I need massive help. But from who?
- 0May 10, '13 by jennalandI'm 99% sure I hate something. I don't know if its my job or my career choice :/ I have only been working on a med surg floor for about 3 months now....but the hospital I work at is in a tiny (GOSSIPY) town run by LVNs who suddenly feel that a 20something with two bachelor degrees is here to take over. That is not the case. These horrible women who have been at this hospital for hundreds if years are out to get me and have made it known. They write me up for any thing they can. (Leaving beds unmade at shift change, not reporting something minor at change, god forbid a dr is writing an order that pharmacy doesn't profile before we switch...they refuse to do bedside reporting so we the bulk of report in private thenmake walking rounds and ill show them anything major and get written up for "discussing a pts care in front of them") anyway I'm being pulled to other units...pedi,icu, etc and given pts and I have said out loud to 2 administrators that I am not comfortable doing that bc I don't feel prepared or knowledgable enough to handle pts with acuity like that....it's still happening! Then today I had a pt who the terrible shift before me didn't even bother to document on or inform of an order to call the dr within certain parameters (and bc of our switch to this horrific new computer system about two weeks ago its absolutely impossible to find things and were all still adjusting). So based on my own assessment I call the dr for an order and keep this withdrawal pt stable all night then I get home and have been asleep for two hours and get a screaming phone call from a dr asking why no one called her all night on that pt and I caused irreversible damage and all these other horrible accusations. I explained that I did call her and tell her the situation and she was aware....slammed the phone down in my face. I have to be back at work with this same dr in 5 hours and I'm dreading it. I'm actually dreading this whole job...or maybe career choice. I don't know. Everyone keeps telling me "it's like this everywhere you go ya know??" So would finding a new job help?
- 0May 11, '13 by Rangeles14The working environment you have to deal with is terrible and I'm so sorry to hear that you're going through this especially during an already stressful transition period from student to nurse. I just finished a 10 week new grad program and have been n my own for only two weeks and all the nurses have been extremely supportive and helpful you can't control other people's behavior but you can control how you react to it. Yea easier said than done but I've learned reading through these forums have been so helpful in maintaining my sanity knowing that I am not the only one losing it.lol. I did clinicals on a heavy telemetry floor And the first thing the nurse told us was nurses eat their young and they made It known that our presence was not welcomed so we had to prove to them we could carry our own weight and knew what we were talking about which we eventually did. dont let thme break you down. use their cattiness to fuel your motivation to learn more and try harder. iIt's a competitive market and finding another job may be difficult but if the environment you're working at is that toxic you should look elsewhere but realize it may or may not be different. Good luck!
- 0May 11, '13 by julz68Quote from ChristineNWhere I work, new grads to get floated for at LEAST 6 months to a year. And even then we don't float to highly specialized units like ICU, CCU, OB etc.This place sounds frightening. There is no way a new grad should be being floated at all, let alone to areas outside their acuity. That is just an accident just waiting to happen.
Get out of there fast
- 0May 13, '13 by HouTx GuideJust reading the OPs post makes me cringe. So many red flags.
First of all, accrediting agencies (Joint Commission, CMS, etc) REQUIRE basic competency processes - including ensuring that staff are oriented/trained & found to be competent before assigning them ANY clinical responsibilities. This means that - if you are floated to an unfamiliar unit, you should limit your patient care activities to those which you are already competent. You could do VS, ADLs, etc.. but should not perform any task that is unfamiliar. Violation of this RULE will jeopardize the hospital's accreditation.
LVNs running the place??? To me, this means that management is completely ineffective. No matter how much experience they have, LVN scope of practice requires direct supervision by an RN or physician... not vice versa.
Crazed doc - calling a nurse at her HOME???? That's reportable conduct. Both Joint Commission & CMS have very clear guidelines for dealing with disruptive physicians. These need to be enforced. If the behavior continues, it is clearly harrassment. If the organization does not take action, they are completely out of compliance & could incur legal liability.
And implementing a new EMR on top of all this chaos? OMG. Very scary.
- 0May 13, '13 by nu rnQuote from jennalandEveryone keeps telling me "it's like this everywhere you go ya know??"
No, it's not. I'm still in my first nursing position, but it's nothing like this. You mentioned that these nurses have been there "hundreds" of years. The work environment was probably no better for them to start off & it's a perpetual cycle since they don't remember (or never knew) what it was like to work with a TEAM.