Psych nursing vs the OR

Nurses General Nursing

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Hello nurses! I need some opinions because I'm feeling pretty stuck right now, so if you would be so kind please share your thoughts! I appreciate your time. :)

I am now one year out of nursing school, working in a LTC facility. It's not really my thing but it was where I could get hired, and beggars can't be choosers in this economy as many of you well know.

I'm lucky enough to possibly have a job offer from two very different fields. One is in an acute psych unit in a hospital and the other is in the OR. I've always been interested in psych. It was my favorite clinical in school, and I have a background in speciAl education. I really enjoy the therApeutic aspect of working with the patients. I've Been strongly considering attending school to become a psych NP.

However, while I was in nursing school I did develop an interest in the OR. We did not have a rotation there though, only a few brief observation days. But what I saw I loved. I enjoyed the feel of the controlled chaos, and the amazing sites I saw. I could see myself really enjoying going to work and experiencing so many amazing procedures. I've also spoken to some OR nurses and done a bit of reading to develop a sense of what the job entails.

I have a strong intErest in both specialties and I have personality traits that could really lend a hand in either field. I'm not going to make the decision based on money. I do want to consider that i am planning on starting a family within the next 2 or 3 years (approximately) and that being able to work on a part time basis while I have children is important to me.

The OR position has a one year orientation and is a big commitment. If I find I do not enjoy it i will not be a happy camper. However I am aware that OR training is not easy to come by, and I am thinking perhaps I should take the position while I can. I imagine it is easier to switch from OR to psych than from psych to OR.. Right?

However I'm not sure what my long term goals in the or would be. In psych I know I would want to become an NP eventually. Sometimes I think it's like this.. I don't really want to be a psych nurse... But I want to be a psych NP. Does that make any sense?

So as you can see I am waffling about, and could really use a sounding board to reflect on. Any thoughts are welcome. Thank you friends!

"Sometimes I think it's like this.. I don't really want to be a psych nurse... But I want to be a psych NP"

I think you answered your own question...

I am an OR RN for many years, the last 10 traveling.. OR is hard, stressful and for me at 65 I don't want to do 22 hrs on my feet anymore... call can be a killer.. CV is the most difficult as it get's really boring and call if LOT"S...

I too did my best on boards in Psych (1975) and today I am taking a case management position and leaving the OR arena.. let the youngin's do it..

Seriously the OR is hard stressful work... not paid enough and who would want to go into management in the OR...get real.

If you are looking to lessen your work load, DO NOT go into Psych nursing. Contrary to what some may believe, psych nursing can be exhausting, fast paced and you may have 20 patients in your face, all wanting their meds now. It is a skill to de-escalate a paitent, maybe 1, 2 ,3 ,all at the same time. It is physically and mentally exhausting. Having said that, it is one of the most rewarding areas of nursing. I love psych nursing! It is not for everyone, it is a challenge! Our patients are all up walking around, and need to be on your toes at all times. We don't have a code team, Psych nurses do it all. Wouldnt change a thing!

Specializes in psych, ltc, case management.

I love hearing about the two different fields! It gets me excited to do either. Both.

I'm not expecting anything easy in either field. Nor wouldni want it easy- I'm not a fan of being bored.

I could see how the OR could be more physically demanding.. And I remember how mentally exhausted I felt after my psych rotation days... Hut the question is what will be more rewarding for me, and I suppose also, what will best benefit my lifestyle and goals.. Hmm. The million dollar question.

Specializes in psych, ltc, case management.

I was thinking.... I have frequently heard that you can get pegged into a label as a psych RN. but i havent heard the same of being an OR RN until this thread. thoughts?

Specializes in psych, ltc, case management.

I just wanted to let everyone know what the outcome was, in case you were wondering! I've ended up accepting the psychiatric nursing job. My decision was somewhat helped along by external factors (ie this job did not require relocation), but I think that really I'm more suited to be a psych nurse than an OR nurse. The OR nursing was more for an exploration of what my interests -may- be, whereas I know psych nursing is already an interest. Anyway I am happy with my decision thus far, though I haven't started the job yet. I start mid September. I'm excited to say I'll see some of you around the psych forum soon! :D

I was also offered a Psych job! I start mid Sept. I was just like you. I had to decide between 2 jobs and you just have to go with your gut! When I met with the supervisors for both places...I just knew what would work best for me. Good luck to you!!! Please keep us posted :)

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