I'm a new graduate and I've been working in UHS facility for a month right after graduation, I knew in my heart I want do psych, but now that I am working, it's just different from what I expected.
Sometimes I just feel like it's understaffed in whichever unit I'm working at. Whether it's adolescent or adults or kids.
There are only two nurses taking care of eighteen to twenty patients. I honestly feel overwhelmed. I enjoy talking to my patients, but with all nursing reports, admission/discharge, emergency (we could have up to three to four emergencies) in 8 hours shift, meds, it just seemed impossible to spend time with patient. And I even have to work overtime to finish the paperwork, and the supervisor is upset if I work overtime or skip unpaid lunch break. But I really work, I don't even have time to check my phone or even pee for 8 hours shift.
Not to mention, I often get verbally abused by my adult patients or even the parents of the kids that I am taking care of. I really do my best at work, but it seems I can never make everyone happy.
I am so stressed out. I always have this negative feeling when I am stepping into my workplace.
I admit, maybe my time management sucks. I try to speed up, but I still couldn't finish it on time. Will it get any better....
Hi, I truly hope it gets better for you. Are you understaffed every day? Is management in the process of filling positions or does it seem that that's the norm and nothing is going to change? Like you, I feel a big part of psych nursing is talking to our patients and not just passing meds and doing assessments. I was in psych for 2 years (I've been out 3 but start again in a week), and we never took care of that many patients. We were an acute facility. When people were picked up by the cops they were brought there. The other facility would be a long term facility, and I believe they take on more patients, more like a nursing home. I don't know what kind of unit you have, and it's ok to have a few bad days here and there and be short staffed if someone calls in or something, but to feel horrible every day you come to work, is toxic. You're new, so that can definitely explain having to stay late to finish charting or what not, but that shouldn't be an every day thing either. I hope you have other co workers who can possibly help or let you know if it's the norm so you can make a better judgement of your future. Good luck
The work arena does not get better, however, you will get better at what you do & that will make you more able to handle your workload. Overwhelmed is an understatement for how any new psych nurse feels. I was in mortal shock & dismay for at least 1 year but had an intense desire to understand. After that it was more about learning & doing more pt. care with increased ratios (now at 11:1 at my facility). I believe in what I do, I believe we help people even though they won't maintain it, we help them. If you are hating your life, dreading going to work, you might look into a different avenue of nursing. The amount of "warm & fuzzy" feelings are very few & far in-between. Best days for me? Seeing the psychotic patient make a turn & start making sense or the hopeless person D/C with real connections & F/U care. Otherwise, it can be just another day in the neighborhood.
I'm sorry you're going through this.
UHS is well known to have the worst psych facilities in my area. This for-profit corporation won't hesitate to throw RNs under the bus when bad things happened, and bad things happen a lot at UHS. One facility was shut down after numerous violations last year. The only reason they are still opened is because there's a desperate need for psych beds.
No matter where you go, inpatient psych is probably going to be very busy. But being busy is not the same as being unsafe. I've worked in 2 inpatient facilities and both have security on site, and each RN gets no more than 7 patients. Both jobs were incredibly busy, but I never felt like I could lose my license. I felt well supported by both nursing and medical staff.
I encourage you to start looking elsewhere now.
UHS is for-profit. And the problem with for-profit facilities is that they will do whatever it takes to maximize profits. This means they will cut corners wherever they can...and staffing is often one of those corners that is frequently cut. Yet they expect you to do it all in 8 hours, and with minimized resources.
Try to last the year if you can, then move on.
I work in a UHS facility in a big city. We are chronically understaffed for MHTs and occasionally RNs. I frequently imagine what it could be like if we were adequately resourced.
I understand what you are going through. I am running continually the whole time I am there. It has gotten a little easier for me because I deal with the patients better. The managers are good and there are a lot of good staff. But I don't see it changing. I don't know what the root of the problem with the staffing is. They hire people but they don't stay.
For me it's like, 5% great shifts, 85% so-so (just gotta get thru it) shifts, and 10% **** (I got to get out of this place) shifts. Many have been total crapshows and one or two have been traumatic. All in all I feel an increased sense of competency.
There is a lot of room for improvement at this place. I admire many of the people who stick around there.
Have you thought about working in a clinic or outpatient setting ? I liked the learning curve in inpatient but it was always too much rush rush rush and burn out.
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