Psych Nursing is DANGEROUS, Let Me Tell You What’s Been Happening! | KeAmber Vaughn
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Hey guys, in this video I'll be discussing the dangers of psych nursing and telling you all about a few situations that have happened recently that made me sit and really think about how dangerous psych nursing really is. Enjoy the video!
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I am a psych nurse. I agree with everything she is saying.
I’m a psych nurse too... this woman knows what’s she’s talking about! Some nurses totally enable bad behavior, psych nurses are often not protected, and this profession is totally dangerous.
If you see in black and white and think that all patients are dangerous, I feel sorry for you. I believe that I did see a nurse with a brace around her leg. So I guess a patient attacked her. That there are nurses who are rotten apples. Some people from the long term hospital make friends with the nurse or nurses. So I believe it can be a rewarding job.
@@laurieberry162 when I was hospitalized for my severe eating disorder I only liked one nurse cause she was humble and listened and treated me with respect and was kind. Did not like the other nurses cause they acted in a disrespectful way too patients , talked down to them and actually caused alot of patients to act out
“Ma’am you did not just become fat 5 minutes ago”.... 😂😂😂😂..... I spit out my toothpaste 😆
I was like 😂😂🤣🤣 I don't know how she manages to keep a straight face. I was dying here🤣🤣🤣
She is preaching straight facts. Protect KeAmber at all costs!
I'm an elementary school nurse & I've been assaulted. Nurses are not protected & it's a very sad situation.
This just breaks my heart. You ladies should be more protected and parents need to be parents and discipline their kids...teach them manners and respect. I'm so sorry you ladies have to deal with that 😔☹️
+MRS BS WOW! smh
Bring a kevlar vest and helm to work :-)
punch em back
Parents enable their kids and look at what goes down.
+Kayla Holland seriously!! You read the patient's histories and almost ALWAYS there is a lot of terrible behavior as children that the parents never addressed smh
THIS. so true, I work with behavioral psych kids and as frustrating as they can be, it almost always goes back to the parents faults.
*crosses psych nursing off my list*
Same here .
Lol
I just got my approval to graduate on Tuesday and my nursing registration about 4 hours ago.
I'm sorry you're going through all of this at your work, it's incredibly hard. I applied for a nursing grad program for mental health and got rejected, I'm kind of glad about that now. The mental health placement I was on earlier in the year a nurse has her leg broken (open fractured) by a patient.
I'm planning on going into the community/non-acute mental health side of things.
+Lauren-Eva M Honestly it was probably a blessing in disguise. It's SO much that goes into mental health and behavioral health nursing that puts ALL patient care providers at risk. You never know when they will SNAP. No matter if you're the nicest person that patient has ever dealt with. ONE time of being upset and they will turn on you and not care because they know nothing will happen.
D
Was looking into being a PMHNP but these videos are really making me reconsider. I thank you for them because its better to realize this now than 1 year into grad school.
+Daniel Feds I'm glad I can help. You definitely have to think about the good AND THE BAD...because ONE bad situation will make you want to throw your whole career away. No care provider is safe. Some of the clients at my job have assaulted doctors, NPs, supervisors, etc. No one is off limits for them.
I work at a psych aid and it is no joke. I told my manager I’m not getting hurt for a prn job with no health insurance
I worked in a LTC which had patients from the closed mental institutions from across the state. During the years I worked as the charge nurse, our patients were well behaved for the most part. We implemented behavior modification techniques and kept the patients engaged in activities, hobbies, etc. Most of all, they were treated with love and kindness by workers and volunteers alike. It was a fun happy place to work. The facility won the highest awards from the American Health Care Association.
I'm a psych nurse and this just hit me hard.
Even tho this sounds scary I feel like it’s where I will thrive. Ik it sounds weird but seeing people who truly need the most help and when everyone else has given up on them I feel like someone has to step up and do it. We need more powerful & CARING nurses like you.
Despite all of this type of thing, I feel like it's the place for me, too. Starting in a month, we'll see. Good luck to you.
@@Nicoleska665 thanks! good luck to you too!
Girl I’m like you I have thrived in the Forensic psych area, it makes me aware, feeling more alive than ever, & a challenge that I love! Jus knowing I have made a difference by throwing myself into helping them at all cost has made me feel like I’m helping in the world. Jus watch your back, some patients will surprise the heck outta you
Same hun! I’ve been a dementia and psych CNA for a while and got to do my psych rotation for my BSN recently and it just felt like it’s where I am meant to be.
They never talk about neuro toxin pills giving people brain damage they are literally killing people,the physical,emotional,mental,and sexual abuse in mental hospitals,letting kids be put in there by abusive parents for no reason,diagnosing them with anything giving them pills,and then sending them back home to get molested or beat on
Finally a fellow psych nurse tells it likes it is!
I was in a unit for depression and anxiety. I had a wonderful nurse just like you named Desirae. She helped me with my anxiety by helping me “man” up. She was amazing and you seem to have that same passion. I know it can be mentally taxing and I’m happy there are nurses like you out there. Most of the nurses were rude and very snooty. God Bless You
As someone who’s graduating med school in May with a focus on child psychology... telling someone to Man Up is unbelievably unprofessional
@@Broadwaybutterfly21 He said the nurse leaped him man up not that he should.
I DO ENJOY R STORIES
I HAVE BEEN A NURSE FOR 36 YEARS, MY LAST STENT WAS ON ACUTE CARE UNIT.
AND YES
IT IS A DANGEROUS PART OF NURSING,
MADE ME LEAVE WAS
BEING HIT BY A PSYCH PATIENT, THAT
WAS THE LAST STRAW 😱.NEVER BEEN HIT IN ALL THESE YEARS UNTIL
THEN. I THOUGHT TO
MYSELF "IT'S TIME TO GO " NEVER HAD THOSE PROBLEMS IN
MED SURGE. MANY BLESSINGS TO YOU.
FULL TIME, PART TIME
PRN,SHOULD NOT HAVE HAPPENED. WERE THERE ANY MALE PSYCH TECHS?
FEEL SORRY FOR THAT LADY. I LOVE
BEING A NURSE,BUT
THIS KIND OF NURSING IS NOT FOR
ME.ONE PATIENT
FOLLOWED ME INTO
THE MED ROOM WHILE 2TECHS SAT AT THE DESK WATCHING THE WHOLE TIME.AND YOU ARE SO RIGHT,
YOU DON'T GIVE A
REWARD FOR BAD
BEHAVIOR.
+Barbara Lane wow! And the fact that those techs weren't doing their jobs and that lack almost cost you is ridiculous. I don't think I'll last 10 years let alone 36. Bless you!
@@keamber.vaughn
THANK YOU
I've been to psych ward so many times and I wanted to thank you for your service to the psych community nurses like you help us out so much God bless you
Girl, I feel you 100%!! I would still take psych over med- surg, ANY DAY! Ya'll can have that! Lol
+MSNurse 08 people don't understand! When they say "Idk how you do it" i'm like No, I don't know how YOU do it lol. Just the sound of one IV alarm going off makes me wanna scream lol
MSNurse 08 why what do u not likeabout med surg??
I love your honesty. I love that you advocate for yourself as a nurse. Just because you are caring for the health of others doesnt mean you have to neglect your own. As a nurse your health and safety are EQUALLY important. Thank you for speaking out this way. Lets make the norm to care of others AND care for ourselves at work. Nurses should not be abused and mistreated. We should have more protections so that we can go to work with confidence. Lets fight for this!
I'm a new grad and I just got my first nursing job, on a psych floor. I have been wanting a real look at what it's like, and this was so real and so helpful. Thank you!
You're so welcome!! Best of luck!
I worked in involuntary psych and it’s definitely hard af. I truly believe your self love and self esteem has to be on point to work in psych cause these pts f looking to trigger you constantly. It also helps to not be so scared of these pts. Sometimes overreactions happen when we fear for our lives like she said w the girl and the n word and the fight or flight response. But the real key is you need to look and talk to the pts as you would a small relative. Or a child you care for. These people need help and it’s heart breaking if you actually listen or read about their history. These are good people who have learned chaotic coping mechanisms. Give them the best example. Yourself
By far your comment speaks volumes for those nurses in that special field of psych nursing. I feel as tho I just got off shift with her as I have experienced the same scenarios at a county PHF.
Girl I just laughed to the point of tears... “she had the bed on her back” 🤣🤣🤣🤣🤣
+Fuzzy Spirals man she's the sweetest lady you would NEVER think would do that or have that much strength lol
I thought I was the only one laughing. Girl I have to replay that part several times to make sure I heard it right.
You are one special person to do the job you do 💚🤍That is so not right that you (staff) are not protected by the law too. Your safety is just as important as the clients. God Bless you 💪⭐️
Girl you are so right! Forensic Psych is a whole ball game! Girl it’s never a dull day but can be draining & unexpectant to say the least Girl no worries you put in your time and rocked it out longer than most Bless you for all the wonderful work you’ve done! Love the Video I can so relate
omg it's a MESS! And my facility just merged with another Department of Mental Health facility and this other facility is where prisoners go for stabilization before their trials for PIST and NGRI. It's a whole shitshow right now smh I've now been floated here 2x in the first week of the merger smh
@@keamber.vaughn girl that shitshow ain’t no lie either those prisoners act like hooligans actin up 1 literally took a shit on his bed and then put his mattress over it before he checked out Like can you say “I didn’t sign up for this?”
I am a PRN behavioral health acute unit psych tech (unfortunately we get stuck on violent one to ones a lot) and you spoke pure truth. We need more justice for staff, consequences and limits for patients, and respect for staff who are caring for patients.
YES..!! Got assaulted last week..!! 😮
I freaking LOVE her page. This is such a good video. My friend is a psych nurse and she said this is the realest video she's ever seen. Everything she is saying is 100% right.
This was very insightful. I used to work at a homeless shelter with mostly male clients and coworkers and figured I would be able to handle psych nursing because of that experience. I just hated the gaslighting when it came to being one of the only females there. Im still interested in psych nursing but will definitely look more into the acute setting when the time comes.
+SultrySunflower working in long term psych is especially dangerous for women because most of those men have gone YEARS with no sex and if you have on the wrong clothes...which don't even have to be revealing...they start fantasizing about you etc and next thing you know you're their girlfriend in their heads and if they see you talking to someone it's a problem...hostility...for nothing...crazy
I glad to hear another nurse acknowledge gaslighting does occur on the job as nurses. The fact that you recognized you were being gaslighted is also something to note especially working in psych nursing. Once a nurse mental health is in question whether it be from exhaustion or genuinely recognizing unsafe conditions of the facility. The next HR step is to get you out you are now a facility liability. They will gaslight the nurse to make you question the actual issue at hand. Give you unrealistic work expectations to the point you just quit.
I was considering psych because LTC is getting so old. But after learning that you basically have to allow yourself to get effed up if attacked or else face charges, nah I'm cool baby.
i was admitted to a psych ward in november 2020 for attempting to take my own life without my knowledge or consent, and this video opened my eyes to both perspectives. im now finishing my first year of undergrad, and am considering getting into psych nursing. from my experiences, patients in more tame units, like the one i was in were treated very badly, i was reprimanded for crying on various occasions, even though i was just frustrated that i was taken miles away from home, not knowing where i was, and having my phone taken away from me, and being cut off from my family and friends. they talked to me like i was mentally slow and didn’t do anything when male patients inappropriately touched me. it’s safe to say that i’m completely angry and disappointed in the mental healthcare system we have, and how it needs to improve for patients. after seeing this, it makes me scared to potentially go into a nursing field that i initially wanted to go into with good intentions and compassion, as i’ve experienced my own mental health issues. not only should the mental healthcare change for the sake of it’s patients, but also for the sake of the selfless people in the field.
Dang, this makes me so sad! I’m a recent new grad nurse and was really considering psych nursing but nevermind 😭💔 Thank you for sharing this with us!! Your videos are so helpful. I’m so glad you’re okay 💕
I would sue them, the meds issue alone she would have a case. You allowed someone off meds to be in the public. That is not good smh
I don’t understand I work in psychiatric facilities. I am a registered mental health technician and we use restraint ain’t Nobody hitting me .if you try to hit me as a client you were getting put in a very strong restraint. Period
@"...definition of insanity, per law" and "...just because you don't know which circles don't belong don't mean that you didn't know that holding somebody up at gunpoint was wrong." Lol! "street smarts & book smarts are two different things" RIGHT!!!!! I totally agree!!! Wow that PRN incident was CAA-Razy!!!😒
I really appreciate your videos so much. I am considering doing psychiatry nursing when I graduate as I really love this field, however, I recall being on behavior health units when I did my clinical rotations and I always always felt there was so much more that could be done for clients to help them get out of behaviors. I just am afraid of behavior issues like how you explained as these situations seem so dangerous :(
+Yelena L It really is dangerous situations to be in. I don't wish any of this on anyone!!!
Well done. You have described what burns out nurses the most. And it’s not the clients.
Thank you for making this video. I have been in psych for 6 months. It’s so dangerous. I have so many behavioral patients, patients who don’t take meds and a unit that doesn’t value safety. I was in L&D for 12 years and never knew what I was getting into. I know this is painful to share, but I appreciate everything you’ve discussed. I feel like I’ve lost my mind after having anxiety going to work.
Everything you said is correct, but I love being a psych nurse. I work in an involuntary facility with well-trained techs who are amazing at what they do and doctors who are not afraid to set limits for their patients, and I believe that makes all the difference.
That's rough for sure. I don't know how you manage to keep your cool everyday. I was at a school once and a lady came in with her teenage son. I was waiting outside the main office for some paperwork to be printed and this guy straight up punched me in the chest out of nowhere. He was probably 15 or 16 and quite a big boy the mom nor looked at me or said anything and just kept walking. It did make me mad but somehow I had to understand he wasn't "all there".
This makes me angry!! This is the result of parents not getting early intervention for their children and allowing their children to "get away with murder" because they have special needs! ALL CHILDREN need some form of discipline when a situation presents itself!
Because she feels helpless and overwhelmed. Probably would get hit too if she restrained or scolded him.
@@keamber.vaughn SAD but some psychic drugs can make clients more violent. Have you ever read Robert Whitakers book called ANATOMY OF AN EPIDEMIC? LISTEN TO HIM ON UTUBE.
Need to pick ya positive attitude.. am only starting psych nurse
New subbie here. I really enjoy your story times. I am not a nurse, but I’ve been a (Sitter)(PRN) for psych patients. Even if my job required me to walk with a psych patient (which they never did), I wouldn’t do such thing. No way! Throughout my experience all I can say is God really took me through. Due to the pandemic, I am no longer there. I sometimes worked in ED and also the hospital’s psych floor as well. 🙏🙏 for you. I commend you for all that you do. I heard you say in another video to never show fear, and that is so true.
I hope the girl that was attacked ended up suing the facility
Lol every time you mention how they are rewarding bad behavior I am over here like yasss. I work in the field of applied behavior analysis and I honestly think your staff should get some training on it. They truly are reinforcing this behavior by rewarding these clients. They can't act surprised if the clients act up when they are teaching them "you act up, you get what you want." Seems like common sense but apparently most people don't know this
They never talk about neuro toxin pills giving people brain damage they are literally killing people,the physical,emotional,mental,and sexual abuse in mental hospitals,letting kids be put in there by abusive parents for no reason,diagnosing them with anything giving them pills,and then sending them back home to get molested or beat on.
I used to work in the same type of field. You’re absolutely right!!
and where would step down acute places be? In hospitals or in small mental health clinics? Because I’m scared of violent patients 😅
Any job you do is associated with danger and risks.
Terrific video...have you considered a clinical educators role? It would be a shame to loose such a experience nurse.
Honestly, no because I'd have to work during the day lol. Also no because there's only so much autonomy you have...even in an educator role. They still will control what and how you teach people things. I'd wanna speak the REAL not this cookie cutter BS they teach us.
I know it's been a minute since this video, but can you give your prospective of what it would be as a Mental Health Nurse Practioner. What privledges or headaches do they encounter in contrast or comparison to Psych RN?
What is step down and what is acute? What are the differences?
i'm in my final semester of nursing school and psych nursing has always been my 1st choice after school. this is legitimately terrifying
Congrats on your upcoming graduation! As far as your concern about the dangers of psych...please understand healthcare in GENERAL is a risk/danger. Psych patients aren't the only ones who can/will get violent. I'd rather deal with patients I KNOW are prone to violence than be caught off guard by a violent patient in a med/surg/ortho/neuro unit. You honestly have to have your guard up no matter where you are!
I got a job at a psychiatric hospital for adolescent. It’s what I want to do for my career. Mind you I’m only a psych nursing aide. But this is making me a little nervous. But I am still looking forward to helping the kids in need! Thank you for your videos ❤️
Keep it on professional level.. don't get to close..they look for any little thing to pick you apart. TRUST me. Name badge without your LAST name.
THANK YOU for the honesty in this video. I really needed to see this. This helps me regain my perspective about what this job actually would be. And I'm sorry you were treated so disrespectfully.
They never talk about neuro toxin pills giving people brain damage they are literally killing people,the physical,emotional,mental,and sexual abuse in mental hospitals,letting kids be put in there by abusive parents for no reason,diagnosing them with anything giving them pills,and then sending them back home to get molested or beat on
I thrive with violence. I'm good with de-escalation but it doesn't always work with everyone at all times. I've caught punches with my hands, prevented my coworkers from getting hurt. I think that I'm ex-military helps. I agree that many pts choose to act out and they should be held responsible for assaulting staff and other pts. And staff should be able to defend themselves without the spector of being arrested/charged for it.
We should definitely be able to defend ourselves. They make it known to the patients that we can't defend ourselves so they know unless someone is really badly hurt, nothing happens. No real consequences. If they at least picked up assault/battery charges I'd be okay with that
@@keamber.vaughn oh I'm defending myself no matter what pepper spray... Not getting my teeth kicked out not happening
What types of jobs can l get with mental health? nursing l kinda wanna be a mental health nurse but I’m not sure l read on google and it said that mental health nursing has to do with caring for people with depression and many other things what job would that be ?
That would be just being a psych nurse. Most acute psych facilities (like hospitals) are a mixture between caring for patients with acute depression, status post suicide attempt patients, acute psychosis due to use of drugs OR not taking their psych medications. Long term care (like what I do) is more behavioral health mixed with mental health.
@@keamber.vaughn oh this sounds cool and interesting thank you for letting me know
Girl I was hollering at that thumb. Disclaimer haven’t watched the video yet so I’m assuming that this is a serious manner. I do psych as well- been slapped and all.
+Keiarra I've thankfully never been assaulted and I pray my status stays as such.
I agree with a lot of what your saying not trying to put you down at all I have been bit spit on pushed slapped arm broke so I get you I can’t do shit to protect yourself and a little part of psych you have spoiled entitled younger generation just want mommie or daddy issues I am behind you 100% psyc is hard and the
They need to give you the same training they gave me for group home work... you can't just throw a rn into a behavioral ward without extensive training
I am not a nurse but I am a nursing student doing my psych rotation this semester. I am scared for my life.
Wazzup Ke...It's definitely a calling but be careful
+Tnique1013 Once I have to constantly be on alert because things are happening that's my cue to get on up outta there!
Agreed! Zero consequences! What are we teaching these people?!
Lawsuit
im a year nurse LPN just taking a position in a acute behavioral health unit. can you give me any tips on working in this setting?
I will make a video and post it Thursday :)
haha so true, good video
I am a float pool sitter and was in the ED with our psych holding rooms, I got report from a CNA and they told me the pt was high SI high elopement due to already tried to escape and they left the door open. I asked the CNA why they are keeping the door open and they said “cause they’re sleeping” didn’t feel right, the CNA left so the nurse came over and started giving me attitude. The nurse said “close the door if they want to leave”so I asked why the door was open if they escaped and I don’t think it’s safe etc and the nurse yelled at me and told me I didn’t know what I was talking about and left but her yelling woke the patient up and they were very combative and aggressive, I noticed they were slowly getting off the bed saying they wanted to leave so I went to close the door and the patient 3x the size of me ran after me, punched me and gave me a concussion. You know what they did? Closed the door AFTER I was assaulted and then didn’t even remove me from the patient Bc they would be “short staffed”
Please tell me this isn’t true
Exactly 💯...!!!! 😮Hope he was charged. It was behavioral. I pressed charges on some adolescent. Assaulted 5 of us. AZ.
Good morning i also work in Mental Health we provide housing for the homeless and boy do they try you
+TMKJG24 don't they!! And don't care!
@@keamber.vaughn yes and i aint either once i catch them on the street no social worker to save you then
Thank you so much for sharing your experiences with nursing. I love all of your stories. you're such a great storyteller.
You’re the best! I’m just about to start an inpatient medical psych gig.. it’s acute. We’ll see how it goes. 😉
How did it go?
im sorry but the image of some person walking around with the bed on their back- because ive seen semi simalair stuff on psych wards AS UNDER 18 WARDS- (im inly 17 but ive been on adult wards as well as acute hi-security without it being forensics) legit act simalair even in 5 point restriant beds- how this person managed to even do the stuff they wrre managing to do in that 5 point is beyond me cause when i tell you they were alsonin for ED so they was underwight, but they somehow whilst restrained and already got a shot- flipped the bed over and tried to "secretly" move our of the hi-obs room when they was on 3:1 security constant- none of the security gaurds even know how since they was asleep or so they thought this perosn was from the sjot and they wrre tryna ask the staff if it would be safe to go in and start removing restraints- then all we hear in the common area is crashing and draging- as well as panic- like HOW
Sis, I done told you, get yo butt out of there..That is some ole bullshit..She needs to sue that damn doctor who let that fool get that visit and not take his meds....
+Shautel Walker I knowwwwwwwwww. I'm gonna be out soon I promise. Cause I can't deal anymore.
The problem is psych providers not medicating the patients properly, or providing the appropriate PRN's/injections to calm them down when they do escalate.
This is why I want to be in nursing leadership roles, I’m hearing too much of this and nurses not being protected. We must advocate for ourselves!!
+Tiara Eichelberger the problem is...even while being in a position of leadership/management...you still have someone above you that will put a stop to changes you are trying to make. That's why I refuse to get into leadership. They wouldn't pay me enough to deal with more headaches and be more stressed out because I'm in a position to make change but really can't make change because someone above me will block it
Just found your videos at midnight and couldn't turn it off. Good videos. Love them all.
Uh no a nurse would not be charged with assault for defending herself against a patient that just assaulted her. Only things like sucker punches get you in trouble. Trying to block a assaultive patient then accidentally hitting them wouldn’t get you into trouble. Just no. Because you wouldn’t have had to use that block if he didn’t strike out. I’m a psych nurse btw
Shit I would call doc and say I need a B52 or20 Geodon20im but certain doc would not do shit so I would call them every 15 mins till I got what I needed then I documented my ass off and your right they feed off each other and certain staff would give in but I was not like that so certain pts would cuss me out because so and so did it for me so I was always seen as. A bitch and we would end up having to call a code cuz I wouldn’t give in. I wish I could talk to you sometimes forgive me for my first comment I jumped the gun but I feel you
I don't know wherr you call home.... alot cities, counties and state health departments hire RN's... watched another nurses TH-cam and she switched to home nursing...just a thought.
One Love
I was going to do home health but I'm not a fan of going into other folks homes.
It's dangerous but somebody has to do it. I did it for 6 years, only as a tech, but i loved it. Its only because of covid why i left the field.
I'm a new grad and work in a bhu. I couldn't agree with you more on A LOT of the things you bring up. Revolving door? Absolutely.
Dangerous patients? Yup.
Patients rewarded for trash behavior? Can confirm.
The system is broken.
6:43 had me dead! “Because I’m fat”
Yeeaaaa no.
This is really sad 😔
Was thinking of doing psych nurse to probably be a research psychologist for families, but this is a no
Psych sounds like it is lit😂.I am going that direction.I need strength training though😂
Yup an old facility i use to work at has such a bad rep no one wants to work there, and this new ish handle with care is going to get staff hurt, but I’m moving on to psych NP
This past week a client bit a chunk out of someone's arm and kicked 4 people...all while they were trying to put him in a NEW restraint chair. Our facility literally let NO ONE know they put new chairs in each unit so NO ONE got an in service on how to use them smh
Thank you! I'm at a forensics unit clinical site and I loved it, but we only got the well-behaved units- we still had people that would pop off, but this was really eye opening. Low-key with forensic psych, you see some of these patients for years - we had a tech that has been there for 26. Shes about to retire and shes in her 40s. Some people she was there over 20 years ago when they were first admitted. Its tough work, but if you're able to cut it, you can have a lot of growth in all areas of life.
Good Morning 💝💖💝
I’m 15 and I’m a black male I plan on becoming a psych np I don’t have an interest in working in psych and nothing else
This makes me so mad. Keep safe.
Youre such a badass nurse thank you
KeAmber, does phych nursing pay as well as bedside nursing? Thanks 😊
Hi. 👋🏾. I just started my orientation at a behavioral health hospital in the acute setting. I’ve been a RN for 2 years but only in tele/med surge and cardiac step down. I will be charge nurse and have one LPN and 2-3 techs working with me on night shift. Is there any advice you can give me to prepare myself for this new specialty? I have no psych experience but I find there’s a need for health professionals in that area. I’ve heard so many horror stories but I want to believe that I will be okay if I put safety first and use my nursing judgment. Not going to lie I am pretty nervous.
+Mia Sionne hey!! Congrats on your new position!! The best advice I can give is to ensure proper boundaries are set with clients/patients. Being stern (but not mean) when implementing and standing firm with certain policies/procedures/ways of doing things. I also think it's really important that the same practices are held from shift to shift OR at least that everyone on your shift are on the same page. Part of the issue with my facility is everyone (staff) just make up stuff as they go. A client doesn't want to return to their ward, starts acting out, staff gives them a soda (against policy and, worse, encourages/rewards bad behavior) so when the next staff member DOESN'T give the soda all hell breaks loose. Psych can be very relaxing. I feel the lashing out is because of having certain privileges with certain staff they shouldnt have then being told no with others. It's like how a child will lash out because the "stern parent" tells them no but the lenient one says yes...
KeAmber Vaughn Thank you so much for replying back! I’m finished my orientation and on my first shift out of training and I will say that everyone is on one accord. The facility follows a strict schedule and haven’t swayed from it since I’ve been here. Being stern is great advice. And most patients (so far) are frequent flyers and understand the way things are around here. It’s very relaxing and I have to say I don’t mind the paperwork. I surprisingly feel more safe here than I have at a hospital and the patients have been pleasant so far. But I am still keeping myself aware that things can turn around pretty quickly. Thank you for your advice! And I love your content!!
+Mia Sionne you're so welcome! I'm glad things are looking great thus far and definitely hope they stay that way!! You'll be an amazing asset to them I just know it :)
I work as a nurse extern in behavioral health. I have found that the men's unit is actually the most stable one of the bunch. I agree that it can be dangerous for women because the men definitely look at the females in a non appropriate way. A lot of our patients are basically behavioral issues, and not mentally sick. What I do not like is there are no repurcussions for bad behavior by the patients towards staff. I understand that we are not in a prison, but staff safety needs to take a precedence over everything in my opinion. How can a therapeutic environment be provided without it? KeAmber, do you work in the STL area? If so, can you say where, or give a clue?
Psych nursing? I don't know if I could do that haha your strong!
+David Robinson at this point I don't think I can either!
Come work in a psych ward in New Jersey. There, you can drug up women who are 4’10” and 85 lbs, when they dare to politely ask to use the phone five minutes “after hours” or express slight annoyance when their migrane medication has been delayed for the last two hours, without a clear medical justification, aside from the nurse assigned to the patient deciding to be a “bitch”. In fact, whatever frustrations you may have, you can take them out on the patients, who are almost never the 6’5”, 500 lbs men with acute psychosis and an extensive history of violence, who you actually need to be worried about. If you engage in outright violence against the patients, 9/10 everyone will look the other way. And given the onerous and psychologically exhausting process of actually filing a lawsuit, you can pretty much get away with just about anything - maybe short of strangulating or raping a patient out in the open. Oh, and if the facility is administered by UHS, you might even be able to get away with that.
Whatttt?! omg I would NEVER want to work in a place like that! Our job is to protect the patients not put them further in harms way. This makes me sad!! :(
This is the unfortunate reality of psychiatry. Decent people in inpatient psychiatry are the tiny minority.
That's unfortunate. The three facilities I've worked in (Missouri, Cali, and another part of Missouri) did not have staff that were this way. But that could be because those I work/ed with got into psych because we have a passion for it...not cause iit's easier than other areas of nursing (which is why SOME get into it)
Would you consider going back to get psych np ?
Honestly no. I have no desire to spend money on more education when I have no plans to "do this forever".
it’s crazy you came up on my feed on YT bc I’m in STL and doing my pre reqs for nursing at stlcc rn, was thinking about applying for a psych nursing position at the FTC when I graduate lol
What is step down and what is acute? What are the differences?
Good Morning!
Wow I just found your channel and sub less than midway into your video. I have a long road, I start taking classes in the fall. I would like to specialize\ go into psych., I appreciate your transparency!
But after your video it makes me rethink it lol😂
Much appreciated!!
What about behavioral health centers?
I fucken love you lol. - so funny. This is so helpful as I’m in the process of starting my nursing career in Psych! Love from Australia
With all due respect, why do the staff stay? I left ICU because the stress level was great that I was taking it home to my family. Last 10 years have been in PACU, still stressful but no where near the stress in ICU. People think nurses make “all this money”, but being mentally, physically and emotionally abused isn’t worth what we get paid. 😤
+Amina Moore mainly because outside of the issues like this, it's less stressful than most other areas of nursing, especially med/surg, icu, neuro, etc. I absolutely agree that people don't understand the abuse nurses go through that def cause our jobs to not be worth it!
I want to be a psych ward nurse. I know what it’s like to be in a psych ward. I think I have the compassion and kindness to be one.
I appreciate your comments. They ar ex so true/sad/dangerous.