quit my job woes, must rant! - page 2
Hey out there. I need to rant, not sure where to start. Please let me know your opinions. I have been working for a small rural critical access hospital for about three years now. I started there with a nursing externship in... Read More
- 0Feb 23, '11 by RNme123I just want to thank all of you. I have been feeling so bad about this. I'm not sure how to describe it exactly, I just felt as though she had a lot of faith in me and wanted to see me do well. I was so wrong! I am very happy to be moving on, not because I hate the hospital but because there is a much bigger world out there for me.
Oh, just want to add, I worked in the hospital three years but only have been the FT in the ED for 6 months but had worked there before and per diem the entire time I was in the OR. They didn't really even want to orient me to the ED, she said that my externship was orientation (but originally I was supposed to have had 12 weeks of orientation).
You guys are all right. I have the other job and will be better off in the end, but I do still feel loyalty to the small hospital. I guess I am partially to blame because I did not look at the fact that they would not have the ability to take on new graduate nurses. I am pretty sure a per diem nurse in the ED has already accepted my position, which is a little comforting. Thank you guys for your words of wisdom and sharing your experiences.
- 4Feb 23, '11 by janhetheringtonYes, it will be a hard two weeks. One thing you HAVE to get over is thinking that a boss or a hospital is going to "be happy for me" because you're moving on up. That's like expecting an ex-husband to be glad you're getting remarried, to a rich hunk. Not very realistic.
- 2Feb 24, '11 by gonzo1Where do I begin. I have worked in good ERs and bad ERs. There are way more bad ones. You are right to leave since you are not getting the orientation that you should have and were promised. Administration is always cutting corners and trying to get away with less and less. And they try to pull the guilt card all the time.
The truth is they are not our friends, they do not care about us and have no loyalty to us so we have to do what is right and safe for us.
I am an experienced ER nurse and was given med surg and ICU hold patients a while ago because I was low man on the totem pole and the rest of the staff wouldn't take them.
Well, I was not qualified and I made a big mistake, fortunately the patient was not harmed. But I feel horrible and will never be the same. But I was trying to do my best for them and not be a complainer. Well, as they say "no good deed goes unpunished". You asked for more training, the training you were promised and they renigged so screw them. Protect yourself and make sure you get all the training you need until you feel comfortable. Don't allow yourself to be a "warm body" for them.
When push comes to shove they will protect themselves and to heck with the nurse. I wish it wasn't so, but it is.
I know it is hard to leave people that you work with and have grown fond of, but in the end we are responsible for peoples lives and need to have the proper training and the proper tools and supports in place so that we don't harm our patients. I know my post may sound negative but believe it or not I actually love being a nurse and love being an ER nurse, but nursing is hard and we rarely get the support we should have.
Good luck and enjoy your new job and don't look back.Last edit by gonzo1 on Feb 24, '11 : Reason: add a thought
- 3Feb 24, '11 by RuthfarmerI, too, have worked at a small rural, critical access hospital ER. I know what it is like to work codes with a less than ideal number of staff. I have worked in a larger General Medical hospital, too. I understand your tendency to feel loyal to a facility for allowing you the opportunity to get your feet wet.
Keep this foremost in your mind. Keep your integrity. Once you lose it, it's hard to get it back. Conduct yourself professionally. Look out for YOUR patients and YOUR VERY OWN safety and well-being. Understand that no matter how diligent you are and how noble your intentions are, there will ALWAYS be somebody who will find some reason to put you down. That's just a given in most aspects of life.
Realize this: though many nurses have a true calling to care for people, health care is a business, and business people pretty much call the shots. Most business people are most concerned with a bottom line and with not being bothered and hassled. They will not lose a wink of sleep over nurses working short staffed, without proper supplies, or without basic security in place. Human Resources are the cheapest resource that they have. Business will very often use you up, risk your safety, or even destroy your health and NOT care about you or the diligent special care you provide your patients.
It is not my intention to paint a dismal discouraging picture for you or any other nurse. PLEASE realize that you must always do what is best and safe for your patients AND yourself. If a situation is unsafe or untenable, and the facility is unwilling to properly address it to ensure the best possible patient outcome or staff safety, then end your association with that facility.
If someone should make a job jumping comment during an interview, you say to them, "The casual observer making a superficial review of my application may call me a job jumper. It is my experience that some facilities don't share my patient care values. If you'd like to know more, I'd be more than happy to clarify for you my patient care and safety concerns and priorities. Then you can make an informed evaluation of my work history."
Though I've only been out of nursing school about 2 years, I am a middle aged gal who investigated medical malpractice cases for the State of Louisiana before I ever became a nurse. Rest assured, there are all sorts of perfectly good and admirable reasons for leaving a facility or agency.
*Being scolded by a preceptor for refusing to give a bolus dosage of a vasopressor when there was NO order for it. "We always give a bolus before starting the low dose continuous infusion. No, we don't have a standing order or protocol for it. I just always do it that way." (Well, this nurse isn't giving it without an order!)
*Being scolded by a preceptor for getting a doppler when a patient returned from the cath lab with a COLD foot with NO palpable pulse. "Don't bother with that, just assume that it's ok." (My patient came in walking on two good feet,and I intend for him to leave here walking on two good feet.)
*Being scolded by a preceptor for spending time looking for an intermittent wall suction fitting. Having to explain to a preceptor that there is a difference between continuous and intermittent suction and how continuous pressure could erode the gastric mucosa and having to point out that the order is for INTERMITTENT suction for the patient's NG. (The doctor ordered intermittent, and that's what my patient is going to get.)
*Being instructed by a QA Nurse to falsify a medical record. Having to explain legal and ethical consequences of falsifying a record to this person who also works as a nursing instructor.
Ignorant, incompetent, manipulative, or jealous people can readily attempt to apply the stigma of job jumping to a nurse when what the nurse actually has is a badge of honor and integrity. As tough as it is to say, there are many many folks who simply are not COMFORTABLE even being in the same room with integrity and competence. Do the right thing and at some point, in some way, it may result in your having to leave a facility or agency. When it all comes out in the wash, you will NEVER regret doing the right thing--what YOU KNOW to be the right thing. You may face some personal difficulties or hard times for doing the right thing, but it will ALWAYS be the best thing in the big scheme of things. The only person you have to sleep with is yourself. Do the right thing and you will be able to sleep like a baby.
Last, and not least: Get your own individual professional liability insurance policy.
This gal with the silver streaks in her hair knows what she's talking about, for sure and for certain.