A typical day would begin with me doing the group notes from the afternoon (Didactic) group the day before. I would then begin to look at the day ahead and see what tasks I needed to complete in preparation for the day. Most mornings there would be interaction between myself and the Nurse Manager concerning different aspects of the program, problems which had arisen, staff concerns, discharge planning, etc. Group on the Adult Unit was at 0900. Many times I would also have to do the Group on the Geriatric Unit at 1000. On Mondays and Thursdays we would have staffing concerning patients as needed to comply with regulations. Lunch around 1100 to 1200 (depending on different activities which would come up and might need attention - such as a screening which might need to be done in the Emergency Room). Group notes in the early afternoon. Discharge planning would be at different points during the day - depending on the Psychiatrist discharging. Afternoon group would be at 1400 on the Geriatric Unit and 1500 on the Adult Unit.
Also, in the mornings, I would do treatment plans from the therapy perspective for clients.
The hardest part of this job was there had not been an acute psychiatric unit at this hospital previously - the Geriatric Unit opened in February, 2013 and the Adult Unit opened in November, 2013. The administration at the hospital sought out a company to manage the psych units which had years of experience doing this at other locations. But, administration micromanaged the movements of the company to such a degree that after only five months the management company and the hospital mutually ended their contract. After that time, the hospital administration directly managed the units even though they had no previous experience. This caused a situation where there were continual changes and insconsistencies in protocol/procedures. The level of care for the patients dropped to a point that I could no longer feel good about being associated with the program.