smirn80

Our hospital is in the process of starting psych RNs to work in the ED to care for psychiatric patients. This will not be a full psych ED, but ED expanding its services to alleviate the backflow of psychiatric patients waiting in the ED. I am hoping to get some feedback here. We have done some research already, looked at Illinois Best Practice, but would like some feedback from those that already have this implemented, or perhaps have tried others, and can share their success/challenges. In addition, anyone willing to share Job Descriptions would be greatly appreciated, as we haven't found anything specific out there (I work in a unionized environment, and some concerns have already been raised about what these Psych RNs would be doing when there are no psych patients to care for during their shift). Ultimate goal is to provide the same quality (or very similar) treatment for the psych patients outside of the Behavioral Health Unit, especially for those that have to wait in the ED for acute psych admissions. Thank you. Sherwin Imperio, MSN, RN-BC, PHN

this is very subjective. Im now in my 3rd semester of my MSN program, and I started graduate studies within 4 months after getting licensed as an RN. I've heard that many programs have a minimum requirement before getting accepted. And I think that this minimum is a great idea, so that ppl do not get into something haphazardly. A year or two just might be enough to explore, and see whether you want to pursue something greater.

i myself had a wonderful experience in L&D, and this is oneof the rotations that I really enjoyed.

child adolescent unit is a tough unit, n ive talked to ppl at my work n that seems to be the trend, they would not work in that environment nocs adult is a good way to start, but if days is available in adult, its even better

im a grad, wat exactly do u want to know. they will own u for the next two years, n dont expect any less. Program is tough, but manageable, n also some teachers that take things personally, n cant stay professionally. nuff said, if u got other options, i say go somewhere else

unless u feel like ur good to go, its tought to do a second job while still under orientation. Unless u do registry. Most second jobs require orientation, n as an orientee in ER

rely on the knowledge and skills that u picked up in nursing school. just try to relax, and ask Q's when u need to. Never assume that u know everything.

slow down n take a deep breath. 5 rights, n try not to multitask while doing meds, as they are common source for making these med errors.

depends on the hospital,

med surge is a busy place, n it will definitely tech u time management skills also, to brush up n develop ur skills

its normal, but make sure that u dont take things personally, let things roll of ur back. Keep the experience in mind, but do not let this affect u negatively, n prevent u from doing nursing if thats really what u want to do

just being aware of ur surrounding is the key. always have an exit or way out i suppose

a pt during my rotation told me once, "this is not like a medical floor, u cant see improvement in pts in days. Its Long Term treatment. Nad he wsa right. DOnt feel like u can "Help" them right away. But know that the limits and structure u provide them helps them in the long run

not yet. But if i did, i would tell my supervisor that i cant work in that unit for conflict of interest.

im kinda da same, fresh of nursing school, tried DOU, but i did my preceptorship in a psych unit. I applied to do per diem in the psych unit i did my preceptorship, n they offerred me a FT position. I havent looked back since. I love being psychiatric nurse. Its the thing that I wanted to do while i was in nursing school. But like u, I thought about the "skills" that I may possible lose by not doing med-surge. I may try to talk to my supervisor n see if i can do a couple of days a month in the medical floor at the hospital where i work at.