TerpGal02 ASN

Psych

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All Content by TerpGal02

  1. TerpGal02

    What do you think about the voluntary use of seclusion rooms as a nurse/mental health aid?

    TerpGal02 replied to Calvinfair's topic in Psychiatric

    We call ours "quiet room". I think its an excellent intervention. Lots of times avoids the need for extra medication and keeps us from having to do further restrictive interventions. I also like it...
  2. TerpGal02

    How to handle new psych nurses

    TerpGal02 replied to nurseEsteve's topic in Psychiatric

    The best teacher for these kinds of things, IMO,is experience. Gosh I remeber being a fresh faced psych nurse and some of the situations in which manipulative pts had me going, or when patients with...
  3. TerpGal02

    Psychiatric nursing gone wrong

    TerpGal02 replied to CupcakeWHNP-BC's topic in Psychiatric

    I concur with all that is said above. When I was a brand spankin new nurse I was all about following the letter of policy in any circumstance no matter the situation. You will see deviations from...
  4. TerpGal02

    The every year Snow thread

    TerpGal02 replied to BSNbeauty's topic in General Nursing

    I was there this weekend. I live about 45 mins to an hour away but my hospital is in my hometown where my parents still live (the house I grew up in is 1.6 miles away and where my folks live now is 3...
  5. TerpGal02

    Do you deal with IVs on your unit?

    TerpGal02 replied to Scarlettz's topic in Psychiatric

    We dont start them but we manage them with enough frquency for me to keep my knowledge fresh. We do acute etoh detox on my unit, as well as take patients with medical stuff. Its mostly IVF or Zofran...
  6. TerpGal02

    Code blue on psych floor

    TerpGal02 posted a topic in Psychiatric

    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...
  7. TerpGal02

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

    TerpGal02 replied to BSNbeauty's topic in First Year After Licensure

    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...
  8. TerpGal02

    For New Grads -YES you can do psych.

    TerpGal02 replied to Psych_Nurse89's topic in Psychiatric

    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,...
  9. TerpGal02

    Nursing School Scrubs Nostalgia

    TerpGal02 replied to Brian's topic in Scrubs, Uniforms, Gear

    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...
  10. TerpGal02

    hydroxyzine HCl vs hydroxyzine pamoate

    TerpGal02 replied to Findingmynitch's topic in Psychiatric

    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...
  11. TerpGal02

    Eliminating Seclusion/Restraint? Um, NO.

    TerpGal02 replied to Angeljho's topic in Psychiatric

    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...
  12. TerpGal02

    My First Code

    TerpGal02 replied to motor_mouth's topic in Psychiatric

    I've never worked anywhere that had a lot of codes but at my last job we did do a fair amount of hands on. We were a freestanding with no dedicated security. We didn't call a code (which would...
  13. TerpGal02

    Night nurse

    TerpGal02 replied to lasair's topic in Psychiatric

    I would encourage you to follow previous poster's advice and try to develop a rapport with this nurse and professionally let him know his approach bothers you and help him understand how you would...
  14. TerpGal02

    Work in it...or is living it enough?

    TerpGal02 replied to melme's topic in Addictions

    I am not going to lie to you and say that it will be easy because it certainly is not easy dealing with addicts when you have been on the receiving end for any length of time. I have worked psych for...
  15. TerpGal02

    PRN for ETOH withdrawal day of discharge

    TerpGal02 replied to sassyann85's topic in Psychiatric

    For the straight detox pts on my unit, a 72 hour notice doesn't even apply. Detox is treated more like a medical admission. They can sign themselves out whenever and they usually do (if they are...
  16. TerpGal02

    Avoiding counter transferrence

    TerpGal02 posted a topic in Addictions

    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...
  17. TerpGal02

    Any PEDS Emergency Psychiatry Nurses out there?

    TerpGal02 replied to KimMM0770's topic in Psychiatric

    I am going to be working the psych pod in the ED one night per week but I think it's peds andadults. I've never seen a ddedicated peds psych pod. I've worked inpt c&a psych though and I love it....
  18. TerpGal02

    Emergency Psychiatric Medications

    TerpGal02 replied to edie1's topic in Psychiatric

    I've never seen PO Geodon used is an emergency. Lots of patients take PO Geodon as a regular scheduled med. Its a great mood stabilizer, weight neutral but yeah the prolonged QT thing. If we start...
  19. TerpGal02

    Children's psych...

    TerpGal02 replied to lmld's topic in Psychiatric

    In addition to the "mom with 24 really bad kids" thing just know that in psych, if you are going to be hit, kicked, bit, or spit on, 9 times out of 10 it's going to he by a child. And I'm talking the...
  20. TerpGal02

    Advice from psych nurses

    TerpGal02 replied to FlyOR's topic in Psychiatric

    I second Al Anon, of not for you, for your spouse. The behavior this "friend" of your spouse is exhibiting is classic addict behavior and I am sure if this person is causing your spouse such grief,...
  21. TerpGal02

    Which Scrubs Look Professional?

    TerpGal02 replied to valliloves's topic in Scrubs, Uniforms, Gear

    I have the Lindsey pants in 4 colors. I love them, tons of pockets and look plenty professional. They are also very comfortable. The waist is drawstring/elastic. The only thing of note is that the...
  22. TerpGal02

    Working as a Psych Nurse as a new grad RN?

    TerpGal02 replied to Michelle King's topic in Psychiatric

    You sound a lot like me in nursing school LOL! Felt like a deer in headlights in med/surg but got to psych rotation and thought, "ahhhhh". LOL! I went straight into psych almost 3 years ago as a new...
  23. TerpGal02

    What color are your scrubs?

    TerpGal02 replied to Iliauna's topic in Scrubs, Uniforms, Gear

    At my new job, nurses wear navy, techs wear teal. At my last job you could wear street clothes (business casual) or scrubs of your choice. I had so many cute patterned tops that I have had to put...
  24. TerpGal02

    Thank you

    TerpGal02 replied to VivaLasViejas's topic in Psychiatric

    Yep detachment, detachment, detachment. A phrase I like when other people try to suck me*into their drama is "not my circus, not my monkeys". Not very easy to do. I have learned this not only in my...
  25. TerpGal02

    To lock or not to lock the rooms

    TerpGal02 replied to natalissa's topic in Psychiatric

    At the facility I just left (not sure my new units policy) the only way you could lock a patient out of their room was with a doctor's order and that was only if the patient was failing to stabilize...