Ready to give up.... - page 4

Here I am, a brand new nurse (licensed October 3rd) and I'm ready to give up.... I work in LTC, on nights 7p-7a. I wasn't oriented, just thrown in (to the dogs, as my DON said once). As all... Read More

  1. by   Love-A-Nurse
    julie, how are you today? keep the faith!
  2. by   rncountry
    Glad to be of assistance Julie. And just for the sake of more ammuniation per se, it is not recommended to do any regular flushing of foley's. All that information can be found on the CDC website. Next just because it is a physician order does not mean it is appropriate, any DON worth their salt would know that, and be sure that physicians are actually following the guidelines. After numerous studies it is found that the more often a closed system is messed with, the higher the number of nosocomial infections. Then there are the further guidelines in LTC. What is the reason this patient has a foley, there has to be a definative dx and it can't be simply for incontinence. As deb wrote, has she been seen by a urologist? Has every avenue been explored to get the foley out? State inspectors fully expect to see it has.
    It also should be pointed out that the nurse who noted the order to change the foley should have been the one to do so, if they could not for whatever reason it needs to be placed on a tx sheet and passed on in report. If the nurse noting the order did not put it in the appropriate place the write up belongs to that nurse not you. That is nursing 101, the responsiblity is on the nurse who noted the order.
    You also might just throw in the CDC guidelines on changing foley's have been in place for at least 9 years now. Maybe they should catch up with times, or have someone in infection control who knows what the hell they are doing. Of course a DON who knows what the hell their doing would be nice too. To me it is apparent the DON does not.
    Let us know when you get another job. This place is not worth your license.
  3. by   casperbjs
    julie, you worked to hard and long for your license, for you to stay in a place like that. quit, quit, quit. there are a lot of places that you can go that would treat you a 100% better! i bet this nursing home has been cited by the state numerous times.
  4. by   FullMoonMadness
    Julie. I worked ltc for many moons. For our pts who keep catheters,the person who verified the mars and dr orders each month were responsible to indicate on the tx mar when the change was due. so..if there is an error here,it is that persons fault,not yours, and i believe the order probably reads change "q month", not "q 30 days".

    in addition, i read these boards all through your lpn program. you were so excited and eager to finnish school and become a nurse. I remember how happy you were when you graduated and passed your boards. do not let this nurse or that facility steal your joy.get out and do it quick. there is a job out there for you. good luck
  5. by   rstewart
    I do not post as frequently as many on this board. I also do not routinely post supportive replies as some seem to. (Frankly, I sometimes read between the lines of some posts with complaints of unfair treatment and perceive some signs that there may be two sides to the story.)

    That said, I must tell you......RUN, RUN, RUN, RUN!!! In addition to being correct about the clinical issues, the previous posters are correct in their advice to get out right now. There is no good that can come out of this situation.

    People in LTC are elderly, frail and have health problems; these days, if that weren't the case, they wouldn't be there because alternatives exist. You put 64 of them together and something bad is going to happen to one of them---despite your best efforts, that's just the way it is. Guess who's going to get the blame when the inevitable happens? That's right----YOU!!!

    In fairness to your hubby, unless he is in your shoes he does not have the background to understand the immediate seriousness of the situation; so....have him look at the unanimous opinions on this board---and resign immediately.

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