I just took my first nursing job on a lock down, crisis stabilization Psych floor. Most all of our patients come in on a Baker Act (involuntary status) for potential harm to self or others. I work an 8-hour midnight shift 5 days a week (11pm-7am).
After being a tech on a surgical floor for two years, it feels like all I do at my RN job is paperwork (in comparison to being a tech). The only time I have patient contact is when I admit somebody -- usually about 2 a night -- or when there's a difficult med pass that needs to be done with an aggitated patient. Some of the paperwork I think is complete bull 'crap' that placed in the chart just to look good for lawyers, and doesn't serve the patient at all. For example, the care plans. Everybody's plan is either potential for self-harm or altered thought process.
The techs lead the groups in the afternoon (I orientated during days and sat in on one, and it was terrible). So, it feels like my job is to watch people to make sure they don't kill each other or themselves and pass meds. Overall, I think the the 'system is broken' and that patients aren't given enough attention to truly recover, and I hate being a part of the failing process.
***I think the thing that leaves the worst taste in my mouth is the fact that we're discouraged to admit unfunded patients. And, when we do admit unfunded patients they're almost always discharged the next day. This makes me nauseous just thinking about this...how can one rationalize this behavior?***
Finally, at the end of the shift I have such a difficult time passing off undone work to the next shift. I know that it's unreasonable to have 'everything done' before I leave, but I can't get over the feeling that I missed something, or that I could've done more.
I'll committed to this job for a couple more months, but I beginning to realize that the medical side of things is my calling.
If I don't get one reply, I understand, I dislike reading rants myself.