Situational awareness. I’ve had people look me up and down and ask how I handle the patient population I do considering I’m kinda skinny-fat and like

a) I’m a lot stronger than I look, especially with adrenaline in me one time I picked up one of the weighted dayroom chairs because I needed to get to a patient and it was in my way

b) 99% of it isn’t even fighting people anyway it’s mostly just having an ear for bullshit. One time we had a patient set off one of the safety alarms in their room and waited in the dark behind the door for someone to come answer it. I got there, saw the darkened room with the weird alarm going off and just noped the fuck out and called security.

If you have the common sense of every guy in the horror film that says,“Absofuckinglutely not” (and you don’t mind being paid pennies) psychiatric nursing calls to you.

Brains that run faster than average are very cool and impressive to people who don’t have to live in them.

I looked him up on YouTube because I wanted to see what you meant and all the comments say he’s been replaced with AI.

Damn. That show got weird.

Endometriosis is uterine tissue forming outside of the uterus and can be associated with a number of side effects (some of which can be dangerous) including mood swings. We’ve officially come full circle on diagnosing hysteria.

What red flags? He’s a solid, hardworking, and nonjudgmental family man! Unless in the later seasons I haven’t seen he becomes a shithead?

Zuko from AtLA, but part of that was also a deep experiential empathy for his character growth arc. Also sometimes having undefined gender issues at the same time makes it really hard to tell whether a feeling like that is attraction or envy.

One of my favorites in highschool and made EDM my favorite genre (well, that and playing speed over Beethoven in DDR). My faves now are apashe and avicii. If anyone knows any EDM that incorporates classical elements (especially strings and/or piano) I am ALL ears.

The logic behind it is that it’s a bribe “tip”-based system. The “tips” often provide more than a living wage, so it really works out better this way!

Nursing/Psychiatry: here’s what to pack for your friend in the psych hospital!

• T-shirts, logos fine, avoid anything explicit/vulgar
• stretchy pants, no drawstring or that can have the drawstring removed and don’t need a belt
• a sweater without a hood or zipper
• socks
• slide on shoes (no laces)
• a puzzle book with more than one type of puzzle
• a book in a genre they like
• a coloring book
• a notebook to write in
• crayons
• a stress ball
• one of those silicone bubble popper toys
• snacks/food that are still sealed or that have one of those doordasher stickers fast food places use sometimes.

DON’T bring:

• anything with long strings or cords
• anything sharp or pointy or made of glass or ceramic
• plastic bags
• bedding/pillows
• anything valuable or sentimental other than maybe a smartphone, and ID

I often wish more of my adult psych patients’ parents had done some reading about psychosocial development and how to support the child at each stage but more importantly I pretty much always wish they’d cared half as much as you did to even ask that question.

Not surprising to me in any way, I did exactly that while in school (among other unlicensed healthcare roles).

This is actually pretty solid. I’m firmly in the “passion” category, and while I’ve gotten better at it over the years, I often struggle to remember other people just have careers and jobs, and find true fulfillment elsewhere. Now that said, my passion pays somewhat poorly (but steadily!) and isn’t even slightly competitive (I’m even considering leaving the field at this point) but it’s something I care a lot about being done well.

Excellent example of a “small” job people don’t realize could accidentally kill someone!

It’s a psych hospital with a unit specializing in people with charges, not a prison (where they should have been). If a patient were genuinely suicidal they would need to be immediately accessible to the staff member responsible for preventing it. Additionally, seclusion, even with the legally required assigned observer, requires justification and a doctor’s order, and in this case it’s impossible to justify because seclusion is specifically contraindicated in high suicide risk (see above).

These are all clinical guidelines and often even state regulations that make perfect sense and save a lot of lives in the situations they’re designed for. The issue is that assessing suicidal ideation has to be done almost entirely based on subjective reports of symptoms (internal thoughts), and there are almost no objective outward signs. The only objective outward signs that exist immediately beforehand (previous attempts count as a lifetime risk increase) are prepatory behaviors, and a) the patient typically actively hides those behaviors and b) they’re not assessable immediately in the moment; they have to be caught by regularly and directly observing the patient. Our other option is to start asking suicidal people if they really mean it and/or just kicking them out if they sound enough like they’re lying and to say the least current clinical guidelines do not support that strategy.

It doesn’t take long to learn how to take advantage of such a system if you’re the kind of man that likes assaulting young women. I’ve met a lot of men who struggle to understand the sheer quantity of these men that exist and that often they’re released right back out into the community for a variety of reasons that do and do not make sense but are all perfectly legal.

I also have had a lot of male patients do this now that I no longer work forensics, but there’s less of them and they’re usually not as bold. They’ll usually just take a lot of time dressing and undressing in front of the sitter, walking around the room naked, making inappropriate comments about the sitter’s appearance/ activities they would like to engage in, needling them for personal information, etc and that’s just bothersome because they’re literally trapped with the patient (it would obviously be a firable offense to leave a patient on suicide watch). These are the times I do my best to get a male sitter (assuming the patient isn’t just equal-opportunity, which is fortunately rare), and short of that I just make sure to rotate people through so nobody has to deal with it too much any one shift.

Female patients do so far, far less, but when they do they are usually a bit bolder about it, which can be troublesome. I also generally assign same sex sitters when possible, but I specifically avoid sitting male staff with female patients as much as possible just because unfortunately delusion-based sexual abuse claims are likely to be followed further in that gender combo than vice-versa.

I’ve always thought it seemed like a design flaw that whole people can be created accidentally.

They attempted to rape them. Frequently. I prevented the ones I was present for.

Jesus yeah I completely believe you.

My partner works in food service and always comments that despite what conservative Kens and Karens think, you really don’t want adolescents to be the primary handlers of things you put inside your body, especially not that last little bit where they’re supposed to cook off all the bacteria and viruses.

There’s some excellent analogues in the Healthcare industry, particularly allowing new nurses to train each other. There’s basic standard practice things going completely ignored because they’re just not getting passed down. They’re not getting passed down because admin types are pushing the people who know those things out of their roles (experience costs $$) before they can pass that knowledge on. It’s a mess. And, as you say, experienced professionals have earned enough respect and have enough confidence their practice to call admin on their bullshit (I’m running into a lot of this lately, and am starting to get pushed out myself).