bubblymom373

Pros: great teamwork (so few people you have to work together), no bosses, no family (unless pt is dying or major health issue), Cons: waking docs in the middle of the night, disregard for sleep time of night staff (meetings scheduled during sleep time), day shift whining ( pt wet at 0800 last rounds done at 0400 grr), being clean up for other shifts ( checking orders making out faxes)

I agree with chevyv, I would rather fix the mistake. Granted after fixing it I will talk with the nurse involved and tell what I had found. If the mistake is repeated and by the same nurse yeah then it is written up. I figure she at least had fair warning. Lets face it mistakes happen.

This was two years ago, it was Vitamin K injectable. Not in our contingency, for whatever reason. Thank goodness it is now.

Omnicare in my area is terrible. We don't have drugs we need in contingency. Our refill time is terrible, sometimes it takes two days for refill. STAT orders have to be picked up by one of their couriers from a pharmacy in town and brought to our facility. It can take up to four hours For a stat drug to come if we get it at all.

Make yourself a little cheat sheet for the med pass. Does the resident take the meds whole, crushed, or one at a time? In pudding, applesauce, ice cream etc. Do they get special house supplements? Do they have medications kept in another place on the med cart? or in the refrigerator that need to be pulled. Little things that will help make the med pass smoother. As for how the other nurse does her med pass, well thats her med pass it doesn't have to be how you do it. You always need to do the 5 rights thats a given. With the med passes that I have done, I have always needed to skip around in the med book when giving meds. I mark the resident that got skipped with a straw or pulled a tab on the plastic divider to remind me to go back and give those meds. It does get easier. Just hang in there.

When I give the CNAs the vitals list I will usually tell them what time they are to be completed by. If they are really busy I will get some of the vitals. If the vitals are not done by the time specified I hound them till they do. I work 2230 -0630. Usually I like the vitals by 0200.

Breathe, just breathe. Eventually it will become easier and less stressful. I think anxiety with charge nurse responsiblities is fairly normal.

You did just fine. You advocated for your patient and and dealt with that resident in a professional manner. It is hard to remain calm and cool when some jack wagon is in your face.

You know it is going to be a bad day at the home when: You pull into the parking lot for work and there is an ambulance and fire truck at the front door of the home.

To kgh31386 , Could I have the number for the wahmbulance? I work with a couple of people I need to call it for.

It sounds like more education is needed in regards to the role of Hospice in a facility. Those poor patients.

So sorry about your mom. How awful that your place could not be a bit more understanding due to the circumstances. My prayers and thoughts are with you.

I have been on the sending side myself in a nursing home. After hours you get an oncall that doesn't want to deal with a sick patient. "I don't know them so send him in "I have heard this alot and believe me sending someone to the ER is not my favorite thing to do.

I also agree with the others. Quit. If they treat new hires like this how bad will it be once you are off probation?

I would haul my butt in and try to work. Then if you still feel bad later,you can ask to go home, but at least they see that you made an attempt.