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Do agency nurses get the worst patients?



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  #11  
Old Apr 27, 2002, 06:27 PM
Senior Member
Join Date: Apr 2001
oh my

The Dogs Maybe just desserts is for them to have a night like they gave that new nurse....

I hate these kind of stories....

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  #12  
Old Apr 28, 2002, 03:27 PM
Senior Member
Join Date: Jan 2002

When I'm on staff I generally give agency the least complex patients, unless I know them very well and we're BOTH comfortable with the assignment.

I HATE when my own staff whines at me because they got a PIA patient..."Give it to the agency nurse". Yeah right, give ALL the PIA patients to one agency nurse and THAT'S supposed to be fair?Some folks have no concept of fair play...only want to ensure the lightest load for themselves. This attitude is one I get SO tired of out there (from a charge perspective). It also makes me see red to hear staff saying.."Well, she should work harder, she's making more $$$.....(urge to kill). I really don't miss the whiney staff nurses at all, can you tell? LOL!

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  #13  
Old Apr 28, 2002, 03:41 PM
Brownms46 (Female)
Registered User
Join Date: Mar 2001
Unhappy

You know what mattsmom...and nightngale??? One of the people chewing on this young nurse....is one who herself has said this unit was too much for HER! She is also on contract and trying to get her agency to pull her OUT of here!!

Sometimes people just don't have a clue!

Three nite ago when I worked....I had a tough assignment...PLUS got the admission...and when the nite charge came on duty...she had the nerve to try and give me the next admit...back to back with the first I had just two seconds before finished admitting!!

The last nite I worked...the secretary called back to the conference room where the charge nurses were getting report....and told them an admit was coming up. Guess who this secretary kept on naming as the one who should get IT...give you 3 guesses and the first two don't count.... Since I was standing there....the CNs gave it to someone else....
Later I volunteered to take the next admit...but I was tired of being given the first admit every nite I walked on duty..

I have become the squeaky wheel ......much to my chagrin...but I refused to be dumped on any longer!

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  #14  
Old Apr 28, 2002, 04:55 PM
Registered User
Join Date: Jul 2001

Wow, I get to relate a thoroughly positive experience that I am currently enjoying. I have had the pleasure of working with a really cohesive group of nurses, everyone works together and there is minimal grousing, that is always solved very easily by an offer to help the TEAM member, that is obviously reacting to the stress of the moment. Oh how refreshing! I'm 57 and feeling like a kid again. When I get up around 4-5pm(No Alarm needed, Thank You Very Much), That's because when I fall into bed after each shift at around 6-7am the next morning I sleep like a baby, until my internal clock wakes me with renewed enthusiasm for the shift to come. I feel almost stingy for not sharing details, just kidding! The hospital is in north Georgia, and is called Hutcheson Medical Center, and I work in their E.R. Personally I feel I owe them a debt of gratitude, I can truthfully say that in my 29yr career, I have never worked with a finer group of Nurses, M.D.'s, PA's, and related departmental personnel. Young nurses just getting their feet wet, as well as seasoned professionals, working towards several common goals #1 is helping those in need of our services, and#2 to work together to acomplish this goal.
Now to the question, do I get the toughest assignments? First I had to decondition myself from buying into this attitude second I had to regain my vigor for helping others, without regard to any preconceived impressions of certain groups/catagories of patients, you know the terms, "GOMER'S", "Regulars", "To stupid to take Tylenol/Aspirin/Nsaids, (anything to keep them at home instead of here!) Then I began to be accepted as a full rights and privileges member of the team, wow what a concept when I made those changes in the way I conducted myself, everything else fell into place, as naturally as breathing. I am often assigned to be the triage nurse for this hospital's E.R. At first I was very ill, I won't bore you with the details, but trust me when I say, "I could feel Death's breath on my shoulder" H&H of seven and twenty three(I was at work pulling a ten hour shift that turned into fourteen hours because of overload of patients, Overflow? Halls? everywhere I looked there were patients in various levels of distress, and of course they all needed something immediately! Add to that overtaxed ancillary personnel. And here I was in the middle of this apparent chaos, I found the stength to survive that day, because I was truly needed and my teammates helped me through when I thought I could not continue, but more importantly I found the strength of Jesus at my side. I wanted to hug each member of the team, and I will never forget them no matter which way I procede in my future endeavors. I know my teammates, trust me to be their representative and I always TLC of that trust. Am I perfect heck no! Are any of us? I am an Agency Nurse and proud to have such a wonderful Staff to be a part of.
To be certain, I have been in situations where I felt I was being dumped on, however in retrospect, I can see how you have to gain co-workers respect, and it is common practice for staff to investigate your competence, before giving their trust. In this case, when the investigation of my skills was seen in a positive light, I truly became their valued teammate. Bottom line, is just that Nursing is the only profession I know, and I feel enriched with the many blessings I have received from being an R.N. Thank You Jesus and Thank You HMC crew

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  #15  
Old Apr 28, 2002, 05:05 PM
Brownms46 (Female)
Registered User
Join Date: Mar 2001

Nice story...and I'm very glad to hear you had a very positive assignment. Thank God... I have had the priviledge of having great assignments also...and if you do a little seach on my posts...you will find I wrote about those too!! BUT .... bad assignments are out there....and no amount of attitude adjustment will change that fact! Excuse me if I don't look in retrospect at my current situation and . Seems to me if the staff here really cared about my abilities...I and others wouldn't be getting the train wrecks from day one! So please overlook my negatively for the moment...as I'm sure it will improve in about 10 wks when my current HELL is over...

Just an after thought... but what does fair assignments have to do with trust??? Nothing.. IMHO...


Last edited by Brownms46 : Apr 28, 2002 at 05:18 PM.
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  #16  
Old May 15, 2002, 04:06 AM
Registered User
Join Date: Nov 2001

I agree with mattsmom81. If you have the attitude your going to get the worst patient but focus on taking it in stride you will pervail. As a travler i have had the dump patients, the 500lbs vent patient nobody wanted but i have noticed after the first week its not a problem. I lead by example, and force them to reconize my abilities by being the best nurse no matter what i get. However when it continues beyond the first week I do make my feelings known, I start with documenting the problems i an having, talk with the nurse manager or thier boss and attempt to change the situation.
My worst experience was at a hospital in louisville, Ky a telemetry unit where I had to take extra patients because we were short 1 staff emmber, I didnt mind that because everybody took extra patients. The second night the same again but i noticed {later that night }, that I had 2 more patients that the rest of the staff. I left a note to the manager that moring. the next night I walked in and was told we were 2 staff short and we would have to pick up even more.... So i told them I would no longer work short, I would leave them 3 short if they could not get staff.
The night supervisor stated she would report me for abandonment if i did. to which I showed here a Ky nursing board article in which abvandonment was not decided by the hospital but by the board. That if a nurse did not clock in it could not be considered abandonment . And I realised if I left I would not be comming back here for the remainder of my contract ( 4 weeks worth) and i would consider the assignment she tryed to stick me with a breach of contract in which the agency would probably sue.....So if she wanted me to work here on this floor there would be 2 nurses joining me in the next 10 minutes or she would be looking for 3............
I swear she turned the most awful shade of red and left the floor quickly, I called my agency and explainded my position. They told me they probably would sue, ( I didnt think they would) but if I felt the assignment was dangerous that I sould leave, they would try to get me another assignment but it could take 1 to 2 weeks. That was fine wiht me. And when the oncall human resource director called me I simpley told her she had 5 minutes to get staff in here of I would leave and gave her the agencys contact number.

after a moment of silence she asked me to give her 10 minutes. Guess what ? 2 nurses showed up and we worked with a full staff. I continued my contract and nothing was ever said about that night. I recieved no hate mail, no interviews, no its as if it never happened. The floor staff thought I was a GOD for a while and I humbly accepted their gratitude, I also felt I inspired all of the staff to stand up for themselves.
3 days before my contract ended I was asked if I wanted to renew. No, It was time to move on, but the requested me to do a exit interview. I told the manager in her office my mind was made up when I had to threaten to leave the hospital inorder to get the staff we needed.....
Never let the bastards see ya sweat.

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  #17  
Old May 15, 2002, 07:05 AM
Senior Member
Join Date: Apr 2001
Thumbs up Standing Your Ground

Awesome stroy Death... That is one for my memory books! Thank you for sharing your story. It is inspiring!

B.

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  #18  
Old May 15, 2002, 10:22 PM
Registered User
Join Date: Mar 2002
Post assignments

Get up and go to report and expect?????
Somedays, I found myself with the 4 corner syndrome and used to think that it was done to intimidate agency nurses, but....
as I kept watching I found that the staff nurses had those patients too.
I sometimes find myself asking "what did I do wrong to get this assignment", but find that when it appears that I may be too busy or ask I get help. Just today the assistant nurse mgr. offerred to help me catch up so that I could take a lunch break.
When it is one of those days when back to back admissions occur, I usually get an apologyand help attached to them.
There are always those days when you wish you had a PCA or 2 fewer patients out the 4 that were assigned, but all in all it comes together somehow.
Many agency nurses, either per diem, contract or travel go thru Methodist Hospitals telemetry unit. Sure you have those who always seek to help, and those that don't. You have coordinators who see that no one nurse is slammed and others who can't count 2 =

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  #19  
Old May 15, 2002, 10:26 PM
Registered User
Join Date: Mar 2002
Post assignments

Get up and go to report and expect?????
Somedays, I found myself with the 4 corner syndrome and used to think that it was done to intimidate agency nurses, but....
as I kept watching I found that the staff nurses had those patients too.
I sometimes find myself asking "what did I do wrong to get this assignment", but find that when it appears that I may be too busy or ask I get help. Just today the assistant nurse mgr. offerred to help me catch up so that I could take a lunch break.
When it is one of those days when back to back admissions occur, I usually get an apologyand help attached to them.
There are always those days when you wish you had a PCA or 2 fewer patients out the 4 that were assigned, but all in all it comes together somehow.
Many agency nurses, either per diem, contract or travel go thru Methodist Hospitals telemetry unit. Sure you have those who always seek to help, and those that don't. You have coordinators who see that no one nurse is slammed and others who can't count 2 = , but that's not exclusive to one institution.
Overall on a scale of 10 this agency nurse gives this unit an 8.
guess that's why i signed a contract today.

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  #20  
Old May 15, 2002, 10:50 PM
Brownms46 (Female)
Registered User
Join Date: Mar 2001
Re: assignments

Originally posted by fadingyouth
Get up and go to report and expect?????
Somedays, I found myself with the 4 corner syndrome and used to think that it was done to intimidate agency nurses, but....
as I kept watching I found that the staff nurses had those patients too.
I sometimes find myself asking "what did I do wrong to get this assignment", but find that when it appears that I may be too busy or ask I get help. Just today the assistant nurse mgr. offerred to help me catch up so that I could take a lunch break.
When it is one of those days when back to back admissions occur, I usually get an apologyand help attached to them.
There are always those days when you wish you had a PCA or 2 fewer patients out the 4 that were assigned, but all in all it comes together somehow.
Many agency nurses, either per diem, contract or travel go thru Methodist Hospitals telemetry unit. Sure you have those who always seek to help, and those that don't. You have coordinators who see that no one nurse is slammed and others who can't count 2 = , but that's not exclusive to one institution.
Overall on a scale of 10 this agency nurse gives this unit an 8.
guess that's why i signed a contract today.



Congrats on taking the plunge again. At least you're at home.

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Do agency nurses get the worst patients?

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