Quote from sleepdeprived1
So, lately I have been feeling completely overwhelmed at work! This is my first nursing job after nursing school
and have been working mental health nights for about 5 months. 3 or so have been on my own. It was always my dream to work mental health and I really enjoy the field, but as of lately I feel that it has been getting harder and harder to get my entire job duties completed on time and lately need to stay after work to finish the bare minimum necessary. I also find I am needing to leave things undone for other shifts. This really stresses me out too since I feel I am not doing well if I dont get everything done. I know I am told that night shift is easier and so is mental health, but with night shift I have alot of extra duties that I am expected to get done-one example of this is to go through all the patients medications in chart and print out paper copies of all meds,and verify current meds for day are correct. Last night I had 15 patients but then I got two admissions. The only other employee was a psych tech on that unit. How is this even safe? Plus the patients who cannot sleep, up all night asking for meds,food. I feel that my charting and my entire job is being done crappy because I do not have enough time to complete it and I am always the only nurse on my unit at night-just last week we had several codes and behavioral issues that required my time...I was hoping this week would be better but maybe it is me..I just want to cry because I feel I cannot keep up, I take two 5 minute breaks to go to bathroom and get something to drink but feel that is even too long when I cant get my work done. Anyone else have this issue with psych nursing? Also do you have problems with patients up half or all the night with numerous requests for snacks,fluids, prns. I just want a good night!
At night? They sleep.
Thank God. Half of them raise so much hell during the day, of course, they're tired. Hell-raising is tiring work. LOL
I do understand. I mentioned something like this in another thread tonight.
Breaking up fights. Trying to keep the wanderers out of the rooms. Trying to 'bring down' excitable, ranting residents. Running to stop people who can't walk from ambulating and falling. Took me 30 minutes to convince a resident to take her meds. I even bribed her with a diet Coke, because none of us want to have to hold her down and give her a shot. Sometimes, it's necessary when she's refusing like this. You can't redirect her, most of the time. With each refusal, she just gets more and more 'off' until she flips out and we have to send her off to get her stabilized. She doesn't understand, but it's important that she take her medication. I'm not just talking about her narcs and antipsychs, either. I'm talking about her heart meds, vitamin supplements and INSULIN, as well.
Her feet are as big as a tree-trunks, right now. She has hypothyroidism. She's also, as previously mentioned, a diabetic... with no 'awareness'. It's kind of scary. She can have a b/s of 400 and exhibit no visible s/s.
So, after 30 minutes, I ended up getting her to take her Ativan. Success! Not much. Just 1 mg. Afterwards, I was able to convince her to take some of her meds (lasix, metformin, cholesterol and HTN meds) and the depakote.
We had a new admit who was completely unmedicated with no meds on her. She'd been removed from a prior facility for trying to kill her roommate. So, we rec'v her and she's making a dash for the door every 10 minutes. Then...we had to put on 1x1 because she threatened suicide. We had 2 residents calling the police and the F/D on us. All of which amounts to more paperwork.
That was my weekend!
You deal with all of this in addition to their medical issues. Let's just say that my nerves were completely shot by Sunday evening. LL I could not wait to go home. None of us could! LOL
My job is fun, but when I've a bad day? It's a really bad day.
In what world is mental health 'easy'?
Sometimes, I leave work feeling completely drained from some of those personalities that we have in there. And I understand the attention seeking sort. I have a lady who followed me all over the place in her w/c last sunday. Crying and whining (no, seriously, it's a whine. she whines. i'm not being mean) behind me for meds, pain pills, 'look at my feet. I've an infection'. 'someone snuck into my room and raped me 2 minutes ago'. 'I'm pregnant'. This is a 68 year old woman.
With her, I really have to step back and check my responses and attitude...because she's just THAT annoying. I'm just being honest.
She annoys the hell out of everyone but she latches onto me because I'm not as dismissive, I'd say. I figure that she can't help it.
It's not her. It's her illness.
I don't want my care compromised by my reactions to her.
Then we had a lady who is borderline and bipolar disorder'd and she was on that call-light every 10 minutes. The aides (god bless em) handled her. She's really a sweet woman. She's just very 'excitable' and melodramatic. LOL
But once I read her chart? I began to understand.
I'm working on my boundary setting, however. I'm happy to say that my skin has thickened to a great extent, which allows me to handle the residents in a more therapeutic fashion.