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Discussion

having a hard time with difficult patient

I work on a med-surg peds floor that gets a lot of overflow psych kids. There is one patient on the floor who is VERY difficult, is a 2:1 because of her behaviors. Every time I go to work I have her, and it is making me very anxious and depressed. It's making me not want to go to work. I don't want to be a psych nurse at all. I got yelled at because I was "talking to the patient too much" while she was in restraints. I don't think I have a personality to take care of her because she needs someone stern, whereas I am naturally more sensitive/soft-spoken. I hate that some patients are present for a long time. It creates such a burden and I dread going to work because I already know what BS I have to deal with. Has anyone else been in a similar situation? Anyone have any tips to not be so depressed about this garbage job? Thanks

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Sometimes in my unit, difficult patients get put on an unofficial "respite list" where nurses get limited number of shifts  to keep nurses from burning out. You can talk to whoever makes your assignments, and ask for a break. Maybe not a permanent break, but some time off from this particular patient. 

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