DNR'ed from hospital - page 2

I just wanted to know if any other agency nurses have been put on a DNR list in the past. I have been an agency nurse for 3 years and go mainly to one hospital and once in a while to their sister... Read More

  1. by   mattsmom81
    As has been mentioned, perhaps this is God's way of opening the right door for you.

    I DNR facilities that do not treat me fairly...and make sure the agency knows MY side of the story. I also go to bat for other agency nurses...as one facility DNR'd a coworker agency nurse of mine...they said she did not do paperwork assigned to her...but I backed her up...this facility did not tell ME we had to do weekly evaluation reports on Dr Jone's patients every Wednesday either...sometimes the staff gets passive aggressive with agency and withholds info like this so they can point a finger later.

    I agree...if I know I did the best job I could in the situation presented to me, and the facility complains, I just shrug...and don't go back.

    I'm nice to people to a point...if someone called me'the big nurse with the black hair' I don't think I could have ignored that either...they would have received a stern, assertive introduction from me.

    Frustrated people look for scapegoats...I know we have to be careful out there.

    Good luck with your home health...hope you like it!!
  2. by   amethyst
    Hi Everyone,

    I'm an agency nurse in the UK. Its interesting to hear of your problems and note that agency nurses while DESPERATELY needed to cover shifts, often at the drop of a hat, are valued little!

    I DNR hospitals I don't like...my reasons vary: attitudes of staff to me, standards of care delivered or the kind of support given.

    amethyst
  3. by   frannybee
    I have never beed DNRed but have refused to go back to one ward who delighted in giving me the unmanageable bay *and a student*. Four all-care patients, one who was dying, a confused wanderer and another with a hip wound that was leaking fluorescent yellow pus. There were six pts in the bay, and I had 2 cubes as well (the perm. nurses had a bay each, no cubes). Morphine syringe driver ran out and needed replacing - nurses 1,2,3 and 4 all said ask Sister, we're busy - Sister then said ask one of the nurses, I'm busy. Took well over an hour to get someone to accept that I couldn't do it by myself and NEEDED someone to check the CDs.

    I got bawled out because it got to 10am and only 3 of my patients had their beds made (all were clean, medicated, fed and safe). The poor student had to put up with me ranting and desperately struggling to keep up - bless her, it was her first placement and here I was, on my 6th shift as an RN! I still rankle when I think that on a ward full of E and F-grade nurses (not new nurses, some experience and additional skills, more responsibility) I was left with a student who expected me to be able to teach her something about nursing. I did teach her about agency nursing - if a ward treats you like ****, you leave and don't come back.

    I left that ward smack on the dot of 1pm and was on the phone to the agency at 1.05pm telling them what had happened and that I would never go back. Two hours later I started on another ward in the same hospital and had a fabulous time - great staff and friendly atmosphere. We all cried together when the evening news came on and we found out what had happened in New York. Those shifts were on 11/9/01, and I can never forget them.
  4. by   nightingale
    I also DNR hospitals that are dangerous or belittle my role as a nurse.
  5. by   NancyRN
    Originally posted by nightngale1998
    I also DNR hospitals that are dangerous or belittle my role as a nurse.
    But then you don't have anyplace to work!

    I do not remember who has as their line signature... but another member reminds us that.. WE WILL GET EXACTLY AS MUCH CRAP AS WE WILL TAKE....

    To be honest... there are facilities that have gotton away with treating me badly for a "brief".. very brief time.... I truly do not work where I am not treated with repect etc... The price I pay is to travel, to stay diverse, and keep my education top notch....

    I realize not everyone has the same opportunites... but I pay the price by traveling a great distance to get shifts, occasionally take a short term travel contract, and take "less lucrative" assignments from time to time of those assignments that are more interesting, fun, or rewarding in other ways.... then there are those assignments that are strictly high money end assignments.... but never... never to I continue at an assignment that is belittling to me.. sure I have bad days... but that is life...
    Last edit by nightingale on Feb 12, '03
  6. by   mattsmom81
    Agencies make money off placing us so they tend to cater to facilities...agreed. But, once they get to know you and you get rave reviews most places you go, they will disregard complaints as they know you are good.

    Agencies will just tend to place another nurse when one is DNR'd....so I always keep my eyes and ears open for the 'bad' facilities that will talk behind our backs. I'll usually try anyplace once...but it's my choice to go back...luv that about agency!

    Do you get an evaluation every shift? I do...so if they complain I know it immediately and can address it/give 'my side' of things.

    Don't let the turkeys get you down! :roll
  7. by   nightingale
    Originally posted by NancyRN
    But then you don't have anyplace to work!
    I do not remember who has as their line signature... but another member reminds us that.. WE WILL GET EXACTLY AS MUCH CRAP AS WE WILL TAKE....

    To be honest... there are facilities that have gotton away with treating me badly for a "brief".. very brief time.... I truly do not work where I am not treated with respect etc... The price I pay is to travel, to stay diverse, and keep my education top notch....

    I realize not everyone has the same opportunites... but I pay the price by traveling a great distance to get shifts, occasionally take a short term travel contract, and take "less lucrative" assignments from time to time of those assignments that are more interesting, fun, or rewarding in other ways.... then there are those assignments that are strictly high money end assignments.... but never... never to I continue at an assignment that is belittling to me.. sure I have bad days... but that is life...
    Last edit by nightingale on Feb 12, '03
  8. by   eddy
    Gotta agree with mattsmom81.... good points there.

    The agencies HAVE to listen to the facilities. They are the ones who pay the bills (ours included). I just expect that they will be honest and relay any comments/suggestions regarding me and my work to me promptly, so I know what to watch out for and so forth.

    Always got to watch out for that nagging agency hater on just about every shift too. Boy they sure do work harder at trying to find/make up faults of agency staff. If only they did their work instead... jeesh....
  9. by   Dr. Kate
    I truly hate it when nurses treat agency nurses like dirt then have the gall to make them DNS because they didn't do everything dumped on them. I also hate familities that let nurses get away with making an agency nurse a DNS because they don't like them (the nurse stood up for him/herself), he or she has green eyes (they don't say that but it's the only thing you can think of might be the problem), the phase of the moon is such that all agency nurses nust be made DNS.
    Having said that, you don't want to work at a place where you are treated so shabbily. You don't want to work at a place where the charge nurse does not respect your level of competence and your unwillingness to act outside your level of competence.
    Be glad you're free of them before they really put you into a situation where something bad could happen.
  10. by   mattsmom81
    So true Eddy...there's ALWAYS one of these types who spends most of her time trying to find something the agency nurse did wrong, isn't there? <sigh>

    And just the other night...as agency on one of those scary PCU units...what do I walk into my first shift there? The unit's worst 4 patients (another agency nurse told me...I got everyone's 'rejects'... )scattered in all 4 corners of the H-shaped ward, with a DT in ER on the way before report is over...and a second admit within 15 minutes of that. I gave the charge nurse a stern look when she hinted it would be mine too...and she backtracked fast...LOL!

    Now luckily it takes a lot to rattle me...but it sure does get tiresome getting dumped on again and again. The freedom and the extra $$ are great but..some days...get the 'urge to kill' regular staff, don't we?

    I also expect to get paid for breaks I never get as agency...and sometimes they call me on it...but I don't work for the hospital anymore and refuse to work for free.

    Now I go in expecting to get the worst patients and am never disappointed.... LOL...but when I get all the ADMITS as well I make sure they know I'm unhappy...

    Sometimes a well placed comment like "I love my agency shifts...cuz I never have to go back" gets the message across. I figure if they want our help they need to treat us decently..... I'll work hard for them but there is a point where it just gets ridiculous sometimes doesn't it.

    Agree we will 'get as much crap as we will take' so let's spread the shyt around...LOL!!.
  11. by   nightingale
    I also make it known, politely, that one of the best things about agency is... if I am not treated decently / with respect / what ever my annoyance / dissatisfaction is for the situation... I have made statements like, " the best part of agency nursing is you choose if you do not want to go back to a facility...

    Then again.... sometimes I just remind myself to lick my wounds on the way to the bank....

    I have NEVER gone back either... I am not in the business of creating change... if they treat you like a do it is there fault.... not yours.....
    Last edit by nightingale on Feb 14, '03
  12. by   mattsmom81
    I agree if the facilities want good agency nurses to help them, they must treat us fairly and respectfully. We all have our 'limits'. After a dumped on night I may tell them...'OK once, but never again... next time I won't come back to help you so best watch how you treat me.' We DO have to stand up to the bullies.

    One of my pet peeves is when I am forced to listen to repeated 'stories' of agency nurses ad nauseum...and threats about "We'll DNR you if you don't do this, or don't do that" , or how this agency nurse screwed up and they DNR'd this other one, etc.

    I let them know enough is enough...orient me properly and I'll do my job...but this game they're playing is finished...and if I hear it again after that, I tell them on the way out the door I won't be back.

    Now I'm in a good situation...don't really HAVE to work much anymore thanks to the grace of God... and I figure don't need to work badly enough to put up with silly, spiteful games. If staff was doing their JOBS they wouldn't have the time to play games with the agency staff and I've been known to tell the supervisor this on the way out the door.

    Of course I always do my very best...and I recognize that if I ever do get DNR'd, it would be due to jealousies or spiteful reasons...they would be hard pressed to find fault with my practice, and this is probably true of 99% of us...if we were not extremely competent we would not brave agency nursing.

    I HAVE made errors of omission because the orienting nurse didn't do a good job orienting me to strange or unusual paperwork duties...and made sure the supervisors know this.

    And if they don't want me around I'm glad to comply. Life's too short. I'm just so thankful to have some control back in my life after being on staff for the past 5 years.
  13. by   nursem1
    I've worked agency for a good five years+. Seems a little harsh that you are asked not to return especially if you agreed to a second shift. BAsically I found that if you're at a facililty that's new for you, it's best to do everything you can while you're there (refusing because of lack of experience in a area sheds a bad light) mainly hospital staff expects agency nurses to have been through alot of technical experience, just because they are agency. For this reason, they may feel you need more before you can go back. I'm suprised that they didn't empathize with you for doing a double though and traditonally someone who doubles gets a tray from the kitchen for lunch. ( you said you had to ask to go to lunch.)
    Actually it sounds like the day you had was hard for everyone there, so take it lighter whjewn you run into the situation again and don't do doubles until you know you won't burnout.

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