MMRN215

i agree. reading back the.post i wouldn't put her on a bed check for purely her BP. there's always lots of factors play into it. I just meant as my overall point that sometimes to the patient its silly to use things like a bed check or the seizure pads, but it's better to be safe than risk your pt being hurt/ getting written up. i always try really hard to explAin why were doing something and usually that will make more sense/ the pt isjt annoyed you put it on. and if someone wants to refuse something- NBD. much better to do that than find out nothing was signed and the seizure pads were hidden in the closet

not a school nurse but happened to come across this. the hospital I work at carries individually wrapped disposable underpants. they're some combo of cheap cotton and something super stretchy so you can pretty much give them to your 96 y/o LOL or the obese man next door. maybe they come in pediatric

Yes. I always wonder how 5 family members are walking in at 1 AM to visit the patient. Don't you have to go to work tomorrow? Don't you think your family member might want to rest a little bit because they are sick? Don't you think it might be a little bit rude to turn on all the lights and talk ridiculously loud when your family member has a roommate in the next bed? Also.. Patients having their bf/gf sleep in bed with them even after you asked them not to 25 times Family members who lay in the empty beds of semi-private rooms Family members who order double the food the patient actually wants so they can eat off their tray too... And the patient is a carb count of course And patient satisfaction (x 100000)

I can only imagine how ridiculous it would seem to have to use the seizure pads and a bed alarm, but unfortunately a lot of patients don't always answer questions honestly or try to do things without asking for help and hurt themselves. We can't just assume the patient will be fine because if something happens, the nurse is considered responsible. Falls are a huge deal in the hospital and if you were to fall, the nurse would be in trouble for not giving you a bed alarm. I just read an article about a young woman who fell and hit her head-- she's suing the hospital and the nurse was fired for not giving the patient a bed alarm, even though she didn't seem like a fall risk. As far as the seizure pads- people will come in tell you inconsistent stories. For example, the patient will say they haven't had a seizure in years- and then tell the next nurse they had a seizure last week but forgot to say anything. That nurse could write a safety report because there were no seizure pads and then the original nurse would be asked why she hadn't placed them. Telling your manager "she had a history of seizures but said she hasn't had one in years" wouldn't fly- they would say the patient has a history of seizures and should've had the pads on. Also, if the patient removes the seizure pads themselves and next nurse notices they're not on- they could write a safety report that there were no seizure pads, once again getting the original nurse in trouble with management. You obviously know yourself and that you feel fine with lower Blood pressure, but we see so many patients who don't always comply and are really at risk to hurt themselves. Sometimes a bed alarm and seizure Pads keeps the nurse from having to spend their entire shift worrying if that person is going to hurt themselves-- because it would be the nurses fault. I'm sure the nurses noticed you were getting up by yourself, but I'll admit sometimes when I notice a patient keeps getting up out of bed without telling anyone, and they seem fine, I'll look the other way because I'm just too busy to worry about it. We do have a lot of annoying protocols as nurses, but hopefully that sheds a little bit of light on those Particular ones :)

Did you give them documentation from your doctor that you have adhd and we're having trouble with your medications ? I had a hard time turning assignments in on time during school -- I have adhd and was going to fail a class because of the points being taken off from lateness. I gave the school a letter from my psychiatrist and was able to work it out with my teacher afterwards. She had no idea I was struggling and probably just assumed I was lazy/irresponsible. School is different than a job & maybe it will be similar for you- I recognize if I'm late for work I will get fired/ let my coworkers down/ not get paid. You need to take nursing school seriously but I understand that you make mistakes and school is just something you have to survive to be a nurse. I know my teachers perceptions of me in school were def not a reflection of how I am in my career. Keep on trying and prove everyone wrong. Good luck

Taping tele strips into the chart

And PS, all the people who say "you aren't cut out to be a nurse if you can't handle stress" or "this is a hard career and it's not for you" obviously have never dealt with their own problems-- knowing you have a psych history you have probably already faced your demons and learned the tools to overcome them. People are ignorant to what they don't understand.

As someone whose been in a similar situation, definitely do not say anything to your school, the BON or anyone in your future workplace. I was hospitalized with depression/anxiety/eating disorders before going to nursing school and fortunately that experience gave me the strength and courage to pursue a career as a nurse. Just because you've been through a difficult time psychologically does not mean you are unstable. If anything, I felt that it made me a better person and compassionate towards my patients. However, a lot of people in the nursing world will take your past of "psychiatric history" as not being strong enough to work in a stressful environment. You would think that being a nurse, your fellow colleagues will understand, but unfortunately that's not always the case. It's nobody's business to judge your personal health struggles and not your obligation to tell anybody. Obviously there is always the chance for a flare-up. Nursing school is extremely stressful and I'm not going to lie I sometimes struggled. It is a good idea to file for an academic disability so that if that does ever happen, and you have to miss class or a test, they cannot fail you. You won't have to disclose to your professors what your disability is, it will go through the college's disability office. As for landing a job, you will need to have a health clearance with employee health but the only thing I had to do was give them a letter from my psychiatrist saying that I was stable to take care of patients. I am very good at my job and I don't think anyone would suspect that I ever had a problem with my mental health or that I still sometimes struggle. That is my personal business and not something I need to disclose at work. Lastly, I would advise going to therapy regularly, especially during nursing school. Nursing school is a busy time and it can get hard to stay in touch with yourself. Having that hour to de-stress every week will be more valuable than you know. Don't for one second doubt yourself! You never know another persons struggle and I'm sure you're not the only one. We're all human! Good luck !!