Yea, I would always talk to the patients as much as possible as soon as they got onto the unit. Because they weren’t familiar with the “no personal information” rule. I got lots of good conversations with them, until they were aware of the “expectations” then I turned into a stalker
As a retired nurse practitioner I empathize with your story and frustration with the patient encounter. To me it does sound like Munchalfen syndrome. The parents are feeding the behavior.
Management will always cover their arses before considering your professionalism. Don't take it personally, otherwise you'll burn out; bless you. Psych nurses rock xx
As a psych nurse, I can totally relate. Pleas keep the content coming! Your experience is much needed in a field where people feel/think they can do no wrong and their shit don’t stink, it’s refreshing to see someone so reflective and insightful!!
1. I made it to the end 2. This is the 1st video of yours I’ve ever viewed (via YT algorithm recommendation) 3. Love your rants! I’m a social worker- thus your perfect audience. Bitch away, my friend! Lol
Thank you for sharing your story. So much unnecessary energy is being waisted on nonsense in this country. We need knowledgeable great nurses like you at work.
What we need is more people like you... literally... Most of us have to wear a fucking mask at work and can't be ourselves... but I think that if there's more people like you and less like the one's with the stupid corporate rules, the world could be better... and I'm not a nurse and I'm not in America, but can totally relate (unfortunately)... Thanks for the videos!
hah! thx for the comment! (have you ever wondered if there WAS a world full of 'yous' and no one else? sometimes i think it would b emore peaceful, and other times i wonder if the world would just turn out more or less the same lol)
As a new psych nurse…I just switched from labor and delivery to inpatient MH 3 weeks ago… I really appreciate your content. I even made it to the end 😊. I can totally relate to not fitting into the system 🫡. Thanks for sharing! Looking forward to more videos!!
Hi sweetie! I am both mentally ill and have a certification in Recovery Support and I have been fighting the system my whole life and still am. I have gone as far as contacting our mayor here where I live among other resources to talk about the abuse in the system and ways to better it. I respect you man for what you do and I am sorry good doctors have to go through all this crap. I am however happy that I am not alone in fighting this bs system now and have much love and respect for you sir.
You are so sweet. I’m sorry you had to experience that with that family. They were looking for a law suit. I hope god protect you all the time. It’s very frustrating. ❤
My 18yr old autistic son went to a hospital for a psychiatric hold...he wasn't a smoker (and was underage, technically) but his nurse gave him nicotine gum. Which annoyed the crap out of me. Any number of scenarios could have led to that, which is why I never said anything. But it was an irritating situation
I have spent many times in the hospital for an array of health issues. I don't feel that a nurse doesn't "give 2 shits about me" if she is more focused on ensuring my meds are correct, double checked, recorded properly and my vitals are done like clockwork, but is a bit cold and technical. Than a bubbly nurse who is coming in to fluff my pillows but screws up my meds, is flippant about rules and protocols. You won't die or have an adverse reaction if your pillow isn't fluffed but you can if your meds are screwed up or something is missed because of sloppy recording of your vitals. This isn't a hotel, it is a medical ward.
yeah I agree. I think I was trying to make the point that often you have nurses who are more preoccupied w/ following protocols and rules than they are with connecting with patients. This is obviously a false dichotomy as you can follow rules and protocols while still connecting with patients, but in my experience, nurses who tend to connect very well with patients often are more lax in these other areas.
So true! I'm not a nurse, but I cant even go to a therapist because of the fear it'll be used agaisnt me in legal things in the future. Once when I was a minor, my doctor referred me to a psychiatrist even though I shared no mental health concerns, and now as an adult, that thing still stained my background. It's still in my record. :/ The sue culture is also bad.
loved this video and your candor about your frustration - but I know you were made for this world, and caring health care providers sometimes try to fit their round peg selves into the square peg of our current medical system - can't be done, but bringing attention to this is SO important and can maybe smoothe the corners for others??
If all the harm that comes from the pharmaceutical companies….and this is what they get worked up about? This is where they see a need for regulation?! This is what makes us all feel crazy
Haha the mum! "OMG YOU GAVE MY DAUGHTER HER PRESCRIBED PRN MEDICATION!!!!! YOU SHOULD BE DEREGISTERED!!!!" no wonder the poor girl has mental health issues!
I like commenting sometimes as the video is proceeding, and then finding out how accurate I had been after it's over. Great communicator? Definitely, but anyone who grew up with a narcissitic parent could predict this from not long after the story began.
We need to have tea and crumpets for sure!! 😂😂😂😂 No, I get it though. Im not even finished with Nursing school yet, and I'm already planning my out into Neuroscience. That's a whole other story.. I'm going into Psych and detox, so although I am sure I'll be stressed out, I hope I don't have to deal with any obnoxious family members like that, lol. At least until I get some decorum and tact. Haha! Keep talking. This is therapy for me/some of us too. Happy belated Father's Day!!
So many nurse just work for a pay check. You can’t do that in nursing it puts the patients in danger. People need not go into nursing if they don’t care about patients.
Sorry you're having such a rough week. Glad you could rant and vent a bit! Liars are the absolute worst. Imagine being in a place where everybody's life already sucks and where reality is iffy, and then deliberately lying in a way that's not only stupid and unnecessary, but also hurts the people who are trying to help you! That kind of thing makes me sick to my stomach. Sorry your bosses didn't have your back either, yeesh.
So I’m a nursing student and currently a tech on a medsurg floor, and sometimes the patients’ family members are one of the hardest parts of the job. In psych do you have much face-to-face interaction with family members or is it usually over the phone like giving updates? One of the reasons I’m interested in becoming a psych nurse is because it seems like interactions with family members is fairly minimal.
my past job was really the only place where i'd have much interaction w/ patient's families (and then obviously working out-patient you'll have a ton of family interaction, but that was almost always positive for me). If you're going to work inpatient, doubtful you'll have much contact w/ family, but the likelihood of this increases the more you work in private settings vs. public (e.g. state hospitals or state-run facilities).
So this sounds like a very frustrating situation that got blown out of proportion for sure, but… completely avoidable if even a basic assessment was done for symptoms when the “lozenge” request was made. You mentioned Tylenol as a PRN, but would you have given it without doing even the most basic pain assessment (0 to 10 how would you rate your pain) and yeah I get it we don’t have a set assessment for nicotine products but I think even just looking at the chart and seeing she has never been given it before should have prompted some inquiry. This is a med error. You could have done more to protect yourself, and the warning was appropriate. Dealing with the parents was punishment enough. You should own some culpability here and I am not seeing that in the video. From one nurse to another I am not here to kick you while you are venting but to offer another POV. That sounds like a super awful experience and I hate you had that. Hopefully you haven’t become complacent in doing basic assessments because that is super rampant in our profession right now. Thanks for the content. It is really helpful and hopefully I am able to return the favor.
All of this BS you are describing, is why I was so incredibly burnt out as a nurse. They (management) seem to jump on the band wagon about stupid minute incidents.....and blow them up.....when real problems exist that need to be addressed, but they totally turn the blind eye to those. I have been a nurse for 17 years. It wasn't like this when I started. I have seen such sad changes. I have been told by patients that we cannot take care of them because we are always on the computer. They put computers in the patient rooms, and we have to scan and chart, etc. etc. in the patients room that we actually cannot just simply take care of the patients. ................. I became a nurse for the right reasons. I LOVE my patients. I very much dislike corporate BS that is ruining nursing. Now I am a huge advocate for safety......many things implemented to try and prevent medication errors, I am all for. However, you know the rest of the story of all the other crap that is placed upon nurses that totally makes no sense. One that just used to blow my mind, was house keeping cannot clean up poop. We sometimes get some explosions. If you are a nurse, you know......nurses clean up the patient and get them tidy.....then call housekeeping and they cannot clean up the other areas because there is poop. So.....ridiculous stuff happens in the hospital that no one realizes just what nurses have to deal with. I got my hand slapped one time over ordering pizza for my patients over the holiday. I think it was Halloween or Thanksgiving. Not sure. I tried to make the most out of being stuck in the hospital during a holiday. Boy oh boy what a piece of pizza for each patient that caused, when they serve kidney failure patients with bananas on their tray. Come on. I digresss.....I could go on and on. I totally feel ya.
100%. all the places i've worked at too prioritize following somewhat arbitrary rules/policies over patient respect (e.g. a nurse could potentially violate one of these rules (at the state hospital, this could have been as simple as allowing a patient to have breakfast even though he didn't wake up in time to go to chow-hall), and the nurse might get written up, but a different nurse might completely disrespect a patient and nothing happens). Talk about bassackwards priorities.
Why would the second person's request have any barring on her request? Why didn't you ask her first, " do you mean a nicotine losange or cough drop?" You're a nurse, each patient should be dealt with separately and clarified on what they are asking for. The miscommunication is that you allowed the second patient direct/influence what you thought the first patient was asking for. Mocking the patient for having anxiety. Not cool.
Oh my gosh Listen I do criminal and abuse checks … med errors are considered abuse by my state but everyone makes them ! The facility gets fined for the incident… I sooo get what you are saying about it being no big deal…. Your incident was sooo very minor … Crazy convoluted government stuff…
@@A_Psych_Nurse I don’t really like “outpatients” to begin with, if they are stable enough to live at home then telehealth should the only option for them.
Her parents are driving her cuckoo cuckoo. Every nurse in every specialty can see exactly where behaviors comes from during visits. She knew exactly what she was getting because she spit it out. They watch the other pts, the addicts are master manipulators, stand and beg for anything they can get over and over. Then the rest see it and come.
In another video you nailed the overall problem here: "generations of trauma upon trauma, in a world we were never made to live in!" (excuse the paraphrasing)
Borderline maybe Me as a guy that hates some medication etc. i don't know accurate Then you have to be more patient as you're already. Weird and respect for you People like npc's And shockingly how does this word npc fits to some of npc's just
Yea, I would always talk to the patients as much as possible as soon as they got onto the unit. Because they weren’t familiar with the “no personal information” rule. I got lots of good conversations with them, until they were aware of the “expectations” then I turned into a stalker
As a retired nurse practitioner I empathize with your story and frustration with the patient encounter. To me it does sound like Munchalfen syndrome. The parents are feeding the behavior.
Management will always cover their arses before considering your professionalism. Don't take it personally, otherwise you'll burn out; bless you. Psych nurses rock xx
As a psych nurse, I can totally relate. Pleas keep the content coming! Your experience is much needed in a field where people feel/think they can do no wrong and their shit don’t stink, it’s refreshing to see someone so reflective and insightful!!
1. I made it to the end
2. This is the 1st video of yours I’ve ever viewed (via YT algorithm recommendation)
3. Love your rants! I’m a social worker- thus your perfect audience.
Bitch away, my friend! Lol
Welcome to the channel and bless the work you do!
@@A_Psych_Nurse ditto! 🤟
This is the 1st video I have seen from you, and I watched it to the end.
Thank you for sharing your story. So much unnecessary energy is being waisted on nonsense in this country. We need knowledgeable great nurses like you at work.
What we need is more people like you... literally... Most of us have to wear a fucking mask at work and can't be ourselves... but I think that if there's more people like you and less like the one's with the stupid corporate rules, the world could be better... and I'm not a nurse and I'm not in America, but can totally relate (unfortunately)... Thanks for the videos!
hah! thx for the comment! (have you ever wondered if there WAS a world full of 'yous' and no one else? sometimes i think it would b emore peaceful, and other times i wonder if the world would just turn out more or less the same lol)
As a new psych nurse…I just switched from labor and delivery to inpatient MH 3 weeks ago… I really appreciate your content. I even made it to the end 😊. I can totally relate to not fitting into the system 🫡. Thanks for sharing!
Looking forward to more videos!!
Hi sweetie! I am both mentally ill and have a certification in Recovery Support and I have been fighting the system my whole life and still am. I have gone as far as contacting our mayor here where I live among other resources to talk about the abuse in the system and ways to better it. I respect you man for what you do and I am sorry good doctors have to go through all this crap. I am however happy that I am not alone in fighting this bs system now and have much love and respect for you sir.
It seems like you’re in the right field. I love that you have a life coach. That’s awesome
You are so sweet. I’m sorry you had to experience that with that family. They were looking for a law suit. I hope god protect you all the time. It’s very frustrating. ❤
My 18yr old autistic son went to a hospital for a psychiatric hold...he wasn't a smoker (and was underage, technically) but his nurse gave him nicotine gum. Which annoyed the crap out of me. Any number of scenarios could have led to that, which is why I never said anything. But it was an irritating situation
yeah that's understandable--i'd be frustrated too if one of my kiddos got nicotine gum unnecessarily :(
I have spent many times in the hospital for an array of health issues.
I don't feel that a nurse doesn't "give 2 shits about me" if she is more focused on ensuring my meds are correct, double checked, recorded properly and my vitals are done like clockwork, but is a bit cold and technical.
Than a bubbly nurse who is coming in to fluff my pillows but screws up my meds, is flippant about rules and protocols.
You won't die or have an adverse reaction if your pillow isn't fluffed but you can if your meds are screwed up or something is missed because of sloppy recording of your vitals.
This isn't a hotel, it is a medical ward.
yeah I agree. I think I was trying to make the point that often you have nurses who are more preoccupied w/ following protocols and rules than they are with connecting with patients. This is obviously a false dichotomy as you can follow rules and protocols while still connecting with patients, but in my experience, nurses who tend to connect very well with patients often are more lax in these other areas.
I remember one nurse put Klonopin 0.5mg QID in my mouth I was SHAKING This nurse was terrible i was Cold. That nurse should been fired.
So true! I'm not a nurse, but I cant even go to a therapist because of the fear it'll be used agaisnt me in legal things in the future. Once when I was a minor, my doctor referred me to a psychiatrist even though I shared no mental health concerns, and now as an adult, that thing still stained my background. It's still in my record. :/
The sue culture is also bad.
loved this video and your candor about your frustration - but I know you were made for this world, and caring health care providers sometimes try to fit their round peg selves into the square peg of our current medical system - can't be done, but bringing attention to this is SO important and can maybe smoothe the corners for others??
We would love to get your wisdom and advice. Do you do any ZOOM CONSULTING??
psychnursecoaching@gmail.com
If all the harm that comes from the pharmaceutical companies….and this is what they get worked up about? This is where they see a need for regulation?!
This is what makes us all feel crazy
Haha the mum! "OMG YOU GAVE MY DAUGHTER HER PRESCRIBED PRN MEDICATION!!!!! YOU SHOULD BE DEREGISTERED!!!!"
no wonder the poor girl has mental health issues!
I like commenting sometimes as the video is proceeding, and then finding out how accurate I had been after it's over. Great communicator? Definitely, but anyone who grew up with a narcissitic parent could predict this from not long after the story began.
We need to have tea and crumpets for sure!! 😂😂😂😂 No, I get it though. Im not even finished with Nursing school yet, and I'm already planning my out into Neuroscience. That's a whole other story.. I'm going into Psych and detox, so although I am sure I'll be stressed out, I hope I don't have to deal with any obnoxious family members like that, lol. At least until I get some decorum and tact. Haha! Keep talking. This is therapy for me/some of us too. Happy belated Father's Day!!
thank you!
So many nurse just work for a pay check. You can’t do that in nursing it puts the patients in danger. People need not go into nursing if they don’t care about patients.
Sorry you're having such a rough week. Glad you could rant and vent a bit! Liars are the absolute worst. Imagine being in a place where everybody's life already sucks and where reality is iffy, and then deliberately lying in a way that's not only stupid and unnecessary, but also hurts the people who are trying to help you! That kind of thing makes me sick to my stomach. Sorry your bosses didn't have your back either, yeesh.
A brilliant exposition by a victim of gaslighting.
You have so much patience. I would of lost it and quit 😭😭
So I’m a nursing student and currently a tech on a medsurg floor, and sometimes the patients’ family members are one of the hardest parts of the job. In psych do you have much face-to-face interaction with family members or is it usually over the phone like giving updates? One of the reasons I’m interested in becoming a psych nurse is because it seems like interactions with family members is fairly minimal.
my past job was really the only place where i'd have much interaction w/ patient's families (and then obviously working out-patient you'll have a ton of family interaction, but that was almost always positive for me).
If you're going to work inpatient, doubtful you'll have much contact w/ family, but the likelihood of this increases the more you work in private settings vs. public (e.g. state hospitals or state-run facilities).
So this sounds like a very frustrating situation that got blown out of proportion for sure, but… completely avoidable if even a basic assessment was done for symptoms when the “lozenge” request was made. You mentioned Tylenol as a PRN, but would you have given it without doing even the most basic pain assessment (0 to 10 how would you rate your pain) and yeah I get it we don’t have a set assessment for nicotine products but I think even just looking at the chart and seeing she has never been given it before should have prompted some inquiry. This is a med error. You could have done more to protect yourself, and the warning was appropriate. Dealing with the parents was punishment enough. You should own some culpability here and I am not seeing that in the video. From one nurse to another I am not here to kick you while you are venting but to offer another POV. That sounds like a super awful experience and I hate you had that. Hopefully you haven’t become complacent in doing basic assessments because that is super rampant in our profession right now. Thanks for the content. It is really helpful and hopefully I am able to return the favor.
All of this BS you are describing, is why I was so incredibly burnt out as a nurse. They (management) seem to jump on the band wagon about stupid minute incidents.....and blow them up.....when real problems exist that need to be addressed, but they totally turn the blind eye to those. I have been a nurse for 17 years. It wasn't like this when I started. I have seen such sad changes. I have been told by patients that we cannot take care of them because we are always on the computer. They put computers in the patient rooms, and we have to scan and chart, etc. etc. in the patients room that we actually cannot just simply take care of the patients. ................. I became a nurse for the right reasons. I LOVE my patients. I very much dislike corporate BS that is ruining nursing. Now I am a huge advocate for safety......many things implemented to try and prevent medication errors, I am all for. However, you know the rest of the story of all the other crap that is placed upon nurses that totally makes no sense. One that just used to blow my mind, was house keeping cannot clean up poop. We sometimes get some explosions. If you are a nurse, you know......nurses clean up the patient and get them tidy.....then call housekeeping and they cannot clean up the other areas because there is poop. So.....ridiculous stuff happens in the hospital that no one realizes just what nurses have to deal with. I got my hand slapped one time over ordering pizza for my patients over the holiday. I think it was Halloween or Thanksgiving. Not sure. I tried to make the most out of being stuck in the hospital during a holiday. Boy oh boy what a piece of pizza for each patient that caused, when they serve kidney failure patients with bananas on their tray. Come on. I digresss.....I could go on and on. I totally feel ya.
100%.
all the places i've worked at too prioritize following somewhat arbitrary rules/policies over patient respect (e.g. a nurse could potentially violate one of these rules (at the state hospital, this could have been as simple as allowing a patient to have breakfast even though he didn't wake up in time to go to chow-hall), and the nurse might get written up, but a different nurse might completely disrespect a patient and nothing happens). Talk about bassackwards priorities.
Why would the second person's request have any barring on her request?
Why didn't you ask her first, " do you mean a nicotine losange or cough drop?"
You're a nurse, each patient should be dealt with separately and clarified on what they are asking for.
The miscommunication is that you allowed the second patient direct/influence what you thought the first patient was asking for.
Mocking the patient for having anxiety. Not cool.
Oh my gosh
Listen I do criminal and abuse checks … med errors are considered abuse by my state but everyone makes them ! The facility gets fined for the incident… I sooo get what you are saying about it being no big deal…. Your incident was sooo very minor … Crazy convoluted government stuff…
Broken system ...Id love to talk with you i have been in your situation
11:00 what if someone gives there parents permission to speak for you?
Patients parents are slow i swear. Dealing with them is infuriating
well and usually i have GREAT experiences working w/ families, especially in outpatient, but this one was a whole n'other can of worms =/
@@A_Psych_Nurse I don’t really like “outpatients” to begin with, if they are stable enough to live at home then telehealth should the only option for them.
Narcissist mother, gleefully playing the victim on behalf of the poor enmeshed, psychologically damaged child.
If no one follows the rules then no one is gonna even try to enforce them
Her parents are driving her cuckoo cuckoo. Every nurse in every specialty can see exactly where behaviors comes from during visits. She knew exactly what she was getting because she spit it out. They watch the other pts, the addicts are master manipulators, stand and beg for anything they can get over and over. Then the rest see it and come.
In another video you nailed the overall problem here: "generations of trauma upon trauma, in a world we were never made to live in!" (excuse the paraphrasing)
Borderline maybe
Me as a guy that hates some medication etc. i don't know accurate
Then you have to be more patient as you're already. Weird and respect for you
People like npc's
And shockingly how does this word npc fits to some of npc's just
I see u very well. Bring pecan sandies...its been difficult. My neigbhor died the son blamed men
Oh, is that all ..... so you didn't take a psych med that induced the chemical crucifixion of akathisia?
Dude, take up Buddhism❤