I love working with my patients at Western State Hospital. Psychiatric facilities are notorious for being difficult to work in. In this case, it's not the patients that are the problem, it's the staff. Upper management does not care about the problems among the staff. There is constant bullying that goes on, the managers know and do nothing about it. Another problem is staffing. We are always short staffed. RNs are basically the manager of the unit. The unit is usually staffed with one RN, one LPN, and 2-3 Patient Aides. The unit generally has 12-18 patients on it and the RN can be in charge of 2-3 units at a time. The nurse to patient ratio is unsafe and the staffing numbers are unsafe.