while in a psych facility was a Psych Nursing Assistant sitting down next to me at a time in my life that I was most vulnerable and scared and did not want to be here any more, and listening to her tell me that she too had once been sitting right where I sat. She too had been struggling with depression and she is better now, she is working at the very place that she once was completely broken in. She now sat one the same bench that she was at her lowest, looking at a woman and helping her become strong again. Giving her hope for a future. Letting her know that there is hope in recovery. There is now doubt in my mind that his was the most powerful thing I have ever gotten as a patient. I will forever carry this with me. Again, as long as it is therapeutic for the patient, I believe it falls under therapeutic communication. She saved my life. You never know how much you can touch someone by showing them that you understand and how far you have come. I have gained more respect from my patients by doing this. They come to me now instead of hurting themselves. And even when I don't share my story, I know how to talk to them. I take pride in having a mental illness. I don't know how they feel but I know what it's like to be stigmatized, to be in the hell hole of a mental hospital, and to just want to be heard. It's such a powerful tool.
  4. jdewberry

    Delusional Patients (The "Saint")

    I am a new psychiatric mental health RN at a State Psychiatric Facility. So far I feel like I have adapted well, except for one thing: I am having trouble dealing with delusional patients. (often with accompanying hallucinations) What to say, how to have a therapeutic relationship with them, ect. I understand that these delusions are very real to them and we are not to dispute them. However, how do we deal with them to reorient the patient back to reality based thinking? I will give you an examples of my most challenging patient (names have been changed): 1. The Saint: Sally believes she is a saint. She hears voices from God and believes that she will be sanctified any day now. She is also a homosexual man. We call her Sal rather than Sally and sir rather than ma'am. She is very frustrated right now as she is the vegan saint of God and she is struggling sticking to the vegan diet. So she has stopped eating all together in order to stick to the strict diet. She does not want to sin because he has promised she will be sanctified any day now. She is also frustrated because he keeps telling her that he will sanctify her in 2 days and to have faith, yet 2 days come and go and she is still here. She feels as though she is stuck in a never ending labyrinth. She says she is not sleeping at all because she is hearing the voices around the clock now. She says they are sometimes comforting at night but has implied that they are getting to her. She states that god wants her to hear these voices all of the time though and wants her to stay awake, that is part of being a saint. She is also stating that it is a sin to take medication. She will absolutely not take it in any way shape or form. Lastly, she says that god will not sanctify her until she is no longer treated as a woman but is treated like a man in the hospital and is allowed to stay on the mens ward. We cannot do this as we have separated men and women's hallways and it is against policy and would cause major issues.
  5. jdewberry

    Outpatient Surgery Center RN (plastics/cosmetic, etc)

    I am an RN at a plastic surgery center. I scrub in for surgeries under our plastic surgeon and am often the only assistant in the OR with him. There may be 2 RNs for big cases and an MA to help on the side. The practice I work at is great and is never understaffed. I went into plastic/reconstructive surgery straight out of nursing school. I am an RN with a BSN; I do not have any OR/PACU or Critical Care experience as an RN. I had one OR/PACU rotation in nursing school, did my practicum in the ICU and that is all the experience I had. I did have an in at the practice in which I am currently working for though (a few of my friends are patient coordinators there). I am catching on very quickly and the plastic surgeon I am under likes the fact that I have not had the chance to pick up bad habits; I am a clean slate and they can train me however they want. I absolutely love it! I do a lot of studying/research on the side because of my lack of experience. I could see it being an extremely difficult field to get into; I am one of the only RNs at the practice that has no previous OR, PACU or Critical Care experience. Normally they would not hire new grads but they made an exception with me because of the people I knew. Advice I have: make the highest grades you can and get as much OR and Critical Care experience you possibly can. It will show you ability to go above and beyond. Go to local cosmetic surgery practices, ask if they are hiring RNs and drop off your CV or Resume. See if you can set up a meeting with HR. Even if they aren't hiring at the time, HR will have your resume, already have spoken with you, and will think of you first when an opening does become available. Good luck with everything!
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