For anyone working at a CA state hospital, I am really trying to understand how restraints and seclusion are managed. Is it the same as in a prison, with custody staff directly supervising the IM. Or does the MD or RN direct staff to initiate the restraint or seclusion. What are the protocols for this. I am also interested in patient ratios and a day in the life of a nurse. Please explain what you like or dislike about the job? I have an interview next week and realized that I was preparing for a correctional interview. In reality, this may be a very different type of job.