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  1. oceanblue52

    Efficient clinic and job satisfaction. Help please!

    Wow, this seems a little crazy. I work in outpatient Psych so our duties are a bit different (e.g. we just do injections, not anything crazy like post-op or sedation). Will say that we have about 8 docs (some part-time), and we have many of the same obligations:refills, PARS, phone calls, emails from providers. On a bad day we get 30-40 calls a day (and maybe they are a bit worse b/c they are Psych related and require lengthy conversations and follow up?). The only way this chaos works is that we have two MAs and one RN. MAs can pretty much do everything that RNs can do other than dealing with Scheduled meds...and they are of course uncomfortable dealing with difficult clinical scenarios. Don't know if that feedback is of much help since Psych is very different from your setting...but will offer my sympathy and say that you do the best you can (and find another job if it’s too stressful after a time). We were understaffed for awhile at my job and it was horrific. People like to think out patient is easy, but it can be just as crazy and chaotic as inpatient.
  2. Greetings, Outpatient Psych RN here. Had an adverse incident recently where we were giving a client an injection and said client grabbed scissors off the desk and injured himself. 911 was called and client was stabilized. Our outpatient facility is now reviewing protocols to prevent this incident from happening again. Of course the obvious first suggestion is to not leave items that can be used like weapons around in easy reach...in this case it was a human error and of course our staff plans to be more careful with keeping these sorts of items out of reach. Rest assured our staff member feels terrible about leaving a sharp object out and nursing staff is now hyper vigilant about reviewing our environments before client encounters. Honestly though even if obvious sharp objects were tucked away, there were other items the client could have grabbed. Other than controlling the environment better, does anyone working in outpatient use an evidence-based assessment for predicting who might act out/commit assault so better precautions can be put in place? In an outpatient setting it is tricky dealing with patients who are easily agitated because we don’t have security backup in place. Am thinking a risk assessment is a good start to tackling this issue?