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New psych RN as charge nurse?



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Sep 02, 2009 09:08 PM

New psych RN as charge nurse?


Hi everyone. I am not a psych nurse yet but I am thinking of making the switch. I have 1.5 years experience in the ER and am looking to move towards psych full time. I haven't interviewed yet, but I am curious as to what everyone thinks about this. If I got the job, I will be the only RN on the unit when census is low. Thus I would be charge and be responsible to pass meds and do any admission on approx 10 patients. Is this is a reasonable expectation? Can I do this with 1.5 yrs experience, none of which have been a charge position? I am somewhat concerned with being the only RN. I welcome any and all feedback. Thanks!


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11 Comments
No. 1
from Whispera
Old Sep 02, 2009, 10:59 PM

Default Re: New psych RN as charge nurse?
I worked psych right after graduation and was usually charge nurse after I finished an ample orientation. I could be the nurse for up to 8 patients. I had no other staff with me. It was not a safe or easy position to be in. There was no way to be in more than one place at a time. My unit wasn't "intensive care psych (the sickest of the sick)" but sometimes people were there who should have been on the more well-staffed unit. I had suicide attempts during my time as only staff there. The patients also TP'd the unit one night...ahem....

Anyway, I think it's doable if there are other staff members there, and the number of other staff members required depends on the acuity of the patients. It also depends on whether you are working the day or the night shift. Nights tend to be much more quiet, a good portion of the time at least.
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No. 2
from chingy1206
Old Sep 03, 2009, 08:05 AM

Default Re: New psych RN as charge nurse?
I just started working in Psych as well, new grad RN of 8 months. I am Charge RN on the floor, I work nights, and am the only nurse on shift for 30 patients so yeah its doable, and not too bad!
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No. 3
from elkpark
Old Sep 03, 2009, 09:06 AM

Default Re: New psych RN as charge nurse?
Are there other units? That is, will there be other, more experienced RNs nearby, on other units?

It's v. doable -- I work in a facility where it is routine to have one RN (and some techs) on units with up to 12 clients (the larger units have an RN plus an LPN (and techs)), and the RN charges, gives meds, admits/discharges, and anything else that needs doing. If you will have more experienced RNs around with whom to consult when you have questions/concerns, I'd say you'll probably be fine.
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No. 4
from PAERRN20
Old Sep 03, 2009, 12:04 PM

Default Re: New psych RN as charge nurse?
Yes, this unit is in a hospital. There would be a ospital-wide manager on duty every shift to consult if I needed anything. Thanks guys! I think I am going to go ahead go for this job!
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No. 5
from Jules A
Old Sep 03, 2009, 12:29 PM

Default Re: New psych RN as charge nurse?
I think you will be fine and far more qualified than I was as a new grad without a manager on duty! Congratulations and good luck.
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No. 6
from wonderbee
Old Sep 08, 2009, 07:39 AM

Default Re: New psych RN as charge nurse?
It depends on the acuity of the patients and what kind of ancillary support you have. You can have patients with med surg issues like feeding tubes, dressing changes, IV fluid replacements, ambulation issues. Will they be potentially violent? Is there a supervisor available for off-unit support when you need it? Is there a nurse to relieve you for breaks? Is security capable and quickly available? These are all questions I would ask before accepting the position.

My personal feeling is that it is never safe to be alone on a unit where there is a potential for violence.
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No. 7
from PAERRN20
Old Sep 10, 2009, 12:42 AM

Default Re: New psych RN as charge nurse?
Originally Posted by wonderbee View Post
It depends on the acuity of the patients and what kind of ancillary support you have. You can have patients with med surg issues like feeding tubes, dressing changes, IV fluid replacements, ambulation issues. Will they be potentially violent? Is there a supervisor available for off-unit support when you need it? Is there a nurse to relieve you for breaks? Is security capable and quickly available? These are all questions I would ask before accepting the position.

My personal feeling is that it is never safe to be alone on a unit where there is a potential for violence.
No IVs, feeding tubes, ambulation issues. Possibly minor dressing changes. There will be techs as well as aides on the floor as well. I would just be the only RN if census is below 10. A supervisor off-unit would be available PRN. Security would easily available. Thanks for replying.
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No. 8
Old Sep 10, 2009, 05:37 AM

Default Re: New psych RN as charge nurse?
Originally Posted by wonderbee View Post
My personal feeling is that it is never safe to be alone on a unit where there is a potential for violence.

Ditto
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No. 9
from Whispera
Old Sep 10, 2009, 08:57 AM

Default Re: New psych RN as charge nurse?
double ditto
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