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TerpGal02 ASN

Psych
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TerpGal02 has 6 years experience as a ASN and specializes in Psych.

37, married, graduate of University of MD College Park with a degree in Political Science and a Dec '11 grad of a local CC ADN program

TerpGal02's Latest Activity

  1. No I've not seen routine accuchecks for Pts on atypicals unless of course they are diabetic. Usually what I have seen in tje settings I have worked in is that the prescribers will get an A1C on initiation and then regularly thereafter. I have seen ...
  2. TerpGal02

    Nursing with vision loss/low vision

    It's good to "meet" someone else with Stargardts. No one else in my family has it. I am 37 now, did not start noticing something was wrong until I was 36. No one else in my "real life" has Stargardts either. Being a rare disease, it's hard to con...
  3. TerpGal02

    IM Injections

    You're talking long acting injections right? I work on an ACT Team and I give lots of long acting IM's. Usually when I'm in a clients home I will casually ask them where we did the injection last time (and I do look it up before I get there) then ...
  4. Hi all! I have been an RN working in mental health nursing for 6 years now. I currently work in a community based mental health agency on a mobile treatment team. In April, I was diagnosed with Stargardt Disease which for all intents and purposes ...
  5. TerpGal02

    Physical demands?

    If you work on inpatient child/adolescent, things can get quite physical. You will find, especially with kids under 12 that they are in the hospital for behavior problems/aggression along with ADHD. Pediatric patienfs simply do not have the impulse...
  6. I work on an inpatient unit in a general hospital and we use haldol regularly on the m3dical floors. If a patient has delerium during their stay, haldol is the treatment of choice.
  7. TerpGal02

    Artane (Trihexyphenidyl) vs Cogentin (Benztropine)

    This. There is a potential for abuse with Artane. Its also a lot more dangerous in the case of an overdose. I rarely see it used. Really I have only seen it in pts that are real chronics, been on antipsychotics for a long time and have Parkinsoni...
  8. TerpGal02

    Adults vs kids

    I have worked with all ages but I like adolescents best. The biggest difference I see is the influence of family on the patients. 9 times out of 10 its some kind of family conflict that will be the root cause of why the kiddo is in the hospital, es...
  9. TerpGal02

    Night Shift Survival

    I did noghts for a year. Loved my night shift crew, loved the shift itself. I just couldnt deal with the hours. I tried all the suggestions above and I just could not sleep during the day. Plus I ended up having no social life because flip floppi...
  10. TerpGal02

    Just can't do nights and I am finally accepting it.

    Count me in as well. Just started on days this week after a year of working nights. At my last job, I worked 2nd shift and loved those hours as I havent always exactly been a morning person. I picked up a few nocs there and thought that night shif...
  11. TerpGal02

    Code blue on psych floor

    Well I had my first code today after 3 years of nursing. Elderly patient started choking about half an hour after evening snack. Thank God I was in his room. I Heimlich'ed him but he went unresponsive and started slithering to the floor in my arms...
  12. TerpGal02

    For New Grads -YES you can do psych.

    Sorry, gotta disagree with ya on this one. I went into psych straight out of nursing school. In my experience, I never STOPPED looking at and understanding lab values, doing physical assessments, inserting catheters (mostly just straight cath thoug...
  13. TerpGal02

    Nursing School Scrubs Nostalgia

    We had these awful white bottoms and white tunic tops that zipped in the back with our school patch on the sleeve. They were made of this awful polyester/rayon synthetic blend and they were SOOOOOO itchy, They switched to navy scrub pants for the i...
  14. TerpGal02

    hydroxyzine HCl vs hydroxyzine pamoate

    They're given interchangeably everywhere I've ever worked. At my last hospital, the docs could order Atarax (hcl) or Vistaril (pamoate) and they were getting hcl, no matter what. Hcl was the only formulation we carried. Where I work now, if a doc ...
  15. TerpGal02

    Eliminating Seclusion/Restraint? Um, NO.

    I agree. I don't think it will be possible to ever totally eliminate it. Sometimes people are so sick that no amount of verbal Dr-escalation or PO PRNs (if the of even agrees to take) will keep them safe. I have worked places where it seems like t...
  16. TerpGal02

    Avoiding counter transferrence

    I just started a new job in a community hospital psych/detox unit. I have almost 3 years in psych caring for all ages and love it. The addictions part not as much. We have had addicts and drug seekers but never straight detox. We do straight deto...