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Search Results Type: Posts; User: TerpGal02

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  1. Child Psych vs Adult Psych. Which is more demanding?
    This. I once asked one of our docs, "seriously Dr. D, can you just tell Jimmys mom that she's a terrible mother?" Plus I have found that 9 times out of 10, if I'm going to get hit, kicked, bit,...
    Jul 5
    Forum: Psychiatric Nursing
  2. Jacksonville university RN to BSN online
    I took some time off and just started back this session. I am taking nutrition and Holistic Nursing. Both seem pretty interesting but this nutrition class is going to be A LOT of work. I too took...
    Jul 5
    Forum: Nursing Online Distance Learning
  3. When you are the patient and know way too much LOL
    Glad to know that I'm not the only one who has driven myself over the edge. I had an episode with my dad this week, he was pulling a ride on mower down some ramps off the hack of a cargo van. The...
    Jun 21
    Forum: Nurse Colleague / Patient Relations
  4. When you are the patient and know way too much LOL
    So I went for my first set of four (yes FOUR, I'm allergic to everything) shots today. Years ago, it would have been the needles that made me green around the gills (I had a huge needlephobia...
    Jun 20
    Forum: Nurse Colleague / Patient Relations
  5. Decompressing - HELP - 23 yo RN in distress! LOL
    I will second making sure you are attending to your own self care. If writing your thoughts down helps, try journalling (leaving out identifying pt info of course). On your off time, do things YOU...
    Jun 17
    Forum: Psychiatric Nursing
  6. Networking for ACT/CTT?
    You need a program manager or someone who's job it is to do intakes. You guys are lucky to have a car. We had to use our own personal vehicles (reimbursed for mileage). That was fun the summer a...
    Jun 17
    Forum: Psychiatric Nursing
  7. Networking for ACT/CTT?
    It seems that this forum is heavily crisis stabilization/inpatient, and the public health nursing forum is heavily medical. As a community-based psych nurse, I'm desperate for a little networking and...
    Jun 16
    Forum: Psychiatric Nursing
  8. How do you emotionally deal with this?
    It is difficult for sure to hear some of these horrific stories or know that you will see that kid again because all the work you put into him/her will just be undone by their crappy caregivers. You...
    May 19
    Forum: Psychiatric Nursing
  9. Stand alone psychiatric facilities
    Just........wow. Let me know if you feel the same way after working at this facility for 6 months. Do not kid yourself into thinking there is " no skilled nursing" in psych. Especially if you are...
    May 19
    Forum: Psychiatric Nursing
  10. benzo use in hospital
    If the person is fairly benzo naive (as, doesn't take them often/at all) outside Tue hospital, I highly doubt they would have a serious w/d problem. If they are taking them at home in all likelihood...
    May 19
    Forum: Psychiatric Nursing
  11. What are some typical things you do as a Psychiatric Nurse
    I think in this instance "hyper religious" would refer to a pt who is religiously preoccupied or having religious delusions/hallucinations (ie, "I am Jesus Christ", or "I see angels and demons...
    Mar 26
    Forum: Psychiatric Nursing
  12. New grad hired in another specialty but psych is first love
    Yep. Get your year or two on your floor now and then find a psych job. It will help you SO much because psych pts VERY often have a number of medical problems. And you will encounter psych pts in...
    Feb 25
    Forum: Psychiatric Nursing
  13. Are seclusion/isolation rooms considered a restraint?
    Usually with the kids (its usually the kids that are using the quiet rooms) we ask them to sit on the mattress and give them an expectation (something short like 5 or 10) minutes of being calm, then...
    Feb 24
    Forum: Psychiatric Nursing
  14. How would you deal with a patient who looks disoriented and clumsy?
    All that above and your real biggest issue would be making sure they are on fall precautions. With confused/sedated/lethargic people (which a lot of the meds do, esp if someone has psychosis on top...
    Feb 24
    Forum: Psychiatric Nursing
  15. Are seclusion/isolation rooms considered a restraint?
    Not if the door is open, or is closed, not locked or held shut. We use the quiet rooms pretty frequently with kids having meltdowns and they aren't willing to return to their room. Rarely for...
    Feb 21
    Forum: Psychiatric Nursing
  16. Why did this happen to me?
    In my state the BON is only notified if you are committed psychiatrically and to commit someone takes a whole lotta red tape (meaning, 2 doctors certify you and an administrative law judge says you...
    Feb 17
    Forum: Nurses With Disabilities
  17. Nursing with Asperger's ... :/
    I suspect I am somewhere on the aspergers scale althought my special interests are a little more socially acceptable LOL (dogs, organic gardening, and psychopharmacology lol). I've always had...
    Feb 17
    Forum: Nurses With Disabilities
  18. Mental Health Guidance
    Sounds like what we call here in these parts part of a "Health Home" (not home health) initiative. Basically trying to provide all a person's care under one roof or at least to coordinate that care....
    Feb 17
    Forum: Psychiatric Nursing
  19. Patients with gender identity issues
    We always call the pt whatever name they wish to be called. Our facilities deal with all ages, and I have seen transgendered pts as young as 11. Some of our staff are not really respectful when it...
    Feb 12
    Forum: Psychiatric Nursing
  20. Psychiatric Nurse working with Police
    What area of the country will you he working in? Big city, medium sized city? Honestly I would not be worried about being murdered. I am sure your agency has safety protocols in place as far as...
    Feb 6
    Forum: Psychiatric Nursing
  21. IM meds question
    We usually have to call for an IM as most pts are not admitted with prns. The only exceptions are when we are getting someone we know is violent or they have prns at home (and that's usually a...
    Feb 6
    Forum: Psychiatric Nursing
  22. Which diagnosis?
    I would say the addicts with antisocial pd have been the most dangerous for us. Then the psychosis. Dementia pts can be quite violent as well, but we don't take just straight dementia at our...
    Feb 4
    Forum: Psychiatric Nursing
  23. bipolar v borderline
    They can actually be quite similar. Both can he manipulative, staff split, etc. The difference is the timing of the mood swings. In a true bipolar the mood phases last for a good while (ie the...
    Feb 4
    Forum: Psychiatric Nursing
  24. Are bras contraband?
    We allow bras of any kind, unless the bra is falling apart and the wire is coming out. Patients on high suicide precautions are 1:1 and only allowed paper scrubs. I've seen someone try to strangle...
    Feb 4
    Forum: Psychiatric Nursing
  25. IM meds question
    Yup if it's an emergent situation, you give the IM. And for most of our pts, they agree to emergency meds when they sign the consent for treatment. Even if they refuse to sign, emergency meds are...
    Feb 4
    Forum: Psychiatric Nursing


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