I transitioned to a few things. Insurance claims, mailroom, interpreting company. There have been others. I at least have a piece of mind...the bills are paid and my mental health is not in crisis
As a nurse I can say I totally agree with you that they know exactly what they're doing. They know they can say whatever they want to you because you are at your job and can't react.
+OosundayoO and they know they won't get in trouble. Had another issue tonight. And the client literally said they didn't care because they are leaving Thursday and because they know it's nothing we can do...they were sitting inside the nurses station btw...and the doctor said to let them sit there AS IF that's not a safety issue smh. Stupid
@@keamber.vaughn that's a whole other issue. I cant stand when doctors go over your head and try to pacify them, disregarding hospital policy. Meanwhile, they deal with them for 5 minutes and we're being harassed for 12 hours.
+OosundayoO tell me about it! And was saying "well only ONE staff should approach them and be sure they are not confrontational"...girl don't you think we did all that BEFORE we called you? They've been in the nurses station for 30 mins! smh. Just dumb
You are my favorite kind of nurses to work with. 100% real and honest about what it really is like. I hope you find something that works better for you. You clearly have the smarts to go in any direction you choose, nursing, business or otherwise.
Have been in Nursing for 3o years. I have worked in all kinds of different settings. This is not what i signed up for. I have been physically assaulted, verbally abused, and have had my life threatened. I am done. I am retiring early. I would rather live in my van , rather than continue in a field that has left my physically and emotionally broken.
@@keamber.vaughn The sad part is that management keeps blaming us for the problems . When you bring up issues, their response is "perhaps, this is not a good fit for you anymore". Really?
I’ll just add one more thing with this. Toxic people don’t mix well with the healthcare field. It makes learning hard and to top it off, they’ll push you into the lion’s den. For all the declaration of caring and compassion with nursing, nursing can be just as toxic and brutal, although it didn’t need to be/it doesn’t need to be, but it is what it is. So for people who do not want that that extreme stress, anxiety, depression, if you have a choice, go into the second best choice you have for a career before it is too late. Just remember, as a nurse, when shit hits the fan, it’s all on you, not the facility or the hospital. They’ll continue to make $$$. You? You’re the only one who will pay for it. So if this is not what you want, walk away. No, as a matter of fact, run away.
I'm getting out. I became an NP a few years ago and nothing has changed. I've been burned out since 2013. This is not the healthcare I started in 20 years ago. I cut my bills way back, started working on my own business (my MSN & NP is very helpful with this) and started doing agency as a RN 3 days a week on the side (that's all my soul can take). Every time I go to work for the nursing agency I pray that I don't work and treat the patients the way I really feel inside. I'm over the politics, nurses who don't give a damn and leave the sick patient for the next nurse, the negative nurse who always come to work mad and don't want to listen to report nor count narcotics properly, and the behaviors patients and families come with (due to covid family interaction is pretty much non existent and I'm not missing them neither) I have absolutely nothing left to give at this point. Can I win the lottery already.
I'm almost at the point of burnout myself. It sucks because I wanted to be a nurse since I was a child and I feel it's the COMPLETE opposite of what I expected.
This is everything I'm dealing with now!!! Caddy miserable disgruntled nurses displacing their crap on whoever! I am exactly the wrong one! Started grad school for informatics and I can not wait to leave the bedside!!!! Love my patients but I'm over the politics!!! I am a nurse 18 yrs and in healthcare a total of 25!!! BURNED OUT 🔥
@@rhondaholmes5306 im a student debating between RT and RN. I’m afraid that these feelings will happen to me if I take the nursing route.. i feel like im only considering going the nursing route as a stepping stool to NP or PA or CRNA, etc. Do you think it’s worth it?
As a nursing student who has been ADMITTED to a psych ward for 4 days- there is ZERO reason to act that way. The people I was in there with had psych issues but they all behaved and we all got along and laughed at each other- despite it being hell. I’m so sorry they called you a slur. The fact that you have to deal with that on the job and it’s just written off as *~patient has psych problems, oh well~* is bullshit. I really hope you find peace and happiness no matter where you go 🖤
+AJ SIMMONS That's what I'm working on now. Getting the foundation ready for my new business I'm launching on New Years Day. I can't continue to suppress my talents dealing with this mess. Thank you for the encouragement!
@@keamber.vaughn excellent! I went full time with my internet based education business last October. I'd say I'm doing pretty well. If you have any questions or just want some general advice from someone in the space, message me on Instagram @AjSimmonsOnline. Not trying to sell you on anything at all, just here to help
I’m sorry to hear of your nursing experience. I’ve been hospitalized for SI/Depression/Anxiety years ago. I’ve considered changing my major to nursing but your video and others on Reddit have convinced me the field isn’t as positive/empowering as I once thought. Insurance and the economy have unfortunately caused this. Wishing you luck on your path!
Hi lady, I can absolutely relate to you. I was a psych male nurse in Hungary for 10 yrs. Psych patients are the most malevolent, entitled and spoilt people on earth. The system spoils them like crazy, and the patients know that whatever they do, there is no repercussions. But they can only do that in the wards. As soon as they do it out of ward, they have to face the consequences of thier careless behaviour. People outside the ward dont care if they are sick or not. If they dont do what they are expected in the family or wherever they are, they are ignored, put aside, left alone, or even beaten up, especially by the police. But the wards make them get used to the nice and lenient environment , not the real world. How is it a help? When I asked this from the doctors ( whose role in this is undeniable) , they told me I dont know anything. And of course, the patients are always coming back to the wards, because they are unable to fit in the real world, and they want that nice treatment that the wards provide. Nurses left this field of nursing here in this country due to this, and because of the shockingly low salaries.
I did psych for 7 months as an LPN, I could tolerate that much. Mostly, because I didn’t see the help I was giving. I was a pill pusher. Psych nursing is a business.
I’ve only been a nurse for two years. I’ve found that the best mission statements and the best intentions can drive the overall care, but human beings are human beings. Gotta do what’s right for you. If I could afford to quit nursing now I would. And that’s sad. You’re so smart and driven. Keep doing you beautiful.
Oh lord! I understand you completely! No one can begin to understand the level of anxiety and struggle we go through on a daily basis, from politics to the job itself. I’ve been a nurse 14 years now and just feel so trapped and I have no clue what to do to start over. I’ve worked on almost every degree of nursing my license allows and it’s all too much. Pain and stress will be the end of me and I’m losing my essence! Time for me to move on, but what now?...
+Melody Anne Love honestly you have to do some soul searching and figure out either how to monetize another passion of yours or get out of bedside (if you're still in bedside). I feel like those of us who got into nursing for the right reasons have it the hardest because nursing isn't what they make it to be which is why we get the most stressed!
KeAmber, Omg...sums it up. You have to take care of yourself. The problem is that you have non-nursing people making decisions and they don't have to come in contact with the patients..that place is a broken Mess! Leave for your safety sake!
I've worked in drug rehab and corrections, currently in Psych ER as an RN. You sound burned out. It's an epidemic in healthcare and I suggest you change facilities if you continue to feel unsafe or fed up with your current place more often than not. There are so many positions we can take as nurses. I think its possible to be excited about a job again.
I'm 4 months into psych nursing/behavioral health as a new grad and I've got the game clocked...90% of pts are malingerers. Docs admit them because the pts have learned they will get admitted if they say they are suicidal---but as soon as they get to the floor they act like fussy hotel guests demanding food, drugs, entertainment--you name it---suddenly they are no longer, ahem, "suicidal". I dread going to work. We are also always short, as in 1 nurse to 14 patients and no techs for vitals, q 15 safety checks, and 1:1's. Nurses call out/quit because it's bullshit and they know it. The hospital keeps accepting violent pts who have attacked staff and chronic homeless drug abusers that come in every month. Chronic druggies looking for slip and fall cases while there to sue the hospital (had 3 so far). Security? You mean the old, 65 plus-year-old men hospitals hire that don't respond to the codes and don't do shit? Our psych unit also found out the rest of the nurses in medical were getting double bonuses for short staffing and we get shit...F&ck this. I'm trying to get into a new grad residency. You can't help people who don't want help, won't accept the responsibility to change. And IMO, these psych drugs do way more harm than good. If they work so well, why is mental health worse than ever??? Anyone ever ask that question? The system is broken. Until we solve basic issues like homelessness and substance abuse, 90% of these people cannot be helped. Stop wasting your time. It's like putting a band-aid on a gunshot wound.
+TheMabes69 man!! The chronic druggies are the most annoying to deal with because they will literally tell you I'm gonna go back and do it as soon as I detox real quick. Like wth...I got into nursing to HELP people not put a bandaid on someone who wants the bandaid off as soon as they leave. smh. taking up space from someone who ACTUALLY needs/wants help. I will say in Orange, CA the majority of our unit was indeed those who wanted help with depression, anxiety, etc. Springfield MO...NO...lol
Yeah and to top it off, security are taught not to intervene if it will endanger their safety or the patient’s safety, so that means they’ll allow them to continue doing what they’re doing until I guess they get tired.
+lunachic 1 yeah I'm absolutely over it. Had another situation at work tonight. Different ward. Not threatening or anything but can't use the "regular" policies on the client because they are a minor...well send them to the peds state facility then. So they are acting out because they know we can't do what we typically do with them...smh
Been nursing 43 yrs forensic rehab acute aged care .been toxic for decades survived by disassociating. Saving hard to take 6 week breaks overseas .now covid hiyt and can't travel my lifeline gone so will have an exit plan .travelling was my saviour .now being frugal non consuming and recycling so don't need to work as much and will retire early
i’m really glad you made this video. highlighting certain areas of psych that dont get AS much attention as the “psychotic” area which is entirely what i thought psych nursing was about. didnt realize there was a population of people like that within the specialty.
+Daniel Feds I thought that's what psych nursing was all about...besides the acute depression/anxiety etc as well. I'm feeling like behavioral is the worst area of psych nursing even though you SHOULD be safer because they ARE in their right mind smh
My sister is a nurse. She worked in a state psychiatric hospital. She was in the med room about to pass out meds. Her back was to the door. The nurse leaving didn’t shut the door all the way.There was a patient that was a rapist. He ended up at the hospital to escape jail time. This patient came in the door so quietly that she didn’t hear him. Before my sister knew it he was right there. She felt like he was about to try her. She used her defense training because she didn’t know what he had in his mind. He pretty much got a slap on the wrist. After that incident he protected her from any other patient he thought was being disrespectful to her. Yeah they know what they doing and can get away with.
+Yolanda wow smh See that's an issue. Even bigger issue is the fact that there was no one else in the nurses station (whose back wasn't turned) to be a barrier between them smh
Honestly it's not the most glamorous career and many times we feel we absolutely don't get paid enough! But then again...who DOES feel they get paid enough for their profession?
This is what scares me about ever becoming a nurse which is something I’d love to be, but I’m not an assertive person, I’m more like the introvert type. They probably would eat me alive
Ngl even from someone who’s assertive it gets so bad.... just shows that the field is actually insane. I had a head nurse come at me and talking shit constantly because I refused to do her job dealing with narcotics. I wasn’t qualified and I would get sued if anything. I didn’t do her job and she just tried to ruin my life talking to the bosses with lies etc. It got so bad that I was having mental health breakdowns at times when I was alone. Even though I even drove her home at times when she needed it and helped whenever I could. Whats crazy though, I prayed about it at one point when I was just tired and done and in tears after a year of that, just for God to take control and help out, and she started going blind within the month and they took her off the job because she went nearly fully blind..... was crazy. But after that it still was so bad I had to quit that building because there was no professionalism.
You have a really comforting presence about you. I could definitely see you in psych nursing. Sadly nursing as a whole has become an expense to the hospitals and we’re seen as dispensable. If you have a way to leave, do it. You’ll be happy you did
Thank you for your story KeAmber. I am a new grad nurse on a Med/Surg unit. I am not even off orientation yet and I’m already reevaluating my decision of becoming a nurse. I’ve heard the experiences of my new grad peers and this job is hard! It shouldn’t be, but we are put into situations and assignments that are not safe for our patients, and us! I worry about my patients and my license everyday, working or not. Maybe Med/Surg is not for me, but there are countless stories shared by nurses from every unit where the scenario is the same. I pray for you and I that our situation improves and we can find something we love!
Med/Surg is one of the hardest (outside of ICU/Neuro) to work in because you have to care for such a large variety of diagnoses. I honestly feel like those who get into nursing for the right reasons (because of their desire to care for people vs just getting in it for the money/stability) are the ones who get burnt out the quickest because it's NEVER what we expected it to be!
It takes a lot of strength to do what you do. I am not a nurse so I can no way so what you should do because I myself have never been in this situation. But one thing I can say is (at least up until when you leave) just remember at the end of the day you are the one who gets to drive to your home, get in YOUR bed, and surround yourself with family if you choose to at the end of the day. You’re not the one locked up on a Pysch Floor. I would not be surprised if some patients act up because they are simply jealous and know this. But you are very strong for what you do everyday, Psych Nurses do not get enough credit!
+Ney Rose thank you so much!! 💕 I definitely always keep that in the back of my mind. Honestly some of them act this way because they think this place is “their house” and “their rules” and unfortunately the facility protecting them and not makes that notion a reality for them.
Girl I feel ya! I have been a nurse for almost 10 years now. And tbh I hate it. Really thinking about getting out of the field. I hate the politics and throat cutting. It's just too stressful
@@keamber.vaughn too much back stabbing for my liking. I don't fall into the cliques, and I don't kiss butt. I come to do a job and go home. Don't go to work to make friends.
I hate what I do too. I absolutely hate all the back breaking work , I have done it for 11 years med surge unit. I have given so muuuch to my job and It's such an unappreciative job. I work nights and my health sucks now,I have the laziest cnas, too much know it all staff. No support it's all business.
@@skylar6818 I completely understand! I have tried different types of nursing. I've done ltc,psych, correctional, and currently in home health. I'm getting out. I've paid all but one bill off and plan to have it paid in full by the end of the month. Then I'm just gonna work prn and possibly look for a different field. I've came to the conclusion life is too short to stay in something that does not make me happy
Yeah, I’m going to leave nursing too. It’s nothing but a business. The pay is good, but you will break your back for it. They throw everything on the nurses. And it tiring and exhausting. Always short staffed, no techs, no supplies, ect. I’m over it. They lied to us in nursing school. Its nothing but a scam!! Nobody can tell me otherwise
And also let’s be honest MOST of these people cannot go back into society they literally do not know how to behave. They have issues with SIMPLE BEHAVIORS !!! It’s 10000% true what ur saying 10000% true. And the DISRESPECT takes a toll on your psyche!
+missA EXACTLY! And it doesn't help that these facilities continue to employ programs that simply reward bad and unacceptable behavior! How do you expect them TO be rehabbed back out when everyday life doesn't do that?!
This was my life for about 7 years straight. I love Psych, but my state facility cares for acute, behavioral, etc so we got the entire gamut of personalities and aggressive behaviors. By the end of my time in direct care I was so burnt out. For the last 7 years I’ve been in clinical informatics so now I’m like a liaison between direct care and Information systems. I learned to code and was on a team that developed our electronic health record. I enjoy training new staff monthly. It’s refreshing and my schedule is more stable. Make the change. Do whatever you deem necessary for your peace of mind.
+a brownlady the biggest issue I'm currently having with getting out of direct care is I don't want to work days. I can't work days. I day trade M-F 830a-1p and the day time is best for me to conduct business :(
I'm not a nurse but I work in a group home with Autism adults, I done work with the ones that have the worse behaviors and nothing happens, they could care less about your safety, 14 years in this field, I wish you the best of luck.
+livingvegan 365 the "nothing happens" part is my issue with this specialty. How are you providing real care if you're not helping them learn how to live with their ailments without using it as an excuse for their behavior. Yes, some can't control is 24/7 but you're not helping when you're essentially saying oh it's okay because you're ____ (insert psych disorder)
I totally feel your frustrations, I felt the same way when I was teaching special needs students. The systems in place seem very broken!I felt like I was on a hamster wheel running until I fell off, then got back on only to fall off again. Sometimes you just have to walk away, give yourself an extended break. then maybe try something a little different if you really miss nursing. Good luck and be blessed!
+Louise Richards I only came back 3 years ago because I missed nursing (after being out for 3 full years) and being burned out in business but now I'm over it. Idk how I'll ever "miss" this again smh
@@keamber.vaughn I went back into teaching 3 different times, but after my health got bad I realized it wasn't worth it. I think you're a talented, smart young women, that under states the importance of multiple streams of income and savings. So whatever you do you'll be successful. Move Forward and Be Blessed
I resonate with you a lot. You know that feeling when patients try to push your buttons to the point you no longer have the unwavering kind of patience in dealing with their shit. As soon as I finished my two-year contract in home care facility, it felt so damn good to finally leave and not renew... The hardest part of being a nurse is it is more of an "emotional job" than physical. Because patients are ill, me as a nurse has to deal ALL the elfin negativity and tantrums..
+Kayla Holland absolutely! They used the same racial slur on another black staff (male) the VERY NEXT DAY. So do they REALLY think that 2 day restriction was cared about?! Smh
I have a niece who is a psych nurse but have never discussed what she goes through on a daily basis. Hearing your experience gives me a whole new perspective on what she, you and those in the field go through. You guys deserve so much but AT LEAST protections from the hospital who hire your services given their clientele. Seems they could get in trouble for failing to protect you and other nurses--be it a penetrable plexiglas window or a racial slur.
+FreshFruit LeanMeats psych is easier physcially but can be mentally draining and can be unsafe at times. It's crazy that we nurses and other healthcare professionals arelly aren't protected by laws or anything smh
Sounds like you have a good understanding on how the system SHOULD work and you seem to have good ideas on how to implement changes. Have you ever considered becoming a healthcare administrator?
I considered transitioning to psych nursing but they used to put our nurses through hell. Edit: I just want to give you a hug. I worked in IP psych for 6 years.
I’m entering my 11th year as a psych nurse and I’ve worked at different counties in the Bay Area. I totally KNOW how you feel. I stumbled onto your video because I TOO want to get out of nursing in general. In mental health, a patient with “behavioral” problems IMO have been enabled to act the way they act their entire life. Highly likely that they have borderline personality or they’re sociopaths. The honest question that burns me deep inside is “how can a rn remain professional in an environment where professionals can’t thrive?” Patients who act that way have so much ENTITLEMENT, but it’s enabled by hospitals to let patients get away with their behaviors. Nurses/cna’s are on the unit ALL day while every other staff member (doctors/social workers/etc) only spend a fraction of time with the patients. Plus, if anything happens, it’s ALWAYS the nurses responsibility. The health care system a business. It’s not about getting people well, it’s about getting them well enough to keep coming back. Masking symptoms in the medical field and enabling behaviors in mental health create a revolving door. I “felt” your story as I’ve had hundreds of situations like that, and its pushing me away from the medical field. I’d take an overly aggressive psychotic patient over a borderline behavioral patient any day! If anyone thinks otherwise, then spend a day(shit, just a few hours) in a highly acute psychiatric emergency room and just watch. Enter your county PES voluntarily and say you have anxiety. Watch the difference from patients who KNOW what they’re doing vs someone who is psychotic.
I had a similar experience... a large football player guy that tried to hit me, because I told him to stop belittling me.... he had to be taken down to seclusion and get an IM. I thought he’s not ready for the real world... within 1 week he was released. WTF hopefully he doesn’t kill anyone.
Girllll!!! You seem to be at the point where I’m and and speaking my language too, love it! The thing is, if they are rehabilitated back to the community then the doctors won’t get paid, so, they do the bare minimal to keep them coming back. Seems that’s how “healthcare” works and that’s how we get paid, sadly.
Yes! Psych and Behavioral are two different realms, and as Psych RNs...we get both. I really enjoy working with the Psych clients. But the Behavioral clients suck my energy away at times. I truly wish there was some in-depth training for how best to assist Behavioral clients - I’ve been an RN for 11 years, 3 in Psych...and I struggle nightly. 🥴
Omg I can totally relate to this. I was an acute psych nurse for 4 years and I got out! Couldn’t do the borderlines or schizoaffective d/o. I worked in a dual diagnosis unit acute psych/detox and the detox patients were the worst. Some of them were so entitled it was sickening. And again I know they have a disease but most of the disease was just being a shitty human to others. So rude. So manipulative. And you are right they knew exactly what they were doing. And yes it is because people kiss their asses so they don’t act out which in return is positive reinforcement for their shitty behavior. This is why there is sooo much turnover in psych. You want to help people that legitimately need help. My impression and opinion is that they would be back in a monthly basis when their government disability checks were gone after binging it all on drugs. They would realize they have no money for food fair shelter so they would check themselves into us like a freaking hotel. Then complain about their beds or their “leisure” time. Lol 😂 like you were sleeping under a damn bridge last night. Ridiculous. I know this sounds terrible but it is soooo true.
You are too much of a BOSS to deal with that kind of abuse. Especially when it's racial. I wanted to beat his ass just by hearing you recite what happend!
+Raegane Dominique you are absolutely right. I needed a break from business but it's time for me to get back on track because I can't do this much longer. I'm gonna lose my sanity.
30 yrs here. Take a break and go do something w pediatrics. Maybe a home care case or or something. It will give you a do over and you will see how your work does actually help and mean something. Ps I stayed away from psych..no thank you...lol
Thanks for this video. I went to school to be a psych tech graduated and then lagged on my boards (still waiting to hear back) because before I even graduated I felt burned out. Why? Because of what I've seen in my clinical experiences, the pay, all we have to go through, and how the system/companies dont protect you or have your back. Almost every staff seemed very miserable. Most of my clinicals was acute but seeing that many of them were drug addicts and have been in and out just made me wonder if I could even make a difference ? No. Probably not.
+Camille Williams honestly you're right...you probably wouldn't make any more than a very temporary difference. The drug addicts I seen in the acute setting on my assignments would literally tell you they are there to detox and get right back on the street and they'd see you again soon...smh
This is the exact reason why I don’t want to get into psych. The patients have no respect ...esp ESP behavioral health patients. And they are 100% there...i dont care i dont care only speak on this if you have worked with this field !
90% are malingerers or homeless or substance abusers...only met 10% that are genuinely mentally ill that truly need hospitalization. They've all learned to just say they are suicidal to get admitted...then they expect a hotel stay...
I worked psych for 4 yrs. They know who to try. I never changed my facial expressions, never got back with them. I acted like I didnt hear them and they saw they couldn't get my goose. What made me leave psych and want to leave the profession all together is the negative energy they bring and the toxic staff members who get mre done than actual work.
Not in nursing, but I was studying to be a CNA. After I see the trouble in the long term care facility I had my clinical practice, I know I clearly don’t have the guts to handle it. I get trigger easily. Even though I may act cool and continue, my body response differently and I’ll under go physical stress. So I did what I did best, I finished the program and just left. Never went back. I major in social worker and don’t wanna go into out-of-field profession like cps because of the danger. County won’t provide security or a second person when staff are to remove child from home. But it is true, those program don’t work. It’s all politic. And it is wrong to not have that window repair or leaving you in an unsafe environment.
+Moua Xiong honestly the whole healthcare system is jacked up and I feel psych is more jacked up for various reasons... I think it's messed up that patients are more protected than the healthcare workers who take care of them
KeAmber Vaughn Domestic violence and aggression in healthcare is not commonly discuss. The line of abuse is so thin that most don’t even wanna go there. My CNA instructor always emphasized that we need to be aware of our body parts, our environment, and how we come out to people because we can be reported for “abuse.” Psych related stuff is usually run by the state. How else would any clinic working with mentally unstable people earn money? These people can’t pay!! Rich folk don’t go to rehab. Rarely. It’s all about the money. Funding is politic. This is why we must protect ourselves first. Don’t do stuff that would jeopardize your license or your safety. I think nursing need someone strong as you to advocate for protection to healthcare workers! Nonetheless, my advice is to find a different place of employment. Jump around. Don’t stay if your safety is tested. If one thing go wrong, you’re on your own. HR isn’t on your side nor your employer. So please think of yourself. Good luck.
Yes, that was what I was going to say as well. Is it possible for you to work as a nurse in a medical centre? Or a nurse in another area of health care completely? Physical health rather than mental health.
+Cecilia Johnson most medical centers and doctor's offices are day time ... I can't work during the day. Based on my experience in the other areas I have worked...as well as what I experienced in nursing school...I honestly don't think any other specialty will work with my ethics as well as what I think about the healthcare system in general (general medicine etc)
Have you considered becoming a psych NP? I did inpt psych for 14yrs and it can burn you out. As a psych NP you can still work with a population you enjoy but in a different capacity. Best decision I ever made!
+Kayla Holland you’d think they’d think that way to begin with. Honestly I don’t like many, if any, of our doctors at this facility. I should do a story time on what happened Tuesday on a different ward with a different client smh. The doctor’s reaction was idiotic to say the least.
Thank you for sharing. I appreciate you telling it like it is. I have been an RN for sixteen years and spent the last twelve years in med surg telemetry floor. I could never do psych nursing and give you so much credit for doing it. Unfortunately I come across psych patients or psych visitors on my floor too. I find nursing rough. Who knows how long I will stay. So far so good I guess. Lol ; )
Wow, I’m not a nurse and I absolutely agree and sympathize with you all…but as a person who may well need assistance someday; this vid & the comment are absolutely TERRIFYING!
I hate to lose you as a Nurse. I’ve watched a few of your videos and you’re very passionate about hat you do. Have you thought of working PACU, Imaging depts or procedural areas?
You re right about patients. That is the shame how disrespectful thwy can be. God they just drained my enwrgy, they re never satisfied theres always some critic. I guess the hospital is the best place for them to behave disrespectful especially towards nurses. I regret 10 years i spent in hospital. Now i see how exhausting was that. They affect your mental health and feel you like you re never good enough
There isnt anything better- its a people factory. We all wanted to help. And then, we just had to stop. the ones who stay are there for the benefits and pay.
New subscriber here! OMG I could have made this video myself. I would love to try forensic psych but I live in a very rural area. Then I have my days where I'm like I can not do this until retirement.
Welcome to the family! :) There probably isn't a forensics psych facility near you, however, you can always check with your state's department of mental health website to check! Forensic psych is a much less physically demanding job than most areas of nursing honestly.
OMG!!! I feel your pain! I am not a psych nurse, but I am a teacher, and girl we can bend elbows one day and swap stories and you may or may not be surprised to hear that what we deal with is a lot like what you deal with. The behavioral issues, the ones who genuinely can’t help it, and the others who can, but somebody told them that they get a free pass because they’re on meds. Being told you can’t touch me, I wish you would put your hands on me or talk to me a certain way, you’ll lose your job, or my mama will beat your ass. Girl!!! After 10 years, I saw my exit, because I would’ve caught a case. I’ve been threatened while I was pregnant to get kicked in the stomach and stabbed in the stomach with a pencil (and that was a 3rd graded), then being moved to the middle school as the same group of elementary kids are older and at the middle school. Ooohhhh the stories I can tell. Sorry for the rant/word just spilling out and poor grammar and punctuation, but I’m so full I’m typing like a mad woman, lol. But keep on doing what you do and stay prayerful, things will work out for your good. They did for me.
+Sadia Denise wow!! smh. What's really crazy is ALOT of my forensics clients have backgrounds of bad behaviors in grade/middle school and every parents just "thought it was how they were". Never REALLY addressed by the parents OR the school system.
I told you this before; but, you really need to seriously consider going back to school to become a psych NP! I really feel within the next Ten years NP will have full autonomy in most states. This means You will be the one writing the orders and coincidentally give you a seat at the table to make the changes to policy; You, want to see at your institution! As far as your current situation at your facility, You don't need to quit nursing, you just need to change units to a psych population that best fits your personality. I personally believe You are a Giant! and whatever direction You decide to go with you career( after deep introspection) You will be successful!
+COR0328 I don't plan to be in corporate America much longer...definitely not 10 years from now. Maybe if I would've gone back within 2 years of graduating...but I was already out of nursing after less than 18 months of becoming a nurse. I just don't believe much change will come in the specialty because the reality is...they can only make money if patients stay sick...
Yeah it would be a Hell no for me... But that's how this world works with most of these jobs.. they don't care of true rehabilitation. And damn sure don't care about their workers.. Just be what they need to keep that money coming in at your mental/health expense.🤨
+Betterme4lf surely don't care about us at all. The clients/patients know it too. They know they have more rights and are protected more than we are. They will literally spew it from their own mouth smh
You have to get out of psych now.I was a psych nurse for 8 yrs left and went to a medical area Keep changing areas.That's what I did. Try a speciality area
I worked security at a hospital years ago and we would have to respond to code violets etc. I don’t think that job was a good fit for me because I’m not assertive I’m too nice and most of the patients were taller or bigger than me can you try working in ICU or another dept?
+Shautel Walker nope! And here I am at work again tonight (on a different unit) and just came from an "all available" on that unit again. Different client but window punched out again smh...all cause the client wanted some extra graham crackers. They gave them to her and guess what any staff who refuses (to keep continuity between clients) from here on out will probably have the window punched out on them ... again...
In the state of Wisconsin they can just force you to work. of course there are some parameters around that but nonetheless who wants to work a job where your boss can just at the moment's notice tell you you can't go anywhere. Nursing is full of people with egos. There's a reason why they say nurses eat their young. it's a very unhealthy work environment and I don't mean just because you're in the hospital I mean it's a lot of stress and it's a lot of toxic work exposure. I have worked psych I have worked medical surgical and I worked in the ER different place same politics. From my experience in mental health typically those who are incredibly psychotic tend to be less dangerous than the ones who are behavioral on purpose like your odd patients or your border lines bipolars etc. By the way have you ever heard of a nursing facility that wasn't understaffed? Most people don't realize that that don't work in the field. There is a reason for this
Man everything you said!!! 💯 They mandate nurses and techs every shift at my job. It's gotten so much worse with the pandemic. Thankfully since I'm an agency nurse I can't be mandated and get to go home when my shift is over. And yeah those behavioral patients are the worst! JUST THIS WEEK we had a patient bite a chunk out of someone's arm and kicked and injured 4 others. All while they tried to put him in a new restraint chair that my facility told NO ONE they installed. So NO ONE knew how to use the new chair. And because of the struggle of operating it, they got injured. smh All due to behavior...NOT PSYCHOSIS.
@@keamber.vaughn frustrating! How your heart love if you feel like you settled, you probably did. Work is no different than a man, if it leaves you longing for more, second guessing things, etc it might be time. Or your a soldier lol... Either way nothing but the best! Cheers
You are absolutely right, and this is the system EVERYWHERE. I learned that everything is politics, and money, AND MOST FACILITIES DONT HAVE ENOUGH FUNDS. I say that to say no there not being rehabilitated, and meds are not working in my opinion. They know the system, and manipulation well.
+mythoughts 176 I 100% agree with you! Oh and get this...just read the reports from 2 days after my incident and this individual called another black staff member the same word the NEXT NIGHT. So tell me how your 2 day ward restriction consequence meant anything?! Clearly they don’t care about THAT. Try something else!
@@keamber.vaughn GIRLLLL, THERE MAIN CONCERN IS MONEYYYYY, AND WHO'S PAYING FOR THEIR CLIENTS SERVICES. THEIR NOT GOING TO PUNISH THE CLIENTS, BECAUSE THAT THERE SOURCE OF MONEY. THE CLIENTS KNOW WHAT THEY CAN DO, SAY, AND GET AWAY WITH. I BEEN CALLED THE N WORD ALL DAY EVERYDAY, SADLY IT DOES NOT BOTHER ME BECAUSE I AM USE TO IT, THAT CRAZY. I WILL NEVER TELL YOU TO QUIT YOUR JOB, THE ADVICE I WILL GIVE IS WHILE YOUR WORKING IN PSY NURSING START SOMETHING ELSE WHILE WORKING, DONT JUST UP AND QUIT. PRAY FOR CLARITY, AND KEEP PUSHING FORWARD WHILE WORKING UNTIL YOU FIGURE OUT YOUR NEXT STEP. I KNOW ITS HARD, TRUST ME I KNOW. YOUR SMART, AND BEAUTIFUL LADY YOUR GOING TO FIGURE THIS ENTIRE SITUATION OUT, ITS GOING TO TAKE TIME. OH THEIR ARE NO CONSEQUENCES FOR THE CLIENTS. BLESSINGS
Psych Nursing is dangerous. Some of the clients are manipulative conniving people and know exactly what they are doing. So sorry you had to be treated in such a disgusting demoralized manner.
What’s unfortunate is in other specialities of nursing they are so “anti/ restraints chemical or physical “ even at the expense of staffing SAFETY ! IDGAF what EBP shows if re-orienting, distracting, time etc does not calm the patient and they are threatening staff that should be UNACCEPTABLE ! Yet not the case at all. Shameful especially dealing with psych patients how comfortable the doctor was knowing this population is more than likely to follow through with their words .
+Napqween I honestly understand why restraints are "last resort" BUT when safety is at risk that shouldn't be the case. We've had staff injured by clients all because restraints was the last thing on staff's minds. In the end we do not know the strength of anyone and how much damage they can do and hunny I ain't the one to find out. Staff should be protected at all costs. We do not sign up to be assaulted and put in harm's way. We sign up to provide therapeutic care to clients/patients and if that is impossible due to safety concerns...RESTRAINTS
I was an RN for 24 years. When I left I was suicidal. I don't miss it
janice Zachar 😥 that’s awful
Lord
+janice Zachar aw man :( what did you transition to, if you don't mind me asking.
KeAmber Vaughn I wanna know too
I transitioned to a few things. Insurance claims, mailroom, interpreting company. There have been others. I at least have a piece of mind...the bills are paid and my mental health is not in crisis
As a nurse I can say I totally agree with you that they know exactly what they're doing. They know they can say whatever they want to you because you are at your job and can't react.
+OosundayoO and they know they won't get in trouble. Had another issue tonight. And the client literally said they didn't care because they are leaving Thursday and because they know it's nothing we can do...they were sitting inside the nurses station btw...and the doctor said to let them sit there AS IF that's not a safety issue smh. Stupid
@@keamber.vaughn that's a whole other issue. I cant stand when doctors go over your head and try to pacify them, disregarding hospital policy. Meanwhile, they deal with them for 5 minutes and we're being harassed for 12 hours.
+OosundayoO tell me about it! And was saying "well only ONE staff should approach them and be sure they are not confrontational"...girl don't you think we did all that BEFORE we called you? They've been in the nurses station for 30 mins! smh. Just dumb
@@keamber.vaughn OH HELL NO
You are my favorite kind of nurses to work with. 100% real and honest about what it really is like. I hope you find something that works better for you. You clearly have the smarts to go in any direction you choose, nursing, business or otherwise.
Have been in Nursing for 3o years. I have worked in all kinds of different settings. This is not what i signed up for. I have been physically assaulted, verbally abused, and have had my life threatened. I am done. I am retiring early. I would rather live in my van , rather than continue in a field that has left my physically and emotionally broken.
I 100% understand. I don't know how much longer I can deal with this especially seeing how this pandemic is being handled...it's a disgrace
@@keamber.vaughn The sad part is that management keeps blaming us for the problems . When you bring up issues, their response is "perhaps, this is not a good fit for you anymore". Really?
Listennnn!! That be the WORST!
I'm taking early retirement and getting a Mexican permanent visa card. Live on the beach for half the price and eat fresh papaya.
I’ll just add one more thing with this. Toxic people don’t mix well with the healthcare field. It makes learning hard and to top it off, they’ll push you into the lion’s den. For all the declaration of caring and compassion with nursing, nursing can be just as toxic and brutal, although it didn’t need to be/it doesn’t need to be, but it is what it is. So for people who do not want that that extreme stress, anxiety, depression, if you have a choice, go into the second best choice you have for a career before it is too late. Just remember, as a nurse, when shit hits the fan, it’s all on you, not the facility or the hospital. They’ll continue to make $$$. You? You’re the only one who will pay for it. So if this is not what you want, walk away. No, as a matter of fact, run away.
You spoke nothing but ABSOLUTE FACTS!!
Nurses can be some of the most toxic people. I can't wait to leave this profession for my own. No one has time for the BS
I'm running away 😅
Facts!! I love the run away part😂
I'm getting out. I became an NP a few years ago and nothing has changed. I've been burned out since 2013. This is not the healthcare I started in 20 years ago. I cut my bills way back, started working on my own business (my MSN & NP is very helpful with this) and started doing agency as a RN 3 days a week on the side (that's all my soul can take). Every time I go to work for the nursing agency I pray that I don't work and treat the patients the way I really feel inside.
I'm over the politics, nurses who don't give a damn and leave the sick patient for the next nurse, the negative nurse who always come to work mad and don't want to listen to report nor count narcotics properly, and the behaviors patients and families come with (due to covid family interaction is pretty much non existent and I'm not missing them neither) I have absolutely nothing left to give at this point. Can I win the lottery already.
I'm almost at the point of burnout myself. It sucks because I wanted to be a nurse since I was a child and I feel it's the COMPLETE opposite of what I expected.
This is everything I'm dealing with now!!! Caddy miserable disgruntled nurses displacing their crap on whoever! I am exactly the wrong one! Started grad school for informatics and I can not wait to leave the bedside!!!! Love my patients but I'm over the politics!!! I am a nurse 18 yrs and in healthcare a total of 25!!! BURNED OUT 🔥
@@rhondaholmes5306 im a student debating between RT and RN. I’m afraid that these feelings will happen to me if I take the nursing route.. i feel like im only considering going the nursing route as a stepping stool to NP or PA or CRNA, etc. Do you think it’s worth it?
As a nursing student who has been ADMITTED to a psych ward for 4 days- there is ZERO reason to act that way. The people I was in there with had psych issues but they all behaved and we all got along and laughed at each other- despite it being hell. I’m so sorry they called you a slur. The fact that you have to deal with that on the job and it’s just written off as *~patient has psych problems, oh well~* is bullshit. I really hope you find peace and happiness no matter where you go 🖤
Quit! Go all in on your online business. You're naturally a teacher. You're financially stable. QUIT THAT JOB you have options
+AJ SIMMONS That's what I'm working on now. Getting the foundation ready for my new business I'm launching on New Years Day. I can't continue to suppress my talents dealing with this mess. Thank you for the encouragement!
@@keamber.vaughn excellent! I went full time with my internet based education business last October. I'd say I'm doing pretty well. If you have any questions or just want some general advice from someone in the space, message me on Instagram @AjSimmonsOnline. Not trying to sell you on anything at all, just here to help
@@AjSimmonsOnline Awesome!
That's what I'm doing
I’m sorry to hear of your nursing experience. I’ve been hospitalized for SI/Depression/Anxiety years ago. I’ve considered changing my major to nursing but your video and others on Reddit have convinced me the field isn’t as positive/empowering as I once thought. Insurance and the economy have unfortunately caused this. Wishing you luck on your path!
Hi lady, I can absolutely relate to you. I was a psych male nurse in Hungary for 10 yrs. Psych patients are the most malevolent, entitled and spoilt people on earth. The system spoils them like crazy, and the patients know that whatever they do, there is no repercussions. But they can only do that in the wards. As soon as they do it out of ward, they have to face the consequences of thier careless behaviour. People outside the ward dont care if they are sick or not. If they dont do what they are expected in the family or wherever they are, they are ignored, put aside, left alone, or even beaten up, especially by the police. But the wards make them get used to the nice and lenient environment , not the real world. How is it a help? When I asked this from the doctors ( whose role in this is undeniable) , they told me I dont know anything. And of course, the patients are always coming back to the wards, because they are unable to fit in the real world, and they want that nice treatment that the wards provide. Nurses left this field of nursing here in this country due to this, and because of the shockingly low salaries.
I did psych for 7 months as an LPN, I could tolerate that much. Mostly, because I didn’t see the help I was giving. I was a pill pusher. Psych nursing is a business.
I’ve only been a nurse for two years. I’ve found that the best mission statements and the best intentions can drive the overall care, but human beings are human beings. Gotta do what’s right for you. If I could afford to quit nursing now I would. And that’s sad. You’re so smart and driven. Keep doing you beautiful.
Some of the patients I took care of who used to be nurses are sad and broken people: emotionally and psychologically if not physically...
Oh lord! I understand you completely! No one can begin to understand the level of anxiety and struggle we go through on a daily basis, from politics to the job itself. I’ve been a nurse 14 years now and just feel so trapped and I have no clue what to do to start over. I’ve worked on almost every degree of nursing my license allows and it’s all too much. Pain and stress will be the end of me and I’m losing my essence! Time for me to move on, but what now?...
+Melody Anne Love honestly you have to do some soul searching and figure out either how to monetize another passion of yours or get out of bedside (if you're still in bedside). I feel like those of us who got into nursing for the right reasons have it the hardest because nursing isn't what they make it to be which is why we get the most stressed!
KeAmber, Omg...sums it up.
You have to take care of yourself. The problem is that you have non-nursing people making decisions and they don't have to come in contact with the patients..that place is a broken Mess! Leave for your safety sake!
+Schanna Wilkins it's definitely a hot mess. Don't worry I'll be out and safe soon. Very soon :)
I've worked in drug rehab and corrections, currently in Psych ER as an RN. You sound burned out. It's an epidemic in healthcare and I suggest you change facilities if you continue to feel unsafe or fed up with your current place more often than not. There are so many positions we can take as nurses. I think its possible to be excited about a job again.
+Corie Lake I think I'm just gonna be out altogether...at least for another few years. I need a break from healthcare altogether
KeAmber Vaughn hello . Just found out your channel today. Amazing video. Out of curiousity what do you do now?
I'm 4 months into psych nursing/behavioral health as a new grad and I've got the game clocked...90% of pts are malingerers. Docs admit them because the pts have learned they will get admitted if they say they are suicidal---but as soon as they get to the floor they act like fussy hotel guests demanding food, drugs, entertainment--you name it---suddenly they are no longer, ahem, "suicidal". I dread going to work. We are also always short, as in 1 nurse to 14 patients and no techs for vitals, q 15 safety checks, and 1:1's. Nurses call out/quit because it's bullshit and they know it. The hospital keeps accepting violent pts who have attacked staff and chronic homeless drug abusers that come in every month. Chronic druggies looking for slip and fall cases while there to sue the hospital (had 3 so far). Security? You mean the old, 65 plus-year-old men hospitals hire that don't respond to the codes and don't do shit? Our psych unit also found out the rest of the nurses in medical were getting double bonuses for short staffing and we get shit...F&ck this. I'm trying to get into a new grad residency. You can't help people who don't want help, won't accept the responsibility to change. And IMO, these psych drugs do way more harm than good. If they work so well, why is mental health worse than ever??? Anyone ever ask that question? The system is broken. Until we solve basic issues like homelessness and substance abuse, 90% of these people cannot be helped. Stop wasting your time. It's like putting a band-aid on a gunshot wound.
+TheMabes69 man!! The chronic druggies are the most annoying to deal with because they will literally tell you I'm gonna go back and do it as soon as I detox real quick. Like wth...I got into nursing to HELP people not put a bandaid on someone who wants the bandaid off as soon as they leave. smh. taking up space from someone who ACTUALLY needs/wants help. I will say in Orange, CA the majority of our unit was indeed those who wanted help with depression, anxiety, etc. Springfield MO...NO...lol
Yeah and to top it off, security are taught not to intervene if it will endanger their safety or the patient’s safety, so that means they’ll allow them to continue doing what they’re doing until I guess they get tired.
@man69 Haha. What did u think it would be, Disneyland . Hah!
I hear ya! Nursing starting to stink
+lunachic 1 yeah I'm absolutely over it. Had another situation at work tonight. Different ward. Not threatening or anything but can't use the "regular" policies on the client because they are a minor...well send them to the peds state facility then. So they are acting out because they know we can't do what we typically do with them...smh
Gurl you can be tired I m feeling your pain. Been doing my job now 31 yrs and I’m tired of it ..
+L M I've only been in corporate America (as an adult) for like 4.5 years and I'm OVER IT lol
Been nursing 43 yrs forensic rehab acute aged care .been toxic for decades survived by disassociating. Saving hard to take 6 week breaks overseas .now covid hiyt and can't travel my lifeline gone so will have an exit plan .travelling was my saviour .now being frugal non consuming and recycling so don't need to work as much and will retire early
i’m really glad you made this video. highlighting certain areas of psych that dont get AS much attention as the “psychotic” area which is entirely what i thought psych nursing was about. didnt realize there was a population of people like that within the specialty.
+Daniel Feds I thought that's what psych nursing was all about...besides the acute depression/anxiety etc as well. I'm feeling like behavioral is the worst area of psych nursing even though you SHOULD be safer because they ARE in their right mind smh
My sister is a nurse. She worked in a state psychiatric hospital. She was in the med room about to pass out meds. Her back was to the door. The nurse leaving didn’t shut the door all the way.There was a patient that was a rapist. He ended up at the hospital to escape jail time. This patient came in the door so quietly that she didn’t hear him. Before my sister knew it he was right there. She felt like he was about to try her. She used her defense training because she didn’t know what he had in his mind. He pretty much got a slap on the wrist. After that incident he protected her from any other patient he thought was being disrespectful to her. Yeah they know what they doing and can get away with.
+Yolanda wow smh See that's an issue. Even bigger issue is the fact that there was no one else in the nurses station (whose back wasn't turned) to be a barrier between them smh
I feel bad for you and am thankful I didn’t go into nursing after all...
Honestly it's not the most glamorous career and many times we feel we absolutely don't get paid enough! But then again...who DOES feel they get paid enough for their profession?
This is what scares me about ever becoming a nurse which is something I’d love to be,
but I’m not an assertive person, I’m more like the introvert type. They probably would eat me alive
Yeah me too :/
You better find the strength it’s a part of the job. You’ll have pts, families and other nurses lie on you. Have to defend your yourself
Ngl even from someone who’s assertive it gets so bad.... just shows that the field is actually insane. I had a head nurse come at me and talking shit constantly because I refused to do her job dealing with narcotics. I wasn’t qualified and I would get sued if anything. I didn’t do her job and she just tried to ruin my life talking to the bosses with lies etc. It got so bad that I was having mental health breakdowns at times when I was alone. Even though I even drove her home at times when she needed it and helped whenever I could. Whats crazy though, I prayed about it at one point when I was just tired and done and in tears after a year of that, just for God to take control and help out, and she started going blind within the month and they took her off the job because she went nearly fully blind..... was crazy. But after that it still was so bad I had to quit that building because there was no professionalism.
You have a really comforting presence about you. I could definitely see you in psych nursing. Sadly nursing as a whole has become an expense to the hospitals and we’re seen as dispensable. If you have a way to leave, do it. You’ll be happy you did
Thank you for your story KeAmber. I am a new grad nurse on a Med/Surg unit. I am not even off orientation yet and I’m already reevaluating my decision of becoming a nurse. I’ve heard the experiences of my new grad peers and this job is hard! It shouldn’t be, but we are put into situations and assignments that are not safe for our patients, and us! I worry about my patients and my license everyday, working or not. Maybe Med/Surg is not for me, but there are countless stories shared by nurses from every unit where the scenario is the same. I pray for you and I that our situation improves and we can find something we love!
Med/Surg is one of the hardest (outside of ICU/Neuro) to work in because you have to care for such a large variety of diagnoses. I honestly feel like those who get into nursing for the right reasons (because of their desire to care for people vs just getting in it for the money/stability) are the ones who get burnt out the quickest because it's NEVER what we expected it to be!
@@keamber.vaughn Thank you for your support to new nurses and for sharing your experiences with us!
You’re so welcome!
It takes a lot of strength to do what you do. I am not a nurse so I can no way so what you should do because I myself have never been in this situation. But one thing I can say is (at least up until when you leave) just remember at the end of the day you are the one who gets to drive to your home, get in YOUR bed, and surround yourself with family if you choose to at the end of the day. You’re not the one locked up on a Pysch Floor. I would not be surprised if some patients act up because they are simply jealous and know this.
But you are very strong for what you do everyday, Psych Nurses do not get enough credit!
+Ney Rose thank you so much!! 💕 I definitely always keep that in the back of my mind. Honestly some of them act this way because they think this place is “their house” and “their rules” and unfortunately the facility protecting them and not makes that notion a reality for them.
That was so sweet
Girl I feel ya! I have been a nurse for almost 10 years now. And tbh I hate it. Really thinking about getting out of the field. I hate the politics and throat cutting. It's just too stressful
+Kandice Najera it's soooo stressful! Especially because management is NEVER on your side when you do NOTHING wrong. Ever!
@@keamber.vaughn too much back stabbing for my liking. I don't fall into the cliques, and I don't kiss butt. I come to do a job and go home. Don't go to work to make friends.
I hate what I do too. I absolutely hate all the back breaking work , I have done it for 11 years med surge unit. I have given so muuuch to my job and It's such an unappreciative job. I work nights and my health sucks now,I have the laziest cnas, too much know it all staff. No support it's all business.
@@skylar6818 I completely understand! I have tried different types of nursing. I've done ltc,psych, correctional, and currently in home health. I'm getting out. I've paid all but one bill off and plan to have it paid in full by the end of the month. Then I'm just gonna work prn and possibly look for a different field. I've came to the conclusion life is too short to stay in something that does not make me happy
Yeah, I’m going to leave nursing too. It’s nothing but a business. The pay is good, but you will break your back for it. They throw everything on the nurses. And it tiring and exhausting. Always short staffed, no techs, no supplies, ect. I’m over it. They lied to us in nursing school. Its nothing but a scam!! Nobody can tell me otherwise
Good for you. Do not accept apologies for behavior like that. Tell them "DON'T BE SORRY, BE BETTER!"
And also let’s be honest MOST of these people cannot go back into society they literally do not know how to behave. They have issues with SIMPLE BEHAVIORS !!! It’s 10000% true what ur saying 10000% true. And the DISRESPECT takes a toll on your psyche!
+missA EXACTLY! And it doesn't help that these facilities continue to employ programs that simply reward bad and unacceptable behavior! How do you expect them TO be rehabbed back out when everyday life doesn't do that?!
This was my life for about 7 years straight. I love Psych, but my state facility cares for acute, behavioral, etc so we got the entire gamut of personalities and aggressive behaviors. By the end of my time in direct care I was so burnt out. For the last 7 years I’ve been in clinical informatics so now I’m like a liaison between direct care and Information systems. I learned to code and was on a team that developed our electronic health record. I enjoy training new staff monthly. It’s refreshing and my schedule is more stable. Make the change. Do whatever you deem necessary for your peace of mind.
+a brownlady the biggest issue I'm currently having with getting out of direct care is I don't want to work days. I can't work days. I day trade M-F 830a-1p and the day time is best for me to conduct business :(
how do I get into informatics?
I'm not a nurse but I work in a group home with Autism adults, I done work with the ones that have the worse behaviors and nothing happens, they could care less about your safety, 14 years in this field, I wish you the best of luck.
+livingvegan 365 the "nothing happens" part is my issue with this specialty. How are you providing real care if you're not helping them learn how to live with their ailments without using it as an excuse for their behavior. Yes, some can't control is 24/7 but you're not helping when you're essentially saying oh it's okay because you're ____ (insert psych disorder)
You are human. For your own sanity, let it go. You only have control over your reaction to any situation.
+TRS as soon as I get my new business off the ground, I'm out!
I totally feel your frustrations, I felt the same way when I was teaching special needs students. The systems in place seem very broken!I felt like I was on a hamster wheel running until I fell off, then got back on only to fall off again. Sometimes you just have to walk away, give yourself an extended break. then maybe try something a little different if you really miss nursing. Good luck and be blessed!
+Louise Richards I only came back 3 years ago because I missed nursing (after being out for 3 full years) and being burned out in business but now I'm over it. Idk how I'll ever "miss" this again smh
@@keamber.vaughn I went back into teaching 3 different times, but after my health got bad I realized it wasn't worth it. I think you're a talented, smart young women, that under states the importance of multiple streams of income and savings. So whatever you do you'll be successful. Move Forward and Be Blessed
You are a great nurse and thank you for taking care of us!
+Megan P. Thank you so much! I wish I could stay in the field but I'm at my breaking point.
I resonate with you a lot. You know that feeling when patients try to push your buttons to the point you no longer have the unwavering kind of patience in dealing with their shit. As soon as I finished my two-year contract in home care facility, it felt so damn good to finally leave and not renew... The hardest part of being a nurse is it is more of an "emotional job" than physical. Because patients are ill, me as a nurse has to deal ALL the elfin negativity and tantrums..
I retired from nursing at 63yh/o. Worked ed.5years icu 17 years, psych 6 years. Dont miss it.
Nursing can be so frustrating. Hang in there girl.
The disrespect is insane!
+Kayla Holland absolutely! They used the same racial slur on another black staff (male) the VERY NEXT DAY. So do they REALLY think that 2 day restriction was cared about?! Smh
Yes they are 1,0000% disrespectful
I have a niece who is a psych nurse but have never discussed what she goes through on a daily basis. Hearing your experience gives me a whole new perspective on what she, you and those in the field go through. You guys deserve so much but AT LEAST protections from the hospital who hire your services given their clientele. Seems they could get in trouble for failing to protect you and other nurses--be it a penetrable plexiglas window or a racial slur.
+FreshFruit LeanMeats psych is easier physcially but can be mentally draining and can be unsafe at times. It's crazy that we nurses and other healthcare professionals arelly aren't protected by laws or anything smh
Sounds like you have a good understanding on how the system SHOULD work and you seem to have good ideas on how to implement changes. Have you ever considered becoming a healthcare administrator?
I considered transitioning to psych nursing but they used to put our nurses through hell.
Edit: I just want to give you a hug. I worked in IP psych for 6 years.
+Nappystorm
I’m entering my 11th year as a psych nurse and I’ve worked at different counties in the Bay Area. I totally KNOW how you feel. I stumbled onto your video because I TOO want to get out of nursing in general. In mental health, a patient with “behavioral” problems IMO have been enabled to act the way they act their entire life. Highly likely that they have borderline personality or they’re sociopaths. The honest question that burns me deep inside is “how can a rn remain professional in an environment where professionals can’t thrive?” Patients who act that way have so much ENTITLEMENT, but it’s enabled by hospitals to let patients get away with their behaviors. Nurses/cna’s are on the unit ALL day while every other staff member (doctors/social workers/etc) only spend a fraction of time with the patients. Plus, if anything happens, it’s ALWAYS the nurses responsibility. The health care system a business. It’s not about getting people well, it’s about getting them well enough to keep coming back. Masking symptoms in the medical field and enabling behaviors in mental health create a revolving door. I “felt” your story as I’ve had hundreds of situations like that, and its pushing me away from the medical field. I’d take an overly aggressive psychotic patient over a borderline behavioral patient any day! If anyone thinks otherwise, then spend a day(shit, just a few hours) in a highly acute psychiatric emergency room and just watch. Enter your county PES voluntarily and say you have anxiety. Watch the difference from patients who KNOW what they’re doing vs someone who is psychotic.
I am starting a business online it alot less stressful!!
I had a similar experience... a large football player guy that tried to hit me, because I told him to stop belittling me.... he had to be taken down to seclusion and get an IM. I thought he’s not ready for the real world... within 1 week he was released. WTF hopefully he doesn’t kill anyone.
Girllll!!! You seem to be at the point where I’m and and speaking my language too, love it! The thing is, if they are rehabilitated back to the community then the doctors won’t get paid, so, they do the bare minimal to keep them coming back. Seems that’s how “healthcare” works and that’s how we get paid, sadly.
HEY GIRL, Always keeping it 100
Proud of you for keeping it real and taking care of yourself
You too REALLLL for me.. but I LOVE ❤️ ittttt… Thanks for sharing.. God got you covered 🙏🏾👏🏽
Wow. I’m sorry this happened to you. Thanks for this video and keeping it real and I hope you have better days ❤️
+Kyla Hill thank you so much
Yes! Psych and Behavioral are two different realms, and as Psych RNs...we get both. I really enjoy working with the Psych clients. But the Behavioral clients suck my energy away at times. I truly wish there was some in-depth training for how best to assist Behavioral clients - I’ve been an RN for 11 years, 3 in Psych...and I struggle nightly. 🥴
+Candi Leftwich I definitely wholeheartedly agree! That's why I prefer the "non behavioral" wards here!
Sounds like when I worked at the nursing home . Smh !!
Omg I can totally relate to this. I was an acute psych nurse for 4 years and I got out! Couldn’t do the borderlines or schizoaffective d/o. I worked in a dual diagnosis unit acute psych/detox and the detox patients were the worst. Some of them were so entitled it was sickening. And again I know they have a disease but most of the disease was just being a shitty human to others. So rude. So manipulative. And you are right they knew exactly what they were doing. And yes it is because people kiss their asses so they don’t act out which in return is positive reinforcement for their shitty behavior. This is why there is sooo much turnover in psych.
You want to help people that legitimately need help. My impression and opinion is that they would be back in a monthly basis when their government disability checks were gone after binging it all on drugs. They would realize they have no money for food fair shelter so they would check themselves into us like a freaking hotel. Then complain about their beds or their “leisure” time. Lol 😂 like you were sleeping under a damn bridge last night. Ridiculous. I know this sounds terrible but it is soooo true.
They know exactly what they are doing.
You are too much of a BOSS to deal with that kind of abuse. Especially when it's racial. I wanted to beat his ass just by hearing you recite what happend!
+Raegane Dominique you are absolutely right. I needed a break from business but it's time for me to get back on track because I can't do this much longer. I'm gonna lose my sanity.
I left psych for the same reason and went to Corrections. Now they have consequences and I have protection.
30 yrs here. Take a break and go do something w pediatrics. Maybe a home care case or or something. It will give you a do over and you will see how your work does actually help and mean something. Ps I stayed away from psych..no thank you...lol
Thanks for this video. I went to school to be a psych tech graduated and then lagged on my boards (still waiting to hear back) because before I even graduated I felt burned out. Why? Because of what I've seen in my clinical experiences, the pay, all we have to go through, and how the system/companies dont protect you or have your back. Almost every staff seemed very miserable. Most of my clinicals was acute but seeing that many of them were drug addicts and have been in and out just made me wonder if I could even make a difference ? No. Probably not.
+Camille Williams honestly you're right...you probably wouldn't make any more than a very temporary difference. The drug addicts I seen in the acute setting on my assignments would literally tell you they are there to detox and get right back on the street and they'd see you again soon...smh
@@keamber.vaughn yep and that's exactly what would happen
This is the exact reason why I don’t want to get into psych. The patients have no respect ...esp ESP behavioral health patients. And they are 100% there...i dont care i dont care only speak on this if you have worked with this field !
+missA PLEASE SAY IT LOUDER FOR THE PEOPLE IN THE BACK!! People swear up and down BH patients can't control themselves...yeah OKAY. *eye roll*
90% are malingerers or homeless or substance abusers...only met 10% that are genuinely mentally ill that truly need hospitalization. They've all learned to just say they are suicidal to get admitted...then they expect a hotel stay...
I worked psych for 4 yrs. They know who to try. I never changed my facial expressions, never got back with them. I acted like I didnt hear them and they saw they couldn't get my goose. What made me leave psych and want to leave the profession all together is the negative energy they bring and the toxic staff members who get mre done than actual work.
@@swiftkarma4436 pysch is a different kind of nursing beast. Having a strong supportive team makes it manageable.
I hear you young lady. I can’t help psych pts
Case Management has been my favorite field so far, psych was my least favorite.
+Cecilia Baker I'd love to make a switch but being PRN AND only willing to work at night hinders me. I don't want to work more than 24 hours a week.
Not in nursing, but I was studying to be a CNA. After I see the trouble in the long term care facility I had my clinical practice, I know I clearly don’t have the guts to handle it. I get trigger easily. Even though I may act cool and continue, my body response differently and I’ll under go physical stress. So I did what I did best, I finished the program and just left. Never went back.
I major in social worker and don’t wanna go into out-of-field profession like cps because of the danger. County won’t provide security or a second person when staff are to remove child from home. But it is true, those program don’t work. It’s all politic. And it is wrong to not have that window repair or leaving you in an unsafe environment.
+Moua Xiong honestly the whole healthcare system is jacked up and I feel psych is more jacked up for various reasons... I think it's messed up that patients are more protected than the healthcare workers who take care of them
KeAmber Vaughn Domestic violence and aggression in healthcare is not commonly discuss. The line of abuse is so thin that most don’t even wanna go there. My CNA instructor always emphasized that we need to be aware of our body parts, our environment, and how we come out to people because we can be reported for “abuse.”
Psych related stuff is usually run by the state. How else would any clinic working with mentally unstable people earn money? These people can’t pay!! Rich folk don’t go to rehab. Rarely. It’s all about the money. Funding is politic.
This is why we must protect ourselves first. Don’t do stuff that would jeopardize your license or your safety. I think nursing need someone strong as you to advocate for protection to healthcare workers! Nonetheless, my advice is to find a different place of employment. Jump around. Don’t stay if your safety is tested. If one thing go wrong, you’re on your own. HR isn’t on your side nor your employer. So please think of yourself. Good luck.
Have you thought about another specialty in nursing outside of forensics and psych ?
Yes, that was what I was going to say as well.
Is it possible for you to work as a nurse in a medical centre? Or a nurse in another area of health care completely? Physical health rather than mental health.
+Christina C I've done neuro, med/surg, and ortho. I don't like medical at all.
+Cecilia Johnson most medical centers and doctor's offices are day time ... I can't work during the day. Based on my experience in the other areas I have worked...as well as what I experienced in nursing school...I honestly don't think any other specialty will work with my ethics as well as what I think about the healthcare system in general (general medicine etc)
Have you considered becoming a psych NP? I did inpt psych for 14yrs and it can burn you out. As a psych NP you can still work with a population you enjoy but in a different capacity. Best decision I ever made!
@@TCat-ju8rt are you psych np inpatient or at a clinic setting?
This why I’m just gonna stay in L&D... we get the occasional psych pt but we only have to deal with them for a few hours every here and there.
+Reyaunna Williams I don't think I could even deal with any other specialty at this point. I'm just burned out...again...
I love L&D, did it for 10 years. However, I got burned out. We were seriously under staffed and no NICU... all units can suck at times.
I wonder how the doctor would have handled it if you were his/her daughter!
+Kayla Holland you’d think they’d think that way to begin with. Honestly I don’t like many, if any, of our doctors at this facility. I should do a story time on what happened Tuesday on a different ward with a different client smh. The doctor’s reaction was idiotic to say the least.
@@keamber.vaughn Storytime, please!
Thank you for sharing. I appreciate you telling it like it is. I have been an RN for sixteen years and spent the last twelve years in med surg telemetry floor. I could never do psych nursing and give you so much credit for doing it. Unfortunately I come across psych patients or psych visitors on my floor too. I find nursing rough. Who knows how long I will stay. So far so good I guess. Lol ; )
The struggle is real. I worked in a state hospital in Texas. I know exactly what you mean.
An abusive person must be discharged out of the facility immediately
Wow, I’m not a nurse and I absolutely agree and sympathize with you all…but as a person who may well need assistance someday; this vid & the comment are absolutely TERRIFYING!
I hate to lose you as a Nurse. I’ve watched a few of your videos and you’re very passionate about hat you do. Have you thought of working PACU, Imaging depts or procedural areas?
+Rach I No I haven't thought about working in areas like that. Mainly because many of them require day hours and I'm a night owl I hate working days.
I am so angry on your behalf. What is allowed will continue, and that client's vulgar behavior is breathtaking. I am so sorry.
I can relate 100%
You re right about patients. That is the shame how disrespectful thwy can be. God they just drained my enwrgy, they re never satisfied theres always some critic. I guess the hospital is the best place for them to behave disrespectful especially towards nurses.
I regret 10 years i spent in hospital. Now i see how exhausting was that. They affect your mental health and feel you like you re never good enough
There isnt anything better- its a people factory. We all wanted to help. And then, we just had to stop. the ones who stay are there for the benefits and pay.
New subscriber here! OMG I could have made this video myself. I would love to try forensic psych but I live in a very rural area. Then I have my days where I'm like I can not do this until retirement.
Welcome to the family! :) There probably isn't a forensics psych facility near you, however, you can always check with your state's department of mental health website to check! Forensic psych is a much less physically demanding job than most areas of nursing honestly.
OMG!!! I feel your pain! I am not a psych nurse, but I am a teacher, and girl we can bend elbows one day and swap stories and you may or may not be surprised to hear that what we deal with is a lot like what you deal with. The behavioral issues, the ones who genuinely can’t help it, and the others who can, but somebody told them that they get a free pass because they’re on meds. Being told you can’t touch me, I wish you would put your hands on me or talk to me a certain way, you’ll lose your job, or my mama will beat your ass. Girl!!! After 10 years, I saw my exit, because I would’ve caught a case. I’ve been threatened while I was pregnant to get kicked in the stomach and stabbed in the stomach with a pencil (and that was a 3rd graded), then being moved to the middle school as the same group of elementary kids are older and at the middle school. Ooohhhh the stories I can tell. Sorry for the rant/word just spilling out and poor grammar and punctuation, but I’m so full I’m typing like a mad woman, lol. But keep on doing what you do and stay prayerful, things will work out for your good. They did for me.
+Sadia Denise wow!! smh. What's really crazy is ALOT of my forensics clients have backgrounds of bad behaviors in grade/middle school and every parents just "thought it was how they were". Never REALLY addressed by the parents OR the school system.
I told you this before; but, you really need to seriously consider going back to school to become a psych NP! I really feel within the next Ten years NP will have full autonomy in most states. This means You will be the one writing the orders and coincidentally give you a seat at the table to make the changes to policy; You, want to see at your institution! As far as your current situation at your facility, You don't need to quit nursing, you just need to change units to a psych population that best fits your personality. I personally believe You are a Giant! and whatever direction You decide to go with you career( after deep introspection) You will be successful!
+COR0328 I don't plan to be in corporate America much longer...definitely not 10 years from now. Maybe if I would've gone back within 2 years of graduating...but I was already out of nursing after less than 18 months of becoming a nurse. I just don't believe much change will come in the specialty because the reality is...they can only make money if patients stay sick...
@@keamber.vaughn THIS
I'm a NP not a psych one but a NP nonetheless. It's not much better. Healthcare is in the crapper.
Yeah it would be a Hell no for me... But that's how this world works with most of these jobs.. they don't care of true rehabilitation. And damn sure don't care about their workers.. Just be what they need to keep that money coming in at your mental/health expense.🤨
+Betterme4lf surely don't care about us at all. The clients/patients know it too. They know they have more rights and are protected more than we are. They will literally spew it from their own mouth smh
Look into nurse case management for workers compensation/ insurance
+kiss Sanand I'm planning my complete exit at this time.
You have to get out of psych now.I was a psych nurse for 8 yrs left and went to a medical area
Keep changing areas.That's what I did.
Try a speciality area
"DON'T COME FOR ME!"
TELL IT !!!!✊
I worked security at a hospital years ago and we would have to respond to code violets etc. I don’t think that job was a good fit for me because I’m not assertive I’m too nice and most of the patients were taller or bigger than me
can you try working in ICU or another dept?
I love you. You are right on.
Beauty .... bless you in all your endeavors.
Babe i been telling you to stay at home while i take of you
They didn’t come fix the window!!!! Chile, you gotta get out of there!!!
+Shautel Walker nope! And here I am at work again tonight (on a different unit) and just came from an "all available" on that unit again. Different client but window punched out again smh...all cause the client wanted some extra graham crackers. They gave them to her and guess what any staff who refuses (to keep continuity between clients) from here on out will probably have the window punched out on them ... again...
@@keamber.vaughn That's just awful...
what are semantic people?? i’ve been googling so much and i can’t see anything. anyone help?
+aman kandola "somatic" .. very similar to hypochondria in the way it's presented with the clients I work with.
KeAmber Vaughn oooh! thank you!!
Did you change your mind about the Milazzo program? I was looking for your posts about it..👀?
In the state of Wisconsin they can just force you to work. of course there are some parameters around that but nonetheless who wants to work a job where your boss can just at the moment's notice tell you you can't go anywhere. Nursing is full of people with egos. There's a reason why they say nurses eat their young. it's a very unhealthy work environment and I don't mean just because you're in the hospital I mean it's a lot of stress and it's a lot of toxic work exposure. I have worked psych I have worked medical surgical and I worked in the ER different place same politics. From my experience in mental health typically those who are incredibly psychotic tend to be less dangerous than the ones who are behavioral on purpose like your odd patients or your border lines bipolars etc. By the way have you ever heard of a nursing facility that wasn't understaffed? Most people don't realize that that don't work in the field. There is a reason for this
Man everything you said!!! 💯 They mandate nurses and techs every shift at my job. It's gotten so much worse with the pandemic. Thankfully since I'm an agency nurse I can't be mandated and get to go home when my shift is over. And yeah those behavioral patients are the worst! JUST THIS WEEK we had a patient bite a chunk out of someone's arm and kicked and injured 4 others. All while they tried to put him in a new restraint chair that my facility told NO ONE they installed. So NO ONE knew how to use the new chair. And because of the struggle of operating it, they got injured. smh All due to behavior...NOT PSYCHOSIS.
@@keamber.vaughn frustrating! How your heart love if you feel like you settled, you probably did. Work is no different than a man, if it leaves you longing for more, second guessing things, etc it might be time. Or your a soldier lol... Either way nothing but the best! Cheers
I hate nursing. I feel sad about it. But I do. It's too draining and negative. 😥
You can be arrested for holding a patient down !!!!!
Love the truth ❤️❤️❤️
You are absolutely right, and this is the system EVERYWHERE. I learned that everything is politics, and money, AND MOST FACILITIES DONT HAVE ENOUGH FUNDS. I say that to say no there not being rehabilitated, and meds are not working in my opinion. They know the system, and manipulation well.
+mythoughts 176 I 100% agree with you! Oh and get this...just read the reports from 2 days after my incident and this individual called another black staff member the same word the NEXT NIGHT. So tell me how your 2 day ward restriction consequence meant anything?! Clearly they don’t care about THAT. Try something else!
@@keamber.vaughn GIRLLLL, THERE MAIN CONCERN IS MONEYYYYY, AND WHO'S PAYING FOR THEIR CLIENTS SERVICES. THEIR NOT GOING TO PUNISH THE CLIENTS, BECAUSE THAT THERE SOURCE OF MONEY. THE CLIENTS KNOW WHAT THEY CAN DO, SAY, AND GET AWAY WITH. I BEEN CALLED THE N WORD ALL DAY EVERYDAY, SADLY IT DOES NOT BOTHER ME BECAUSE I AM USE TO IT, THAT CRAZY. I WILL NEVER TELL YOU TO QUIT YOUR JOB, THE ADVICE I WILL GIVE IS WHILE YOUR WORKING IN PSY NURSING START SOMETHING ELSE WHILE WORKING, DONT JUST UP AND QUIT. PRAY FOR CLARITY, AND KEEP PUSHING FORWARD WHILE WORKING UNTIL YOU FIGURE OUT YOUR NEXT STEP. I KNOW ITS HARD, TRUST ME I KNOW. YOUR SMART, AND BEAUTIFUL LADY YOUR GOING TO FIGURE THIS ENTIRE SITUATION OUT, ITS GOING TO TAKE TIME. OH THEIR ARE NO CONSEQUENCES FOR THE CLIENTS. BLESSINGS
I wouldn't have done this video while driving
Psych Nursing is dangerous. Some of the clients are manipulative conniving people and know exactly what they are doing. So sorry you had to be treated in such a disgusting demoralized manner.
What’s unfortunate is in other specialities of nursing they are so “anti/ restraints chemical or physical “ even at the expense of staffing SAFETY ! IDGAF what EBP shows if re-orienting, distracting, time etc does not calm the patient and they are threatening staff that should be UNACCEPTABLE ! Yet not the case at all. Shameful especially dealing with psych patients how comfortable the doctor was knowing this population is more than likely to follow through with their words .
+Napqween I honestly understand why restraints are "last resort" BUT when safety is at risk that shouldn't be the case. We've had staff injured by clients all because restraints was the last thing on staff's minds. In the end we do not know the strength of anyone and how much damage they can do and hunny I ain't the one to find out. Staff should be protected at all costs. We do not sign up to be assaulted and put in harm's way. We sign up to provide therapeutic care to clients/patients and if that is impossible due to safety concerns...RESTRAINTS
I do understand much of what you say about ther profession in general. The racial stuff goes both ways though and being a man causes problems also.
Yes but they there for a reason. Dont take it personal
You need another job. I had the issue. I changed to bedside
Honey, please pull over. Then tell us your story