Venting about the work place.

I work in a State Mental Hospital.  Falling economy and state budget cuts have hit us hard.  Near 200 patients, many of which have serious violent histories or are actively violent.  Back when I directly worked with patients, I had been punched, slapped, stabbed, and bitten. It was stressful, but I never really felt that I was in serious danger or over worked.  Many of our patients were violent at times, but very few were very good at violence.  Meaning, a 60 year old with schizophrenia isn't Mike Tyson.  

 

But things for the workers have become worse.  Right now, there are far fewer workers, and the same number of patients.  Mental Health workers are forced to work mandatory 12 and 16 hour shifts multiple times a week.  No vacation is approved and every sick day is met with a response rivaling the Spanish Inquisition.  When the staff complain about being overworked, they are told they have given up their rights to an outside life when working in patient care or that they should be happy about their large paychecks (from the extra hours).  Now, understand that these workers make only a few dollars more than minimum wage, are often working under the threat of physical violence from the people they serve, have to deal with the emotional strain of working with people who are often suicidal or psychotic and worked 60 or more hours a week.  

 

And I have been put on a committee to try and improve morale. Ideas floating around...giving the staff cupcakes or cookies...problem solved.  If there are simple ways to increase morale other than getting more staff, I'd like to know it.  But I can't even stand going to these meetings.  My job is to train new staff.  Don't take me away from training new staff to talk about handing out cookies.  The staff needs to work less hours and get days off.  That requires new staff, not cookies.  I love cookies, but it doesn't solve this problem.

57,146 views 13 replies
Reply #1 Top

Maybe the staff could share the patient meds?

(sorry--I couldn't help that).

No idea how to solve it for you.  Letting people talk openly in a formal way helps.

Reply #2 Top

Is there similar situation in other State Mental Hospitals?

Reply #3 Top

Quoting Gandhialf, reply 2
Is there similar situation in other State Mental Hospitals?
End of Gandhialf's quote

Yea, its pretty common all over the nation, was just reading about an Oregon state hospital going through the same thing. 

Reply #4 Top

Burnout in a tough workplace like that isn't uncommon... ICU's, Dialysis Units and ER's share that. I do support your feelings... I worked as a Nurse before becoming an MD.

On one hand I wish there were some way to help beyond saying, "I feel for you.", but your real problem seems to be a disconnect between the powers that be and the other workers... so I do think Sinperium has a germ of an idea... maybe they need to get their feet wet.

The only other thing you can do is get additional training and shift to a different care area for awhile... Smiles to you, Lord Xia.

Reply #5 Top

Have the administrators share in the mental health worker's duties. The staff should perk up if they see their bosses getting their hands dirty.

Reply #6 Top

I'm far less concerned about my job and me personally.  I'm fine, I'm more frustrated for the direct care staff at the hospital.  I think those at the top are not really just terrible people that are heartless to the dilemma of the workers, they have just hardened themselves to the situation as they are fairly powerless to fix it.  But that does makes things worse.  

Reply #7 Top

Quoting jackswift85, reply 5
Have the administrators share in the mental health worker's duties. The staff should perk up if they see their bosses getting their hands dirty.
End of jackswift85's quote

 

This is something that has been suggested, but the nurse administrators have yet to do this or make a move to do this.  It would at least be a symbolic gesture I think would help if not simply alleviate some of the forced overtime.

Reply #8 Top

Quoting Lord, reply 3

Quoting Gandhialf, reply 2Is there similar situation in other State Mental Hospitals?

Yea, its pretty common all over the nation, was just reading about an Oregon state hospital going through the same thing. 
End of Lord's quote

Damn, that's not good...

Reply #9 Top

I used to read a great blog by someone that worked in a mental ward, but have lost the address sadly.  Insane world you work in, not something I could do.

Reply #10 Top

That's because this is an election year and the politicos in an effort to get themselves elected and to satisfy all those calls for cutbacks go to the very place that is most vulnerable, health care. Programs get the axe and we are the ones who pay for it. Sometimes in blood. But who cares....right?

Reply #11 Top

You know what would be great?  A law that required follow up commercials to changes in state budgets, etc (eg the things that tax payers PAY for).  That way voters would see the impact of certain changes.  State run businesses are generally pathetic in my experience (and I've had a bit).  If you even, for a moment, think about the total amount of money collected from taxes... sigh.  If, after thinking about that, you say that a state run business can't afford 30-60k more for additional staff... well, that is incompetent.  Anyway, I hope your situation gets better.  Really sad to hear things are not good for you, bro. 

Reply #12 Top

Well, in reality its more like 40K per person when you consider crappy pay+pretty good benefits, and in reality that's not very much.  And we need 30.  30 x 40k.  1.2 Million.  And we are actually down about 55 staff from 2 years ago.  

Reply #13 Top

Quoting Lord, reply 12
And we are actually down about 55 staff from 2 years ago.
End of Lord's quote

... :(