HigginsdogRN

I doubt that one who incurs the sum of student loan debt you did to obtain an RN is thinking straight.

You should give Mellencamp credit. It's "growing up leads to growing old and then to dying."

Last I knew there are now up to 10 checks taught. That's part of the problem.

Exactly. I have Ocular Rosacea and migraine with aura. My eyes get really dry and red at work under the horrible florescent lighting. I am not impaired but constantly fear the possibility of suspicion.

I like working with men also.

I am schedules to work this Friday through Monday 7A-7P. I live 1 hour away from work. The forecast is calling for at least a couple of feet of snow. My manager tells me that the hospital will put up cots in our unit for us to sleep on. I am an introvert and need to recharge alone. 4 12s sucks anyway but not being able to go home makes it so much worse. Sleep does not come easy for me and I rely on a ritual and I don't function well without it. I am already feeling my anxiety rise. I am making reservations at a hotel close to the hospital but I'm basically working for nothing because of the cost. Just wanted to vent.

I would definitely be honest with your psychiatrist. There are several psychiatric disorders that have presentations like you describe that can be controlled with proper medical care.

Show me any human and I will find something about them covered in the DSM. Everybody is a little crazy:yes:

I'm looking. I wonder how I can determine the good from the bad. This facility talked about all the "right" things during the interview. Patient centered care, least restrictive, dignity...the whole spiel. I think the administration knows what's up and don't care. It wouldn't be too hard to figure out the nurses who have the most complaints, initiation of seclusion and restraints and orders for emergency meds.

Thank you. I know what I must do.

Let me know if you guys want any information on what instructors are to be avoided and who is you might an consider. A nightmare linical instructor makes a 16 week rotation like a really bad nightmare

I've been working on the acute admissions unit of a state psychiatric facility for 4 months now. First of all we are an all paper facility. This is so tedious and there is so much redundancy and time wasted running forms here and there. looking for forms and transcribing illegible orders waiting for doctor s to come by and write orders or clarify orders. papers ripping out of mars. written errors crossed out in our nursing notes. frankly the whole system is a meaningless mess of terrible documentation. Most of our nursing notes are useless because most of our nurses don't even talk to the patients. That is bad enough but, the attitude of most of the nurses is so lacki9ng in empathy that I'm astounded. I was matched with an RN II to "supervise" me through my first few months. One of the first shifts I worked with him. he as the charge nurse made the unit schedule. He put me to run a wrap up group in the dayroom at a certain time. So at that time, I did just that. He walked by during this and saw me and called me to the nurses station. I went over there and he said to me, "you can talk to these people until you are blue in the face but you are never going to help them." I said, UH....I'm running the group you signed me up for." He said, " We never do those groups, they are a waste of time." We never take them out for the state required fresh air breaks and when they as for them they are always told no. If the become indignant and say that they have the right and start to become upset, they are offered po meds for psychotic agitation if they refuse we restrain them and force IM. Since then, I have been pressured to fudge our seclusion and restraint 15 minute documentation to keep them in longer than they release criteria. I refused. Problem is, the whole facility is a farce. There is such an adversarial relationship between the nursing staff and the patients. I am dismayed and shocked at the way thy are talked to and treated. There is more escalation by power hungry tyrants then by psychotic aggression. I'm so frustrated by the lack of dignity that I am applying elsewhere already. The thing is, I need a job but at the same time I think that I am complicit by not whistleblowing to the governing body about what is happening here that I don't know what to do. Is this the way it is inpatient psych? Is the whole system, least restrictive, patient directed recovery all a big bunch of bull?