TCASII

TCASII ADN

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All Content by TCASII

  1. scheduled meds with prns

    TCASII replied to sassyann85's topic in Psychiatric

    double

  2. Forced IM meds...always ethical??

    TCASII replied to Abbyrose's topic in Psychiatric

    It all depends on the situation and patient. Having worked crisis, I have dealt with so many patients who are either manipulative or labile to the point that once they've acted out, giving a PO is...

  3. Milieu Disruptive Behavior

    TCASII replied to arbasham3363's topic in Psychiatric

    I agree. I set limits as much as I can. If someone uses the phone as a disruptive tool, then phone time is eliminated. As I said, unfortunately, my experience working in 5 major facilities is that...

  4. How to prepare for first hospital job in inpatient psych unit?

    TCASII replied to Puertoriiquena's topic in Psychiatric

    Also, a lot of people don't seem to realize that manics won't clear for days, even a couple weeks or more. An acute episode of mania requires an antipsychotic to break, not just a mood stabilizer. I...

  5. Milieu Disruptive Behavior

    TCASII replied to arbasham3363's topic in Psychiatric

    Here's the problem with nursing today...saying no results in behavioral issues. Setting limits increases the risk of assault and problems. Saying no and setting limits is viewed as demeaning to the...

  6. How to prepare for first hospital job in inpatient psych unit?

    TCASII replied to Puertoriiquena's topic in Psychiatric

    Not much you can read in a textbook to prepare for psych. Aside from learning about the medications, psych patients will present in maybe three ways - 1. nice/pleasant, 2. entitled/demanding 3....

  7. Eliminating Seclusion/Restraint? Um, NO.

    TCASII replied to Angeljho's topic in Psychiatric

    I worked in a crisis facility that did not believe in S&R, let alone forced IM. It was not only a last resort, but one that created a dangerous environment. The patients, especially those who...

  8. Disillusioned/Legal Concerns

    TCASII posted a topic in Psychiatric

    I have come to find that most mental health facilities are primarily concerned with maximizing profits. Medicine is a business, I get that. My frustration with the psychiatric side of it revolves...

  9. Disillusioned/Legal Concerns

    TCASII replied to TCASII's topic in Psychiatric

    It sounds like I just need to get out. We've all had talks with the DON and they're losing people left and right. The CEO is only concerned with numbers/bodies. The fact that people have left and...

  10. hydroxyzine HCl vs hydroxyzine pamoate

    TCASII replied to Findingmynitch's topic in Psychiatric

    Both salts dissociate in the gut to a completely equal form at the same strength, therefore no therapeutic difference exists really. Only the dissociated drug crosses the BBB, so it's a moot point....

  11. Paperwork and Mental Health

    TCASII replied to pleasantly mad's topic in Psychiatric

    Welcome to nursing! Afterall, protection against litigation and posting a profit are what drive this business. We'd love to believe that it's all about patient care but this is a business....

  12. Benzo free inpatient hospital?

    TCASII replied to PeacockMaiden's topic in Psychiatric

    JulesA, no offense but a good number of benzo users have been on them for years. Given the lipophillic nature and conformational changes in the CNS, I don't believe short tapers are always the best....

  13. Benzo free inpatient hospital?

    TCASII replied to PeacockMaiden's topic in Psychiatric

    This is a trend in psych, not just with benzodiazepines but medications in general. Providers are paranoid about prescribing appropriate doses and it's a shame. For a provider to refuse to...

  14. Dosage and literature

    TCASII replied to Alicia_Has_Tats's topic in Psychiatric

    Are they teaching dimensional analysis? That was so easy to me and I'm no math wiz. Most psych meds, as Meriwhen stated, are not based on weight, therefore you never do calculations. Once in a...

  15. Nursing for dummies

    TCASII replied to SoCal student's topic in Psychiatric

    I wouldn't bother getting too wrapped up in the DSM. Not too many clinicians/psychiatrists spend much time looking at it. They know the disorders and use that knowledge to Dx. It might be on their...

  16. Just started Psych Nursing... help!

    TCASII replied to electricblack's topic in Psychiatric

    The DSM is not going to help you in psych, nor are many textbooks. Sure, some books help you understand things and give decent examples, but dealing with the people is totally different. So many of...

  17. IM Ativan

    TCASII replied to dc529's topic in Psychiatric

    No dilution done at my facility. Our concern in over getting fired or written up for doing a forced med!

  18. WARNING: Phoenix area is a TOUGH market for new grads

    TCASII replied to dream'n's topic in Arizona Nursing

    It's also scammy and highly unprofessional. I have been offered full time jobs, turned down other potential jobs, only to have the offer rejected and changed at the last minute. One went from FT in...

  19. DUI

    TCASII replied to wlawre's topic in Licensure: Criminal History

    My understanding is that they might refuse to license certain people with DUI convictions. I guess it depends on the circumstance, however, as recent as it is, it might be a problem. I know the...

  20. Psychiatric Nurse Practitioners... are there jobs available?

    TCASII replied to jawijrn's topic in Psychiatric

    Plenty of jobs out there. So far, about 70% of the PMHNPs I've dealt with are extremely flaky. Don't answer phones when needed, quite or move around between jobs a lot. I'm kinda shocked

  21. LPN jobs

    TCASII replied to mom2a1c2's topic in Arizona Nursing

    I know of a LTC facility that might hire an LPN. They just terminated one and seem to have a fair amount of PRN. I PRN there a little for RN charge work. Scottsdale. PM for

  22. Aurora Behavioral Health

    TCASII replied to EnchantedRN's topic in Arizona Nursing

    I know someone who temps there on occasion. They won't hire him though. He never said it was a bad place and the people he worked with were okay. I had heard they just hired a bunch of new people...

  23. New Grad - Desperate

    TCASII posted a topic in Arizona Nursing

    I've applied so many places and have no idea what to do. I've only had my license for a short while, but I feel with an ADN and no experience that I'll never get in to a decent place. I worked in...

  24. Nursing home nurses, time saving tips?

    TCASII replied to treeye's topic in Geriatric, LTC

    They don't look at the MAR? What if the patient has a D/C or change? They change all the time in some

  25. What is the correct way to wean off a pt. on Paxil?

    TCASII replied to Jo Anne -OLD's topic in Psychiatric

    Holy thread resurrection Batman! My god, I've lived a whole lifetime since this topic ended!!!! :-O Whatever works for you. Some people can D/C a short-acting drug without any withdrawal, whereas...