Mandated! - page 3

I started a new job as an ICU RN in January, and I'm still on my 6 month probation. I work for a large University State hospital and mostly it's a good place to work, but now I'm starting to think... Read More

  1. by   Spidey's mom
    Quote from Hellllllo Nurse
    Nursing employers today are just rediculous.
    I will never be a regular, full-time employee again.
    Fortunately my employer is not ridiculous but I'm with you on the never work full time again. I started working part-time when I had my son and I will not ever work a full time job again.

    steph
  2. by   madwife2002
    Quote from Rocknurse
    Welcome to America, madwife. It's hard for a UK nurse to comprehend as this sort of thing would never happen in England. We don't have unions here. I really miss the NHS now! The nursing over here is completely different, and changes from hospital to hospital and state to state. It's not a national standard like back home. I yearn for my old unit in London where we only ever had one patient at a time. This is really, really hard, and the worst is you have to be absolutely perfect or you get in trouble for the silliest thing, like forgetting to write in a daily weight. No matter you haven't had any sleep in 48 hours....god help you if you forget that daily weight! In England if you had a really busy shift you could pass on stuff to the next nurse...not here. You stay until it's done, even if you've had 5 patients and worked a 16 hour shift. I sound bitter coz I feel bitter.
    I read threads like yours and it makes me really frightened to come work in US, I cant beleive how you have been forced to work such horrendous hours. Can you refuse or have you no choice. Did you go it alone to the US or did you go via an agency?
  3. by   Spidey's mom
    Quote from madwife2002
    I read threads like yours and it makes me really frightened to come work in US, I cant beleive how you have been forced to work such horrendous hours. Can you refuse or have you no choice. Did you go it alone to the US or did you go via an agency?
    You know what . . . I think that while this does happen it is not happening very much. Most nursing jobs that I know about here in Northern California do not mandate.

    So don't be afraid. Just do some homework before you sign up.

    Best wishes -

    steph
  4. by   madwife2002
    Quote from stevielynn
    You know what . . . I think that while this does happen it is not happening very much. Most nursing jobs that I know about here in Northern California do not mandate.

    So don't be afraid. Just do some homework before you sign up.

    Best wishes -

    steph

    T :flowersfo hanks Steph
  5. by   Rocknurse
    Quote from madwife2002
    I read threads like yours and it makes me really frightened to come work in US, I cant beleive how you have been forced to work such horrendous hours. Can you refuse or have you no choice. Did you go it alone to the US or did you go via an agency?
    Originally I came over with an agency, who I ended up laving early and broke the contract because I was so disatisfied with the situation they put me in (no docs, no support, poor pay, no differential etc). I thought (obviously foolishly) that getting a job in a state run University hospital would be different. It may be better quality care, but with that comes much more stress and demands. I can't refuse to do mandatory overtime or I could lose my job, but at this point I think I'm going to leave anyway. Tonights shift has been horrendous. I was given two post op intubated patients...one of which had neuro surgery, the other had major abdo surgery. I hardly knew which way to turn or where to start first. It's just not safe.
  6. by   canoehead
    I will not be mandated, that's just the way I do things. If they call me at home I'm not available, and if they mandate me I've been drinking and can't comply. If no one relieves me and they knew about the hole I'll stay, but will expect to be able to come in late the next day- or will call in sick. I've done the research and the board will not discipline you so long as you don't leave a patient without giving report.

    I pick up 12-20 hours weekly in addition to full time hours. They can fire me if they want to but I'll be leaving quite a hole.
  7. by   nursemary9
    Rocknurse


    I'm so sorry for your shabby treatment!! This is terrible. It puts your license in jeopardy. I think I would leave & find something else.

    The place I work is pretty awful at times---but nothing like this. Plus--we are not required to do overtime unless we want it.
    Now you see why nurses are leaving in droves!!

    Mary Ann
  8. by   ButterflyRN04
    You need to get out of there. You are risking the license you worked so hard to obtain and your patients are not receiving optimal care. Say no to overtime. I don't belive in over time, its not worth it.
  9. by   Rocknurse
    Thanks for all your replies. I really am now seriously considering leaving and joining an agency. It's not just the mandation issue, but the last few shifts have been so horrendous that I don't think I can cope anymore. It's not like I'm a new nurse or lack ICU experience. I'm a seasoned veteran, but never in my life have I been this overworked. They constantly switch assignments, sometimes 2 or 3 times during a shift, there is no consistency of care, and on occasion I've had as many as 5 ICU patients during one shift. Annoyingly, often these are not even true ICU patients and all you do is move beds all night, while the true intubated ICU patients get neglected because of all the bureaucratic BS.

    Last night my friend had 3 intubated (very sick) patients, and I had 2 freshly post-op patients...one neuro (sub-dural evacuation) on pressors and 4-point restraints and one major abdo surgery who had a J-tube, G-tube, chest tubes, OG tube and JP drain, intubated and on pressors. Both of them started dropping their BP at the same time. What fun! One of my patients definitely suffered as I was not physically able to be there for him. The paperwork for new admits is unbelievable...most of it duplicated nonsense, and of course you are always expected to be perfect. I got the eye-rolling thing this morning because I put the wrong Fi02 down on an ABG form...so sue me! I had too much other stuff to worry about it! I haven't had a break on any shift since I started in January and yet amazingly they never pay me for that magic half an hour every day that is supposed to be an unpaid break! Watching the poor day staff come in at 3am this morning for mandation was heart breaking. I've had enough.
  10. by   Mimi2RN
    Same as Steph, I've never heard of mandating overtime. They do call us, we can and do refuse. We are well paid for extra shifts, base pay plus $20 per hour plus diffs. That's for anything over four hours. Usually, in my dept, people are good at helping out although sometimes staffing is horrible. Part-timers can work extra, anything over two shifts a week.

    Of course when things go bad during a shift, we have to live with it.
  11. by   pricklypear
    I've never heard of mandating overtime in the hospitals around here. I just can't understand why anyone would put up with it! People putting up with this kind of treatment is why they keep doing it! You are right to get out now!! It probably costs alot less for the hospital to pay you overtime than it does to have to use agency, which is why you haven't seen agency nurses around! If something happened on your shift b/c of your exhaustion, don't count on your employer to stand behind you. Good luck Rocknurse!
  12. by   Nurse Ratched
    My brother works corrections and can be mandated, but they have to catch you first . The specific procedures for mandating are in the contract and people that work there understand it and accept it as part of the job.

    I've said it here before: the day my hospital forces me to stay for anything other than a declared code yellow (major emergency, two-busloads-of-nuns-in-an-accident-being-brought-in-at-once kind of thing) is the *last* day I will set foot in that facility.

    I will go to the mat for my clinic, tho. We are treated respectfully and we return it.
  13. by   directcare4me
    My unit (and I think it's hospital-wide) has a "call" requirement. We have to take one 12 hr shift every 2 weeks (3 on a six-week schedule) to be "on call". The problem is, they use this not as a "last resort", but just to fix staffing. It's a rare on-call day that we don't have to work. We don't have the type of mandatory overtime that the OP is talking about, where they just tell you at the drop of a hat, but this feels like mandatory OT to me, because I don't want to work over my scheduled days. Unfortunately, "saying no" is not an option for this. I do choose to do it, I guess, by continuing to work there.

    But I don't like it.

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