Quote from marshadolce
Hi, to the nurse who wanted to know if anybody worked in residential behavioral centers for kids. I work in Virginia outside Richmond at a behavioral health center for kids 13-18 yrs old. I am the Staff Development director (and unofficial ADON). The regs are very different than hospitals or LTC. Its part psych and part detention. I love what I do even though I don't have direct interaction with the kids. The facility is small only 84 beds. The med pass is minimal. There are no IV's, no real health problems to speak of, but alot of general pediatrics, immunizations, injuries, asthma, that sort of thing. The one piece that might turn people off to working with this population is the occassional violence or potential for violence. The kid gets bad news from a therapist or from home and can go off quick. Our Mental Health techs are good and quick to react but sometimes accidents happen. Go ahead and ask your questions, I'm sure you'll some good reply's. We're out here--Marsha
Oh, good... I was beginning to think nobody was out there!!
I have recently started working in one. My questions are based on how things are "supposed" to be done... For instance, do the nurses give out otc meds with no doctors order? Like, a tylenol for a headache, cough syrup for a cough, that sort of thing? Does the direct care staff consist of basically people with no skills, and giving out many medications with only 45 minutes of training? Does your facility have nursing in 24/7? Are your nurses "on call" after hours for free? How is the medication system? Do you 'recycle" meds? Let me explain this one...... We have a pharmacy in the community that handles all our kids meds... they come on cards with bubble packs over each dose... when there is a med change, they put the not needed med in the "med closet", and we use that again when the dr writes an order, for any other kid, to get them started on it right away instead of waiting for the pharmacy . We have hundreds of meds to choose from...Is this common practice? i mean, we have no onsite pharmacy, and they *are* all po meds, so why should we be so in a hurry to give the meds that we have to 'recycle" .. shouldnt all meds be wasted when no longer needed?..well.I realize thats alot, so I will stop here for now.....I have many more "issues"........thanks!!!
oh, btw, my facility is similar size to yours, 60 beds on various units, is a non profit agency.