dunno where to start, dunno where to finish! - page 3

I am really feeling it today, it being a gross generalization of terrible feelings one feels when work seems to get the better of them. for the last 2 12 hour nightshifts we were short on the floor,... Read More

  1. by   JailRN
    Wendy,
    Like Stargazer said, that's why I don't do bedside care. I really don't want to put my license on the line for anybody. If I make a mistake, I'll take responsibility for it, but if it's an unsafe situation, like you describe, who takes responsibility then? Everyone will say"Gee, I didn't know that!" (when it comes to court.) " I wasn't aware."

    good luck
  2. by   nell
    (((((Wendy)))))
    I was so upset after reading your post last night that I couldn't even respond. From your posts I know you are a very good and conscientious nurse. The conditions you are working under are intolerable - for nurses and for patients. Things were bad 16 years ago when I did med/surg: I used to call it "2 pats of butter for a whole loaf of bread" you just can't spread it that thin... We didn't even have vented patients on the floors in those days - they were in ICU! I am still angered at times by the staffing in the NICU where I work, but it is nothing like what you are dealing with on a daily basis.

    Wendy, save your sanity and your license: transfer to another unit (does Canada have minimum staffing ratios for ICU, OR or NICU?) or another facility or job like Home Health, research, clinic...
  3. by   CEN35
    we all have those days. hopefully the next day will be better. that seems to be the only thing that pulls me through, without dreading going back to work. one great day at work, seems to do wonders for me.

    me
  4. by   A_Nightingale55
    Wendy, I can sympathize with you girlfriend, been there and done that!! Med/Surg nursing is the "hardest" job there is. Many a day I leave work so frustrated and cry myself out in the car on the way home!! It sounds to me like you are a caring & compassionate nurse and you do the very best you can for each of your patients. This is all you can do. When I look at myself in the mirror each night I can say that I have done my very best for my patients, under the circumstances!! That's all any of us can hope for!! Take care of yourself Wendy.
  5. by   P_RN
    ResearchRN hit it spot on.
    In my humble opinion, the situation described by Wendy is exactly why there is a nursing shortage and why so many of us leave bedside nursing.
    Of course the suits never read what we write. I think the BON might read it, but what they would DO is a mystery.

    I am sorry you had such a draining night. I used to feel as if 'they' had pulled out my plug and let all the air out. Totally empty.

    Of course, say anything and you become the troublemaker, being RE-active instead of PRO-active.....I've heard that more times than I can count.

    I sure wish the letters to the editor people would print some of this crap we all face, but NO their advertising dollars come from the SUITS...not the nurses.

    P
  6. by   flowerchild
    ERNurse752, Ditto! My nightmares have also stopped since I left the bedside. Hmmmmm......PTSD anyone????????

    I'll also agree that the situation is why there is a shortage.

    Seems to me that if this keeps up, any nurse who works at the bs will be found in our psych wards later. How much can a person take before they crack??? I guess we'll all find out one day.
    Hang in there HappeeWendy! You'll find a place that is without all the #$%^^& you've been taking. Do some soul searching on your vacation. (((((((((HUGS)))))))))
  7. by   Dr. Kate
    Two things.
    1st: Wendy while you're on vacation get yourself a copy of the latest edition of "What Color is Your Parachute" by Richard Bolles. It's not just a book for people looking for a job. Bolles has some great exercises for focusing your career direction.
    It's tempting after a night like the one you had to decide never to go back again. Frankly, you're to be commended for the excellent job you did in keeping a difficult and disparate group of patients cared for and stable until morning. As nurses we are so very hard on ourselves, and each other sometimes, we see only what we didn't do, what we couldn't get done, the decisions we should have made and didn't instead of all the good, solid decisions we made and actions we took. So, put away your cat 'o nine tails and stop the self flagellation, you did a good job in a rotten situation. Could you have done a better job? Only those who never find themselves in such situations have the luxury of being a Monday morning quarterback. As my hairdresser, of all people, once said to me,"the coulda, woulda, shoulda's will kill you, and you can't do anything about them anyway."
    Be gentle with yourself. Take care of yourself. You're a good nurse, that shows from all I've read of yours on these boards.

    2nd
    There was some advice to take home a stamped nurses notes and finish your documentation at home. Rethink that one. Even if you're documenting only for yourself, confidentiality has been violated by the removal of patient information (that includes name, physician name, ID or med record number, maybe SS#) from the hospital. Doing actual charting at home and bringing it back to the hospital can be contstrued as hiding something, rewriting notes, and charting after the fact. There was also a comment that said to make copies of everything. Again be very careful as the confidentiality of an incident report is violated immeidately upon its being copied. That confidentiality protects not only the hospital but also everyone involved with the report. So while you may not care whether or not the hospital is protected, you should care that you are protected as the writer of the report.

    Hugs to you girl. Would you like me to send my collie up to lick your face, he's good at being sweet and charming to women who need a little affection.
  8. by   Scavenger'sWife
    {{{{{Wendee}}}}}
    I have just come off a similar day shift. 12 patients (however I did have an LPN and NA with me). 15 min before end of my shift one pt went bad and I ended staying over 2 hrs while a thoracic surgeon and I put in a chest tube, charted, called primary doc to report the pt's status, etc.

    I have been Med-Surg for 3 years...still love it and am considering taking a charge position. But I also have a job on the side as a teacher, which allows me a different nursing experience. Wendee, maybe you can look for a similar thing. Maybe take a prn job in a different area of the hospital or with home health, etc. It helps to know that ALL your nursing time is NOT in the Med-Surg hell-hole. (At my hospital, the floor I work on is known to other employees as "Bosnia". LOL)

    Furball....Right on Dude! (or Dudette!)

    BadBird...thx for the kudos.
  9. by   DIPLOMATICRN4HIRE
    Wendy ,
    this is the reason I left floor nursing, there was too much to do and it wasnt ever safe and even if you did finally get it done and everyone including your staff came out of it fine and no one was bleeding , Some Horses AZZ on day shift would be all bent out of shape because there was 1 or 2 issues to be delt with...(even though you handled all 100 hundred of issues that they left behind for you)
    It didnt matter that you had been baby sitting satan and his spawn all night long , or that if you worked code after code after code, plus admissions and discharges and preps and consents and stick checks , plus pre surg admissions, plus your meds and ivs and stats and labs , orders and cosigns,and lets not forget atleast half of the Nursing assessments, it doesnt matter and it becomes so discouraging you burn out , and we loose another good nurse.
    The only thing about dayshift is that the work load is lighter because there are so many chiefs, and some indians..
    but during a night shift, there is one chief and a few indians... and we have to clean up from the other and also keep ours together...
    I dont miss it at all....
    HUGE HUGS to you and what you do....
    :angryfire
  10. by   JeannieM
    Originally posted by P_RN
    Of course the suits never read what we write. I think the BON might read it, but what they would DO is a mystery.
    P [/B]
    OUCH!!!!!!! I'm sorry, but I'm sitting here on my fat A$$ (I don't make enough to have a fat A$$) taking a break from my do-nothing job in my "suit" reading what's been written in this forum like I have so many times before. I'm so tired of the random "suit-bashing" that I hear, and I'm even more angry at the unsympathetic "suits" out there such as the ones Wendy has faced that have elicited this feeling.
    I read what YOU wrote, happeewendy, and your pain brought tears to my eyes. Please believe me, it doesn't have to be this way. There ARE places to work where peers care about you and managers advocate for you and patients appreciate what you do. Yes there is a shortage, driven in part by what you've experienced, but as long as there are professionals like you there is still hope for all of us. I've looked at your smiling face many times in this forum and I'm glad at how young you appear, because I truly hope that one of these days, when I'm that little old toothless, kooky lady lying in the hospital bed, your beautiful, angelic face will be one of the last things I see as I depart. :angel2:
  11. by   OBNURSEHEATHER
    Wow Wendy, that sounds crappy. And I'm sorry you had to go through that. I'm sorry for each and every nurse, myself included, that has days like that because there is no excuse for it.

    "Do the best you can." Hmmmm.... yes. I'll do the best I can with the absolute crappiest that you gave me - nothing! Nell started a similar thread, and gives a good analogy about how "do the best you can" is not an acceptable statement in many professions. Why is it in nursing?

    Anyways, here's a link to the thread:

    http://allnurses.com/forums/showthre...threadid=20855

    I hope you have a couple of days off to recoup Wendy, and I hope Blockbuster has already set aside a good Ben movie for you! Throw in some ice cream.

    :kiss Take care friend

    Heather
  12. by   sjoe
    Why don't you try to find a Magnet hospital to work in?
  13. by   nimbex
    here's one, had a night like wendy's with the response from nell's tread plus I stood up against the UNSAFE staffing, faced the suites (all nurses saying it's unsafe). Then to be told by manager after I lodged a formal complaint that she spoke to the other nurses working and they said it was busy....but they HAD NO IDEA WHERE I WAS COMMING FROM. (They backed down and changed thier tune, when the manager called them on it.

    Just got burnt to ashes by the manager and the nurses I tried hard to support.

    Anyone have a fire extinquisher? My temper, pride, and trust is ABLAZE!!!!

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