The Daily Habits Of A Psych Nurse

Specialties Psychiatric

Published

Hello to all, hope everyone is having a great day/evening/shift...if you're reading at work.

I was thinking about how my time as a psych nurse has led me to pick up some habits that I find myself doing when Im not on the clock. For example, when at work on the milieu, I would sit in a spot where I could scan the entire room and see everyone/everything. I do the same thing when Im out. I always sit in the very back of the theater at the top near an exit so I can see everyone in the theater, and if things start to go down, I can make a mad dash for the exit. Another example, when out in the community, always oimda step out and to the side when in line, just in case a stranger tries to grab/grope me. On the units I work, we would have pts who were know to SAO or sexually act out, I would keep enough space between us to prevent me from being a victim of a pts sexual impulsivity. Last example, I listen. As a psych nurse, its imperative that you listen and hear what a pt is saying, bit not saying. Listening to ques and hints that may let you know a pt is SI/HI, hallucinating, manic, plotting amd planning.

What about you, what habits have you picked up as a psych nurse?

Specializes in LTC, assisted living, med-surg, psych.

My husband should've become a psych nurse. He's just about the only person on the planet who can redirect me when my mania gets out of control. Plus, he's big and strong and I've seen him wrestle a guy to the ground who was twice his size. :yes:

being from philly area mind if i ask where you worked?

I was a psych nurse for almost 30 years before becoming disabled. I worked in a large state hospital here in Philly that had a bad reputation (only partly deserved) I got so used to people acting strangely around me, and got so skilled at recognizing subtle signs of mental illness, that is used to really bug my roommate and other friends if I acted nonchalant when accosted by bizarre street people, etc.

One time I was in a SAMs club and an ex-patient of mine, who was rather tall and developmentallly delayed, gave me a huge bear hug from behind, lifting me off the ground. The people around were horrified, but I just said, "Hi, Sam" later, when I worked on the local jail psych unit, a patient of mine I hadn't seen for years saw me, ran towards me, and jumped on my back, smiling and laughing. The guards were panicked, but I said, "It's just Glenn--he knows me". Of course I dutifully warned both of my exuberant ex patients from doing this again, but the onlookers were really stunned how calm I was.

The one lesson I learned that I still observe today is, "Never let anyone get between you and the door", meaning that I always check my escape route in case something unexpected jumps off. I also learned and continue to apply the knowledge that people's energy levels will generally rise or sink to match your own, so remaining calm is the best way to diffuse crisis situations.

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