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Forensic Psych/Acute Rehab RN

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  1. Stephalump

    Patient Population?

    Adults who have been deemed incompetent to stand trial...so inmates. Mostly male. I honestly love the population. My goal is to get into detox/addictions.
  2. Stephalump

    Eliminating Seclusion/Restraint? Um, NO.

    How would that even be possible?
  3. Stephalump

    Comfortable shoes?

    I love me some Nike Air Max!
  4. Stephalump

    Esme Needs Your Prayers

    You are loved, Esme. Best wishes for your recovery
  5. Stephalump

    Benzo free inpatient hospital?

    It's not out of line. It's my opinion, which I'm entitled to. Out of line is "monitoring" people's freedom to express such opinions on a public message board. But I suppose you're entitled to your opinion about my opinion.
  6. Stephalump

    Perhaps this Wasn't for Me

    I love forensic psych. Love, love, love it and intend on starting grad school soon and hopefully working with the same population. That being said...yes, it can be horribly boring at times. I can be finished with my paperwork by 1000 and spend the next 9 hours doing nothing but counting down the hours and passing out meds. My pts stay with us anywhere from 60 days to a year, so once they're stable, not much changes from day to say. I spend the hours hanging out with my pts and assistants. But there are also the times when I spend the entire day dealing with aggressive patients, ETOs, and wishing there were more hours in the day. 99% of the time it's calm, but that 1%...busy busy. That being said, I'm more the "busy, busy" type. I think I'd probably be more suited to the constant bustle of outpatient as a floor nurse. I'm just looking to the future at this point. Down time gives me time to get through school and then I can join the hustle and bustle of the APRNs.
  7. Stephalump

    Benzo free inpatient hospital?

    I don't work in a benzo-free facility, per se, but very, very few of my patients receive them outside of an ETO. Their reasoning is a bit more straight-forward. I work in a forensic facility where all the patients come from jail and all will be returning to jail - and there are no benzos in jail. I can somewhat understand the logic there and I can say a good number of the patients (but not all) are managed pretty effectively without. But in some cases I feel like a joke throwing Atarax at someone who's had to depend on Klonopin to be low-functioning at best for the past twenty years. I honestly can't imagine NEVER using Ativan in a cocktail. Sometimes it's the only thing that stands between a patient and constant violence. I love when providers make decisions like that...because they don't have to deal with the consequences.
  8. Stephalump

    Security guards

    I had to laugh out loud at the idea that all of my medication restraints could've been avoided by something so simple....JUICE!!! I'll admit, sometimes if you know a patient well enough and they're maybe just stubborn or feeling like they need to be in control there are non-confrontational ways to get things done. I had one patient who would ignore me when I asked him to come take his meds and it would turn into a battle . So instead of telling him it was time, I would tell him I had them ready whenever HE was ready, and he'd come to the med room within 10 minutes on his own. But for the most part? My patients refused because they're psychotic/paranoid. Juice ain't gonna solve anyone's problems.
  9. Stephalump

    Security guards

    We have four safety officers per shift and usually around 90 or so patients.
  10. Stephalump

    Four years to earn an ADN :/

    It took me four years to get my ADN as well. Trust me, those kinds of thoughts only matter when you're at the starting line. You won't be the least bit concerned about the details of getting there once you hit the finish line.
  11. Less desirable doesn't mean "bad career choice." I'd be willing to bet money that the difference in the number of applications for every home health job and the number of apps per hospital job is exponential. I work in psych...it's less desirable because droves of new nurses leave wanting to go to the er, icu, l&d, and med surg jobs. Not so many sit and dream of doing what I do every day!
  12. Stephalump

    Areas of nursing you would NOT like?

    I knew right away that I wasn't going to do med-surg, l&d, nursing homes, or OR. I wanted ER or psych and ended up in psych with no regrets thus far!
  13. Stephalump

    Love the Job, Hate the Environment

    I haven't read the book, but I definitely need to! I have very little experience dealing with people like her. My normal method of keeping my head down doesn't seem to be working. Probably because of what you said...she can sense my hatred of confrontation. This woman knows when she's being avoided and doesn't like it. I work for a private facility and there's really nowhere else for me to go. All I could do is maybe switch shifts, but she's notorious for continuing to harass people who have switched shifts to avoid her. How sad is that? I have a good relationship with everyone at my job except her and her few minions, which is probably the only reason I've stayed this long. I work with some great MHTs and nurses, but they all seem to leave too soon. Ugh. I don't know what to do anymore.
  14. Stephalump

    Major Boundary Violation

    Turn yourself in to someone you trust . Boundary violations beget more boundary violations and it's a hard cycle to stop with manipulative populations or struggling nurses. You can get some help. I haven't quite been in your situation, but I have been on thin ice in the past, which I shared in the "Dating a Former Patient" thread. Had I thrown in the towel and ran away, I would've lost an amazing career with patients I care for. I learned a lot about myself. I learned a lot about boundaries. And I learned a lot about codependency and how to NEVER get in that situation again. If every nurse who ever screwed up quit, our hospitals would be quite empty!
  15. Stephalump

    Love the Job, Hate the Environment

    4 months ago I started a forensic psych job. It's stressful and challenging, but I love it. Watching my patients improve has been an amazing experience. What hasn't been amazing is my experience with my supervisors. Both are extremely unprofessional, and one seems to have more mental health problems than any of my patients. She frequently lies, staff splits, and speaks inappropriately to the nurses and aids. She took an immediate disliking to me and has taken every opportunity to "counsel" me over ridiculous things. I haven't actually gotten in real trouble, however, because the things this person "counsels" me on aren't backed up by evidence or even a breaking of policy. I'm 90% all the complaints she's claimed to receive from other people are completely made up. She's used my name as a "complainant" when accusing someone else of something that I most definitely never complained about, so it isn't beyond her. I've been told independently by multiple people that her MO is running off nurses she feels threatened by...and (I'm dying as I write this, because I roll my eyes every time I see it on AN) because I'm young and not ugly., I'm on her radar. I love my job, but I absolutely HATE going to work every day because of this environment. I'm not a drama person. I strongly dislike conflict, and this situation is causing me a lot of anxiety and having a negative effect on the rest of my life. Complaints to higher ups have just seemed to cause her to try to find more legitimate ways to get me in trouble. My other supervisor hasn't directly engaged in these activities, but they're best friends and she's just consistently rude. I really want to put in my two weeks tomorrow. As much as I enjoy my work, it isn't worth my marriage or my sanity. Thoughts?