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

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    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.

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    A friendly reminder from your mod staff to please debate the topic, and not each others' points of view. Per our TOS:


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    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.
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    I am a member of a nurses' union and this is why.
    leadesign likes this.
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    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.
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    sorry for your anxiety,

    Reason # 1 why I am an OR Nurse

    1 patient at a time !!!!!

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