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Med-Surg, Psychiatric
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Scarlettz has 4 years experience and specializes in Med-Surg, Psychiatric.

Medical-Surgical and Psychiatric nurse

Scarlettz's Latest Activity

  1. Scarlettz

    Midwestern State University PMHNP program

    I got accepted! Still hoping someone replies to this post who went through the program.
  2. Is anyone in this program or graduated from this program? I am interesting in learning more about your experience. Thank you.
  3. Scarlettz

    omg I forgot to give report!

    I forgot to give report before, too. I didn't get too far before I remembered and called the nurse to give report via the telephone. Luckily she was an easy going nurse! On the flipside, I had a nurse forget to give me report before. I tried to call her up but did not get an answer back. In a way, it was nice to know that this has happened to other people. I felt somewhat lost, but it worked out. Like others have said, I now cross off the patients' names once report was given.
  4. Scarlettz

    omg I forgot to give report!

    I once forgot to return a PO Ativan that a patient changed her mind about to the pyxis. I went home and discovered that it was still in there! I freaked out and went straight back to the hospital (luckily only 5 mins away.) The nurses all the day shift thought I was a trooper for coming back. One said, "I would have just returned it tonight." I couldn't believe how laissez-faire the day nurse were about this! I always check my pockets first before heading home now.
  5. Scarlettz

    Brand new nurse already OVERWHELMED and panicking

    I moved away for my first nursing job -- across the country. So, I know how lonely and stressful it can be. I began an exercise routine when I first started out my nursing job. I swam, walked, went to the gym. Not only did I lose weight and feel more confidant but it released stress. Find things to help you mentally unwind. As far as nursing knowledge, did you bring any of your text books/NCLEX study books with you? Choose a topic per day to read/review, or maybe a body system per week an read and refresh yourself. I have been a working nurse for four years and I still do this. Get a copybook and write down important information/labs/procedures. It does not have to be as intense as making nursing school notes, but just writing down this information will help you retain it. Small talk gets easier. I worked in a retail job before being a nurse, so I actually think it helped me a lot in this department. Being polite and saying thank you, please, thank you for letting me take care of you, and I hope you get better soon go along way for starters. If you see that a patient is using some cool looking device, ask about it. If they are doing a crossword puzzle and you like crosswords, say something like "I love crosswords" (Just make sure you sincerely do.) If they have flowers in their room, say they look beautiful, if you like someone's nail polish color, mention it. As a previous poster mentioned, people love to talk about themselves and who does not like a compliment? I am quite introverted but my patients still love me because I care and treat them well. I met someone online when I moved away. Of course you have to be careful about doing that. But, it is a way to meet someone if you want to. If coworkers invite you out, go for it. I started seeing a guy when I moved away so I declined going out when some coworkers asked one day. But, I should of done so if I did not have plans. Explore the town. Small talk will get easier with coworkers once you get used to them. Just be respectful of them and I am sure they will like you. Good luck and don't give up! It will get easier.
  6. Scarlettz

    Nursing pay in Lubbock

    Does anyone know how much nurses are paid at UMC and Covenant hospitals? I have 4 years nursing experience.
  7. Scarlettz

    Switched to Psych, HELP!

    I sort of just searched online or read old nursing material/books on psych. I did buy one psych book that was purely about medications. Here are some medications that I give often and are worth reading up on: Seroquel, Zyprexa, Risperdal, Depakote, Cogentin, Zoloft, Lexapro, Prozac, Ambien, Ativan, Gabapentin, Haldol, Lithium, Cymbalta, Klonopin, Hydroxyzine (I never even seen this medication on med-surg but we give it a lot in osych), Lamictal, Trileptal, Abilify, Geodon, Celexa, Benadryl, Trazodone. Some of the things we ask during our assessments: Are you suicidal? Homicidal? Hearing voices? Seeing things? Eating and sleeping well? Depression and rate it between 0-10, anxiety and rate it between 0-10, pain and rate it between 0-10. I usually ask if something in particular is making them anxious or depressed. If they are suicidal, we ask if they have a plan, if they will tell someone on staff if they plan to harm themselves, etc. Brush up on some labs values: Lithium norm between 0.6 -1.2 (they drilled this into us in nursing school) Depakote 50 - 100/125. You'll want to keep an eye on a patient's WBC level if they are on Clozaril. Read about therapeutic communication and de-escalation.
  8. Scarlettz

    Nursing with awkward introverted personality

    I think it gets easier. I am very introverted and even socially awkward but my patients love me still. I think just being nice and polite and having a good attitude goes along way. You don't even have to be bubbly - just care, don't act like patients are burdens, etc. I think sometimes just listening or asking a simple question is enough. Smiling is always a plus. Asking "Do you need anything?" Or simply just thanking a patient or saying "I hope you feel better. It was a pleasure taking care of you." What did you do before nursing? I held a retail job for many years before nursing. I actually think it helps me a lot as a nurse- especially since there is a big focus on customer service. As far as coworkers go, I think the longer you work there the more comfortable you will be around them. Offer to help a coworker with something if you see they are busy - that will go a long way. Smile and say hello to them. You don't have to be a chatty Cathy, but just being polite will be enough for most people.
  9. Scarlettz

    PP review material

    Hi all, I applied to a postpartum unit and wanted to brush up on postpartum material. Can you recommend some good websites to review, books that are not too expensive, or any topics you suggest I review? Or perhaps just share a tidbit or two that would be helpful. Thank you!
  10. Scarlettz

    Best type of psych experience before becoming PMHNP

    I would suggest working as a nurse on a psych floor or facility - as simple as that may sound. AT my work, we have a medication nurse and a charge nurse. The medication nurse is responsible for passing meds, transcribing orders, doing treatments (wounds, etc.) The charge nurse is responsible for assessing (talking) with the patients. Our techs write patient notes on the more stable patients but the charge nurse has to sign off on their notes. The charge generally oversees everything. I work as a medication nurse, but I still interact with the patients. I've learned so much about psych meds (and other medications as well) and I honestly think it is a better fit for someone who wants to be a PMHNP. I kind of wish that in our facility we dived our patients among 2-3 nurses and I could assess, do notes, and pass meds to 7 patients or 15 patients instead of just passing meds to 30. That way I could invest more time and energy into a smaller group of patients in a holistic approach. I'd try and find a facility that ran more like this idea. I think a mental health floor in a hospital would be more fitting to this idea instead of a psych facility.
  11. Scarlettz

    Struggling...please help

    Do you ever get the opportunity to float on another floor in the hospital? Or do you have a specialty that you are genuinely interested in? I had some anxiety, fears, and uncertainty when I started out as a nurse but never so extreme. You are just about at the point where you should be able to transfer to a new floor or get a new job. But, I encourage you to explore what you want to do so not to hop around to different jobs in a short period of time.
  12. Scarlettz

    Changing Specialties

    I never liked med-surg during nursing school and didn't think I would end up there. Anyway, my first nursing job ended up being med-surg and I liked it more than I thought I would. I still work PRN on med-surg (usually 2 shifts a month.) I work ft in mental health now. There are pros and cons to both specialties. I was always drawn to either psych or post-partum. I've floated quite a few times to postpartum at one of my jobs and I really like that unit as well and I sort of want to test that one out.
  13. Scarlettz

    Question about holding meds?

    I work in a mental health setting and I had a patient whose blood pressure was 89/something and the aide rechecked it and it was 91/something. There are no parameters in the order to say "Hold BP medication if SBP is I guess my question is more of an ethical / legal question mainly. I know this will happen again and I just want feedback as to whether or not I went about this the right way? I followed the order but at the same time I worry that I was denying the patient of his right to take the medication. I usually ask patients if they are feeling dizzy, lightheaded when their BP is low, but I did not ask him this time. It is a low dosage of the BP medication. Of course it was explained to him while it was held. I just want to make sure I did the right thing for the patient - as I hope they will re-examine his meds with the other psych meds he is taking. WDYT?
  14. Scarlettz

    psych is so hard to break into...

    I was able to find a psych job quite easily. Are you willing to relocate? Try NM or TX. Or else, perhaps try applying to other RN positions in the hospitals you are interested in. That might open doors for transferring to the mental health unit if you are already an employee.
  15. Scarlettz

    For New Grads -YES you can do psych.

    I started in Med-Surg and still work there PRN. I will admit I did settle for med-surg, lol, because I could not get hired anywhere else. I hated med-surg in school. However, I have a greater appreciation for med-surg and liked it better than I thought I would. I also think working on med-surg has been very beneficial to my psych career. I don't think you necessarily have to start off in med-surg to help you in psych, but it does not hurt. Hopefully you have preceptors to help you- and it sounds like you do.
  16. Do you work in a mental health unit in a hospital or a stand alone psychiatric facility? I am currently looking at a job in a hospital and one in a psychiatric facility. Any pros/cons to consider? As a psychiatric nurse, do you have to run milieu therapy/group therapy? When I was in school, one time a nurse ran the group session. The other days it was the mental health technician/aides. I am not great at public speaking and not sure I would like doing this. I communicate better one-on-one. Just curious as to your part in this at your facility? What is your typical day like if you are a day nurse? What about a typical night for a psych nurse?