pinkiepieRN

I was diagnosed with ADHD in December and put on meds. I have a long acting stimulant (Vyvanse) and a short acting one for when the Vyvanse wears off (Zenzedi). I am easily distracted and have difficulty finishing tasks. I have exceptional documen...

I just accepted my first faculty position after graduating with my MSN in Nursing Ed 2 summers ago. I'm starting with a colleague who's been in this position for a year but they're changing to a concept based curriculum for the fall and following se...

Do you just "skip" it on clinical days? Most people with valid prescriptions take their meds as prescribed and know how their meds effect them. How would they even know you were taking it - a drug test?

Whether you call a doctor or lie about it, an MD still has to sign off on that order within 24 hours for it to be valid, so I'd call someone!

Definitely call a provider if it's a med needed for discharged and they're going to be discharged before seeing someone to write that order!

If someone purely has a psych dx of dementia, I'm not sure that an inpatient stay would do much for them. I worked at a facility in the past that had two geri-psych wings: geri-psych mood disorders and geri-psych psychotic/dementia. Patients with d...

I work with kids right now so YMMV but with kids there are often few warning signs that something is going to get out of control until a child places their hands on staff or another patient. There are often warning signs in my experience with adults...

Teaching CNAs in a high school turned out to be the opposite of a dream job for me - no support from the other educators and unmotivated teens. It was a learning experience and I've actually taught CNAs again since then (and not much enjoyed it) jus...

That's what the on-call is there for!

Did this patient even have capacity to refuse? I've spent so much time working with involuntary psych patients that I realize even though people can be declared "incapable" of making their own decisions, it's a ****** to get people properly medicate...

PM shifts are definitely more patient time centered. It's also for me when less groups tend to be going on and patients have more "down time".

I screwed up tonight, plain and simple. I had meds pulled for two patients and started giving meds to one patient. I pulled the pills in their packages out of the cup and told him each med and their dosage. The second after he put the cup to his lips...

I'm sorry if I missed this somewhere, but what is your *ROLE* as a psychologist on the unit? Is it to counsel staff or act as a clinical liaison between staff, patients and families? I guess it could be both but I'm wondering if you're trying to st...

How's it going?

Maybe not your cup of tea, but you could always consider Adult Psych. Adult Psych often has more medically complex patients (depending on what your unit accepts) and there's of course the obvious co-morbidities, like asthma, COPD, HTN and obesity. ...

I've been a nurse since 2009. My professional history looks like this: 2009-2012: adult psych (community hospital) I left because I felt unsafe with the patient population (high substance abuse, very high patient turn-around, unenclosed nursing stati...

I would love to argue with you, but you've got an interesting perspective there. I have anxiety myself and have taken prescription anxiolytics before. *I* don't think they effected me like that but YMMV.

Without more specifics, it's hard to make a generalization to your posed problem. Anxiety medications alter neurochemistry but I don't believe they alter thinking in such a way to "dull common sense". Most anxiety (and psychotropic) meds have warni...

I currently work in a 135 bed sub-acute rehab/nursing home. I've been a staff nurse here for 4 months. I've been a nurse for 4 years, although psych was my previous specialty. I'm doing really well on 7-3 - I'm innovative, do a ton of creative ...

Understood. While that is possible, it won't always be possible. A lot of the nurses on nights are newer and I'm in charge maybe 50% of the time. This is something my NM has been thinking of for everyone, not just me but I triggered her to think a...

Working nights definitely helps. The pace is slower, the teamwork is better and the team is more cohesive. I'm more extroverted in my personal life and sometimes say things that cause me to insert my foot in my mouth but I try to keep things quiet ...

They've adjusted my shift to match that of someone who just retired. I was working 11-7:30 x 5 days/week but now I work 11-8:30 x 4 days/week. It's 40 hours vs 36 and it's hard to stay into day shift like that, but I was already here until 8 most d...

I graduated from an MSN program in May with a 3.3 GPA. I'm deciding to further pursue and get a DNP in psych/mental health. I took graduate courses to bump up my GPA, since I only graduated from my BSN program with a 3.1, but I'm still worried it's...

I work night with a very lovely man. He's a second career nurse and he's very sweet. He has a soft, warm demeanor with patients (I work in child psych) but he cannot seem to accept when he's in over his head. We're supposed to print out forms for ...

Nope, definitely not the Masters. I have 7 years of experience.