TerpGal02 ASN

Psych

Member

  • Content

    540

  • Visitors

    15,000

  • Followers

    0

  • Likes

    17

All Content by TerpGal02

  1. TerpGal02

    No chlorhexidine scrubbing at home anymore?

    TerpGal02 replied to WoWChick's topic in Ob/Gyn

    I'm not an OB nurse but had a planned c section for placenta previa in May at one of the busiest L&D units in the area. I did not do a chlorhexadine scrub at home prior to surgery. I was told to...
  2. TerpGal02

    Nursing with vision loss/low vision

    TerpGal02 posted a topic in Nurse Disabilities

    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...
  3. TerpGal02

    Regular accuchecks for patients on atypical antipsychotics?

    TerpGal02 replied to dbabz's topic in Psychiatric

    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...
  4. TerpGal02

    Any INFJ in Psych nursing? Is counselling involved as a psychiatric nurse?

    TerpGal02 replied to fiba's topic in Psychiatric

    I am an INFJ. Psych so far has been a pretty good fit [discounting the trauma I suffered after being assaulted my a pt in his home). The job requires a lot of supportive listening, therapeutic...
  5. TerpGal02

    Visually impaired nurses

    TerpGal02 replied to lightspirit's topic in Nurse Disabilities

    I was diagnosed with Stargardt Disease a year ago at age 37. It affects my central vision and is a progressive genetic condition. I have 20/80 corrected in the right eye and 20/60 in the left. So...
  6. TerpGal02

    Not so sure about psych anymore

    TerpGal02 posted a topic in Psychiatric

    I have been working in psych for 6 1/2 years now, my entire nursing career. I knew I wanted to work in psych my first day of psych clinical in nursing school. I have seen it all as far as psych...
  7. TerpGal02

    Not so sure about psych anymore

    TerpGal02 replied to TerpGal02's topic in Psychiatric

    Thanks all! Yes, I have been in therapy for this incident and am now going through EMDR. This individual basically has to come to the office as we will no longer see him in his home if 2 people...
  8. TerpGal02

    Holding voluntary patients - illegally?

    TerpGal02 replied to SoCal student's topic in Psychiatric

    Really I think it boils down to what the law is in your state regarding psych admissions. I don't know of any state, although I am sure they are out there which says voluntary psych patients can just...
  9. TerpGal02

    Trans Patient

    TerpGal02 replied to Neo Soldier's topic in Psychiatric

    One facility Inworked in had all private rooms so problem solved there. Another facility had double rooms and the policy was that trans patients got a private room. The unit eventually moved to all...
  10. TerpGal02

    New Nurse Starting in Adolescent Behavioral Health

    TerpGal02 replied to nyum's topic in Psychiatric

    I would review psychotropic meds, their indications for child/adolescent patients. I would also review your therapeutic communication techniques. I would also suggest that you take another look at...
  11. TerpGal02

    Imminent danger

    TerpGal02 replied to fworkentin's topic in Psychiatric

    I would agree that alternate methods should be tried first just like previous posters have said. If the docs are on the floor, I would let them make the call but the psychiatrists IMO spend on about...
  12. TerpGal02

    Nursing with vision loss/low vision

    TerpGal02 replied to TerpGal02's topic in Nurse Disabilities

    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...
  13. TerpGal02

    IM Injections

    TerpGal02 replied to nina12345's topic in Psychiatric

    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...
  14. TerpGal02

    Psych NPs and COPD/CHF/CKD/etc clinics

    TerpGal02 replied to LouBean's topic in Advanced Practice

    We have this at the agency I work for. We habe the outpatienf mental jealth clinic and our agency has partnered with another agency that pdovides primary care so that they have a clinic in the same...
  15. TerpGal02

    Physical demands?

    TerpGal02 replied to caren19's topic in Psychiatric

    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....
  16. TerpGal02

    Haloperidol Short Acting Administration Setting

    TerpGal02 replied to 2Bee's topic in Psychiatric

    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
  17. TerpGal02

    Could someone recommend a good insole?

    TerpGal02 posted a topic in Scrubs, Uniforms, Gear

    I have a very high arch to my foot. I have tried all varieties of sneakers and no matter what after a long day of clinicals my feet, knees, and back are just ACHING. I can't seem to find a shoe that...
  18. TerpGal02

    power struggles

    TerpGal02 posted a topic in Psychiatric

    I just do not get how so many of our adult staff cannot grasp the concept of not getting involved in power struggles. Urgh. Case in point. We have 2 pts on the unit veeeery Axis II, antisocial PD...
  19. TerpGal02

    Artane (Trihexyphenidyl) vs Cogentin (Benztropine)

    TerpGal02 replied to electricblack's topic in Psychiatric

    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...
  20. TerpGal02

    Psych nurses all have a mental illness

    TerpGal02 replied to WinterLilac's topic in Psychiatric

    I have heard this a number of times, too. I tend to agree with some other posters where nurses often end up in specialties they feel a personal connection with, thus there are a certain number of...
  21. TerpGal02

    Adults vs kids

    TerpGal02 replied to KaffeineFiend's topic in Psychiatric

    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...
  22. TerpGal02

    Night Shift Survival

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

    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...
  23. TerpGal02

    High dose Ativan for negative symptoms of schizophrenia

    TerpGal02 replied to MMC.RN's topic in Psychiatric

    Yes, I have seen this done in the past for catatonia. It was pretty effective the times I have seen it used. Mind you, this was for severe cataonia where the patient was unresponsive and just laying...
  24. TerpGal02

    When does staff rights start

    TerpGal02 replied to Sniper06's topic in Psychiatric

    I often wonder on this too, especially after the week I just had. We had a batch of particularly verbally abusive
  25. TerpGal02

    I Hate Psych

    TerpGal02 replied to b52RN's topic in Psychiatric

    Sorry gotta disagree there. Sometimes there is MORE secondary gain with adolescents. Sooooooo much attention seeking behavior. Whats a better way to get attention from a distant, hninvolved parent...