1st Psych Nursing Job starts Monday, any advice?

  1. 2 I am leaving my SNF job for a new position at the County emergency mental health facility. I am 7 months graduated RN, and am very excited to be given this opportunity. I am a little nervous, as my only experience in psych was a 6 week rotation last year in school and helping my schizophrenic cousin with his issues while I was growing up. Another nurse in the community is telling me the senior nurses at my new job "eat their young", in regards to an inexperienced nurse coming aboard. What advice do you have for a younger, newer nurse on asserting a strong and respectable disposition around new psych nurse coworkers? I'm dying to make a good impression.....ie, I'm reviewing psych meds, DSM, therapeutic techniques, etc.
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  3. Visit  ChelleNurse profile page

    About ChelleNurse

    From 'Ca, US'; Joined Oct '12; Posts: 8; Likes: 7.

    23 Comments so far...

  4. Visit  sapphire18 profile page
    5
    Be sure to speak up for yourself, but LISTEN to your experienced coworkers when it comes to clinical issues. And really *listen* to your patients. They can tell when you're not. Good luck!!
  5. Visit  echo4689 profile page
    2
    Quote from ChelleNurse
    I am leaving my SNF job for a new position at the County emergency mental health facil... I'm reviewing psych meds, DSM, therapeutic techniques, etc.
    Relaxxxx~~~~ just be calm, observe, listen, think, ask ~~~ it's not a problem for a new nurse in the field, everybody started from there~~ you'll do good job there!
    ChelleNurse and cienurse like this.
  6. Visit  MelmelRN74 profile page
    2
    The most important thing to do is stay safe... from the patients and from the other nurses. I agree with listening to the patients and really caring about your job. I have been a psych nurse for 5 years and did ER the 5 years prior to that. I think mental health can be overwhelming at times. I have found that most nurses either love it or hate it. The ones that love it really learn to help their patients and make a difference. You never know when someone is just reaching out and you may be the only one that is there to give them any hope. Learn to look past the acting out and bad behavior and see the person (even the 15th time you admit them that year).
    elprup and chevyv like this.
  7. Visit  kalevra profile page
    5
    Work on that Judo throw.
  8. Visit  tigerlogic profile page
    4
    Some good books to consider: An Unquiet Mind by Kay Redfield Jameson and Anatomy of an Epidemic, Witaker. Two very different perspectives that might give you some ideas where patients are coming from.

    Good luck. Keep an open heart.
    Kimberlyace, ChelleNurse, elprup, and 1 other like this.
  9. Visit  tigerlogic profile page
    3
    Kimberlyace, ChelleNurse, and elprup like this.
  10. Visit  ianursing22 profile page
    2
    It's a good thing you are making your preparations about the basics in psych, but you also need to prepare yourself emotionally and physically for you to handle the job very well! The best of luck to you
    ChelleNurse and Psychtrish39 like this.
  11. Visit  Psychtrish39 profile page
    0
    Everything all prior posters said ... wonderful points and most of see the person behind the diagnosis . I work with 38 residents dealing with schizophrenia and not a darn one of them are the same they all have different strengths and weaknesses and have great insight into themselves and others many times.
    Dont be afraid to ask coworkers because many of them will have known the patients for years. That helped me the most when I first started in psych you will learn things every day. I wish you Godspeed because it takes a special nurse to be a psych nurse so be proud I have always been proud to work with the mentally ill because they are stigmatized and need a medical professional's advocacy for them. Take care of yourself as well if you need time off to decompress take it as you can because psych is emotionally fulfilling but also emotionally draining. Good luck to you and glad to see a new nurse join the ranks in the psych field. Good luck to you.
  12. Visit  gatigress profile page
    2
    I am pretty honest with new nurses when they come into psych. You are either going to like psych or you are not. It is not worth it if you take the job home with you. I enjoy the patients and find everyday rewarding. The biggest advice would be to be aware of your surroundings at all times and look for body language more then the words they say. You can find out so much from people if you listen to them. Patients often will tell you how other patients are doing. If you have a good rapport you can see trouble brewing before it happens.
    Being aware of your surroundings means to not put yourself in an unsafe situation. I would always keep yourself near an exit from a patients room, never be with a patient alone (at least be within earshot of help) and always call for help before you need it if a situation is escalating. Stay calm no matter how unsafe you feel on the inside. Always fake the funk.. if you feel like someone will hurt you do not act afraid- and get help before you cannot ask for it
    ps... things do become unsafe in psych hospitals from time to time.. but its usually cause of the first two things I said.. 1- someone was not aware of their surroundings and 2- the staff did not listen and pay attention to nonverbal cues that something was about to happen.

    (sorry if I scared you about your first day- just remember psych patients are people too so talk to them like you would talk to any other patient you have in a hospital setting)
    ChelleNurse and dashingdiva like this.
  13. Visit  cienurse profile page
    2
    Shame on the person who told you that "they eat their young there!" instead of congratulating you on your new position and giving you words of encouragement. You now get to start your new job already apprehensive of your new co-workers and a tainted view of what might be in store for you. What is wrong with people?! Anyway, I wish you nothing but the best-and previous posters are correct-please listen to your new co-workers and watch for non-verbal signs that can tell you something is just not right. Most of all, be yourself, be genuine and honest, and I'm sure they will all take a liking to you-and someone is bound to take you under their wing-as it should be!
    elprup and puravidaLV like this.
  14. Visit  chevyv profile page
    3
    I also work at a county facility and can say honestly that there are great difficulties with staff. My motto has been "Forget the patients, beware of the staff!". Regardless, I love my job and learn something new every single day. There are truly a few coworkers, and you will know them quickly, who will gladly throw you under the bus. The part to remember is to be yourself. I finally realized that I'm not there to get my coworkers to like me. I'm there to work and help my patients to get through the night.

    On that note, beware of your surroundings, always. Listen to your gut, always. Watch personal space because it's difficult to step back safely when a very angry psychotic patient is in yours. Be respectful to your patients. Even when I'm de-escalating, or have to put someone in restraints, I don't get angry and always am respectful. It's not personal and when I remove restraints, I'm done and treat them just as before. That can be difficult when a pt has just physically assaulted one of your favorite coworkers! Also, take a few minutes every time you work to look up one facility policy and procedure. The facility I'm at has hundreds if not thousands. One a day will help you get to know the place and what to do to survive with your job intact. Oh and congratulations!!! I wouldn't give up behavioral health for anything!!
    elprup, pinkiepieRN, and Yosemite, RN like this.
  15. Visit  lovingtheunloved profile page
    6
    Be compassionate. Too many psych nurses act like their patients are a bother to them. Remember that if they're in that type of facility, they're hurting.
    elprup, dashingdiva, WantAccel.BSN, and 3 others like this.


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