It's not easy... I agree with all the above posts. Take a medically complex pt with psych issues... You're dealing with medical AND psych. Safety. Rounds q15min. No techs. 10 patients per nurse. Codes. Seclusion. Restraints. Baker Act (depending on state). Guardian Advocates. Court. Paperwork. Paperwork. Paperwork. Staff splitting. Substance abuse. Withdrawal. Deescalating. Admissions. Discharges. Working with a team of social workers, therapists, doctors for one goal. Personality disorders. Frequent flyers. PRNs. PRNs. PRNs. Paperwork. Paperwork. Paperwork. And this is the tip of the iceberg...