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oceanblue52

oceanblue52

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oceanblue52's Latest Activity

  1. oceanblue52

    Efficient clinic and job satisfaction. Help please!

    Wow, this seems a little crazy. I work in outpatient Psych so our duties are a bit different (e.g. we just do injections, not anything crazy like post-op or sedation). Will say that we have about 8 docs (some part-time), and we have many of the same obligations:refills, PARS, phone calls, emails from providers. On a bad day we get 30-40 calls a day (and maybe they are a bit worse b/c they are Psych related and require lengthy conversations and follow up?). The only way this chaos works is that we have two MAs and one RN. MAs can pretty much do everything that RNs can do other than dealing with Scheduled meds...and they are of course uncomfortable dealing with difficult clinical scenarios. Don't know if that feedback is of much help since Psych is very different from your setting...but will offer my sympathy and say that you do the best you can (and find another job if it’s too stressful after a time). We were understaffed for awhile at my job and it was horrific. People like to think out patient is easy, but it can be just as crazy and chaotic as inpatient.
  2. Greetings, Outpatient Psych RN here. Had an adverse incident recently where we were giving a client an injection and said client grabbed scissors off the desk and injured himself. 911 was called and client was stabilized. Our outpatient facility is now reviewing protocols to prevent this incident from happening again. Of course the obvious first suggestion is to not leave items that can be used like weapons around in easy reach...in this case it was a human error and of course our staff plans to be more careful with keeping these sorts of items out of reach. Rest assured our staff member feels terrible about leaving a sharp object out and nursing staff is now hyper vigilant about reviewing our environments before client encounters. Honestly though even if obvious sharp objects were tucked away, there were other items the client could have grabbed. Other than controlling the environment better, does anyone working in outpatient use an evidence-based assessment for predicting who might act out/commit assault so better precautions can be put in place? In an outpatient setting it is tricky dealing with patients who are easily agitated because we don’t have security backup in place. Am thinking a risk assessment is a good start to tackling this issue?
  3. oceanblue52

    what is it like to be a psych nurse ?

    Very good summation. Would like to add my own anecdote with strip searching a patient, came in looking pretty put together. A colleague of mine had her remove her underwear and hundreds (literally) of pills came tumbling out, mostly benzos. She was a voluntary patient and still don't quite understand her rationale for coming in. The lesson being...never assume a patient is not hiding something. They are crafty. Have a few other stories but will save them for another time.
  4. oceanblue52

    Part time Mental Health NP Program while working full time

    RN here that works in outpatient community health, and am interested in becoming an NP. Your statement about trying to cure psychosocial issues via medication is close to heart. Very difficult and takes a lot of skill for a provider to separate the issues and medicate accordingly. Some community health centers do really well with Care Coordination between therapists, case managers, navigation, benefit specialists, nurses, and providers, and crucial to managing this issue. New NPs should inquire about availability of these services before accepting a job.
  5. oceanblue52

    Mental health.....telehealth.....

    Right? Sounds like my dream job.
  6. oceanblue52

    New Grad Struggles Want Psych Nursing

    If you are trying to transfer within your hospital, you will likely need 6 months experience before they approve a transfer. A word of warning, it can sometimes be difficult to transition back into acute care after working in Psych; managers tend to think you've "lost your skills." Dumb because those soft skills you gain in Psych are needed in any setting. But I digress. If you are truly miserable, and not just having new grad anxiety, I don't see why you can't apply for jobs more to your liking. Think carefully about what you liked about your Psych rotation. I worked 5 months home health as a new grad and then transitioned to a new one. If you apply and get offers, vet them carefully. If you leave this job early you'll want to stick around the second one at least a year, ideally 2 or 3 to show stability.
  7. oceanblue52

    Psych Research Question

    Former (non-nursing/medical) researcher here. Consult with the person heading the study, or another supervisor. They should be able to counsel you on the most appropriate action. Like working in a hospital/clinic, you are correct that it is inappropriate to work directly with them as you would have access to their medical records. Sometimes arrangements can be made to accommodate both you and participants.
  8. oceanblue52

    Any information on UC Denver NP program for fall 2018

    How had the application process been for PMHNP? Thinking about applying in the Fall...
  9. oceanblue52

    At what point can I no longer work as an ED tech?

    Perhaps this varies state to state. But I don't understand what a physical license is, and why you would need that to practice nursing. Once you have a number shouldn't you be good to practice? That is all that should be needed to verify that you are licensed.
  10. oceanblue52

    Want to try another nurse specialty

    Can you stick it out another 6 months? A solid 2 years in critical care with Charge RN responsibilities should give you a good foundation on which to market yourself. Are there things you enjoy about your job? What attracts you to Public Health? Every specialty has its stressors; self-assessment can help you avoid getting into another poor workplace environment. What about something like the OR/pre-op? Home health? Is there a specific population you enjoy?
  11. oceanblue52

    Life after nurse residency

    Hard to say what specialty would be a good fit for you...I would recommend going on a comprehensive job search engine such as indeed and then search for various specialties you are interested in. This will give you an idea as to the market and qualifications they are looking for. When I get frustrated at my job I do this, it puts things in perspective and reminds me that the experience I'm gaining will open more doors down the road. Will also add that the Psych experience you are gaining is very valuable. I've been in Psych several years (through nursing school). My favorite clinical instructor liked to remind me that patients with Psychiatric issues exist in ALL specialities and are not just confined to a Psych hospital. It's a valuable experience and will serve you well, and might even help your job search. Good luck finishing the year out, will be over before you know it.
  12. I worked as a Tech in a Psych hospital for a few years and had to make a similar decision. Pharmacology has always fascinated me so that was one reason. Counseling as a field is also quite saturated (way worse than nursing) and the pay almost never commensurate with the education. It's also an arduous process to get licensed. Could argue the same about nursing, but saturation is typically less of an issue within the Psych specialty. Ultimately I feel like Psych nursing offers better pay and other opportunities if I grow tired of it.
  13. oceanblue52

    Mandatory Vaccine Waiver in Nursing School/Clinicals

    It is very difficult, if not impossible to get vaccines waived. Typically it is not the school but the clinical sites that have these requirements. From their perspective, it's puts their patients at risk and sets them up for increased liability. So even if you successfully petition the school, they will have a difficult time finding a placement for you. Clinical sites essentially have the final say, and with placement as competitive as it is I doubt the schools will allow you to matriculate without records. Did you get vaccinated as a child? Some of those records may suffice, with the exception of the flu shot and possibly TDaP. And keep in mind too that this fight will continue to follow you into the workplace. Not trying to be argumentative, just offering my observations.
  14. oceanblue52

    Vulnerable populations paper?!?

    Probably want to pick a more specific population, but rural populations is a very broad, interesting topic. Vulnerability stands to get worse as more hospitals are forced to close from funding issues. If you are on social media, follow some community health organizations in your state, they might give you some ideas. What sort of nursing are you interested in? Maybe that can help you narrow down a topic?
  15. oceanblue52

    What do you like most about your specialty?

    Work in outpatient Psych, best part is watching clients get stable after trying and failing a bunch of med combos.
  16. oceanblue52

    Treating high BPs with high baseline

    To be fair, managing BP to the gold standard of under 160/90 is not always feasible. A family member of mine is allergic to 2 different classes of cardiac drugs for symptom management, and she is maxed out on all other doses. Resting BP is usually around 169/95. The cardiologist didn't have any other suggestions either. Always good to get a history and check for understanding before delving into education.
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