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PsychNurse24 BSN, RN

Psychiatric, in school for PMHNP.
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PsychNurse24 has 12 years experience as a BSN, RN and specializes in Psychiatric, in school for PMHNP..

PsychNurse24's Latest Activity

  1. PsychNurse24

    We Must Demolish NP Diploma Mills

    Don’t care! Like I said I trust my own direct experience with my diploma mill rather than your anecdotal information. And I’m so glad you have “articulated the parameters many times”, Because you are the experts who get to dictate parameters and set your expectations. I guess I missed the memo that told me that you’re in charge!
  2. Operation Warp Speed drove the development of a vaccine in less than one year. By the way, Trump’s critics said it could never be done. So much for downplaying the virus. Trump knew the best way to fight this virus was by vaccinations. I hope Brazil does roll out vaccines at a more rapid rate.
  3. PsychNurse24

    Questions about working as an agency nurse in a correctional job

    Are you currently an LPN or an RN? As an LPN maybe you’ll be passing a lot of medications. I am not a correctional Nurse but did apply for a job there once and received an extensive tour and also attended a weekly public health meeting with a correctional Nurse. She said the RNs spent a lot of time doing detailed assessments on new admits, assessing and evaluating people who didn’t feel well, and patient education. She loved the job. You also might want to consider psychiatric Nursing. In over a decade I have done little to no lifting. On the rare occasions where we have to restrain, there are a lot of other employees there to help, so it is not physically demanding. Good luck!
  4. PsychNurse24

    Got The Vaccine! Share Your Experience

    I did read an article that stated zero deaths had been confirmed from the Covid shot. So maybe that is where SummutRN got the info. I don’t think they can definitively say that the vaccine caused any deaths yet.
  5. PsychNurse24

    What's your dream nursing job?

    I am semi-retired, but I don’t want to stop Nursing completely. I work PRN now, but the shifts are 12 1/2 hours. At my age, that is a long day, and I hate getting up at 4:30 in the morning to be there at 6 am. My dream job would be two eight-hour shifts a week, any days of the week. My shifts would start at 10 am. I would also love to work from home!
  6. PsychNurse24

    My experience of trans ideology and nursing

    Completely agree! Get back to Nursing!
  7. PsychNurse24

    Ways to Tell if a Psych Hospital Will Be Good To Workers

    I have been in psych for 11 of my 12 years of nursing. I have loved it. I have found psychiatrists to be the nicest doctors to work with. I have never had a rude word, ever, from a psychiatrist. And generally the Therapists and Techs have been good too. I work in a small acute treatment unit now. I don’t get paid as much as when I worked in a hospital, but the teamwork is better. I don’t think there are many changes in employment that you have to consider.
  8. PsychNurse24

    ADN vs BSN salary

    I can only speak to my experience. I had my ADN and worked at a hospital. After several years I received my BSN and a board certification around the same time. I was surprised when I received an eight dollar an hour raise. I even called HR to confirm it was correct. It was. I now work at an acute treatment unit, which is not considered a hospital. They don’t care whether you have a BSN or a board certification. They don’t automatically pay more for either one. So, it can depend on where you will be working. In general, I think it is a big advantage to get your BSN. Generally, I think you’ll get more money and possibly more opportunities for advancement. More and more hospitals are requiring a BSN to be hired or within a certain time after hiring. I’m sure a lot of other people answering this thread will have more details. Good luck!
  9. PsychNurse24

    I'm a Monkey...

    Working nights is really hard for a migraine sufferer. I have basilar type migraines, and also have the brain fog for a day or two after each headache. When I worked night shift I was able to keep the same schedule during the rest of the week. My kids were grown and gone so I was able to stay up all night and sleep during the day even on my nights off. That really helped. I think you’re exactly right about rotating shifts, it is just horrible for people. You would think as healthcare workers we would’ve figured that out and stopped rotating shifts! I take a calcium channel blocker for migraine prevention. I don’t know what kind of migraine you have but for me it totally changed my life. I’ve been taking it for 35 years and I have had fewer headaches. Please take extra special care of yourself while you’re getting through the next few months. I think When you are working straight Night Shift things will get better. And as others have said, if you’re doing well on dayshift it is just a matter of getting your sleep routine down and hopefully having fewer migraines and you will shine!
  10. PsychNurse24

    I'm a Monkey...

    You might ask if you can start with four patients per shift. I did and they allowed me three weeks with four patients before I went up to five or six. Those extra shifts with 4 patients did help me a lot. Our shift started at 7 PM and went until 7 AM. I got to the floor at 6:30 PM, grabbed a census sheet, and ate my dinner in the break room while I reviewed the census sheet for 15 minutes. Then I clocked in and met the dayshift nurses for shift to shift pass down from 6:45 PM until 7:15 PM. I came up with an Excel legal-sized information sheet for my own use. On it there was room for the patient label. Then I typed in surgical floor specific information that I needed to check. I did these spreadsheets at home and printed them out on blue or green paper so the sheet stuck out. Then I stapled it to the census sheet once I got to work. You can type in whatever you need to check or remember. For example I would type in IV site: central, left a/c, right a/c, left hand, right hand etc. You can type in whatever you want. I did the same for wounds so I knew location, drains, etc. So I typed in all the possibilities and copied that in 6 different columns of the spreadsheet. Then I would circle the specific information for each patient. I hope this makes sense. Anyway, those sheets were a lifesaver for me. I referred to them when I could not chart real time and it was a great reminder of what I needed to do. You can personalize it however you want to help you organize. I was on night shift on the surgical floor. We had shift pass downs in the patients rooms. We were expected to chart every two hours on patient safety issues. One thing that really helped was asking the dayshift nurse that was passing off to me if I could log onto the computer. Half the nurses said yes, half said no. I could do my initial charting right at the beginning of shift while I put eyes on the patient for the first time and checked IV sites and all other pertinent information required by the floor. Then I would do the same for the nurse in the morning when he or she came back on. After meeting each patient in the shift pass down, I reviewed vital signs and labs and doctors orders for the last 24 hours. Next I started on the head-to-toe assessments. If I could, I would also chart this in each room real time. Then I was pretty busy until around midnight when we had to hang midnight meds and new tubing. From 1 am to 5 am I completed all my charting as I responded to call lights and other duties. At 5:30 AM I went into the med room and started preparing the morning I V’s and other meds to be passed at six or 7 AM. I also did my last charting and tried to get out of there soon after shift to shift pass down. So that was my plan for every night. Keep in mind that plan only worked maybe one in five shifts because there was always some thing that came up. My best advice is to try to keep up with charting as much as possible! Also be nice To the staff of all the other departments you will be interfacing with. I made cookies for the pharmacy folks, the phlebotomists, and the blood folks. Then when I needed a med last minute or for the lab people to come up and do my labs first in the morning they always did. Good luck!
  11. PsychNurse24

    My experience of trans ideology and nursing

    I agree, well-written.
  12. PsychNurse24

    Yale Nurse Replaces Fentanyl Vials with Saline

    I also have compassion for people with addictions. It is horrible to have such a desperation to use that you would steal and cause harm to others. That’s why I hope she gets treatment and support.
  13. PsychNurse24

    Should I call the doctor for a BP of 175/72?

    I agree that this example of an elevated blood pressure might not be a “rescue” situation. And I recognize that you have an expertise in blood pressure. While I agree with you that over reporting, at times, might be detrimental, I still believe it is best to over report rather than to under report. When I was getting my BSN we spent several weeks learning more about sepsis. And at the same time, the hospital where I worked started requiring us to do a mini course on sepsis and to pay more attention to vital signs. There was evidence that nursing education did not emphasize sepsis, possibly resulting in poor outcomes for patients. Two years later, a close friend’s granddaughter died from sepsis. A slight change in vital signs can indicate the beginning of sepsis, And while I believe her hospital was very proactive in treating her, I couldn’t help wonder if other cases had poor outcomes because slight variations in vital signs had not been reported. I will always choose to have the Doctor decide whether a treatment is necessary or not. So I stand by my original general advice to over rescue, or over report.
  14. PsychNurse24

    Should I call the doctor for a BP of 175/72?

    When I was in nursing school about 12 years ago, one of our instructors told us that there had been a trend in Nursing to "under-rescue". What she meant by that was Nurses were waiting and watching rather than acting. This was not just her observation, she had researched the subject and had data. (There were many reasons driving nurses to watch and wait rather than to act). She emphasized that it was always better to "over rescue" rather than to "under rescue", even if you upset the patient or Doctor. I agree with the others in this thread that recommended retaking the blood pressure, assessing the patient, reviewing the vital signs to see if this was an outlier or par for the course, reviewing any BP meds that might’ve been ordered, etc. I have always remembered the idea of "over-rescuing" if in doubt.
  15. PsychNurse24

    Yale Nurse Replaces Fentanyl Vials with Saline

    There are probably bigger pictures surrounding most criminals, but that doesn’t excuse the crimes. Hopefully, this nurse will receive lifelong treatment and/or support, because addiction is a recurring, chronic condition. But I think she needs to suffer the consequences of her actions.
  16. PsychNurse24

    Nurse Personality

    “I always try to find out how I can make their immediate situation better”. Your whole response, and in particular this sentence, shows that you advocate for the patient. That’s our number one job as a nurse. You sound like you’re a great nurse!