I worked In a Mental Hospital (with both Criminally committed and civilly committed patients)

Where there is even the slightest human element it will eventually be exploited. I'm familiar with the concept of a computer controlled Rx distribution system. Maybe I'm incorrect but my understanding was they were created used mostly to streamline patient med distribution and minimize liability in legitimate human error.
 
Sigh, judging by your stories OP what a colossal waste of time and resources. A mere get rich quick scheme for the guys running the hospital. Just throw the patients in a ditch and bury them alive or leave them to their own devices. I am proud of my eastern European brothers for this reason among many. We don't afford resources for those that can never contribute. It's an asinine thing to do. We tie them to their beds and let them die. Ideally they would be put to sleep but BUH MUH HUMAN WIGHTS WAAAAA.
 
I could see a nurse taking like all of the patients noon xanax out and pocketing them or something like that, that would make the count at the end of the shift accurate but it seems like alot of risk for not alot of money. The hospital I worked at was close to the end of the line for RN's that had a mark on their record. Granted it being the end of the line means you didn't have the best and brightest. I can't see the pixus system being considered a streamline seeing how the fuckin things add like 5seconds minimum to every single med pull, it also isn't considered a check against med errors. I'm not a nurse / have never been a nurse however, and I DID have two nurses I worked with get fired for getting high themselves on patients opiates sooooooo.

So, these things I saw happen myself:

The patient I mentioned earlier who claimed he killed people for the government. This is maybe more of a grey area than the other two. One day I was on shift (3-11pm shift). I was eating in the break room in the nurses station in the middle of the ward and one of the other techs (who was doing patient checks, has to put eyes on every patient every 15mins directly and verify they're not dead, dieing, killing someone, or fucking someone) comes in and says that patient passed out half in bed and asked two of us to come help pull him into it when we could, so me and another tech got up to help. Now this guy like I had said before would be out of it or passed out all day long due to his conditions so it wasnt that uncommon for him to pass out in random places. However, as soon as i get to his room I see he's halfway in bed like she had said but, I could see the back of his calves had a bunch of dark pinkish blotches aaand I was pretty sure that was mottling so I ran in, flipped him over, and his face was purple. He had vomit in his mouth and on his face and he had a DNR but he probably had been dead for long enough nothing would have mattered. Nobody got fired over this and TBH I'm not sure the tech in question should have, but idk.

Another patient one time was having an incredibly obvious stroke, on one side had a clearly drooping face, profound gait, one slack arm + shoulder. The nurse manager on my ward called the on-call doctor (this doctor was a psychiatrist but the hospital only requires any doctor to be on call durning afternoon-nighttime hours or weekends, not specifically a medical doctor) because a nurse MUST have a doctors order to transfer a patient to the medical hospital in town, and we did not have the tools to deal with a stroke (or medical emergencies in general (we had a crash cart, but that's it). Now when someone has a stroke it might be caused by a hemhorrage in the brain, in which case you are probably completely fucked. In this case it was an embolic stroke, where a clot was blocking part of the bloodflow to part of this mans brain. When this happens you hope to get to a hospital within 3 hours so that they can give you a rtPA which is a drug that basically will dissolve that clot. If you do not get to a hospital soon enough the clot will harden and get stuck somewhere, and blood will start to flow around it, BUT it will cause another stroke useually a month or so later. So the nurse-manager on the ward calls the doctor that was on call telling him we have a patient that is most certainly having a stroke, and we need to send him to the ER asap (if he had a hemorrhage in his brain that would be even more time-sensitive, but he likely would die anyway) so he could hopefully get TPA and not risk a secondary stroke later. This doctor informs her that he is recording his medical notes for transcription and he'll be another 2 hours. (this was a Sunday around 8pm) She calls the head of nursing, as many of the medical doctors home phones as she could find, and calls the doctor on-call every 15mins for the next 4 hours, until the on-call doc finally shows up (this whole time an ambulence waiting outside the building to come in and take him) signs the order then starts chewing her out about causing him to take longer to record his notes.
So about a month later this patient goes up to the nurse that is giving out meds and complains of a headace and says his chest hurts. This nurse gives him an asprin and tells him to go lie down in his bed. I got called to another ward to deal with a seclusion and when I got back I walked over to this patients room to see what happened with him, I found that nurse trying to wake him up, patient blue in the face. I ran to the nurses station and hit the medical alarm, we did CPR till the ambulence got there, pt died in the ER shortly after.

There was this one patient that had a history of pretending to be knocked out / pretend to trip over shit and fake injuries. He had also murdered a patient in the hospital years before / was extremely opportunisticly violent (so this isn't some great tragety). He also hated tieing his shoes. One day I was walking near his room and I heard a loud thud but I didn't quite know where it came from. An RN that was near me said it came from this patients room and went into it and motioned for me to follow. We found this guy on the ground on his side, but conscious. He said he tripped over his shoelaces (which where clearly untied) and the way he was laying it seemed like he nailed the corner of a wall with as he went down. We asked him and he said he hit it with his head. He wasnt moving any part of his body below the neck. We asked him if he could and he said he could but he didn't want to right now. (This was on a weekday around noon) The nurse manager for the ward came over and looked at him, immediately put a C-spine collar on him and called the medical director who had just been on the ward a few minutes prior. The medical director knew this patient and knew his history of faking injuries and immediately told us to take the C-spine off him and put him in bed until he stopped this behaviour and left the ward. The nurse in charge told us to put him in bed but leave the collar on him and had me watch him (with his rooms door wide open unless this was a ploy to get someone in a vulnerable position.) This just seemed sort of odd to me because for one, when people pretend to not be able to move part of their body its REALLY hard to just actually be slack / not resist movement, and he normally played up potential injuries or pretended to be unconscious. So I took one of his hands and folded it under him in a way that would have been painful. After 20mins my nurse manager called me back to the station and most of the staff where in there going over what they all thought. I told them how I had tucked his hand and all the nurses went to go check him and I went too, he hadn't moved it. They called the medical director and told him they thought he had a significant neck or spine injury. He said this would be the 15th or 16th time he had seen this guy play games like this and he wasn't sending him to the ER. After about 12hours he lost consciousness and couldn't be woken up so the doctor on call sent him to the ER, 24 hours after that he died.
I heard about a year ago the medical director was being investigated over this, which would have been around 2 years after it happened I think. This patient was a garbage human so I don't know that I feel strongly either way, other than alot of other people could have lost their jobs over this shit.
 
I only read the first two pages so if someone asked you this already just let me know and I will go back and read the rest.

I saw you mention that a doctor would have few consequences if someone killed themselves after discharge. What if someone killed themselves while in the hospital? Are there any consequences for any of the staff?

I also did a similar job for a while, except I was watching a single patient. All minors had to be watched 24/7. If a patient got a virus/infection and had to be given IV fluids then I would have to watch them because the cannula that goes into their arm is sharp. What bothered me was the staff really did not want to know too much about things that were a danger to patient safety. Once a patient managed to have a belt with them in the secure unit, the nursing manager never found out about it. Their shirt covered the belt and the procedure was that if a patient had been in the unit before and not caused any trouble then they got to keep their own clothes. Nobody bothered to check he had the belt for at least two days until i noticed it when I took him to shower. Luckily this guy didn't do anything with the belt and just wanted to get out of there as soon as possible because it's not the most pleasant place. A lot of people in this unit are in seclusion and bang on the walls all day and night.

Sorry, didnt mean to hijack your thread. I would be interested to hear how you deal with stuff like that. Did patients smuggle in things? We had one patient who would smuggle in lighters by putting them in her vagina. She started fires a couple times. She was a frequent patient so the female staff started checking her after that. We had one patient who had razors and when I told the nurse this guy had razors they basically tried to blame me for it even though I am supposed to stay with my patient at all times. He was actually just shaving but they got really defensive when I mentioned it. If I left my patient to deal with it they could have done something to hurt themselves which I would get in trouble or possibly fired for. I really could talk for hours about that job. I had to watch patients in all wards except ICU, but psych was always the most interesting.
 
Sigh, judging by your stories OP what a colossal waste of time and resources. A mere get rich quick scheme for the guys running the hospital. Just throw the patients in a ditch and bury them alive or leave them to their own devices. I am proud of my eastern European brothers for this reason among many. We don't afford resources for those that can never contribute. It's an asinine thing to do. We tie them to their beds and let them die. Ideally they would be put to sleep but BUH MUH HUMAN WIGHTS WAAAAA.
I definitely agree to an extent, the average stay for a patient in the hospital was only 29 days, nobody remembers those patients because they are people who come in, get fixed and never return. The patients I remember and that the staff knew well most often where career criminals, drug addicts, and often both. And of course the personality dissorders (which also where often drug addcited criminals). Also a decent amount of people who I would describe as having never been given boundaries or encouraged to develop coping mechanisms from their fucking garbage ass parents.

Did you have to stop patients getting jiggy with each other? Was there a fire hose reserved for this express purpose?
Yes there are so many things burned into my eyes. A fire hose would have been nice but not enough to awnser for what I had to see sometimes. LOL we had one kid who was like 24, he had huffed freon I think it was and fucked his brain. This kid masterbated 24/7. His fuckin mom would come to visit and he would not stop jackin off even when she was trying to talk to him / crying. ALSO when this kid got transfered to our ward or a few days after most of us were eating lunch in the nurses station and the nurse who was giving meds that day (she was late 50s early 60s) comes in after giving him his meds and says "god he just never stops, hes got a pretty big dick tho doesn't he" Everyone completely loses it and starts consoling her and saying omg you poor woman (she had been married for like 40 years, and this kids dick was 5'' on a good day) like, damn. I would have thought she was joking because she must have seen tons of dicks in her years as a nurse, I guess not so many hard or some shit idk LOL

There would be MASSIVE consequences for a suicide in the hospital, and yea we didn't allow any belts, the only shoelaces we allowed were this type that could easily break, no chords of any type over 8 inches ect.
For the first 2 years I worked there they let patients shave with straight razors if a staff member had time to get them one, watch them shave with it, then take it from them (we talking disposable bics not something easily turned into a knife) but ofc a patient took one and tried to gash a staff-members corroded, visibly cut the skin above said artery, and that was the end of that.
A year or so before I started working there a patient had smuggled in over an oz of weed in his ass. A few times patients smuggled in street drugs and used them on the wards while I was working there but it was few and far between.
OH SHIT, so this one female patient, about 45. She had fried her brain on heroin at some point and was schizophrenic. For 3 or 4 months she REAKED and the nurses / doctors on the ward she was on couldnt figure out what was causing her smell but it was WILD. Turned out she had shoved a hard boiled egg up her vagina and that shit was black when the doctor pulled it tf out of her. IDK how the hell she didnt get toxic shock but OMG I was happy I didn't work on that ward.
 
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I mean you grapple all the time but throwing a punch would be your job / potential legal charges. All the criminal wards have an incredible amount of cameras everywhere, but even on the civil wards people got fired from time to time for things I would not consider a staff on patient assault / not something they should have been fired for. Conversely a patient could straight up try to murder you and never be brought up on charges.
 
Well first off you'd get arrested, go to jail initially and maybe a 72hour, 7day, or 14day competency evaluation a few days to a month later. During that time you would be like any other criminally commited patient on the admission ward. It's mostly like jail but with even less things. No access to workout equipment, computers. You'd be able to use one of 2 landline phones for 5mins every hour unless you lose that privilege. Mostly you would sit around watching one of 3 TV's that are locked behind plexiglass and a psychiatrist would talk to you every other day, maybe less till they determine if you are competent to stand trial. If you never appear to be competent, you'll be staying until you are, or you go for a NGRI (not guilty by reason of insanity, granted, many states now call this "Guilty but insane") which is worse than pleading guilty to attempted murder. If you try to kill someone and plead NGRI you will likely NEVER LEAVE whatever state mental facility you go to and you will have a much lower degree of freedom than you would in prison.

Granted considering its Jersh we're talking about, they might give you a medal and a few ladyboy hookers idk
All of sudden, Arkham Asylum actually makes sense.
 
You mentioned before that the sociopaths at your asylum had a quirk in the way they talk. Can you go into more detail about that?
I've been thinkin for a few hours how to awnser this because it's really hard to pin down / give concrete examples. On the lower end, with the ones who are less intelligent / worse at acting (and thats a perfect description of what you're looking for) it gets easier and easier. You would probably think to look for statements or things that show cruelty or a lack of empathy or remorse, but that shit is a part of everyone. People will hide their guilt to not appear weak to someone they are mad at or dislike anyway. And anyone who is angry will often appear cruel. Most of the big signs are when nothing is wrong, and everyone is calm. So (and i know this is abstract) stating or trying to appear as though they have emotional investment in a thing or person which seems odd. As in someone overtly being invested in someone elses cause or a cause that they shouldn't care about, and they seem to overstate the importance of the issue, ESPECIALLY when they actually don't need to risk anything / will have next to no consequence should there be large pushback. Pandering beyond what seems normal to most people, with almost a lack of shame while doing so. Probing for information that seems abnormally direct / distasteful / or bizarre, then willing to abandon those questions or intrigue without explanation when they start to realize what they're doing seems weird (the last half of this sentance i guess is to contrast that, when normal people are asking you for information that seems to personal or distasteful, alot of times they'll realize what they're doing is weird then give you the reason they asked, it being tied to some personal emotional tie in their past / they have some unique insight / they have a unique ability to help, granted a really good sociopath might do that too). (when we had a patient death on the ward, of a patient that most people liked, one patient kept asking me about their appearence, colour, if their body had any involentary movements. They had waited to ask this when they wern't near any other patients and certainly not near those who where crying, but as soon as I said "you should probably stop asking questions like that" They got really visibly angry for about a second, then shrugged that off and just said "you're right" and walked into the day room to watch patients crying, then to ask them how they felt about what was happening. That was a rather obvious / easy example tho.
Asking questions about how people relate to emotional things or how people should behave / react to things that almost anyone would not find normal (that patient asking all types of shit like that to the crying patients is a p easy example here). Yaniv asking people about 12y/o's and tampons is a perfect example. There are things that are distasteful to bring up normally, or things that people in general don't talk about but you might wonder about, and maybe bring up with your significant other or close friends in private conversations, but then theres lines of questioning that you would only go down if you have a strong need for that information, that any other persons tertiary emotions would never tip the scales enough to ask. Even if you where on an anonymous forum, you having tertiary emotions is going to keep you from it ever being worth it to go there (granted I could see some of you niggas shitposting stuff like that, but the big difference is in the massive investment in the awnser/information with next to none in the reaction).
Bragging in ways most people would not. This is an even more grey type of behaviour because any person who misjudges their audience can really easily fuck this up. Trump saying he'd likely be dating his daughter if they wern't related is a decent example of this, but I wouldn't say its proof hes a sociopath. Alot of people say all kinds of shit thats weird or gross when bragging, so I'm not even sure how worth mentioning this is. People also lie when they're bragging, especially about things they've done, especially when trying to seem strong/powerful/masculine and when people lie about those types of things they can easily come off looking like someone with antisocial personality dissorder.

Did you ever think that someone didn't seem to belong there, from their general appearance and behavior, but they were still there? You've mentioned the sociopaths and the manipulation already but I'm thinking more about someone that could pass for staff or a visiting friend/relative.

So I'd say it was much more common to have visiting friends/relatives that staff wouldn't let them leave because they lost their visitor ID and had clear and visible issues lol.
We also had a patients Mother who got depressed, attempted suicide, and it was found that she let her home get to a state where a DMHP felt it wasnt livable, so she ended up staying at the hospital for about 5 months while they figured out where she would go, for the last 4 months of that she could have easily passed for a staff member. I'd say many patients that came in for suicide attempts could pass for staff just before they left (but that was typically only a few days).

But we did have a guy on my ward for about 9 months who was an incredibly frustrating case because he had no good reason to be stuck there, and we felt for the guy. He had been a small buissiness owner (I *THINK* he had owned a grocery store that went under.) and in the span of a year or less his buissiness failed, his wife left him, and he ended up living on the street. During the winter he had ran out of food (and he hadn't turned to begging as he was somewhat new to homelessness and had been getting by on fishing). He decided to go into a trader joes and steal a pepsi in an obvious manner to get sent to jail. He was already pretty dehydrated and hadn't eaten in a few days and apparently when they arrested him he was a little bit out of it (no drugs in his blood). So they sent him to our hospital for an evaluation. The psychiatrist that evaluated him BARELY spoke english and had gotten her MD in another country, then done her transitionary residency (I cant remember the actual name for that program) at our hospital like a year before. When she was getting his history she asked him if he had had any problems with the law, and one of the questions she had asked was "have you ever had any problems lighting fires?" and he told her that a few months prior he had caught some fish and brought them back to an abandoned house he had been squatting, he started a fire to cook said fish as he had done a few times before and someone called the fire dept. and he almost got arrested but the police just told him not to squat that house anymore. She put down that he was a pyromaniac. It took 9 or 10 months to discharge him because of that shit. Dude was phenominal at chess, constantly cracked up (in the same manor we did) about the absurdity of the place, but was starting to become depressed that he was stuck there. We had staff potlucks around 2 times a month and if we didn't have any float staff we'd sneak him into the nurses station to hang out and get some real food sometimes (BIG fuckin rule break there). He got discharged and within a few months he was the general manager of a Walmart nearby.

On the criminal side you had people who definitely didn't have any real mental illness other than being criminals who thought a mental hospital was better than prison, some of them would pretend to be crazy in obviously / halariously innacruate ways but would useually drop the act when they realized that NGRIs are worse than being found guilty, and that jail/prison is better than a mental hospital. Some of the pedophiles could seem rather normal (maybe 20%)
 
On the criminal side you had people who definitely didn't have any real mental illness other than being criminals who thought a mental hospital was better than prison, some of them would pretend to be crazy in obviously / halariously innacruate ways but would useually drop the act when they realized that NGRIs are worse than being found guilty, and that jail/prison is better than a mental hospital. Some of the pedophiles could seem rather normal (maybe 20%)

As I understand it you didn't work at a youth ward, but besides the criminals there had to have been some people, young people, that realized that they had made a mistake by faking/threatening* suicide or acting out like internet weirdos(furries, headmates, otherkin, anime?).

*this ranges from taking a lot of prescription sleeping pills and waking up drowsy to chugging innocent OTC paracetamol and dying in horrible agony.
 
As I understand it you didn't work at a youth ward, but besides the criminals there had to have been some people, young people, that realized that they had made a mistake by faking/threatening* suicide or acting out like internet weirdos(furries, headmates, otherkin, anime?).

*this ranges from taking a lot of prescription sleeping pills and waking up drowsy to chugging innocent OTC paracetamol and dying in horrible agony.
To be admitted to the hospital I worked (and to my knowledge any other federally funded state locked in mental hospital) you would have to pose an immediate threat to yourself or others, so we had very few internet weirdo types (and very few trannies interestingly enough). Had a guy who had removed his nuts AND dick himself though, and tried to show people aaaaaaall the time.

I mean TBH I think maybe as many as half of the suicide attempt patients we had come in probably could be classified as didn't really want to do it / realized they fucked up, maybe more than half. These patients might only be in the hospital for 3-7 days. It was somewhat rare for people to be admitted if they only threatened to kill themselves, because a DMHP would evaluate them before an involuntary commitment, and unless you say you still want to kill yourself you would likely only have to see a counsellor a few times.

I assume internet weirdos sperging out would just go to jail if they broke the law, they deal with mentally ill people in jails, just not extreme mental health cases. Err so if someones crazy AF but does not pose a risk and has never hurt themselves or others, they'll go somewhere like a halfway house / skilled nursing facility type environment if they are incapable of caring for themselves. If someone has some mental health problems and is charged with a significant crime but can understand enough to stand trial (they understand who they are, where and when they are, and who other people are as well as another person likely would) then they're still going to jail, unless they plead / get an NGRI, then they're a criminal commitment (We definitely had some criminally commited patients who had no real mental illness, Big fuckup on their parts).

The girl I dated for 4 years of the 5 I worked there was a tech aswell and worked on a different ward than I did. We broke up before I quit, and she quit soon afterI did and got a job as a correctional officer in one of the jails nearby. We've talked a few times since and she told me about 2 fuckin fur-suiters that had been arrested a few times for theft, assault, and tresspassing lol. Nothing too interesting other than just being entitled pieces of shit and fuckin weirdos.
 
Are there any six year old's with the blackest eyes, the Devil's eyes?
 
To be admitted to the hospital I worked (and to my knowledge any other federally funded state locked in mental hospital) you would have to pose an immediate threat to yourself or others, so we had very few internet weirdo types (and very few trannies interestingly enough). Had a guy who had removed his nuts AND dick himself though, and tried to show people aaaaaaall the time.

I mean TBH I think maybe as many as half of the suicide attempt patients we had come in probably could be classified as didn't really want to do it / realized they fucked up, maybe more than half.

What do you think of this(starts at ~1:45)? He's telling the story at TED so it's a bit annoying/pretentious and it might seem to veer off from his initial story(Tony) but he ties it all together at the end(at 14:40 it gets back to the original guy).
 
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