 Hi guys, so today's video is going to be about how to deal with psych patients in the hospital setting and I'm going to be a hundred percent Up-front and honest with you guys. I am by no means a psych nurse psych Nursing does not appeal to me I'm so thankful for those who do psych nursing because I believe it takes a very special person to do that And I'm thankful that you guys do that job so that way I don't have to do it Because I am not and I am just not a psych person at all so With that being said no matter where you are in the hospital you are going to deal with interact with psych patients and so this video is going to be geared more towards The psych patients who maybe aren't good at reasoning or who have manipulative manipulative traits gosh I can't speak or Or Those who are maybe inappropriate, you know There's a lot of psych patients who are just really out there functioning well in this world But in the hospital you may be like for example, I'm in the ICU and you know psych patients get sick And so they are in the ICU and they still have their psych personality traits So the best best best best best thing that you can do when interacting with psych patients is One set your boundaries and be firm. So psych patients a lot of times have I don't want to use the word issues because I'm not trying to offend anyone but have issues With knowing where that line is set for example I had a patient who really really really liked pain medicine if you're getting what I'm saying and Miss patient also had bipolar schizophrenia and borderline personality disorder and was very manipulative and controlling and so From the get-go. I had to set the boundaries and say no You cannot have IV pain medicine before you take your oral pain medicine This patient only wanted the IV pain medicine and I and I had to set my boundaries and stay firm and Sometimes there is no reasoning you can try your best to reason and explain things and sometimes there just is no reasoning Sometimes you just have to say this is how it is. I'm sorry that you don't like it but I'm doing this in your best interest and Sometimes you just have to leave it like that. Another thing is make sure you are safe I talked about this in my video talking about how to deal with inappropriate inappropriate patients But make sure that you are safe Not saying that all psych patients are dangerous But sometimes things can escalate quickly. They can their temper can snap. Oh, I snapped Isn't she just the cutest little thing laying back here just so sweet cute Anyways, you have to be careful because things can escalate quickly You need to have a quick escape. You need to have someone else in the room witness things like that Especially because there's tendencies for things to escalate quickly. I had a situation a while back where a patient was in Dts, which is delirium tremors, which is where you're withdrawing from alcohol and things are getting very severe You know, they're restless anxious agitated you name it and this patient was trying to crawl out of bed pulling everything just not able to be oriented and I kind of put my hand on this patient's Shoulders say okay, let's let's lay back down. You're in the hospital and this patient like not swung at me but like pulled away and like was gonna get out of bed and Immediately I called for other people to come in and help because this patient was 250 pounds and six feet tall and there was no way that I was gonna be taking them on so you just have to be careful things can escalate quickly so the best thing is be firm hold your boundaries and Set those limits earlier on in the shift and of course be safe So anyways, thanks for watching this video if you have any situations where you interacted with psych patients Leave it in the comments below give this video thumbs up and subscribe to my channel and I'll see you guys next time Bye