problems with my unit, any ideas? - page 2
I posted this in the graduate nurse forum but thought I would also post it here in hopes of getting advise from some seasoned nurses. All is appreciated! Original post with grammer corrects :): I... Read More
Oct 27, '06Thank you Santhony. Those are excellent ideas. I am not sure if I am willing to just give up working in a unit I love. The nursing aspect that goes along with that unit is where I want to be so I am not going to jump ship just yet. It would seem that out of the aproximately 20 RN's that work on my unit there are only about 2-4 that have a problem with me. I have decided that I can stick it out for a while and see if I can't get them to relax a bit with me and protect my back at the same time.
Who knows, when I pass the NCLEX and get to nurse again maybe I'll get lucky and they will put me on days! They seem to like me there.
Oct 27, '06Nursing units can be subject to strange and ****** dinamics. Someone is scapegoating you and getting other nurses to go along with it. Do not take it personally or let it get to you.
I have worked with CNNs who did nothing an would not help me with patient care. One regularly adressed me with obscenites in front of the patiens.You sound like a contientious CNN.
Do not complain to the nurtse manager. You will permanently alienate nurses who are just acting like idiots for the moment. Ask to be transfered to another floor untill you pass the exam. Reason: you feel funy and embaressed working on the same floor where you used to work as a nurse. Or ask to just float all the time. That can be interesting too.
Concentrate on passing the exams. Housing prices are dropping and you can get a better deal next year. Good luck!
Oct 27, '06I did read your whole post, and noted the second one. You may also consider its not YOU that has the nurses on your unit a little out of joint. It may be they really feel stressed due to short staffing and they are recognizing that unless you dont pass soon they may not be able to keep you there in lue of a licensed RN that can give them more direct help.
Dont be offended but maybe you should go to one of the units that you have floated to until you pass and then take the first opening back in the unit you are now. By then you will have the opportunity to start fresh and these feelings of dread you had may be completely gone.
Oct 27, '06Okay, this is what I did. I did not see or talk to my boss, but I did talk to the nurse manager on duty last night and asked her if I could keep floating as much as possible because I am learning so much about the hospital and all the other units. I told her I did not want to float on days/nights that it would leave my own unit short handed though. She was very receptive to this and I didn't have to go into details about my underlying reason.
Did I do good? I feel good about it. This also retains my position for when I pass the NCLEX next month.
Oct 27, '06Quote from MVH119NCLEX stands for: National Council of Licensing ExaminationWhat the hell is NCLEX????
It is the test we must pass in order to obtain our RN license and be able to practice nursing. It does not matter if you graduated from with your degree in tact. Until you pass the NCLEX you cannot practice as a Registered Nurse in the states.
Oct 27, '06Rags: the first thing you need to do is take a deep breath and calm down. Your posting is somewhat rambling in nature, which indicates that you are seriously stressed. I have been in nursing for 20 years. I too was a nursing assistant (34 years ago). I have worked Maternity, Peds, Critical Care, and have was the nursing supervisor for our facility for over 10 years. I think you are simply trying to hard to impress your coworkers, and in doing so, have made yourself the victum. There are a lot of areas where nurses can be territorial. You are trying to "fit in" with a group that you cannot do at this point of your career. You are spinning your wheel. Go to work with a smile, stay within your own job description, and don't discuss your personal problems with anyone but your family and friends. A lot of people love to kick a person when there down, it makes them feel better. Don't share with people when you are taking the exam, you don't need to. By doing so, it adds more stress on you and starts this cycle of self degredation. You are not the first or last person in America that has failed a NCLEX exam. Put things in perspective. Right now, focus on your family, studies and the upcoming holidays. Find a good review book, find time for yourself, and take your exam early next year. Everything has a way of working out.
Oct 27, '06You've been given great advice here! And may I say, it takes me some time to get to know a new "tech" or CNA (they seem to have so many different titles), but I prefer one that's moving, usually, especially if I am also busy.
I wouldn't dream of handing somebody a schedule and telling them when to do what... and I'd have serious reservations about waking my patients up every hour! A lot of mine wake up if you open the door so I go every two to make sure they're breathing, but they'd never get any REM sleep if I did that every hour.
I don't know the particular ladies you're working with, so I can't comment on them or their problems. I'll tell ya what I like in a tech though, and you can think about it. I like someone who sits in on report, to get her basic info, then goes and starts vitals while the nurses are asking questions of the offgoing shift and counting drugs. I get especially giddy if the CNA puts VS in the computer for me. Stocking I don't expect, but it's nice if they're able to do so. I round on my own patients so I wouldn't ask the CNA to do that- I'm responsible for them! So I will follow shortly after and sometimes during, the VS and do my assessments, talk about the plan, procedures, spit out a little education, etc. Not doing the VS myself does give me time to pour on a little TLC. Then after putting them in the computer, I like it if the CNA will let me borrow her scribble sheet so I can copy 'em on my patients. I know it's in the computer; I'm just a dork that way.
I love help on daily weights, as we do them anytime after midnight. If I have a CNA who can do blood sugars it astounds me as I'm used to doing them but hey! Help is help and with our machines it's hard to mess up a fingerstick. My favorite tech hands out bedtime snacks and helps answer call lights, and alerts me if something's wrong. She can raise her eyebrow and crook her finger "come here" and I know the look; I definitely "come there" when she notices something.
The amount of work you described doing was, in my book, a lot. You worked your tootie off. I applaud you for letting the manager know that you'd rather not have your home unit be understaffed. That shows insight into their more real, perhaps more fixable, problem, at least from management's viewpoint.
I can't tell you how to pass the NCLEX, but I wish you luck. That thing scares the pants off of good test takers, let alone what horrors it visits on anyone who's less than a stellar tester (that'd be most of us!).