Whispera MSN, RN

psych, addictions, hospice, education

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All Content by Whispera

  1. Whispera

    Forcing Meds

    In my state meds can only be forced if the patient is a safety risk to self or others, or if there's a specific court order to give the meds even if involuntarily. The court order hospitalizing the...
  2. Whispera

    patient/license safety

    Do you have techs? I surely hope so! Having 30 patients on an acute psych unit, with just 2 staff people, is soooo unsafe! There's a movement toward having LVNs give all meds while the RN does all...
  3. Whispera

    Psych nursing? scope of practice

    We do the assessment, nursing diagnosis, planning, intervention, evaluation stuff just like all nurses. We give meds for all conditions the patient has, change dressings, do IVs if the facility...
  4. I object to Phenergan, since the akathisia and other EPS symptoms can be more than mild... It's fine unless those symptoms develop. Then something else should be
  5. Where I taught, those who taught biology courses like A & P, micro, and patho, had to have at least a Master's in some sort of Biology. A Nursing Master's wouldn't do the job for the non-nursing...
  6. $305 a month isn't bad if that's all the debt a person has. There's also housing, food, clothing, car payment, gasoline, upkeep, child care and other expenses children require, utilities,...
  7. Whispera

    From nurse to a doctor

    Working as a nurse can be extremely physically and mentally tiring. For me, there wouldn't be enough energy left to go to medical school, which is extremely demanding of your time (so is nursing...
  8. Whispera

    Refusal of AM Care re: Schizophrenia

    It would depend on what day it was. If it's one of the first days in the hospital, I'd tell her I'd be happy to get what she needs when she's ready. If she's been there a week or more, I might do...
  9. Whispera

    Keeping up nursing skills

    Back in the day....I was hired as float nurse in a major hospital. Having just come out of nursing school, I was concerned about my skills, since no one gets enough experience in nursing school to be...
  10. Paying back student loans can be a terrible burden. One person I know has debt of 27000. Her payments are 305 per month for ten years. Let's say you borrow a total of 80000. By the other person's...
  11. Whispera

    Critique of Nursing School

    I'm glad you wrote what many think and have experienced. Change can't happen unless those who can make the changes know they're needed. Keep advocating for improvement! As an instructor with...
  12. Whispera

    Pursuing a Second Master's

    What will you do with a Psych NP Master's that would be different than what you can do with your MSW/LCSW? Education is never a waste. We become the totality of all we've been through! However, the...
  13. Whispera

    Decompressing - HELP - 23 yo RN in distress! LOL

    It's important to have time off to decompress. Don't limit yourself on your well-earned vacation hours. Also, see if whoever does the scheduling can schedule you regularly with 2 days off in a row....
  14. Whispera

    In over my head?

    I second what Kooky Korky wrote. Leave now rather than a week from now. Your situation is too unstable for staff, let alone for someone who is
  15. Whispera

    PMHN vs RN-BC?

    I've also never heard of PMHN. Lots of certifications by ANCC give the credentials RN-BC. The exams are specialty-based, however. So, you might be a pediatric or a psychiatric or another specialty...
  16. Your textbook should have nursing diagnoses all over
  17. Whispera

    Reception bell at a psych nurses station

    I think that when management puts a little bell on their wall, then we can accept one on
  18. You can teach what you don't know NOW, but you'll have to learn about it along the way, to teach it effectively. It will be a big learning curve and will take oodles of time and energy. Sometimes...
  19. Whispera

    CBIT for Tourette's?

    What's CBIT? abbreviations are not my
  20. Managers talk to each other. I'm sure your manager already knows. One time I applied to go to another unit. That manager came to talk to the current manager about me. It actually was a good...
  21. Whispera

    Reception bell at a psych nurses station

    What in the world is the purpose of a bell there, anyway? Are they assuming no staff member is at the nurses' station or nearby or some such dumb
  22. Whispera

    Teaching Without A MSN?

    It depends on the school as well as on the state, whether you can teach without an MSN. I taught for an ASN school, and a MSN was required to teach theory classes, by the school, the state, and the...
  23. Whispera

    Once you go into Psych nursing

    I started out in psych but have worked lots of different other-specialties. What you mentioned has never been an issue for
  24. Whispera

    In over my head?

    When someone tells me what he's going to do, I tend to believe
  25. Whispera

    Panic attacks triggered by rapid position change

    I think if I wasn't able to get enough oxygen, I might panic. I haven't seen this is psych patients, but saw it in hospice patients. When they were getting closer to death, and couldn't grab enough...