Well I'm not quite sure where to begin. I work on a busy renal/resp/medsurg floor. I'm a new nurse and I have been on my own since April. I feel like I am very close to burn out. I don't work much overtime so I don't guess that is the problem.
I usually have 6 patients. I feel like my time management is pretty good. I just feel like the floor is too busy, my patients are too sick.. Or something. It is hard to explain. I work as hard and as fast as I can and I still barely get everything done. I run around like a chicken with my head cut off. And it isn't just me. All the nurses are like this. The old nurses and the new nurses.
Like today; I only have 5 patients, until 1500 where I picked up an extra one. I had 1 pt going to dialysis that morning (they leave at 8 so I have to have there assessment/charting/and any morning meds they can get done by 8. Then I had a pt going for a bronchoscopy, one going for an arteriogram, and one going for a kidney biopsy, all that morning. So I run around all day sending pts and receiving pts. Doing mounds of pre-procedure and post- procedure paperwork and things.... And it is like this everyday....
There is also a lot of tension between the staff.. Certain nurses think they rule the floor and boss everyone around (even though they aren't charge). Our assistants are overworked and exhausted, leaving them to have attitudes and gripe.
Like the other day I had 3 pts that went to dialysis that afternoon. They all came back at 1830 and I got an admission. So I'm trying to get ready to give report but I can't because I have 3 dialysis patients that need to be assessed and have vitals taken. And an admission to get set up. And then I have to hear it from 3rd shift because I didn't get anything done.
Third shift always gets so mad when anything is left for them. I'm only one person. I'm so stressed. I'm constantly being pulled every which way...
A senior nurse went to the DON friday and told her that most of her staff was unhappy and burnt out. But I don't know how to fix the problem. I don't know the solution. I don't really even know what the problem is....
Sorry so long, I'm just frustrated and burnt out..... Thanks for listening.
No one told me nursing would be so hard.. I love what I do.. But I don't have enough time in the day to do it to the best of my ability.