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Tigerlily8's Latest Activity

  1. Tigerlily8

    Staffing Ratios

    Hi everyone, I am relatively new to psychiatric nursing and for decades worked in critical care areas with a 1:2 nurse:patient ratio. I am now employed at a for-profit acute care psychiatric facility with a 1:15 nurse:patient ratio. The PICU does have a 1:12 ratio. Is this common in behavioral health? We are now opening a unit that accepts medically fragile geriatric unit. Right now the ratio is 1 RN : 15 Patients. My opinion is that we are dangerously understaffed. We have no CNA's, lifts and only a few hospital beds. What is the norm elsewhere?
  2. Tigerlily8

    Diluted urine drug test!!

    I would not worry too much about a single dilute specimen. In my experience with the Texas monitoring program they only give you a hard time for repeated dilute specimens because then they assume the participant is deliberately trying to interfere with the accuracy of testing. Just do as you have been instructed. I have heard that a high protein snack about an hour before producing urine specimen will help to avoid a dilute specimen but do not know if that is true. I know it can be difficult to strike that balance, of course you want to be able to produce enough urine when you arrive at the lab and it is easy to overdo the fluids. Hang in there! This too shall pass.
  3. Tigerlily8

    MSN done

    Congratulations! I don't know you but nevertheless I am very proud and happy for you.
  4. Tigerlily8

    should I just give up? DUI/ mental illness

    Hi, I urge you to be rational and creative in this decision. For example, try to calculate your future earnings as an RN vs whatever other skills you possess. Today RNs command a pretty nice salary compared to Liberal Arts, Communication graduates, etc. The barrier you are experiencing will only last a few years. How many years more do you expect to remain in the workplace ? Can you arrange to have a roommate or live with a friend or family for awhile until your income stabilizes? The program I am familiar with is TPAPN, the drug tests are $55 each, expect to be tested weekly in the beginning. There are a few other charges as well. Figure out how much you have invested in your nursing degree, Is it wise to set it aside?
  5. Tigerlily8

    Withholding Pay

    I am brand new to home health and have a question for the experienced home health nurses. I started a job 5 weeks ago and should have received my first paycheck one week ago. They are withholding my paycheck because at one point I became very behind in completing paperwork. Right now I am pretty much caught up except for a few minor details. For example, they have asked that I redo an email to a physician because I did not open with " Dear Doctor.....". Is this a common practice in home health? I realize it is important to submit the paperwork within the designated time frames. I am going to check with the Texas labor board on Monday. HAs this happened to anyone else?