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New graduate psychiatric nurses?

By Ashley Altman posted 02-07-2010 11:01 AM

  

Are they still telling undergraduate nursing students to do a year of med-surg before going into a specialty, particularly psychiatry? I think this is ludacris. I was a new graduate who convinced my manager to hire me directly into an inpatient psychiatric unit, and I have never felt that I needed a year of med-surg. In fact, having just come out of nursing school, I knew more med-surg skills than my colleagues -- who had done their obligatory year of med-surg 20 years ago. 

I know of even dedicated psychiatric nursing faculty who tell their undergraduates this. Why aren't we supporting good, quality nurses who we can influence early in their careers? Let's not wait for the nurses who look for psychiatry to be their "semi-retirement" stage.

When I've taught nursing students or precepted senior students, I have always told them to go into the nursing specialty they love -- whether that be mental health, womens' health, critical care, med-surg, etc. Learn everything you can and be the best darn nurse in that field that you can be. If you want to switch gears later, do so, but don't think you have to put in some obligatory year somewhere just to pay your dues. 

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03-13-2011 11:44 AM

Follow your passion and you can't go wrong.

02-18-2011 09:54 AM

I agree 100% and in my role as coordinator of grad psych program advise all students this way who ask me this question. I am a perfect example of this. I graduated in 1980 and always knew my passion and first love was psych! However in the childrens hosp where I was to work they did not hire new grads in psych but I WAS STRONGLY urged to take the position in my second choice was neonatal intensive care-( yes, always a shortage there!) make that make sense!! I soo agree that all students should have a year of psych before med surge bc of the exact issue put forth from those who disagree bc of comorbidities. Goes both ways. I think this broad philosophical issue is the underpinning of why advanced practice psych nurses have to take the 3 p's ( patho, pharm, physical assessment) but the fnps and whnps who do a large % of prescribing psych meeds DO NOT HAVE TO TAKE the equivalent psych 3 p's - ie psychopharm, psychopath, & psych assessment. That's why so much psych med roulette and missed/misdiagnosis(ses) of bipolar, add, anxiety, and no thought of the issue being primarily an axis ii disorder not so easily fixed w the magic pill.
Thx for this important post!

09-20-2010 10:11 PM

I was hired into a new graduate critical care internship right out of nursing school in 1993. While I was a great ER/ICU nurse, the one year that the military forced me to survive on a medical surgical ward was my most valuable experience. I repeat....this was the MOST valuable experience of my 16 years of nursing and it has served me well as a psychiatric mental health nurse and nursing educator.

02-25-2010 04:07 PM

In this age of so many medical co-morbidities, exposure to med surg can be nothing but helpful.
However if your passion drives you only to MH nursing...welcome....study hard to understand the medical aspects and follow your heart.
Bob Abel

02-14-2010 08:53 PM

I've always said that you need a year of psych before you go into any other specialty! I agree that a year of med-surg first is ludicrous. If I had done that I would have left nursing so fast the door wouldn't have hit me on the way out! I've been in psych since I graduated in 1977 and I always tell students and patients that the role of psychiatry is to rule out the medical causes of psychiatric symptoms before we call them psychiatric, so you need to know a lot of medicine to do psych.

02-10-2010 03:02 PM

When i have brought this up to my academic colleagues they assure me this is not a message they give but rather they echo your sentiments.