Sunday, July 30, 2017

ER nurses have become psych nurses.


I feel like I work in a psych ward these days. It's psych all day, every day.  These days it is not unusual for psych patients to stay 2-5 days in the ER.  No beds.  Not a day goes by that one of these patients gets out of control.  Some people yell for hours. They sometimes scare the other patients.  Half of all the patients are sometimes psych patients.

The number of adolescent psych patients has exploded in the last few years. Why is that? What has happened in our society to cause more kids to be unable to cope? Is it just increased awareness?

It feels like the vast majority of patients are people with chronic problems.  The people who have 2 or 3 diagnosis' and are on multiple meds.  We don't get many people who are just having a crisis in life.

The latest psychiatric diagnosis de jour is PTSD.  What used to be only heard of with veterans has now spread out to the general population as a diagnosis.

Want to get admitted for psych? Here are the magic word "I am suicidal". Gets you in 90% of the time. It's part of the reason for overcrowding.

No one seems to care about the ongoing mental health crisis in hospitals.  Psych patients aren't profitable.  So it goes on and on, getting worse by the day. Staff are getting hurt.  ER nurses have become psych nurses. The patients are the ones who are suffering.




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  1. I'm right there with you. Not only is half of our dept now a psych wing, we have social workers special psych trained ones who round frequently and demand we take care of whatever jo blow needs NOW! Never mind there's a stemi rolling in and the front is full of patients all sick waiting for a bed.

    Me, I'm getting out and transferring to a lower level of care in our system. Just can't deal with it anymore.

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    After reading your 2012 post on constipation, I hope your disappearance is from being admitted to a psych ward yourself. You're an absolute bitch who should not be working in a role that requires compassion. I pity every fucking patient who has ever had the misfortune of crossing paths with you.

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  119. Hi, this blog is truely worth reading on the experience of an ER nurse while taking care of a Phych patient. A big salute to all the nurses as well as the doctors who stay in and take great care of such patients. We always think about the patients out there but fail to remember the people working out there. Thank you for sharing your experience and giving us a chance to think about them.

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  124. Mental health is becoming a great question. Not everyone can overcome mental depression. As a nurse, you are responsible for taking care of the patients—more power to you. Give your best. Thanks for sharing the article. Keep sharing your thoughts.
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  125. I truly appreciate your hard work toward rendering the service to psych patients with great patience. I can understand the mental status of the person who is dealing with psych patients for a long time. It is not an easy job to handle their abnormal activities. Thanks for sharing your experience and feelings. Be cool and have patience. If anyone wants to build his carrier in Digital Marketing then you must go through our curriculum which is designed very professionally with cutting edge of the current requirement of the corporates and based on market trends. For more detail Please visit at
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  127. If we see logically then nobody talks about those caring staff who are like true frontier as a warrior in dealing with these mentally disordered people's behavior. Thank you for sharing your point of view along with thoughts and experiences on it.
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  128. Many people have questions about mental health. Recovery from mental depression is not always possible. Being a nurse is not an easy job. I can understand it requires a lot of patience and strength. Put your all into it and be positive. Thank you for sharing the information. Keep expressing your thoughts.
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  130. A lot of people are wondering about mental health. Not everybody can recover from mental depression. You have the duty of caring for the patients as a nurse; good for you. Give it your all. I appreciate you sharing the content. Continue to express your ideas. Digital marketing courses in patna

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  131. It is undoubtedly true that ER nurses frequently deal with mental health problems. I'm delighted there are nurses out there who have had specialized training to handle these situations. Interesting blog post, thank you!
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  146. Emergency rooms in hospitals can be real chaotic, patients coming in with minor to serious problems and dealing with them needs a lot of patience. And on top of that treating psych patients can make anyone lose their cool. Hats off to the nurses working in these wards. Thank you for sharing your plight. May God give you strength.
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