Orientation and Job NOT what was promised, want to quit! - page 4
by lpn2rn81 11,458 Views | 32 Comments
Hello all! I'm not sure if I'm posting this in the right place, so please forgive me in advance. I'm a relatively new RN grad. Dec. 2010. I had been unable to find a decent job for months. I have been LPN since 2003, but... Read More
- 0Aug 22, '11 by cherrybreezeQuote from carolmaccas66I think going in to all of this with a new employer is a BAD idea. True or not, it can reflect poorly....and make it look like the OP just can't handle the job. It's impossible for someone else (like the interviewer) to TRULY understand it unless they were there to witness it, and it may sound exaggerated (not saying it was, but it may sound like it). To avoid that, you'd have to say more than you intend to, which is going to end up sounding like bashing.Firstly, you are right to protect your license. I protect mine more than gold.
Secondly, clarify your job description and tell your concerns to your DON/NUM. What do they want you to do exactly, and tell them u can't cope with the unsafe workload.
Thirdly, can you go thru an agency instead to work your own hours/day/shifts to reduce your stress?
Fourthly, tell your potential employer WHY you are leaving - it's unsafe, I not only feared for my license but for the safety of patients, I wasn't learning anything, it was misrepresented to me. Stress that you are a PROFESSIONAL nurse and only want to work in a professional health care environment. They will appreciate your candour, and if they want more info, will ask you. Just don't go on too much about how bad your last employer was.
Fifthly, if you can afford it, I would leave such a place if it's as bad as you say, but many times we don't all have that option.
If you have to stay at your work, YOU NEED A PLAN OF ACTION! I can't stress how important this is. If you have say, 6 patients, are they ALL demanding and/or post op? You need to start taking control of your work place. For example, you may have 4 patients who are demanding. Start saying to these people something like OK Mr/Mrs X, I have 6 patients today, and can only spend 20 minutes in this room AT THIS TIME. This way, you will set up the tone of your shift and patients won't have such high expectations of you.THERE IS ONLY ONE OF YOU - and you need to make patients aware of that.
If you just go on shift, and run around trying to do everything with no plan, you will get nowhere fast. And sorry sweetie - I would NEVER stay back 2 hours to do charting - you should not have to. You sound like you might be wasting some time during your shift.
If you have patients who are not so dependent, spend less time with them. Try to do everything for one patient at one time in the same room. Ask for help if you need it as well. You can cut corners and be safe as well, though I don't recommend doing this ever with any medications. Ask family members to help out if they are there.
There are many threads on here re time management you can access too.
The bottom line is, if you don't control your patients and your shift, THEY will end up controlling YOU - and that's when you run around like a ragged doll and feel like you're always chasing your tail.
Try researching threads/sites on nursing management as well.
As far as telling your patients that they're not the only patient you have? Another big no-no. Again, it might be true, but that's one thing that was DRILLED in to our heads at my last job. Patients do NOT want to hear this. It makes them feel not-taken-care-of, and makes them afraid to ask you for anything, legitimate or not. I can see the logic behind what you say, but we would have been in BIG trouble for pointing that out on a regular basis.
Charting 2 hours after a shift? I've been there. Some days, it's all you can do. There literally ISN'T time to touch charting until you are done with patient care (meaning, the shift ends). There are days that are non-stop running, no matter how organized you are. Is it and should it be every day? Absolutely not. But it happens.
Quote from lpn2rn81lpn2rn81....thank you SO much for taking my post in the spirit in which it was intended, and with a grain of salt. I was very worried that I would offend you, and that wasn't my intention. I know that personally I can fall in to the same thing without realizing it (being negative).Looking back over what you highlighted, cherrybreeze, I didn't realize how negative I was! WOW... and you're right, I did have jobs in the past that I enjoyed. I am applying to the hospital I used to work at.
I am not trying to judge this new job by one shift. I guess I may have been scared off by the fact that the preceptor and other nurses warned me that 5 new orientees started within the past 4 months and none have stayed. Even the girl i mentioned who just got off orientation and was left alone on her first night, she is planning to quit.
The experienced nurses on the floor are frustrated and leaving late from work d/t how crazy that floor is and how it's almost impossible to do all the paperwork they expect plus take care of all the patients with no nurse's aide, and, lots of times, lack of necessary supplies. The unit is mismanaged and inefficient, IMO. It's not just my observation. Many others have told me that they can't keep anybody on this unit.
Again, I apologize to all for my incessant complaining. I have had some problems in the past and want to stay positive here, but it looks and feels bleak. I'll try my best, and I guess i will try not to be so negative in future posts.
Hopefully, the nurses griping about leaving late, etc, was due to having a bad day. I know I complain more, and about everything, when I've had a shift from he!!. Maybe I just want to hope that no place is that bad to work at, but I can be naive, even after all these years.
I hope things work out, either in terms of getting better there, or in finding somewhere that you will be happy.
- 0Aug 23, '11 by lpn2rn81Haha, cherrybreeze, I wouldn't say you're naive.
Anyway, Just finished a crazy 12 hour shift. I Had 2 preceptors ( 1for each half of the shift) that shift and we were so busy with admissions and transfers and discharges and bell-ringers and q 1 hr accu checks and a lady with intractable vomiting.....
I thought no place was bad to work at, until I came here. Both of my preceptors today told me they have complained and asked for many changes and help on the unit, to no avail. They told me how ridiculous the place is. I am not kidding about the turnovers. Even the physicians don't want to stay.
there is no pharmacy after day shift ends, so if we get an admission(and we usually get at least 2-3 after hours)who needs meds after hours, we have to call the nurse supervisor to get the meds for us.
We have to run our own blood and specimens to the lab....
there is no nursing assistant to help bathe patients, toilet them, collect trays, or answer bells.
I am trying not to complain, just stating facts. We spend more time acting as secretaries, couriers, and waitresses than we do spending time doing nursing care.
That is not the kind of care I want to give to my patients, and that is what frustrates me..
ah, I guess I'm done venting now. Thx for listening, everyone!
oh, Johnny depp- I went to a vo-tech for the LPN, and went back to a community college to attend classes to finish for my RN degree.