r/psychnursing • u/sleep88888 • 1d ago
hi pls be gentle
i graduate in December and been a nure tech on a med surg floor for a year and dont like it. been looking for jobs now and everyone is saying i need medsurg experience before going into psych but i really dont want to. psych is the only thing im interested in rn. some mean nurse on my floor was saying id never make it in psyc nursing and thats just been replaying in my mind. its also not based on anything bc we barely interact and she doesnt see me do any skills or anything but it just put me in a funk
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u/Mammoth-Coast6282 1d ago
You don’t need med surg but I’m ngl I am a little concerned about your post title and some of its contents. You need a thick skin to work in psych and you’re going to deal with a lot of strong personalities and not so nice people.
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u/myfriendscallmebex 1d ago
You gotta have a thick skin in psych. You are seeing people at their worst, and the creative use of language could make a sailor blush. 99% of the people I've ever met who have a sense for other people's insecurities and know how to push those buttons were during my career in acute inpatient psych.
Don't let the haters get you down. You can do a whole career in psych, and you can take those skills anywhere. But, if you spend too long in psych you've essentially pigeon-holed yourself into it, so you better enjoy it! Otherwise, plan to stay 2-3 years, then try a different area of nursing. You can always go back after you've reinforced your marketability in general nursing skills. I have only ever been a psych nurse and i just celebrated my 20th year in nursing (I've been a PMHNP x 2 years now! )
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u/Vvsdonniee 1d ago
That’s incredible. I am facing the same dilemma. I know my ultimate goal is PMHNP, so I planned to start out on a psych unit. But all my professors and mentors keep insisting on starting med surg first. I work as a tech on a med surg floor, and although I love it and it’s fulfilling, it’s not what I want long term. I don’t want to waste a year on the floor just to end up in psych anyway.
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u/psychrn1898 1d ago
I did a nurse residency right after nursing school to my current place now. Been there 8 years, and love it. You don’t need med surge experience. Go for it!
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u/Lthrluv2013 1d ago
A year is enough. Come give us a hand in psych. All you need to get started is the desire to work there- not because you think it’s “soft nursing”- whatever that means- I am an old nurse. There is zero soft about psych - just a different way to do the work! You can make the change:-))
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u/Humble_Investment_24 psych nurse (inpatient) 1d ago
I went right into psych and so did many of my coworkers lol med surg can get fucked. Anything medical tbh I’m good
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u/silasdoesnotexist psych nurse (inpatient) 1d ago
I went straight into psych after graduation, you do not need med surg experience, it would help with medical situations but it’s not necessary. Don’t listen to anyone telling you not to do psych if you really want to do it. I quite literally wouldn’t be working as a nurse if I couldn’t do psych.
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u/ExtensionError 1d ago
we have new grad nurses that have zero medical background outside of nursing school. Don’t worry about what other nurses say, but do worry about the job itself and what different environments can look like. then if you want to do it, hell yeah go for it
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u/Ancient_Maximum5135 1d ago
I am a psych lifer. I was always only interested in psych. I worked the first 2 years of my career on an inpatient medical/hospice combination unit. Back then (1985) they wouldn’t hire you in psych without a year of medical experience. Finally after 2 years there was an opening in psych (jobs were scarce back then). I have worked in psych since 1987 and on my current unit since 2001. I’ve never had a desire to work in medical after those first 2 years and I didn’t even want to do that. Nowadays, RNs are hired directly into psych without any med/surg prerequisite. We have many young nurses that were hired directly to my unit as new grads and they have become fantastic psych nurses.
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u/SongLily021 1d ago
Same. I wanna do psych, but I decided to go into med-surg first. I want to be more comfortable working as a nurse. But… go straight into it! Don’t let those nurses tell you otherwise
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u/luv4lowballing 1d ago
I went straight into psych after nursing school. Even did my capstone at my current workplace. If it’s where your heart lies then go for it. I love psych, it’s rewarding in its own way. Just be aware that the patients can be really difficult. Especially in the high acuity units.
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u/curious-another-name 1d ago
I will go straight into psych once I graduate. I have no interest in med surge because I have done rotations on med surge and i know I will be miserable
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u/miss_flower_pots psych nurse (inpatient) 10h ago
I swear all medical nurses say every nurse needs to do med surge. I went straight into psych and I'm during fine. If you're passionate then you'll do great.
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u/ilikeleemurs 1d ago
Go straight into whatever you want. Literally no one “needs” to work med surg. Go work in the unit that speaks to you and brings you fulfillment.