Anyone here work inpatient psych doing IM rounds?

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I have a job opportunity to work in an inpatient psych hospital doing Internal med H&Ps and acute IM issues. I would not manage any of the psych stuff. I talked with the physician who does it currently and it sounds like a super easy gig, should only take me 3-4 hrs per day to do what I need to do and the pay will be more than what I'm making now- currently working SNF/LTC and kinda burnt out here with all the politics/family issues/poor nursing... I'm just worried about working with this population and would love to hear from anyone who has done similar work.

I’ve been working in a similar gig for the last 2 years. It’s a fairly chill job in a challenging environment. It’s not unusual for patients to refuse to talk to you or to provide next to no health history. Work ups of acute issues can be challenging due to the patient’s participation (or lack there of), complications from psych meds, limited resources on site (we have no onsite imaging and even stat labs can take almost a day to result). I think a lot of this can be driven by the patient population. Our hospital is 100% involuntary detentions so we deal with very sick folks, but I imagine a voluntary population would be quite different.

Let me know if you have any particular questions. I’m happy to answer them!

Specializes in Psychiatric and emergency nursing.

I am a PMHNP that does IM rounding in a hospital setting, I am also available for questions ?.

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