I'm brand new to a psych facility and am feeling pretty nervous about my new job at this point. I was told when I was hired that although it isn't a "medical" facility, i.e. pts have to be medically cleared before they are admitted and we don't really have the capacity to do much in the way of treatments or diagnostics, that there are specialists who provide for the medical/physical side of things and then practitioners focusing on the psych issues.
I am pretty concerned about the quality of medical care our patients need vs. what they receive. There are two wings, one which is mostly psychotic patients who require extensive behavioral interventions and emergency meds frequently. The other wing is more for substance abuse/depressed/personality disorders. That wing sees a lot of post-suicide attempts and these patients seem to be fairly medically fragile to me.
I feel already like the family nurse practitioners (who are in the trenches as the first line for medical care) are mostly just "checking boxes" when it comes to their medical needs. They do an initial assessment and of course are there to field questions and concerns but I'm only in my fourth day of orientation and I've already seen two pretty scary situations in which patients could have actually died and the medical providers seemed to blow off or bungle the whole situation. These were things that were validated by actual physical findings but in both situations the NPs tried to play off the patients' obvious medical needs as being somehow being mitigated by their behavior and psych issues even it was very apparent that neither was "faking" or causing their own illness.
Are you confident in how your psych facility manages medical needs?