TerpGal02 ASN

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 take a shower with my regular soap but scrub my b...

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 Stargardt Disease which for all intents and purposes ...

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 initiation and then regularly thereafter. I have seen ...

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 support, motivational interviewing, psycho ed which are...

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 far I can still drive and practice safely with adap...

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 goes. Children, adolescents, adults, geri patients, p...

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 can't go. He has a long history of violence when into...

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 AMA whenever they want. In my state, patients ar...

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 private rooms so again, problem solved. That tran...

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 your Human Growth and Development and your Erikson's...

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 an hour or 2 on the unit seeing pts then they bugg...

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 Stargardts either. Being a rare disease, it's hard to con...

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 time (and I do look it up before I get there) then ...

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 building. They do this at 2 of our locations. Its...

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. Pediatric patienfs simply do not have the impulse...

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 choice.

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 has the arch support I need. Anyone here with th...

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 males that just rub you the wrong way. Well every ...

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 antipsychotics for a long time and have Parkinsoni...

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 psych nurses that have struggled with mental illness ...

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 root cause of why the kiddo is in the hospital, es...

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 ended up having no social life because flip floppi...

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 in bed starinv at the ceiling. I would assess re...

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

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 than to keep yourself in hospital after hospital? A...