TerpGal02 ASN

Psych

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All Content by TerpGal02

  1. TerpGal02

    Thank you

    Speedy recovery Viva! I have to say the reason I became a nurse (and a psych nurse at that) is the care I received as a patient. As nurses, we tend to put others first in every area in our lives....
  2. TerpGal02

    sustenna IM for schizophrenia can we massage the site?

    I don't know the answer yes or no definitively, I would hesitate to massage the site for Sustenna or Consta. They are designed to deliver Tue med over 4 weeks for Sustenna and 2 weeks for Consta. I...
  3. TerpGal02

    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,...
  4. TerpGal02

    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...
  5. 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...
  6. 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...
  7. TerpGal02

    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...
  8. TerpGal02

    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 bed...
  9. TerpGal02

    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...
  10. TerpGal02

    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...
  11. TerpGal02

    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...
  12. TerpGal02

    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...
  13. 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...
  14. 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...
  15. 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...
  16. 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...
  17. 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...
  18. TerpGal02

    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...
  19. TerpGal02

    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 trouble...
  20. TerpGal02

    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....
  21. TerpGal02

    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...
  22. TerpGal02

    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...
  23. TerpGal02

    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...
  24. TerpGal02

    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...
  25. TerpGal02

    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...