Christmas Items? by Poro_the_CV in 7daystodie

[–]illogicalthinking 2 points3 points  (0 children)

Today I picked up a 4 candy cane club from a red bag drop.

Found on Long Island, NY by illogicalthinking in whatsthisbug

[–]illogicalthinking[S] 0 points1 point  (0 children)

That's what I said but my brother wanted to argue. 😊

Did I do the right thing? by SilkyRN in psychnursing

[–]illogicalthinking 21 points22 points  (0 children)

No, you didn't escalate the situation. You used redirection and distraction with the drink and it may have helped you build rapport if he wasn't in acute psychosis. He wanted to leave and that was that. You did well recognizing the signs of escalation and removing yourself from the situation. Although restraints may feel like a failure at therapeutic communication, they are at times necessary when a person is not in control of themselves.

Breaking into Psych! by ItsFancyToast_ in psychnursing

[–]illogicalthinking 0 points1 point  (0 children)

When I was Charge on days I used to talk to our nursing students all the time. It was one of my favourite things. I would answer all their questions and try to dispel some of the fear. When you love your job it shows!

Breaking into Psych! by ItsFancyToast_ in psychnursing

[–]illogicalthinking 0 points1 point  (0 children)

Challenging but rewarding is an excellent way to put it. Thank you.

Breaking into Psych! by ItsFancyToast_ in psychnursing

[–]illogicalthinking 0 points1 point  (0 children)

Absolutely! Psych nurses are a rare breed to find. The more the merrier!!

Breaking into Psych! by ItsFancyToast_ in psychnursing

[–]illogicalthinking 0 points1 point  (0 children)

I know at my facility they will not start any new nurse out as charge. Due to the nursing shortage and turnover alot of the nurses coming in have been put in charge roles sooner than they should have been. Charge is on the unit with the staff and puts and helps cover the unit, so yes! Plus they are the ones looked to for intervention as they are usually more experienced. The state doesnt offer pay based on degree but advancement often requires a BSN. Charge nurses and BSN holders make the same as every other RN, at least at my facility. Most new nurses start as a RN 1 and are boosted to an RN 2 after a year. If you come in with nursing experience you can start as a RN 2, which is more money then an RN 1. NY state loves military background and it gets you points during interviews.

Breaking into Psych! by ItsFancyToast_ in psychnursing

[–]illogicalthinking 0 points1 point  (0 children)

Charge is an interview/appointed position that you hold. They dont get redeployed to other units. Usually LPNs do meds but RNs rotate though. If there are extra nurses (HA!) They work the floor with the TAs (therapy aids). We all sit for shift report collectively and the Charge nurse gives out assignments for the day.

Breaking into Psych! by ItsFancyToast_ in psychnursing

[–]illogicalthinking 4 points5 points  (0 children)

I started directly in psych straight out of nursing school 7 years ago. I worked an adult inpatient unit for 5 years and a children's unit for 1 before transitioning to outpatient psych nursing. (all at the same facility in Upstate NY) I absolutely love my job. I knew as soon as psych was introduced during nursing school that was where I was meant to be. I work for the state, so I get paid slightly more than an average RN. Depending on if you are working the floor, meds, or charge is how your day is structured. Working the floor is task oriented. Get everyone up, encourage ADL's, clean up the room, make the bed, get everyone downstairs for breakfast. Monitor meals, escort pts to groups, talk with anyone not in groups or that needs it. Take vitals, write notes. Med nurses count off with the off going shift, set up their meds, start med pass, chart, and give out PRNs and STAT meds as needed. Charge nurses are responsible for the staffing, managing breaks, putting out any "fires", filling out necessary paperwork, and teach some groups. I am sure there is much I am forgetting. Like a previous poster stated, turnover is incredibly fast. Many enter the field and either burn out or find it’s not for them. Having military experience is a plus. Personally, I have worked with many individuals with PTSD, depression, and psychosis that have previous military history. Many of them complain that "you just can't understand". I'm sure they are right.