TCASII ADN

TCASII has 12 years experience as a ADN.

Latest Activity

1. New Grad Psych Nursing

   TCASII replied to JennaRM's topic in Psychiatric

   I'd be surprised if they wouldn't hire a new grad RN for a psych job. Around here, they'll hire anyone, regardless of past experience. I wouldn't start on NOC as an RN working in psych. Medical is a different story. You'll learn faster on days. ...

2. Psych RNs - what is rewarding for you?

   TCASII replied to NurseChapelLovesSpock's topic in Psychiatric

   +1 on paycheck. And I agree about the police bringing in people who are just trouble makers, as opposed to mentally ill folk. The police love to dump folks on psych hospitals, just so they can avoid work. Outside of that, not much is rewarding. T...

3. Assualted by psych patient

   TCASII replied to Udmert's topic in Emergency

   I'm a little put off by some of the remarks in here. It's as if people don't understand sociopathy, psychopathy, drug-seeking, or personality disorders. I work exclusively in inpatient psychiatry. After 8 years, I'd say that 80% of the patients I ...

4. Truama Informed Care is a pipe dream in acute psych -Change my mind

   TCASII replied to puravidaLV's topic in Psychiatric

   I mostly agree with the OP. I've worked in TIC facilities, and despite not fully knowing the ins-and-outs of TIC, the overall theme seems to be allowing patients to determine how their treatment plays out. In theory, TIC is good on paper. You work...

5. Zyprexa and Ativan IM Compatibility - (Haldol Allergy)

   TCASII replied to adnrnstudent's topic in Psychiatric

   There have been some fatalities with IM olanzapine, and I believe it has occurred without the combo as well. I know the depot olanzapine has caused some deaths too. It's generally recommended that IM olanzapine not be given with an IM benzodiazepin...

6. Question to all nurses who work in Psych

   TCASII replied to VegGal's topic in Psychiatric

   The number of patients is contingent on the workload. Where I currently work, 10 patients if often too many. The amount of charting and treatment plan work is very high. If all the patients are calm and not needy, then 10 is ok. I would do a much...

7. Are there less dangerous areas of Psych Nursing than Inpatient Psych?

   TCASII replied to Naturally Brilliant's topic in Psychiatric

   It might depend on where you live. Some states are a little better about staffing and making the environment tolerable. Where I live companies are not too good about staffing or providing decent work conditions. We have no state ratio limits or un...

8. Pre pulling meds

   TCASII replied to Riegelbeagle's topic in Psychiatric

   We just went through JCAHO inspection and they knew we pre-pulled. Nothing was said about it at all. It's psych, so I can't imagine the seriousness of of it. I understand a med-surg, ED or ICU type of environment however.

9. Assaulted by psych patient, police officers walking by did nothing?

   TCASII replied to PMHNP2023's topic in Emergency

   This is becoming the norm, unfortunately. In a psychiatric setting, if the patient has a psychiatric Dx, then the police will not take them to jail. This means that nearly 98% of the patients will not be arrested for an assault. Even the detox pati...

10. What's the Most Common Reason for a Patient to be Readmitted on a Psych Floor?

    TCASII replied to AlwaysAnxious's topic in Psychiatric

    EMTALA, malingering, partial malingering, noncompliance. To be honest, most of the patients I see are homeless and substance abusers. The majority have no desire to get better. They make a mockery of the system and don't even try when they dischar...

11. Pre pulling meds

    TCASII replied to Riegelbeagle's topic in Psychiatric

    I pull my meds around 0730, med pass is a 0900. I can give between 0800 and 1000. Same goes for midday meds - One hour before, one hour after. The only reason I can see not to pre-pull is impending order changes. Our meds go in a book with pocket...

12. safety concerns/ need advice

    TCASII replied to workingot's topic in Psychiatric

    I wish I would tell you how. Aside from removing contraband. I mean, aside from holds and S&R, your options are limited. The patients knowing you can’t do anything just exacerbates the problem. My hospital has decided that any hold that isn’t CPI...

13. Question to all nurses who work in Psych

    TCASII replied to VegGal's topic in Psychiatric

    Around my area, nearly all the hospitals are just meds, assessments, and busy work. I wouldn’t have time to run a group; I barely have time to talk to my patients. I have 10 or more patients asking for PRNs and acting out all day. Plus, several disch...

14. safety concerns/ need advice

    TCASII replied to workingot's topic in Psychiatric

    You couldn’t pay me enough to work in that environment. It’s unfortunate that all anyone cares about in psych is money. Staff have no protection nowadays. I’ve been in the field for 7 years and I’m disgusted by most hospitals. Doing away with seclusi...

15. New grad in psych

    TCASII replied to anna_91's topic in Psychiatric

    Wrong, methamphetamine and halogenated amphetamines are neurotoxic, therefore they destroy parts of the brain and can leave otherwise normal people with hallucinations for life. What are the long-term effects of methamphetamine abuse? | National In...