Well I am not surprised with the feedback. Carrying around a cell phone is unreal. We wear tracking devices and the CN can locate us at all times as well as the monitor tech and patients call lights ring in the room we are in.
I have had all the precepting one can have, I am actually glad to be on my own. I have a detailed computer sheet I made up that has all my patients meds, treatment, gtts, etc on it with the correct times. It does not take long for the sheet to become worthless because by time you D/C someone, get a quick admit things change very fast. I try and get there a little early, get report, look at the Kardex, meds etc. do VS & assessments and an entry on the DAR so I think my organizational skills are well but the phone calls, family, tests, D/C's can throw one off real quick. It's a lot of pressure to stay on top of things and I still think the average person would not be able to work under these harsh conditions.
The last time I worked we had a very competent ward clerk that did a great job than the CN noted the orders and dealth with the time consuming things that take away from bedside nursing. Now the CN is basically a bed broker, the ward clerks are new and overwhelmed missing many things so things fall back on the RN.
I miss having competent nurse aides that could do the VS, do baths, weight people, pass trays etc. Now its a one man show not to mention updating the careplans daily and making an entry on the education sheet which many choice not to do.
I just can't understand though how the NOC shifts (some) can't have an attitude that its 24/7 and what I can't do (I prioritize my care and some things just don't get done because it is impossible---I feel like a short order cook picking up doctors orders and attempting to do them, some doctors come in several times a day on each patient and write a long list of new things to do, so is the day shift responsible for everything and the Noc shift comes on to it all done and have potlucks and chill? I see many casseroles, chips etc, brought in but on days like I said we're lucky to get one break.
I'm now beginning to get nightmares of my job, my latest is showing up late since I must wake up at 0400, leave at 0500 to get to work 15 minutes before the shift starts just to get that head start.
I am getting sick of becoming a victum and the witch hunt when not all things are perfect. We have 4 patients to one RN, many times we start with 3 and around 0900 the admit comes during the morning rush.
I think as hospitals tighten their belts and things are changing, the media should start showing this and making families aware that they are going to have to pitch in like sticking around and helping with the care like bathing, changing diapers etc. Most families are understanding and prefer to help but you have those that are primadonna and just sit there asking a ton of questions that are for the doctor and wanting that second cup of coffee.
What really is getting to me is that my second probation is coming up and I will be asked, "Well how do you think you are doing?" What am I suppose to say? I'm trying to keep my head above water? Like I said many of my co-workers, even those that have been there a long time are stressed and fed up but living in a small community and no where else to go, we're like a couple of trapped animals, having to make a living.
I just don't understand how thier is a waiting list for nursing schools
??? Why not go into computers for instance. Is there some sort of magical thinking about the profession that protrays an image that is not real, some sort of fantasy?
I do believe there are depts. that do not have to put up with this garage but in my city one has to wait until someone drops dead.
Someday, if I get a chance to change professions where I can make less but still get the benefits, which are excellent, I will gladly settle for some stress free office job in some remote area of the hospital.