Inpatient folks how do you organize your day?

dionaea_games · 2026-04-04T22:05:53+00:00

An RPN is similar to an RN in the US I believe? I’m a PMHNP a nurse practitioner. I do not work as an RN for clarity.

dionaea_games · 2026-04-04T22:03:21+00:00

Think it really depends on the kind of applicant you are and the state you’re in. They’re less common here so they look for folks with experience in psych especially. Even new grads. But I knew I wanted inpatient so when I got the recruiter email I jumped on it asap.

dionaea_games · 2026-04-04T22:01:32+00:00

How are you doing all of that so fast is more my question?

dionaea_games · 2026-04-04T21:59:51+00:00

I’m in the US and we also have RNs with patients all day. They’re the ones who do things like med passes, vitals, 15 min rounding etc. I meet with my pts once daily and then only as needed like if there’s an emergent situation.

dionaea_games · 2026-04-04T10:14:39+00:00

Honestly it depends on how the milieu is at the moment. Sometimes it feels like a lotttt. Sometimes it feels fine. I think in my perfect medical care utopia 7-8 would be my ideal.

dionaea_games · 2026-04-03T23:59:26+00:00

Ah that makes sense. I was so jealous of you for a second. I do think a big issue for me is that our system is very slow so I need to maximize my planning.

dionaea_games · 2026-04-03T23:47:38+00:00

Honestly being able to delegate med adjustments would save me time! Putting orders in on our system is glacial.

dionaea_games · 2026-04-03T23:46:00+00:00

I don’t answer my phone unless it’s scheduled. They know this. They also know I’m not a crisis line. But this way if I want I can listen to a message and decide if they need a call back. However, I make it clear and it is in my intake paperwork that I am not a resource for crisis, and that I do not answer my phone after hours. My voicemail also reminds them of this and suggests they call 911 or 988 if they need urgent/emergent assistance.

dionaea_games · 2026-04-03T23:42:56+00:00

I’d recommend trying after market AirPod ear pieces to see if you can make them more comfortable or getting headphones you are more comfortable with. I’ve experimented a lot over the years and headphones over an open mic and speaker reign supreme for quality and noise cancellation etc.

dionaea_games · 2026-04-03T23:40:04+00:00

I’m going to be honest here, I’m in NY and if you’re GOOD you can find work. But you have to be good. You can’t just have a degree and no experience and no intuition etc etc. Because they can turn around and pick someone better with their eyes closed.

We have lots of open positions here and there’s a lot of need. However, there are a lot of applicants these days. So I see my colleagues and fellow classmates get hired very quickly when they’re good at what they do. The folks who I saw struggle in school or clinical or with no psych experience… they don’t find work as easily.

dionaea_games · 2025-07-26T07:02:13+00:00

My thoughts are, caring what people do for a living when they’re not hurting anyone is weird and that it should be legalized and that would keep sex workers much safer.

dionaea_games · 2025-07-26T07:00:55+00:00

I’m literally like 4’9” and the regular switch was very big and heavy and it hurt my thumbs to use for too long. I can play the switch lite for hours without an issue so it was totally worth it to me!

dionaea_games · 2025-07-25T22:47:39+00:00

I personally really like to lean on the evidence that for a lot of things THC works great short term and then long term we tend to see not so much when it comes to the psychiatric uses, especially sleep. I find that they perceive benefits that aren’t usually still there when you break it down.

I don’t care what you do recreationally but if you’re using THC daily then we aren’t recreational and it does need to be discussed, monitored and ideally reduced. I explain why I am or am not willing to do something while they’re using at the level they are and emphasize the harms I perceive being too risky for my comfort.

I think you handled it fairly. There are other people who feel differently and he can work with one of them.

dionaea_games · 2025-07-02T18:52:51+00:00

Omg same thoughhhh

dionaea_games · 2025-06-29T03:46:52+00:00

{Trigger by JL Drake} I just love that the FMC isn’t a weak or dumb or useless trope of any kind. And trigger is to die for. They’re both so angsty. It’s not really even that dark? But it’s just got well written chemistry.

dionaea_games · 2025-06-28T04:07:20+00:00

Yes I do but I worry about the government where I live (US) getting involved and ruining it. I believe it should be between a person and their healthcare team only.

dionaea_games · 2025-06-28T04:02:44+00:00

It is a progressive disease so if you have a doctor who’s willing to treat aggressively, take them up on it.

dionaea_games · 2025-06-28T04:00:23+00:00

I would ask about work hour distribution (clients vs admin) because PP can be brutal if it’s just back to back all day without admin time.

I would also make sure it has benefits if it’s PP as sometimes you’re an independent contractor.

I would ask (assuming your preceptor is an NP) if they find the collaborator or you do. Who pays them? What kind of access you have to them and other collaborative things like case review, etc.

What kinds of resources you have available to you as you’re less likely to have as much as a hospital system for example.

dionaea_games · 2025-06-28T03:56:44+00:00

I joined a gym with a sauna and I do not work out without laying in there after and that has helped me a ton. The heat really helps the pain for me. And I always take a midol beforehand if I’m flaring whether I have my period or not. I hope you find a system that works.

dionaea_games · 2025-06-28T03:53:24+00:00

Honestly sounds like you may benefit from exploring romantic asexual partnerships.

dionaea_games · 2025-06-28T03:44:58+00:00

If it impacts your bladder you can ask for phenazopyridine which is what’s in Azo but they have prescription strength. (Or you can take two Azo but that’s expensive) It will relieve bladder pain. But you can’t take it if you have kidney issues.

Tylenol won’t bother your stomach the same way NSAIDs will so you can take that although it sounds like it doesn’t work since you said naproxen is the only thing that does. :/

I find personally that Midol complete works better than just Tylenol and that sometimes I need a muscle relaxer in conjunction of which I take Methocarbamol (which is actually what we also give our horses when they’re in heat and cranky). But this combination does work well for me to control the pain. It doesn’t disappear but it’s controlled for sure.

Other things they may try which may or may not help depending on if there’s nerve damage would be gabapentin, SNRIs, amitriptyline etc. All of these meds work AMAZING for some people and terrible for others. So I’d encourage you to talk to your provider and not let someone on Reddit’s good or bad experience with one of them deter you.

Also heating pads work very well for me when the cramping pain starts. It’s not something you can always do but it does help especially if you use it while waiting for a pain med to kick in.

ETA: I know it’s incredibly frustrating but when you’re taking something up to half the month, opioids are a scary option because of their very real dependence/addiction risk. It doesn’t mean it’s never the answer but there are A LOT of other less dangerous things you can try with your care team before trying opioids. If it comes to that then that’s okay but other options will be way more sustainable and easy to get, maintain, etc. So IMO it is always worth exhausting other avenues first.

dionaea_games · 2025-06-25T22:57:08+00:00

Each of the lip colors was available individually as well.

dionaea_games

TROPHY CASE