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Search Results Type: Posts; User: TerpGal02

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  1. 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
  2. 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
  3. 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
  4. 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
  5. 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
  6. 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
  7. 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
  8. 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
  9. 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
  10. 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
  11. 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
  12. 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
  13. 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
  14. 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
  15. 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
  16. How do we support our mentally ill
    I can tell you first hand we do an AWFUL job of taking care of the chronically mentally ill. I am a psych nurse, so I've seen it first hand. It was most glaring when I worked in the community. The...
    Feb 4
    Forum: Nursing Activism / Healthcare Politics
  17. Is anyone else losing spouse coverage?
    Thankfully my employer has not dropped spouse coverage, but I did do some research when the exchanges first came out to see what we would be looking at if we paid out of pocket (we don't qualify for...
    Feb 3
    Forum: Nursing Activism / Healthcare Politics
  18. Best Scrubs for the Money?
    I have 3 pairs of Lindsey pants one pair bought a year ago. I have NO problems with wear. Fading a little bit but not wear. I love Lou! My second favorite brand at least in pants are Dickies.
    Jan 30
    Forum: Nursing Scrubs / Uniforms / Gear
  19. What is more reccomendable for nurses now a days?
    I work in psych as well and I wear prints. Nothing loud or too many colors, but I do like bright colored pants. I've never had a psychotic pt tell me they're seeing things in my scrubs. Most of my...
    Jan 30
    Forum: Nursing Scrubs / Uniforms / Gear
  20. RCOT Definition
    Well in my state involuntary commitment and forced meds are two different balls of wax. As far as "involuntary", a police officer, psychologist, or psychiatrist can initiate an emergency petition...
    Jan 30
    Forum: Psychiatric Nursing
  21. Good Excuses for Missing Work
    I'm sure everyone loved it when I called off right before the shift started this summer. I wrecked my car on the interstate on the way there. Very badly. A tractor trailer decided yielding to...
    Jan 23
    Forum: About A Nurse - Nursing Cartoon Series
  22. Psychiatric Nurse working with Police
    In the hospital I work at now, we rarely see police unless it's a pretty extreme situation and we call them. Our patients are brought in by transport usually from local ERs or after being evaluated...
    Jan 23
    Forum: Psychiatric Nursing
  23. Ashamed of Disability
    I think it's totally outlandish that nurses with mental illnesses are wrangled into these "one size fits all" monitoring programs. What is the point of random fox screens on someone who has NO...
    Jan 17
    Forum: Nurses With Disabilities
  24. Staffing on C&A inpatient psych unit
    I work at a 43 bed free standing psych facility. 23 of those beds are C&A. Days and evenings we're staffed at 4 nurses and 7 MHAs (psych techs or what have you). Two of those nurses are dedicated...
    Jan 17
    Forum: Psychiatric Nursing
  25. What do you think about this Staff/pt ratio? Potential job offer
    That sounds pretty decent. I work at a 43 bed free standing facility. A 20 bed adult unit and a 23 bed c&a unit. At capacity it's 4 nurses and 7 staff for the whole hospital. 2 nurses per unit. ...
    Jan 10
    Forum: Psychiatric Nursing


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