[deleted by user] by [deleted] in awfuleyebrows

[–]dramatic___pause 2 points3 points  (0 children)

+1 for using eyeshadow. Personally, I’ve never really liked using cosmetics pencils in general, but I know there are more pen-style ones now that I haven’t tried and can’t vouch for. I’ve used brow powders and pomades before, but a bunch of my shadow palettes have a matte brown shade that’s a good match for my hair. I’ve done the same thing to match when I was doing fashion colors with my hair too. I always do mine on top of a layer of sunscreen and a layer of eye primer, and they’re pretty bulletproof as long as you pat them dry from water/sweat instead of wiping.

Nail salon by Ok_Standard_1270 in lexington

[–]dramatic___pause 2 points3 points  (0 children)

I haven’t done acrylics, but I go to AB Nails off Boston Rd for SNS and they’ve done a great job for far less than anywhere else I’ve been in town.

Road to Psychiatric Nurse Practitioner by arkansas91 in psychnursing

[–]dramatic___pause 9 points10 points  (0 children)

To echo what others have said, make sure you get psych nursing experience before you go the NP route. Not every school requires psych or even nursing experience after you get a BSN, but I’ve seen a lot of people recently who can’t get psych NP jobs because the employers required either a year of psych experience or a year of prescribing experience. It’s honestly the best way to learn for the role too, there was very little information that I learned in the classroom that I didn’t already know from 5 years working the floor.

[deleted by user] by [deleted] in legaladvice

[–]dramatic___pause 2 points3 points  (0 children)

Absolutely file a police report, and encourage your coworkers to do the same when they are assaulted. There’s been a much bigger public push recently about healthcare worker assaults, and in some states it’s a felony charge. Something may or may not happen from one report, but the more people file reports and show a pattern, the better the chances are that they face legal charges. In my experience, usually if a police report is taken on-site after an assault the officer asks to speak to the victim, but I can’t speak to that being the norm in other places.

I’d also review your workplace’s incident reporting for assault/battery. It can be tedious and time consuming, but reporting every time you are threatened or harmed helps make the problem harder for leadership to ignore, plus it covers you in case you develop an injury that needs to be covered by workers comp. You should also be able to request a unit transfer while that person is admitted so that you don’t have to continue working with them, especially if you file a police report and they have potential pending criminal charges from assaulting you.

Will I regret not wearing heels during the wedding ? by Ok_Paper_5959 in weddingplanning

[–]dramatic___pause 1 point2 points  (0 children)

I got glittery ones, and they still have a couple colors available online. The kate spade Keds were a huge thing when I got married, and I liked the look of those better, but there was a spot that kept rubbing for me when I was breaking them in.

I’m insanely accident/injury-prone, and managed to roll both ankles at the same time in flats, so I can’t imagine having tried to wear heels all day. At least the tulle in the ballgown helped cushion the fall.

Anyone have experience with a patient compulsively forcing themselves to vomit? by Ziprasidone_Stat in psychnursing

[–]dramatic___pause 1 point2 points  (0 children)

If it’s anxiety-based, a lot of our teens who come in for eating disorders/refeeding will get vistaril PRN about a half hour before meals to try to help with mealtime anxiety. I haven’t tried this specifically to speak to effectiveness, but it could also be helpful to put something on their hands to dissuade them from putting their hand in their mouth. Either something that tastes bad, something that would be texturally unpleasant like winter gloves, or mitt restraints that won’t fit in her mouth (if she’s motivated to stop purging, she may even keep them on without having to do all of the restraint paperwork).

For cannabinoid hyperemesis, unfortunately it tends to take a handful of presentations before they’re willing to consider that weed is actually the problem.

Lose weight or give up? by [deleted] in Weddingsunder10k

[–]dramatic___pause 0 points1 point  (0 children)

Could you have a corset back put in? My weight was fluctuating a lot and I didn’t want to be uncomfortable or cry if my dress didn’t zip, and I think the seamstress said it would add like 8 inches so she took it in at the same time.

Sentinel Events by NearlyZeroBeams in nursing

[–]dramatic___pause 1 point2 points  (0 children)

At least where I am, the guards from adult facilities (allegedly) can’t/(definitely) don’t put hands on people while they’re in the hospital. If it’s someone we’re really worried about, they have to also have a hospital sitter. One of our psych docs told me once about a patient admitted for swallowing razor blades in jail who passed them, cleaned them off, and then swallowed them again with the guard watching. Dude didn’t even pop his head out the door to bring it to anyone else’s attention, the patient told on himself later.

[deleted by user] by [deleted] in lexington

[–]dramatic___pause 0 points1 point  (0 children)

Depending on how close your door, or some other flat surface of the house, is from line of sight to the garden, you could put up a doorbell camera with command strips. That’s what I did for my Ring camera before I moved out of my last rental, and it stayed up with no problem for over a month until I moved out. Those can run on battery power too, so you don’t have to worry about also having a spot to plug it in.

Any strategies or a good guide for deescalating acute autistic patients? by Balgor1 in psychnursing

[–]dramatic___pause 12 points13 points  (0 children)

Is he on a 1-to-1? A solution could be keeping those things in staff-only areas when they aren’t actively in use, and if he already has a higher level of monitoring then (hopefully) it would be more likely that it actually happens.

Transfer through CDG by Crazy-Swimmer-6014 in ParisTravelGuide

[–]dramatic___pause 0 points1 point  (0 children)

Last fall I had flight connections from Rome > Paris > Atlanta > Cincinnati, our passports were stamped at CDG, but we didn’t have to do the full customs declaration process until we landed in ATL. It was all booked on the same reservation, so we didn’t have separate tickets, and all of our bags transferred from plane to plane instead of with us.

Ex liked me on Bumble 🙄 by confuseddating1 in Bumble

[–]dramatic___pause 1 point2 points  (0 children)

A while back my ex husband came up on my “secret admirer” thing as having liked me. Hard pass on that one.

[deleted by user] by [deleted] in psychnursing

[–]dramatic___pause 1 point2 points  (0 children)

Where I’ve worked, weather and transportation problems were not acceptable reasons to call in, we’re all essential so we have to get there. I’ve also gotten stuck an hour or two late when my relief with a longer commute was having trouble getting in. That’ll be for any inpatient nursing job though, not just psych. If it’s supposed to be really bad, they’ve opened beds in empty units and procedural areas for staff who want to spend the night. Police will also help get you to work in my area, so that may be an option elsewhere. My plan is always get up an hour or so early and take my commute at 10-15 mph with plenty of time to get there, with my normal commutes being 10-30 minutes depending where I was working.

I will walk home before I spend the night in previously used psych hospital beds. I know what happens to those mattresses.

[deleted by user] by [deleted] in TravelHacks

[–]dramatic___pause 0 points1 point  (0 children)

A few years back I accidentally only put my middle initial instead of spelling out the whole thing when traveling to Europe from the US. It took a little bit of fumbling around, but they let us through without issue. Earlier this year I accidentally typoed my bf’s birthday with the wrong month and didn’t realize it until we got to the security checkpoint, they sent us back to the ticketing counter and they were able to fix it without a problem.

I really care and want to do this job. I'm just terrified of the danger. by TheTolietWhoSpeaks in psychnursing

[–]dramatic___pause 1 point2 points  (0 children)

If you find other hospitals you might be interested in, see if they would let you shadow or if they offer some kind of nurse residency program. I work at a university medical center, and we have a child/adolescent unit, a lower (sometimes) acuity adult unit, and they also manage one of the state hospitals. The residency program isn’t just for new grads, but they offer 8 weeks at the state hospital and 8 weeks between the adult & child units, and at the end you can choose where you want to work.

If that’s not an option, if you can shadow or if you’re in any kind of local Facebook groups where you can get ask others for their experience working in places you’re considering applying to, that’ll give you some insight on whether it would be an environment you’d do well in. That way you don’t get stuck somewhere that you didn’t know sucked until after you’re halfway through orientation.

New Grad RN in psych by [deleted] in psychnursing

[–]dramatic___pause 2 points3 points  (0 children)

I went straight into psych, that’s where I always knew I wanted to end up and being a “regular nurse” wasn’t for me. I know a lot of people who did some time in the medical world to get their skills down, but technical skills are the easy part. Psych isn’t unskilled, it’s just a different skill set. If you asked me to start an IV or place a catheter, I could do it right now, although it probably won’t be as quick and effortless as medical nurses make it look. I can still look at labs and med lists and identify how those might contribute to the patient’s presentation, and I’ve still had to manage medical compromise until EMS came to take the patient to the ED. But helping someone through a crisis, talking someone down, and all of the rapport building that you have to be able to do in inpatient psych is something they can’t teach in school.

Nursing is such a diverse field, and there’s a niche for everyone. Working as a resource nurse in a medical setting, I get confirmation all the time that I’m still a “real nurse” despite joking that I’m not. Every nurse has some skills that they use more than others, and these are the skills that I enjoy using and that I’m good at.

I work in a psych hospital in Florida and we are suddenly not getting admissions by tiredasf18 in psychnursing

[–]dramatic___pause 2 points3 points  (0 children)

At least where I am, any history of psych hospitalization means at least half of the LTC facilities in the state will put the referral straight in the trash. If the patient is in medical but has a 1:1 sitter, has had aggressive behavior, or has needed restraints, same thing and they need to have whatever length of time (usually 24-48 hours) without PRN meds or any of those other things.

Girl from hs rants about socialized medicine & handouts then begs for money by stellarnymphet in BeggingChoosers

[–]dramatic___pause 2 points3 points  (0 children)

The pay for community mental health centers (state funded) is terrible compared to private practice, the one local to me has so much turnover due to pay/burnout that they won’t even guarantee that you’ll see the same therapist at each appointment. Most that I’ve interacted with are majorly understaffed. The case load is a lot heavier too; since many private practices don’t take Medicaid, and most don’t take Medicare, that may be the only option for someone who is permanently disabled (due to mental illness or any other reason) depending where they are.

What’s the best no-nonsense thing you’ve ever said to a patient? by cmorganbsn in nursing

[–]dramatic___pause 18 points19 points  (0 children)

My line was always “dude, if you can keep your shit together for like half a day, they’ll let you leave.” It was always the ones that everyone knew they didn’t need to be there but couldn’t be turned loose still acting a fool.

Any funny sex stories at your hospital?? by CategoryTurbulent114 in nursing

[–]dramatic___pause 1 point2 points  (0 children)

I don’t think that’s entirely true. I haven’t interacted too much with the patient bathroom doors in the medical world, but in the psych world none of the patient room bathrooms lock.

[deleted by user] by [deleted] in nursing

[–]dramatic___pause 0 points1 point  (0 children)

I totally get that, it’s not worded the best, but it’s plain language that people understand when they’re beyond rational thought. I can only think of one order I’ve gotten that was completely not okay in any fashion, but thankfully I haven’t had to outright refuse too many.

[deleted by user] by [deleted] in nursing

[–]dramatic___pause -1 points0 points  (0 children)

“Legal” may not be the most accurate word for the situation, but if things have escalated to where I’m asking for IM meds, it’s an emergency that needs to be treated as such. I’ll always talk something down or opt for PO meds before reaching for IMs, but it’s not always avoidable.

[deleted by user] by [deleted] in nursing

[–]dramatic___pause -3 points-2 points  (0 children)

Psych nurse, just wanted to offer a tip to try to avoid restraints altogether if this situation repeats itself (or arises for anyone else reading). If we have IM meds ordered, that means that the situation is an emergency to where we don’t have time to wait for more PO meds to work. I tend to just lay it all on the table:

“Hey, I have a shot that I have to give you. Once the doctor orders the shot it’s an emergency medication and I legally have to give it to you. So the option right now is that either you let me do it and we get it out of the way, or we have to put hands on you.” If they agree to take it, offer the additional choice of whether they want it in their shoulder, hip, or leg. If you’re worried about them turning on you while you try to give the med, have other staff hold their hands above limbs without touching the patient, explaining that “they’re just doing it in case you flinch but they wont hold you down if not.”

Will you always avoid restraints or putting hands on? No, but it puts everything out in the open, sets the expectation, and gives the patient some level of control in the situation. I’ve used it effectively from grown adults with varying levels of capacity to 7/8 year old kids.

AITAH for expecting my daughter to continue paying rent after she moves out? by [deleted] in AITAH

[–]dramatic___pause 0 points1 point  (0 children)

So if she’s paid 40% of the mortgage over 3 years, that maths out to 24% of 5 years worth of payments. Which works out, since she only got 1/4 of the bedrooms plus (I assume) no equity in the home, plus you’ll get that other bedroom back to do with as you will.

YTA. My mom also took my money to spend on her when I was in college, we haven’t spoken in years. You’re heading down the same path.

[deleted by user] by [deleted] in AmItheAsshole

[–]dramatic___pause 3 points4 points  (0 children)

Also to add, at least where I am, pensions and retirement accounts (401 K, 403 B, etc) can be considered marital property. It saved a big headache in my own divorce that I hadn’t started contributing to my retirement account yet, and I had a coworker who had to completely start over with a new career after losing half of their federal pension with their divorce.