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stressed nurses



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Jan 08, 2004 07:38 AM

stressed nurses

by Kashia

we have a charge nurse that is so stressed herself she is making me miserable. everything is an emergency to her. after two 12 hr shifts I was reduced to tears and feeling sick for 2 days after. I went to the nurse manager and she says I should just talk to her... so what do I say? if things ddon't improve I will be another nurse leaving? does your hospital have meetings where nursing can resolve these issues in a positve way?


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2 Comments
No. 1
Old Jan 08, 2004, 01:19 PM

I can only guess that she is either inexperienced as a charge nurse, therefore understandably nervous or she does not have the necessary resources for functioning in the charge role.

With sufficient competent staff whose abilities are known to me, all equipment available and functioning, and no direct patient assignment of my own I am often very busy but not particularly stressed when in charge.

I am able to be the buffer between other departments, doctors, and families while assistine with everything from pulling a patient up in bed to complex procedures and medical emergencies.

With my own assignment, unfamiliar staff, low supply levels, or a multitude of other events the realisation that the lives of all the patients are my responsibility can get very stressful. I hide it until I go home, often waking up sick and not being able to go back to sleep.

We have a committee at my hospital that is contractual. As a member i represent my unit to work constructively to improve patient care. Management must answer our recommendations in writing. It is amazing how much more sensible they are in writing than in a conversation.
I have also noticed that the rediculously unsafe, poorly planned "new policies" announced at staff meetings are not written in the minutes. They have not allowed me to take the minutes for years. I think HR does not want plans that are not safe for patient care to be in the minutes.

In the case of your stressed charge nurse, perhaps someone she is comfortable with could say, "How is it going. Is this an exceptionally stressful shift?"
It IS difficult and with the best conditions there are many decisions to be made. I know of many fine nurses who choose not to be in charge. That is an OK option in my opinion.
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No. 2
from Kashia
Old Jan 08, 2004, 04:19 PM

Default to be in charge or not to be....
That is the question! I agree, Spacenurse, there are certain traits which are a plus when it comes to manageing a floor... keeping cool under stress, and promoting productiveness are some of them. This may sound sexist ( gawd forbid) but the male nurses we have that take charge position run a much smoother floor than ANY of the women do.
This particular nurse I and others are having problems with has been there 27 years, this is the only hospital she has ever worked at. Did I mention this is a rural area, small community hospital, max 30 med surg beds, 6 in ICU. ..not that it affects the issue I write about.
I am just trying to figure out how to approach her.

Recently, when there were a high number of med errors ( they said, and not as compared to what) being made on our floor , rather than discussing openly with nurses staffing ratio issues which are a factor, they decided we all needed a refresher course in passing meds. So, for 3 days, we each had a supervisor watching us pass meds much like clinical. It was humiliating and added more stress! Not that it wasn't ok to make a focused effort to try to find solutions...however when a floor nurse spoke up and asked "why is the problem assumed to be one of negligence or lack of competancy, and not one of staffing ratios", she was immediately shut up in the meeting.
So believe me I know hospitals are NOT concerned about pt safelty without first being more concerned about their budget.
and with jan 1st here, staffing ratios have changed but ah ha so have our duties. we now have to note our own orders and that means we have to take the time to get all the stuff done in the orders so we can note them. and we have to get our pts to depts for tests, there is no one to pick them up.

sorry this is so long winded. !!
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