devonn1

I know change for some people is not good. I will contiune to make sure patient safety is first. Psy patients are human and need to be treated as such. When I say it bad I mean It bad. They need to treat these patients like human being. I think i handle these nurses. I have spent many years in the military I will not stop until I get the results I need to ensure patient safety. The good thing iS I have the chief nurse and cheif psy MD wanting this change. My focus is not only to have the staff look at psy problems but the many medical problems these patiets have.

I do have the support for change from my leadership. They want change.

I shocked that you would think assessment of psy patients should be different. If you notice in psy today patients have many medical problems. On an average my unit have at least 2-3 medical codes per week 1oo% of the time these patient are transfered out to medical ICU OR CCU. I will contiune to force them to assess and document. Most of the nurses feels the same way you do let the the patients have a good night sleep. psy has changed. Most psy medication could have fatal side effects. On a daily basis most of these patients have to be treated for non psy problems. Some of the the DRGs in my area: cva, HTN, post MI, post open heart, and i can go on. Like i said psy has change

Hi, I have been a nurse for 6 years and currently holds a MSN. I have worked mostly in critical care and know nurse manager in the VA system. Working in psy is very new to me. I was reading from other staff how difficult is it to get rid of lazy staff. Well I am working on it. I have staff who cannot function and taking a look at the performance evaluation they are 95% outstanding ratings. I took over a unit that has no structure. I did my first evaluation last month and I give a staff high satifactoy in patient care and this staff demanded that an outstanding rating. I did inform him he must show proff of outstanding performance. Before it was given to them. You have staff who thinks that in acute psy vitals signs every shift is too much. Basic nusing assessment is lacking. One staff told me that finger stick is stupid because patients are non compliant out side the hospital. I have staff that give medications from memory because she knows the patients. I have staff who will not follow MD treatment plans because doing it their way is easier for them. I have staff who were allowed to sign and initial their managers name on overtime paper work. I being the new kid made some changes and the above will not go on. They have a very big problem with change. They are looking for ways on how to get rid of me. One staff stated I came and make all these changes. My response I only following policy. The situtation is very bad. I pulled a night staff for unsafe practice for not making an assessment on a vet that had a possible GI bleed and did not call the MD. This staff still thinks she did nothing wrong. I am trying to make a difference. The good part of it I have the support from my leadership for change. I would like to hear from the community.