IdrilRN

And old as **** frail elderly resident in the nursing home I work in who was half dead the other night and has no family but the people who take care of her.

#justnursinghomethings. #weepy #justnursethings #beanursetheysayitwillbefuntheysay #veryrewarding When you hope the medication is enough. When you hope your touch is enough. When you hope your nursing skills are enough. When you kiss them on the forehead and say "I love you" When they reach out for your hand and say they love you too. When they tell you the pain has gone away. Then I know I've done enough. Then I know I can take a moment for myself

Polly policy. And I say that with great admiration. As she knows the policy book backwards and forwards so it is quite helpful! Me, I would be, saftey queen. Very rigid on my unit with issues regarding saftey of patients and staff. But alas we already have a safety king... I mean saftey officer who is worse then I.

Not going to sugar coat it but you are lucky not to be kicked out of the nursing program for doing a tube feeding with a nurses aid, or nurse like person. In other words not with your instructor. There are rules for a reason. We are dealing with human lives here. And yes we are all human and make mistakes, but what you've described are very simple things to follow. Perhaps being a nurse just isn't right for you.

Please please don't take things patients say about you personal. You will burn out very quickly. I've had patients rip the cuff off and storm off while calling me every name in the book and accusing me of breaking their arm because the cuff was too tight. Best of luck to you in your psych career.

Yes it is possible for RN's. I just got hired on perdiem. And will often be the only RN on besides the charge nurse.

Find out who the company is that provides medical care for the DOC. I just got hired on per diem at my local prison. It's not through the DOC it's through an out side company. Could be as easy as calling the prison, asking for medical and speak with someone and find out which company.

Oh yes. 6p-8p M-F and 2-4 and 6-8 on weekends. And even better if the pt is on any type of detox protocol. They get no visits unless it is "therapeutic" And even then requires an md order and supervision with the social worker. But a sad point to psyche, is some if not most of my unit gets no visitors. ?

I wear boring jeans and boring t shirts or shirt, and sneakers. But then again thats my "style" or lack of style, anyway I work on a forensics unit and as a nurse I would never wear a dress or a skirt. I get down and dirty (no pun intended) with these peeps sometimes and a skirt not appropriate. I would not wear any thing I really cares about. Why just today, my charge and I wore a patients cup of coffee. She ruined her expensive new blouse, me... Inexpensive Walmart shirt. The children's unit wear long sleeve shirts, the adolescent unit can wear shorts. I don't wear a button up shirt unless I have a tank top underneath. The dress code for your hospital can guide you a bit more. I know some of my coworkers would love to wear their sweatpants but that is just not allowed. Mostly we wear jeans or regular pants. But that's our hospital. Gratz and best of luck!!! Psych nursing is very rewarding.

I worked as an LPN on a psych unit. Now as an ADN, I work in a private psych hospital. Psych nursing is not at all slow paced, except maybe on night shift and that's only if everyone is sleeping.

It's for people who have commuted a crime and at some point are suspected of having or already have a diagnosis of a mental illness. They come to the suit usually psychotic (they've been off their meds) with in two weeks they have an eval by a forensic psychiatrist. Who will determine if they were mentally Ill at the time of their crime. (Competent or incompetent) They go to court with that information and either go back to the community, to jail or back to us for at least 90 days. It's managing a lot of psychosis and trying to get people to take their medications. We have very manic people as well. There is a lot more that happens but that's he gist of it.

Child, adolescent, LGBT, Detox, 2 adult units (regular) and one forensic. A uniformed service program, intensive outpatient program for adults, children and adolescents and residential programs for children and adolescents.

I agree that if they were well enough not to be checked on they are well enough to be home. I remember after a 5pm surgery, I was up all night going to the bathroom anyway, they didn't need to come and check me every hour. Getting rest in the hospital, that's the strangest thing I've ever heard. I wake people up for their meds because if they didn't need them, and that they are not in a hotel. But I will let them sleep and not ask if they are awake, when it is clear they are resting quietly with their eyes closed and are breathing. Now today at work, there were many crabby peeps. I think it was the extra day of this year, (peeps just didn't know what to do with themselves) and the new moon.

I worked at Central Vt hospital. I enjoyed it very much. We didn't have a union but our pay was decent and the benefits great. I enjoyed all the people I worked with, and all the people in the other depts. And when I was a patient three different times, I had a wonderful stay. I think there is a lot of the same "stuff" no matter where you go, but it is a nice place to work. Copley is a smaller hospital. I don't know too much about it, but I know a lot of the nurses like working there.

If I'm getting a shot, I only want one and only one shot, as long as it's appropriate. It's a needle getting stuck in my skin, of course it's going to hurt. Some years my flu shot hurts, some years it doesn't, depends on who I'm getting it from. I've had people covered in tattoo's whining about getting a shot or their blood drawn. Your patient sounded like a person who didn't like shots.

The aids are not d/c ing the pain patches, the people taking them off are drug addicts and using the patches to get high. That needs to go to the attorney general/state board of nursing/police.

Is their a tv show or movie that glorifies psych nursing in a good light? I bet if their was maybe we wouldn't be seen as the bottom of the barrel. I was the only one of 36 in my class that liked psych nursing, I was the only one who wasn't ommmmgggg sssoooo excited for babbbiiiieeessss and mmmooommmmmmssssss. There wasn't enough ear bleach that day. Thank goodness I had the nerve to talk to my maternity clinical instructor to let her know how much I didn't like it. She was super cool and I got away with the minimum of what I had to do in clinicals. Mostly I think it's because of the patients we take care of.

If a patient apologizes for their inaprop. behavior toward me, after I redirect them,I do not say, "It's all right, or don't worry about it".... I accept it and move on. To say "it's all right etc... only shows it was ok in the first place when it wasn't. Sometimes depending on the behavior I just ignore it, but then again I work in psych, so some of the behaviors we do ignore.

This is how I was before 8am today, and it was downhill all day. But then I got to leave at 330pm, so all is well.

I was in charge this weekend for my first time. It was with out warning. Our hospital is expanding so there are a lot of new staff, nurses and mental health workers alike. I have a lot going on in my outside life and didn't think I could take that additional stress at work. Well all worked out for the best. It was a weekend, so there was no treatment team meeting, no doctors, or social workers, which made it easier. I called the nursing supervisor after report to let her know I'd never done charge (at this place before) and might be needy. She was wonderful. I was scared at first, but I made it through. I was responsible for 15 patients, and the work of 7 MHW's No psych emergencies, no medical emergencies, and I put one of the MHW's in her place early on as she thinks she can take over. I had been oriented by following the charge for two days. The person hired for the charge position for our new unit, trained by following a charge nurse for 3 days, and then just being the charge nurse, with the trainer following her, and offering guidance and support as needed. She is now in charge and doing just fine. Saturday, was great, and then Sunday was a walk in the park. Sorry I couldn't give you the condensed version, but overall I didn't want to do it as I was scared, but now that I've done it it wasn't so bad. On a side note..... I think it's very interesting that on the weekend when the docs or social workers are not there, the patients aren't so needy. Although, need some education that the on call doc isn't for routine matters. Best of luck to you.

It has to be taken with food for proper absorption. That's about all I know.

I've worked in 3 psych units. There is always the potential for violence. Each place I've worked has a non violent crisis intervention program they use. Pro Act, CPI, NAAPI All teach us how to to recognize when the patients could be come dangerous and what to do about it if they do. We've learned how to "talk some one down" and defensive moves and how to take someone down as a team.of course someone can go off with out warning, but usually we can tell. I work with good people and we all have each others back in regards to safety. Speaking about your back, grow a set of eyes back there, But seriously, know who's behind you. I am 5'2 and a female. A lot of times they see me as not a threat as I am much shorter then anyone else, and I have a soft spoken voice. Today, I had to get on a chair to do a mouth check. Only you can decide if it's appropriate to take the job. I love psych and would want to do any other type of nursing. I think of the patients as people, and talk to them like they people, because that is what they are, people with mental illness.

we lock it in a closet that the patients can't access during their stay, then it's given to them upon d/c. Illegal drugs are given to the med nurse and then the police come and collect it to dispose of it, but with no identifying information. The police collect the guns as well, and the person can get it after d/c from the police dept.

At my place, the med nurse passes the medications, educates the patients about the medications, hopefully convinces the paranoid patient to take their medication, does all the detox assessments and medicates accordingly. The mileu nurse does vital signs, any treatments needed, watches out for the patients, talks to them, asses their mental status, encourages them to do their ADL's. The charge nurse, is in charge of the floor, the MHW's, makes sure information in communicated to the staff and doctors. And a multitude of other things that are too many to name. And all three of us RN's have paper work up the wazoo. We don't tackle agitated patients, we are constantly assessing the agitated patient to make sure we do not have to put hands on. Not to mentions the many discharges and admissions. I don't think one could capture "a day in the life of a psych nurse" too much happens

The rent is expensive, some of the neighborhoods real bad. There are a lot of hippy type people here. The farmers market is a big thing here. It's an artsy type town, There is a lot of recreation. It's close to ski areas,. Like I said i just started, but so far I have found everyone to be very welcoming, and nice and what not. The doctors, social workers, mhw, security all the way down to the dietary, we are all part of a great team to take care of the people. The website has a lot of information about the programs. Oh so far, everything seems real organized, in terms of paper work. They are still on paper charting. They are growing, due to our state losing our state hospital the patients have been scattered around the state in the prisions, hospitals, and other housing. The new unit opening in Jan, (but they are hiring now) is going to be for 15 of those long term type people. I guess that's about all I can say, check out the website about Brattleboro too.