What do you wish your triage nurse handled before messages reached you?

I work as a triage nurse for a large outpatient psychiatry department (connected to a hospital). I receive and review about 700 patient messages a week which limits how much I can do for each encounter so I’m trying to find the ways I can maximize the value I can add to the team. It would be very helpful to hear from psychiatrists, NPs, PAs what the most helpful triage support items would be (and maybe things triage nurses have done that were not helpful that I can look to avoid).

Current tasks include (but aren’t limited to) the following:

pend refills which includes PDMP reviews for controlled substances (and pend script corrections per insurance requirements, pharmacy guidance, documented titration plan, etc)

call and sort out issues with fills at the pharmacy
submit medication PAs (and pend appeal letters if denied)

guide patients to local resources (financial support, housing, food, support groups, etc)

Coordinate ECT clearance

call patients to triage medication concerns (side effects, overdosing, underdosing, adverse effects, etc)

Pend general letters (school medication letters)

call patients to triage for safety concerns (and call for wellness checks as needed or coordinate with crisis / ED teams)

call patients to assess worsening symptoms

call and gather collateral from family members or outside clinicians

follow up on labs (clozapine CBCs, med levels, lipids, etc)

coordinate with other care team members (PCP offices, ALFs, nursing homes, etc)

Help patients with medication cost assistance programs

initiate discussion and development of safety plans with the care team

reinforce boundaries with patients when needed (per their physician or NP/PA’s guideline)

Urgent records requests (or calling for report from the ED or outside hospital directly)

reddit.com
u/New-life-musings — 13 days ago

I fear TFP’s therapist/prescriber is borderline sinister

Since both Taylor and Samantha decided to publicly broadcast Samantha being her therapist / prescriber and Samantha posted a video full of ethical violations it seemed allowable to do a deep dive.

Her and the man that I think is now her ex husband (judging by her TikTok reposts which are just two of her MANY reposts shitting on the woman who slept with her husband but not shitting on him… reminds me of Taylor’s reactions to Jenna / Shinia (not that they were actually cheating) anyw ays… Sam and her ex were guests on a podcast screenshotted here back in 2024.

The podcast hosts are grifters - life and relationship coaches with no credentials. Sam and her ex apparently reached out and asked to be on the podcast after working with these coaches for their marriage. They decided to quit therapy and work with these unqualified coaches instead (sound familiar?)

The podcast is very long but the TLDR is Sam’s husband was cheating on her because he was “threatened by her career success” (ring a bell with what TfP says about Dakota?)

She found out about his cheating on his phone… He told her he wanted to get a divorce and she said no not until we do couples therapy. He didn’t want to go but pretended to go along with it meanwhile continuing to lie and cheat. On the episode they’re pretending he stopped cheating but apparently he still was.

It’s interesting that Taylor is so fixated on Dakota cheating when these incidents happened at times they weren’t actually together. It seems Sam very much overidentifies with Taylor (counter transference) and I wouldn’t be surprised if she projects some of her own stuff on Taylor increasing the cheating narrative.

Sam also describes an incident in which she was physically fighting her husband for his phone which is what TFP did with Dakota as well..

She got into reiki and human design which she current provides after her uncle died. (I’m not shitting on Reiki but 1. If you know anything about reiki, charging for it goes against reiki principles and 2. I think it’s dangerous to mix these type of things with prescribing psych meds and administering therapy. It creates too much closeness between the patient and practitioner for safe boundaries in the mental health setting IMO)

This is when Sam saw a spirit for the first time. After that she started seeing spirits “all the time” and she has a voice on her right side that tells her things. Her “incarnation cross” allows her to “get downloads” and if people try to talk about surface level things, she refuses and asks them about these things to make the conversation “go deep.”

This is where I believe it gets sinister. She then helps her husband with her “splenic generator powers” uncover forgotten childhood “trauma” (though he hated using that term).

After listening to this podcast I strongly suspect PART of TFP’s worsening symptoms have been because of Sam’s influence.

My hypothesis is the following:

Idk if spirits are real and have no judgment either way! But Sam seeing spirits all the time, believing in her own special spiritual powers, and hearing a voice telling her what to do are all signs of psychosis or a personality disorder with delusions. Again I have no judgment but this is just not safe to do in this field of work in my personal experience. I believe she could be worsening Taylor’s underlying mental health issues and worsening her delusions.

See scientific data slides on the risk of creating false memories. Sam describing how she receives downloads and knows things and then questions people about these things and the whole dynamic with what her husband describes of her uncovering his trauma raises serious concerns and red flags for me about the risk of this with her relationship with Taylor.

I hope someone else will listen to this podcast and share their thoughts!!

u/New-life-musings — 3 months ago
▲ 295 r/SLOMWsnark+1 crossposts

Chase accurately described TFP’s “cycles” 1 year ago

Chase was very active in SLOMW subs about a year ago under the Mother_Source9774 username. It’s interesting to see how accurately he describes Taylor’s cycles because they mirror the same behaviors she’s displaying now.

Things that stood out to me:

  1. ⁠A history of “playing the victim” - TFP had an affair with Makenna’s husband Brayden but still somehow managed to spin things so SHE was the victim.
  2. ⁠A history of lying about potential abuse? That’s a strong question mark because we don’t know what’s happened behind closed doors but TFP on a podcast made it sound like Brayden had raped her because she says she was blackout drunk when they had sex and made it sound like a one night stand. People were reasonably very upset by this. Chase reports she was NOT drunk the night in question AND they’d been hooking up in the Home Depot parking lot before this (Taylor later admits to this).
  3. ⁠A history of weaponizing her cult like following.
  4. ⁠A history of saying she’s going to drop receipts but never bringing them or posting things taken out of context that don’t actually prove anything she’s saying.
  5. ⁠A historical cycle of rage post ➡️ crying online ➡️ fake “accountability” online but no actual repair work directed towards those she’s hurt ➡️ rinse and repeat
u/New-life-musings — 3 months ago

Here is all the details of the hearing

TFP continues to look angry and play with her hair throughout the hearing but this time her hair was brushed.

T’s lawyer came across argumentative and D’s lawyer came across more professional IMO.

The private GAL says only T has paid her and signed her waiver, D has not. GAL insists she gets paid in full before getting involved so she hasn’t yet. D’s lawyer says he wasn’t aware and they will pay her asap. This looks bad for D and GAL seems pissed.

T has missed parent time, started it late, etc. She only used 16 of 50 hours available to her (this equates to spending 9.5% of total hours available in a week with her child and only using 32% of time available).

D was waiting around in a parking lot with E for Aspen to pick him up for T’s parenting time because T didn’t let them know that she was checking herself into the treatment center. The judge said advance notice needs to be given in the future.

D brought E on an e-bike with a helmet on. The judge said “We’re not going to do that anymore.” VALID WTF was D thinking?

T’s drug screen was a urine test. Her lawyer couldn’t answer the judge what type of test it was (5, 10, 12 panel etc). He says the substances found were “consistent with her prescriptions” but speaking as someone who has done drug tests professionally you cannot verify that from a simple rapid drug screening and some drugs are metabolized so quickly they wouldn’t show up. T rolled her eyes when D’s lawyer and the judge said they wanted to see the actual drug test results.

D’s lawyer said they don’t think T should get more parenting time when she only uses a small amount and also want T’s records from her stay at the treatment center to verify nothing is being hidden.

D’s lawyer said “T is continuing to make disparaging remarks about D online and D isn’t doing anything online.” The judge said he already commented on this at the last hearing and he won’t restrain free speech but he draws the line at disparaging remarks about each other online because they affect the child.

T’s lawyer said D hasn’t been able to provide a third party for pickup and it’s been an issue. D’s side says it’s partly because T changes plans last minute. The resolution is T will provide third party in the AM and D will provide one in the PM.

D’s side wants exchanges of E to be at a mutual location. T seemed to want residences to be allowed. The judge said it should stay a mutual location.

Regarding “rehab” it was only 2 nights and was for supervision of a transition to a new mental health medication. (As a psychiatry professional this is unusual because most psych medications take weeks to months to take effect).

They brought up Cru posting online about T’s “rehab.” The judge said this could theoretically be a violation of the PO and also having someone have a PI follow the other around would be a potential PO violation.

T has now taken a nail drug test per her lawyer - no results yet.

T’s lawyer sent the judge the records from “rehab” without sending them to D’s lawyer which the judge wasn’t happy about.

The judge said everyone is highly suspicious of each other in this case. The judge said it’s ironic that they’re public figures who want privacy.

The judge asked what T’s response is to the fact that she didn’t use her parenting time. The lawyer cites scheduling conflicts.

T’s side says D is using police to exert control over T. They say D’s lawyer’s paralegal called the police “demanding” they arrest T. D’s side says this is because they believe T violated the PO by having a third party “stalk” D. The judge says it’s odd for a paralegal to call the police.

D and Aspen have been communicating to coordinate parent time and care for E. T’s side says the exchanges aren’t going well because of D calling the police (he reportedly called the PD to say Aspen communicating with him violated the PO). D’s lawyer says this is because she was trying to negotiate parenting time changes.

D supposedly argued that because there’s no private GAL in place all communication has to go through council but T’s lawyer says this is his fault for not paying the GAL.

D and T will be able to view each other’s medical records related to the case which will include the rehab stay but they won’t be allowed to have a copy of the records.

The judge does not want T and D to post about each other online.

The judge said he doesn’t know if using a PI to follow the other person is a PO violation.

The judge expanded T’s parent time on the weekends.

The judge feels like there’s a desire to keep the drama going and that’s going to affect E in the future.

reddit.com
u/New-life-musings — 3 months ago

I compiled a summary of the court hearing so you don’t have to

TFP continues to look angry and play with her hair throughout the hearing but this time her hair was brushed.

T’s lawyer came across argumentative and D’s lawyer came across more professional IMO.

The private GAL says only T has paid her and signed her waiver, D has not. GAL insists she gets paid in full before getting involved so she hasn’t yet. D’s lawyer says he wasn’t aware and they will pay her asap. This looks bad for D and GAL seems pissed.

T has missed parent time, started it late, etc. She only used 16 of 50 hours available to her (this equates to spending 9.5% of total hours available in a week with her child and only using 32% of time available).

D was waiting around in a parking lot with E for Aspen to pick him up for T’s parenting time because T didn’t let them know that she was checking herself into the treatment center. The judge said advance notice needs to be given in the future.

D brought E on an e-bike with a helmet on. The judge said “We’re not going to do that anymore.” VALID WTF was D thinking?

T’s drug screen was a urine test. Her lawyer couldn’t answer the judge what type of test it was (5, 10, 12 panel etc). He says the substances found were “consistent with her prescriptions” but speaking as someone who has done drug tests professionally you cannot verify that from a simple rapid drug screening and some drugs are metabolized so quickly they wouldn’t show up. T rolled her eyes when D’s lawyer and the judge said they wanted to see the actual drug test results.

D’s lawyer said they don’t think T should get more parenting time when she only uses a small amount and also want T’s records from her stay at the treatment center to verify nothing is being hidden.

D’s lawyer said “T is continuing to make disparaging remarks about D online and D isn’t doing anything online.” The judge said he already commented on this at the last hearing and he won’t restrain free speech but he draws the line at disparaging remarks about each other online because they affect the child.

T’s lawyer said D hasn’t been able to provide a third party for pickup and it’s been an issue. D’s side says it’s partly because T changes plans last minute. The resolution is T will provide third party in the AM and D will provide one in the PM.

D’s side wants exchanges of E to be at a mutual location. T seemed to want residences to be allowed. The judge said it should stay a mutual location.

Regarding “rehab” it was only 2 nights and was for supervision of a transition to a new mental health medication. (As a psychiatry professional this is unusual because most psych medications take weeks to months to take effect).

They brought up Cru posting online about T’s “rehab.” The judge said this could theoretically be a violation of the PO and also having someone have a PI follow the other around would be a potential PO violation.

T has now taken a nail drug test per her lawyer - no results yet.

T’s lawyer sent the judge the records from “rehab” without sending them to D’s lawyer which the judge wasn’t happy about.

The judge said everyone is highly suspicious of each other in this case. The judge said it’s ironic that they’re public figures who want privacy.

The judge asked what T’s response is to the fact that she didn’t use her parenting time. The lawyer cites scheduling conflicts.

T’s side says D is using police to exert control over T. They say D’s lawyer’s paralegal called the police “demanding” they arrest T. D’s side says this is because they believe T violated the PO by having a third party “stalk” D. The judge says it’s odd for a paralegal to call the police.

D and Aspen have been communicating to coordinate parent time and care for E. T’s side says the exchanges aren’t going well because of D calling the police (he reportedly called the PD to say Aspen communicating with him violated the PO). D’s lawyer says this is because she was trying to negotiate parenting time changes.

D supposedly argued that because there’s no private GAL in place all communication has to go through council but T’s lawyer says this is his fault for not paying the GAL.

D and T will be able to view each other’s medical records related to the case which will include the rehab stay but they won’t be allowed to have a copy of the records.

The judge does not want T and D to post about each other online.

The judge said he doesn’t know if using a PI to follow the other person is a PO violation.

The judge expanded T’s parent time on the weekends.

The judge feels like there’s a desire to keep the drama going and that’s going to affect E in the future.

reddit.com
u/New-life-musings — 3 months ago

TFP if you’re here, please review these stats before driving that way with your child unhelmeted in a golf cart

TLDR: children are at risk for serious injuries and even death from golf cart accidents.

I’ve seen what can happen to small children in ATV and golf cart accidents. People might take more caution with ATVs because we don’t associate golf carts with serious injuries. TFP and many other people don’t think to put a helmet on their child, make sure they’re secured, or drive carefully in a golf cart.

Im not saying this to shame or blame anyone but I know that there will be a whole army of TFP fans saying she’s just having fun with her kids and people need to lighten up.

u/New-life-musings — 4 months ago