TerpGal02 ASN

Psych

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All Content by TerpGal02

  1. TerpGal02

    Time Limit on Time out for patients

    TerpGal02 replied to conroenurse's topic in Psychiatric

    In my facility a pt can be in his or her room or the quiet room as long as they need to be to calm down. For the kids its usually not that long. 15 mins, half hour at most. If they are making...
  2. TerpGal02

    Circumcision

    TerpGal02 replied to TexRN's topic in General Students

    I gotta say ECT and circs totally different. ECT is ALWAYS done as a therapeutic measure usually as a last resort and the Pt has full informed consent. I work in an ECT facility and I have literally...
  3. TerpGal02

    Trauma Centers- East Coast

    TerpGal02 replied to SticU <3's topic in Critical Care

    I second. And Baltimore is right on the bay
  4. TerpGal02

    Looking the proverbial horse in the mouth

    TerpGal02 replied to Marshall1's topic in Health, Stress Management

    Lamictal is a good med for augmenting anti depressant and is actually a fairly good antidepressant on its own. I personally take it for mood stabilization (I too am bipolar). I also take a wee dose...
  5. TerpGal02

    What to expect in Microbiology?

    TerpGal02 replied to Dezi919's topic in Pre-Nursing Students

    Your A&P will help you in micro as far as cellular physjiology. I LOVED micro, esp the lab. Growing out the cultures and running the tests. Our last project was identifying 2 unknowns. It was...
  6. TerpGal02

    New Student this fall, I want to do psych!

    TerpGal02 replied to Doc_Holliday's topic in Psychiatric

    If you're really interested in psych, I would suggest you try to get a position as a mental health tech during school. This way, you will get your feet wet in the specialty and see if you really like...
  7. TerpGal02

    Just a vent... medical vs psych

    TerpGal02 replied to Mandychelle79's topic in Psychiatric

    THIS!!!!!!! This is how psych beds get filled. If an ED, no matter what medical issues they have, decides a PT needs psych care, its basically a shot gun approach to all psych facilities within oh,...
  8. TerpGal02

    The patients you love working with.

    TerpGal02 replied to dudette10's topic in Patient, Colleague Relations

    Gotta say I love the chronic schizophrenics. They're a hoot! We just had one d/c to the state hospital today after being with us for 5 mos. Gotta admit I got q little teary as she
  9. TerpGal02

    Just a vent... medical vs psych

    TerpGal02 replied to Mandychelle79's topic in Psychiatric

    And yet another example. On Saturday I got report from night shift on a adult PT with COPD on 2L O2 via NC. She had developed a dry nonproductive cough overnight, woke IP at 4 am with SOB, sats in...
  10. TerpGal02

    Phosphene-Induced Sleep

    TerpGal02 replied to Davey Do's topic in Psychiatric

    That is really interesting. Might be trying that one out. With a lot of Tue dementia pts we get, esp the ladies, I'll unfold a bog stack of clean linens and ask if they would mind helping me fold...
  11. TerpGal02

    Looking the proverbial horse in the mouth

    TerpGal02 replied to Marshall1's topic in Health, Stress Management

    Man Effexor and Cymbalta wind me up like a top (but I'm also bipolar and anti depressant with no mood stabilizer is asking for rapid and epic destabilization for me). I agree, society wants to stuff...
  12. TerpGal02

    Nursing Student Needing Help with a Mental Health Teaching Project

    TerpGal02 replied to christinejacksn's topic in Psychiatric

    Progressive muscle relaxation. It's my favorite group to run. Super easy to teach and very effective. Use it a lot myself in fact. Check out this book on amazon The Relaxation and Stress Reduction...
  13. TerpGal02

    from social work to nursing

    TerpGal02 replied to socialwrkr's topic in Psychiatric

    I wasnt aware of a whole lot.of direct entry psych no programs. At least not near me. We've got the more somatic direct entry specialties, but not psych If we did I would've been chomping at the bit...
  14. TerpGal02

    Is this uniform appropriate?

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

    Usually in psych, you wear street clothes or scribe, depending on the facility. Mine allows both. Most nurses who have been there a long time.wear street clothes. I think you're
  15. TerpGal02

    New nurse, first job, med error

    TerpGal02 replied to Tiramisu567's topic in First Year After Licensure

    Oh man I remember my first med error. It was probably a monthish or so ago. My first job was in the community, I packaged them for delivery and I could take all day if I wanted. Fast forward to...
  16. TerpGal02

    New RN Job Probation Period:

    TerpGal02 replied to pumpkinspice555's topic in First Year After Licensure

    My probationary period at the job I have now (first inpatient job) was 4 months. One month for orientation and 3 months of "on your
  17. TerpGal02

    Can we recommend a medication to a doctor to prescribe?

    TerpGal02 replied to stallion8797's topic in Patient, Colleague Relations

    I work psych. I have never suggested a specific psych med, but rather class. Like "x is in the quiet room pounding on the walls and.combative with staff. We haven't been able to de escalate him....
  18. TerpGal02

    Nursing support hose/socks

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

    I have the nursemates compression socks too. I have never NOT worn them. My legs nver hurt. My FEET, that's another
  19. TerpGal02

    unsafe staffing

    TerpGal02 posted a topic in Patient Safety Issues

    It seems like we're having a lot of mandations lately, and.its not due to things coming up. It's due to lack of staff. Our scheduler will put the schedule out with holes in it, never bother to try...
  20. TerpGal02

    Reinforcing a Perception of Reality

    TerpGal02 replied to Davey Do's topic in Psychiatric

    What I've always been told and practiced is that with dementia pts, you never argue with them about their delusions., it will just agitate them. And with that said, they are never going to go back to...
  21. TerpGal02

    Just a vent... medical vs psych

    TerpGal02 replied to Mandychelle79's topic in Psychiatric

    Ugh honestly this grinds my gears. I work in a small psych hospital in the sticks, have very limited psych resources in this area, we get admissions from everywhere. The EDs that refer to us...
  22. TerpGal02

    from social work to nursing

    TerpGal02 replied to socialwrkr's topic in Psychiatric

    Well the first thing you need to do is get through nursing school and to be honest, many schools are more looking at your pre req grades and enterance exam scores. You will be trained as a generalist...
  23. TerpGal02

    What's the lowest potassium you would feel comfortable not supplementing?

    TerpGal02 replied to blondy2061h's topic in Patient Medications

    I had a potassium of 2.8 once. I felt like hell, like I was having a heart attack. I was taking chlorthalidone at the time. I am just fine with hctz (have hypertension). The supplemented me PO in...
  24. TerpGal02

    I Lost a Medication: Controlled Substance

    TerpGal02 replied to GreenApplesauce's topic in Patient Medications

    Same thing here. We DO have a pyxis though. You pull out an Ativan the same way you'd pull a Zoloft or Atarax. Pyxis asked you to verify the count, but it gives you the count (like count is 10 is...
  25. TerpGal02

    ACTT nurse input needed

    TerpGal02 replied to juschillin's topic in Psychiatric

    I spent close to a year in ACT. We were supposed to have 2 FT RNs and 1 PT RN but for whatever reason the PT RNs we hired just didn't work out. We had 80 clients when I left. It is totally...