JuliRN

JuliRN specializes in Psychiatric.

Latest Activity

1. New RN...excited

   JuliRN replied to John24's topic in Psychiatric

   I'm a 24 year old RN who works at a 16 bed psych facility. The age of our pt.'s varies, many times a lot of them are older than me but I find that my age really isn't an issue at all, no matter how old the pt. is. I do lots of 1:1, conduct groups, ...

2. IM meds question

   JuliRN replied to sassifras85's topic in Psychiatric

   Our admitting orders allow us to list different po/im medications prn. We do have a few listed for agitation, but if we have someone tearing up the unit, threatening staff, harming self/others, I'm definitely on the phone with doctor getting somethi...

3. Are seclusion/isolation rooms considered a restraint?

   JuliRN replied to babaloo's topic in Psychiatric

   If a pt. is escalating we will often offer the use of the "quiet room" aka the seclusion room with the door open. For some pt's it's helpful for them to be able to go somewhere quiet and collect themselves. This isn't considered a restraint. Whene...

4. PRN Psych medications

   JuliRN replied to babaloo's topic in Psychiatric

   If a patient is out of control and presents as a danger to self, staff, or other patients then we can administer an IM (after notifying MD that the pt. is refusing PO). The downside to this is the huge amount of paperwork we have to do since this is...

5. De-escalation Techniques/ Redirection techniques for Crisis Situations

   JuliRN replied to babaloo's topic in Psychiatric

   At my facility we do a de-escalation form with all new admits. It's basically a little packet where the patient can list some things that set them off, things that upset them more during a crisis, things that help when they are becoming agitated, et...

6. Which diagnosis?

   JuliRN replied to nursegreene's topic in Psychiatric

   Definitely acute psychosis. Those patients we have admitted who are using spice/K2/bath salts/and even meth can become extremely psychotic and destructive. A lot of these patients don't seem to respond well to antipsychotics for the first day or so...

7. Any experience with pseudoseizures?

   JuliRN replied to Umberlee's topic in Psychiatric

   We had a patient at my facility who was admitted after extensive sexual/physical abuse throughout her life. She came to us from ICU and while I was getting report, the nurse informed me that she had pseudoseizures. This was my first encounter with ...