TCASII

TCASII ADN

Member

  • Content

    198

  • Visitors

    4,762

  • Followers

    0

  • Likes

    16

All Content by TCASII

  1. New Grad Psych Nursing

    TCASII replied to JennaRM's topic in Psychiatric

    I'd be surprised if they wouldn't hire a new grad RN for a psych job. Around here, they'll hire anyone, regardless of past experience. I wouldn't start on NOC as an RN working in psych. Medical is...

  2. Psych RNs - what is rewarding for you?

    TCASII replied to NurseChapelLovesSpock's topic in Psychiatric

    +1 on paycheck. And I agree about the police bringing in people who are just trouble makers, as opposed to mentally ill folk. The police love to dump folks on psych hospitals, just so they can avoid...

  3. Assualted by psych patient

    TCASII replied to Udmert's topic in Emergency

    I'm a little put off by some of the remarks in here. It's as if people don't understand sociopathy, psychopathy, drug-seeking, or personality disorders. I work exclusively in inpatient psychiatry....

  4. Truama Informed Care is a pipe dream in acute psych -Change my mind

    TCASII replied to puravidaLV's topic in Psychiatric

    I mostly agree with the OP. I've worked in TIC facilities, and despite not fully knowing the ins-and-outs of TIC, the overall theme seems to be allowing patients to determine how their treatment...

  5. Zyprexa and Ativan IM Compatibility - (Haldol Allergy)

    TCASII replied to adnrnstudent's topic in Psychiatric

    There have been some fatalities with IM olanzapine, and I believe it has occurred without the combo as well. I know the depot olanzapine has caused some deaths too. It's generally recommended that...

  6. Question to all nurses who work in Psych

    TCASII replied to VegGal's topic in Psychiatric

    The number of patients is contingent on the workload. Where I currently work, 10 patients if often too many. The amount of charting and treatment plan work is very high. If all the patients are...

  7. Are there less dangerous areas of Psych Nursing than Inpatient Psych?

    TCASII replied to Naturally Brilliant's topic in Psychiatric

    It might depend on where you live. Some states are a little better about staffing and making the environment tolerable. Where I live companies are not too good about staffing or providing decent...

  8. Pre pulling meds

    TCASII replied to Riegelbeagle's topic in Psychiatric

    We just went through JCAHO inspection and they knew we pre-pulled. Nothing was said about it at all. It's psych, so I can't imagine the seriousness of of it. I understand a med-surg, ED or ICU type...

  9. Assaulted by psych patient, police officers walking by did nothing?

    TCASII replied to PMHNP2023's topic in Emergency

    This is becoming the norm, unfortunately. In a psychiatric setting, if the patient has a psychiatric Dx, then the police will not take them to jail. This means that nearly 98% of the patients will...

  10. What's the Most Common Reason for a Patient to be Readmitted on a Psych Floor?

    TCASII replied to AlwaysAnxious's topic in Psychiatric

    EMTALA, malingering, partial malingering, noncompliance. To be honest, most of the patients I see are homeless and substance abusers. The majority have no desire to get better. They make a mockery...

  11. Pre pulling meds

    TCASII replied to Riegelbeagle's topic in Psychiatric

    I pull my meds around 0730, med pass is a 0900. I can give between 0800 and 1000. Same goes for midday meds - One hour before, one hour after. The only reason I can see not to pre-pull is impending...

  12. safety concerns/ need advice

    TCASII replied to workingot's topic in Psychiatric

    I wish I would tell you how. Aside from removing contraband. I mean, aside from holds and S&R, your options are limited. The patients knowing you can’t do anything just exacerbates the problem....

  13. Question to all nurses who work in Psych

    TCASII replied to VegGal's topic in Psychiatric

    Around my area, nearly all the hospitals are just meds, assessments, and busy work. I wouldn’t have time to run a group; I barely have time to talk to my patients. I have 10 or more patients asking...

  14. safety concerns/ need advice

    TCASII replied to workingot's topic in Psychiatric

    You couldn’t pay me enough to work in that environment. It’s unfortunate that all anyone cares about in psych is money. Staff have no protection nowadays. I’ve been in the field for 7 years and...

  15. New grad in psych

    TCASII replied to anna_91's topic in Psychiatric

    Wrong, methamphetamine and halogenated amphetamines are neurotoxic, therefore they destroy parts of the brain and can leave otherwise normal people with hallucinations for life. What are the...

  16. New grad in psych

    TCASII replied to anna_91's topic in Psychiatric

    I probably sound hateful I do try my best to help those who need it. I've had some great patients. True story, after doing psych for nearly 4 years and never feeling like I could help anyone...

  17. New grad in psych

    TCASII replied to anna_91's topic in Psychiatric

    I'll be honest, regardless of the patient, being nice goes a lot farther to prevent escalation than being curt or abrupt. A lot of nurses are rude, short, and demeaning to patients. They talk to...

  18. New grad in psych

    TCASII replied to anna_91's topic in Psychiatric

    Good responses so far. In all honesty, not much prep is needed. It's important to know the meds as best as you can, but no one expects you to remember sides or all particulars. A lot of side...

  19. How true this is

    TCASII replied to Mandychelle79's topic in Psychiatric

    This is pretty typical. They lie a lot. The way of dealing with this....send them back. Do not admit at all, just turn them around and teach the hospital a

  20. New nurse

    TCASII replied to Kayla_Martin's topic in Psychiatric

    I probably wouldn't want my wife working on a psych unit, but that's the male protectiveness in me. It's hard to say. I've worked psych for a few years now and only had one major problem. I...

  21. Nurse-Patient Ratio Adult Unit

    TCASII replied to pennie4n6's topic in Psychiatric

    I managed to survive 18 months at a crisis facility, as the sole nurse on a locked unit with 15 to 18 involuntary patients. Most of them were high on meth, but extremely agitated, psychotic, manic...

  22. Gutless Colleagues

    TCASII replied to LPC2RN's topic in Psychiatric

    Yeah, I had a patient once who was totally antisocial, not MI at all. He fought with us for 5 hours! Five hours of back and forth with a patient only because the doctor refused to allow us to keep...

  23. Gutless Colleagues

    TCASII replied to LPC2RN's topic in Psychiatric

    Unfortunately this is common in psych. Techs and RNs will watch as staff are assaulted. I personally believe it's a two-tiered problem. One, the staff are afraid of being injured. Two, the climate...

  24. Nurse-Patient Ratio Adult Unit

    TCASII replied to pennie4n6's topic in Psychiatric

    At my facility I typically have 11 to 14 patients. It's way too much. I never have time to talk to patients or have any clue what's going on with them. I barely get enough to chart an assessment....

  25. scheduled meds with prns

    TCASII replied to sassyann85's topic in Psychiatric

    I can tell you that 99% of the time there is no problem with adding other antipsychotics on top of another drug. I've given Zyprexa, Risperdal and Haldol at the same time. I've given injections to...