your post is ironic because i was just about to start a new thread titled: "are there any non-medical psyc units out there?" sorry to glom in on your thread, but it seems related. i am a fairly new nurse , i first got my b.s. in psychology in 2001 then found out i couldn't make enough money to repay my student loans so i went to an accelerated bsn program and graduated in dec 2006. at the psyc floor that i worked on, we didn't start iv's but we ran them. we straight cathed, inserted foleys, flushed and used picc lines, had pts on telemetry, packed wounds, etc. i actually found this frustrating and confusing because these patients demanded so much medical attention that we were unable to address the psychiatric needs, which are supposed to be the primary reason for admission to a locked unit. it would be like a nurse on cvicu spending half her shift talking to her patients about how their mothers didn't love them... in my opinion, it is best practice for psyc nurses to be just that: psyc nurses. it is a very unique specialty and i feel that patient safety as well as our licensure is put at risk when we are given medical patients. if you are not dealing with med-surg on a daily basis, the risk for error increase greatly. now of course i agree that in the situations you mentioned, there is no excuse for such ignorance of basic nursing skills. but seriously, i am asking where do you work because it sounds like the kind of floor i'm interested in. i live in a smaller city and the three psyc floors in the area all have significant med-surg overlap. i am interested in travel nursing but i want to know about units that are strictly psyc and discourage the admission of medical patients. could fellow psyc rn's please let me know of such floors you have worked on? thanks so much, this is a great forum.