Nervous over possible termination - page 9

So I haven't posted in a long time. Since my first thread, I have graduated, worked in a crappy job for 6 months, and since leaving there, I have been at a facility for one year this week. So this is... Read More

  1. Visit  joaniej231 profile page
    0
    To Ghillbert, It's called "prioritizing"!! And making choices, it's what nursing is all about. Using your skills to make decisions regarding life and death every day, every hour, every minute. So if one of her patients falls and cracks their head open, she should keep going with her 5 R's, because that is what the books say. What kind of experience do you have? Of course you have to make sure you have the correct patient and the correct med, and you have to plow along until the meds are given, but you cannot work in a bubble without any distractions.You wouldn't be doing your job. It's called multitasking. We all have to do it, and it takes experience and intelligence to be able to prioritize.
    What I was trying to say is that instead of criticizing and chastising, offer her suggestions as to how to get the job done (med pass), run her unit, give direction to the ancillary personnel and in the meantime get those sneakers on so she can run away from that place before something bad happens.She does not have to work like that. She can makes choices, the world is her oyster. She is probably young, enthusiastic, full of energy, and now is time to make the decision not to come down to that level of nursing. And yes, I do know for a fact that we nurses eat our young. I don't understand why but we do.
    I was a DON at a 120 bed SNF and I specifically hired new grads because of the reasons I just stated. They wanted to prove themselves, they were bright, ambitious and wanted to be the best that they could be, and they received all the support they needed and every single one of them became top notch. I don't claim to have all the answers, but we must mentor our new nurses and build them up not break them down.
    Oh and by the way, not sure what "snarky" is but it doesn't sound good, I am just trying to have a healthy debate and really and truly meant nothing personal, I am sure your intentions are very noble and for that I tip my hat to you.
    Last edit by BBFRN on Mar 2, '09 : Reason: TOS
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  3. Visit  dede1956 profile page
    0
    probably not!!!!!!!!!!! I can honestly say that after 32 1/2 yrs in the profession that I do not know of any nurse that hasn't made a med error...including myself. And yes, you feel horrible when it happens, but you admit it, try and figure out what went wrong and how to fix the problem so it won't happen again.
  4. Visit  ghillbert profile page
    2
    Quote from joaniej231
    To Ghillbert, It's called "prioritizing"!! And making choices, it's what nursing is all about. Using your skills to make decisions regarding life and death every day, every hour, every minute. So if one of her patients falls and cracks their head open, she should keep going with her 5 R's, because that is what the books say.
    In no way, shape or form did I suggest or imply that medication administration takes precedence over any other patient issue. Would ANYONE continue to give meds if a patient cracked their head open?

    My point was that IF you ARE giving meds, give them correctly. If you can't, go work somewhere that you can. Why do nurses put up with the ridiculous workload in LTC? If they refuse to work there, it will have to change.

    What kind of experience do you have?
    I have 12 years experience as an RN (ortho, geriatric rehab, critical care), and 3 years before that working in a nursing home. I am almost done with my 2nd graduate degree and working on my 3rd. I work fulltime as an RN in a US hospital.

    Of course you have to make sure you have the correct patient and the correct med, and you have to plow along until the meds are given, but you cannot work in a bubble without any distractions.You wouldn't be doing your job. It's called multitasking. We all have to do it, and it takes experience and intelligence to be able to prioritize.
    Again, you're making up things I did not say. Nowhere did I say that you cannot multitask or prioritize, or that anyone must work without distractions. I just don't know where you're getting this.

    I don't claim to have all the answers, but we must mentor our new nurses and build them up not break them down.
    Well, good job - you're working on breaking down the old ones, instead? You really need to reread my post as you have clearly misunderstood something. I said NOTHING to "break" anyone down.

    I am just trying to have a healthy debate and really and truly meant nothing personal, I am sure your intentions are very noble and for that I tip my hat to you.
    Yeah, right. Calling someone an "overbearing new grad eater" is obviously a term of endearment for you...
    Last edit by BBFRN on Mar 2, '09 : Reason: TOS & refers to edited post
    RN1982 and BelleKat like this.
  5. Visit  BBFRN profile page
    0
    A friendly reminder from your mod staff to please debate the topic, and not each others' points of view. Per our TOS:

    Debates

    We promote the idea of lively debate. This means you are free to disagree with anyone on any type of subject matter as long as your criticism is constructive and polite.
    Personal Attacks

    Our first priority is to the members that have come here because of the flame-free atmosphere we provide. There is a zero-tolerance policy here against personal attacks. We will not tolerate anyone insulting another individual's opinion nor name calling and will BAN repeat offenders.


    Thanks!
  6. Visit  Valerie Salva profile page
    1
    Medicare rehab units are rough- that's for sure.
    When I was a new grad LPN, my first job was in such a unit. I was the only nurse on the floor, and there was an RN at the desk. There were 28 pts.

    I got an excellent 90 day review, and state surveyers watched me do a (huge) med pass and I got zero deficiencies. However, I was worked into the ground and hated the job. When I told the DON that I felt it was impossible for one nurse to give good care with the acuity of the pts. She said "It's an impossible job, and it can't be done, but you'd better do it." She then gave me a card with the phone number to "Co-dependents Anonymous" and told me to call the number and talk to them about how I felt about the unit.

    I gave my notice at 4 months.
    The administrator said "So, you just waited until you got your sign-on bonus and now you're leaving."
    I informed him that I had only been there for 4 months and that the bonus is not paid until 6 months, but that it was not worth it to me to stay long enough to get the bonus.
    This apparently pizzed him off, because he had my excellent review pulled from my employee file and had a new one written which said I was a terrible employee. Oh well. It never hurt my career any.

    I hope the OP was able to have a better time on the Alzheimer's unit.
    Last edit by Valerie Salva on Mar 2, '09
    RN1982 likes this.
  7. Visit  firstyearstudent profile page
    1
    I am a member of a nurses' union and this is why.
    leadesign likes this.
  8. Visit  LadysSolo profile page
    1
    Ideally all nurses would refuse to work under such conditions and things would change. Realistically, nurses have bills to pay, children to feed, etc., and they do what they have to do to make ends meet. So conditions like these will continue to exist....
    Valerie Salva likes this.
  9. Visit  shudokan-RN profile page
    0
    sorry for your anxiety,

    Reason # 1 why I am an OR Nurse

    1 patient at a time !!!!!


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