TerpGal02 ASN

Psych

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All Content by TerpGal02

  1. TerpGal02

    Psych nurse for 5 mos...need advice

    Um, I would RUN! It sounds like you've seen some good in other areas of the system, I would see if you can transfer. Are you saying the adults and adolescents are housed AND in group together?...
  2. I agree with Viva. Hospital nursing can be very destabilizing for all 3 of your conditions. Being on my feet all day with sciatica, I think would suck. I don't have it, but have watched MIL suffer...
  3. TerpGal02

    Any other autistic nurses out there?

    I too have suspected I fall within the spectrum for some time. I have a really hard time getting jokes, sarcasm is totally over my head. I have a very difficult time at parties in group...
  4. TerpGal02

    Psychiatric-Mental Health Nursing

    Great article ? In addition, there is a skill that IMO is unique to psych nursing and that is milieu management. On any other hospital unit, the pts are in their own rooms all day. On a psych unit a...
  5. Interagency meetings are THE MOST frustrating things. I have never been to one that I thought productive. It's all the agencies involved passing Tue buck to the next while agreeing "This is a...
  6. TerpGal02

    Being a Psych RN

    Hey there, also thought I would chime in on your post. I have been a psych nurse for a year and a half. I always loved psych in NS, but did try to get that one year med surg experience. As you know...
  7. TerpGal02

    psych nurse position second chance!

    Well in my facility patients/staff aren't allowed to touch eachother at all, so I have become a fan of the "air five" lol. The advice you've been given is great. Psych codes seem very scary but it's...
  8. TerpGal02

    For those with psych history

    I have bipolar 2 and am a psych nurse. I AM with the others in the "never" camp. I do share with all my patients the perspective that I take with my OWN treatment though. I always tell my patients...
  9. TerpGal02

    MH clinic staff in Halloween costumes

    I think it's totally inappropriate too. I could just imagine some of our acutely psychotic pts flipping out thinking there were REAL witches or vampires in the hospital LOL. Not to mention the "no...
  10. TerpGal02

    Phasing out noc shift differential in acute care?

    We do 8s where I work. Our evening shift diff is higher than our noc shift diff too. We have recently had a helluva time retaining noc shift nurses and as a result are having huge staffing issues....
  11. TerpGal02

    Lawsuit Claims Nurse Was 'Worked to Death'

    Where I work it is automatic termination if you refuse to stay for mandation ( which makes it a 16 hour shift in the end, 2 8's unless the following shift agrees to come in early). We are only...
  12. TerpGal02

    question about "cutters"

    For sure. I'm not talking about at the nurses station when you hear your friendly frequent flyer bpd (or apd, or drug seeker) is in the pipeline to he admitted AGAIN, turning to your co worker and...
  13. TerpGal02

    question about "cutters"

    Staff splitting for sure is crazy making, I'm not denying that. Mentioning in report that someone is staff splitting in report is totally different from people speaking disparagingly about patients....
  14. TerpGal02

    question about "cutters"

    Oh my is there a stigma about cutters. I work inpatient with all ages, mostly these days with the children and adolescents. Almost ALL our adolescent patients cut and even in psych nursing, there is...
  15. TerpGal02

    How to safe guard adult and children?

    Everything Meriwhen said :) This is why it is SO important to build a trusting rapport with patients, ESP teenagers. If they trust you, they will be more willing to disclose abuse, self injurious...
  16. TerpGal02

    IM Ativan

    Our docs prefer Geodon to Haldol IM so we give it in 2 shots if we are giving Ativan too. I have never diluted it. I draw and give in a 20 gauge. I know it sounds mean, but its easier to draw up...
  17. TerpGal02

    Registered Nurse VS Psychiatric RN

    I wish I had more 1:1 time with my patients. That's why I went into psych nursing. I was always more interested in the psychosocial/therapeutic communication aspect of nursing. I always knew I...
  18. You may get the very rare hiring manager that sees your diagnosis as a strength but don't bet on it by a long shot. I have bipolar type II and had to disclose at my first nursing job (in psych) due...
  19. TerpGal02

    Psych RN positions

    There are a number of hospitals in the DC burbs too that have psych units, unfortunately not a lot of stand alones. In Montgomery County, Montgomery General (MedStar Montgomery), and Suburban have...
  20. TerpGal02

    Got my flu shot today

    le sigh. I take BP meds too. 4 of em. Without medications, my SBP usually runs that. But then there are the off few days where it shoots up REAL high 180-200 range on days when I'm sleep deprived...
  21. I never ever give IM Phenergan in the delt. Always in a large muscle where I can get nice and deep. Usually the DG or VG site. FYI though if you work with any psych pts on antipsychotics and a...
  22. TerpGal02

    Got my flu shot today

    Got mine today. My arm is sore as the dickens and I know I will feel like poo tomorrow (always get malaise after the flu shot) but its sure better than getting the flu. I am a huge needlephobe (can...
  23. TerpGal02

    Acute psych questions

    I gotta disagree with this. I have bipolar type 2, and I've been hospitalized IP 3 times for it. I do not find working in psych destabilizing or triggering at all. I think I commiserate most with...
  24. TerpGal02

    Restrospective

    Yep always wanted to be a psych nurse here too. I didn't plan on starting in psych, planed to get my "one year med/surg experience" but it just so happened that the psych job I applied for hired me...
  25. TerpGal02

    Jacksonville university RN to BSN online

    My advice is DO NOT take Evidence Based Practice and Health Assessment for the Practicing Nurse together. That was seriously 8 weeks of