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 what I am worried about: I... Read More
- 2Mar 1, '09 by ghillbert, MSN, NP GuideQuote from joaniej231In 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?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.
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?
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.
I don't claim to have all the answers, but we must mentor our new nurses and build them up not break them 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.Last edit by BBFRN on Mar 2, '09 : Reason: TOS & refers to edited post
- 0Mar 2, '09 by BBFRNA friendly reminder from your mod staff to please debate the topic, and not each others' points of view. Per our TOS:
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.
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.
- 1Mar 2, '09 by Valerie SalvaMedicare 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
- 1Mar 2, '09 by LadysSoloIdeally 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....