marshmallowstar BSN, RN

Peds, Neuro Surg, Trauma, Psych

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All Content by marshmallowstar

  1. marshmallowstar

    IM Ativan

    marshmallowstar replied to dc529's topic in Psychiatric

    It's syringe compatible with Haldol so if you're giving both it thins it out a bit. I've never diluted it otherwise. It burns less if you push it slower also if the muscle is relaxed. I often...
  2. marshmallowstar

    AP Psychology Interview

    marshmallowstar replied to schoolstudent's topic in Psychiatric

    I sent you a
  3. marshmallowstar

    AP Psychology Interview

    marshmallowstar replied to schoolstudent's topic in Psychiatric

    1. How did you get into this field? Were there any personal factors? I started undergrad as a chemistry major but early on found myself bored with most of the content as I had taken many advanced...
  4. marshmallowstar

    Geodon IM

    marshmallowstar replied to TerpGal02's topic in Psychiatric

    We were on a Geodon/Ativan kick for a while, seem to be back to H/B/A now. A trick I learned with the Geodon is that is actually dissolves from being in contact with the water so I would add the...
  5. marshmallowstar

    Good assignments?

    marshmallowstar replied to Meraki's topic in Psychiatric

    Impact of mental illness on pain and pain on mental health. How would you explain and offer treatment options for somatic pain/sx. Differential Dx. You have an inpt psych pain c/o SOB or abdominal...
  6. marshmallowstar

    Techs and groups

    marshmallowstar replied to alb402's topic in Psychiatric

    No, it's not too much. I was an MHT on a children and preadolescent unit before nursing school and we did groups, and back then we only made $7.80. We did a 4 o'clock group which could be anything...
  7. marshmallowstar

    Is this true?

    marshmallowstar replied to Isitpossible's topic in Psychiatric

    Just FYI... PA doesn't require a court order for forced meds, it requires a second opinion. The process is outlined in Mental Health Bulletin99-85-10: “Administration of Psychotropic Medication to...
  8. marshmallowstar

    Is this true?

    marshmallowstar replied to Isitpossible's topic in Psychiatric

    I'm assuming you're in PA since you used the term 302. I haven't worked in PA in a couple of years, so unless things have changed commitment (302) and forced meds are separate. Forced meds is a...
  9. marshmallowstar

    Honest advise needed

    marshmallowstar replied to lynds80's topic in Psychiatric

    Why did you leave the first psych job after 3
  10. marshmallowstar

    I'm a BSN student and just got a PCA position at a Children's Hospital - tips?

    marshmallowstar replied to lumosnox's topic in Pediatric

    I was a PCT in a Peds ED during nursing school, it was awesome and I learned so much. Since you'll be in the float pool you'll probably orient/interact with lots of different techs. As you orient...
  11. marshmallowstar

    Zyprexa and Ativan IM Compatibility - (Haldol Allergy)

    marshmallowstar replied to adnrnstudent's topic in Psychiatric

    They're syringe compatible, but the Zyprexa should be reconstituted with water first. http://pi.lilly.com/us/zyprexa-pi.pdf Page
  12. marshmallowstar

    Pediatric Psych Floor....recommendations?

    marshmallowstar replied to emptyboxcars's topic in Psychiatric

    I started as an MHT on a children's unit. Things I learned... Never make a promise you can't keep. Don't say you're going outside for free time if there is a possibility you won't. Don't...
  13. marshmallowstar

    ?'s for experienced inpatient acute psych unit staff re: police and pt. observation

    marshmallowstar replied to superpsychnurse's topic in Psychiatric

    You said your unit is in a separate building than the main hospital, is there security available from the main hospital to assist? 6 staff is bare bones staff for a code situation. If they don't want...
  14. marshmallowstar

    Taking blood pressure on an agitated patient

    marshmallowstar replied to nurselove757's topic in Psychiatric

    Along the lines of helping them feel in control is asking which side he wants the bp on. So then the choices aren't yes or no to "Can I do your vitals?" but left or right to "I need to do your...
  15. marshmallowstar

    Hershey Clinics in State College

    marshmallowstar posted a topic in Pennsylvania Nursing

    Hi, I'm relocating to State College and am interested in the new Hershey clinics there. Anyone have any experience with these? or know the nurse recruiter information? Thanks so much!
  16. marshmallowstar

    Interventions for patients with dissociation??

    marshmallowstar replied to wish_me_luck's topic in Psychiatric

    The dissociative mind is really amazing, it's exactly what the trauma survivor needed at the time. Unfortunately, it becomes an unhelpful and often counterproductive skill/instinct once the person is...
  17. marshmallowstar

    restraints and seclusion questions

    marshmallowstar replied to coachg's topic in Psychiatric

    Pennsylvania Code This is a link to the code relating to restraints. No mention of removal procedure other than as soon as possible. Also limbs are to be exercised and toileting offered q2 hours....
  18. marshmallowstar

    Nurse Educator in need of ideas for topics that students can research

    marshmallowstar replied to bchat's topic in Psychiatric

    ECT - lots of stigma and misconceptions. Psych in the corrections setting - where the chronically ill end up after state hospitals close. Off label use of medication for psych purposes - Many meds...
  19. marshmallowstar

    Advice for Nursing student placed in psych pediatrics?

    marshmallowstar replied to FionaA's topic in Psychiatric

    Peds Psych is my passion it's where I got my feet wet and where I always want to go back. I agree with the other posters, be there, be present. Get to know your group coordinator/MHTs they do a lot...
  20. marshmallowstar

    Z track for IM injections?

    marshmallowstar replied to gnursjr2's topic in Psychiatric

    hmm, I'm interested in the research. All I can find is info about immunizations and deltoid aspiration. Completely anecdotal but I once saw a charge nurse have blood return during a vastus lateralis...
  21. marshmallowstar

    Z track for IM injections?

    marshmallowstar replied to gnursjr2's topic in Psychiatric

    Always aspirate, only takes a second or 2 and if you inject into a blood vessel you're going to be dealing with bigger problems than an agitated patient. Z track doesn't take any extra time and is...
  22. marshmallowstar

    Psych meds and hyponatremia.

    marshmallowstar replied to Guest219794's topic in Psychiatric

    No, probably not. All docs have the preferences. I've worked with one that did weekly bmp inpatient and then q 6 months out patient but this is unusual. Inpatient they usually get one on admission...
  23. marshmallowstar

    Ring Cutters

    marshmallowstar replied to ashleyjean3's topic in Emergency

    When we're cutting rings in the ED it's usually b/c of serious trauma to the hand, many times it's difficult to even see the ring d/t the swelling in the area so windex isn't really going to do the...
  24. marshmallowstar

    Hershey Clinics in State College

    marshmallowstar replied to marshmallowstar's topic in Pennsylvania Nursing

    No problem. I've heard good things (from a pt's perspective) about university ortho I used to work at the meadows many moons ago and have friends who recently left. Apparently it's gotten to a...
  25. marshmallowstar

    Hershey Clinics in State College

    marshmallowstar replied to marshmallowstar's topic in Pennsylvania Nursing

    Hi, I didn't have much luck with the Hershey clinics b/c they wanted more experience for the RN positions. Both Hershey and Geisinger are hiring LPNs though. You can also check Mount Nittany as their...