Unsafe working conditions - (Graphic)

Nurses General Nursing

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Hi all--

I was in the chat room last nite and talked to a few people and got some pretty good advice but was trying to still process what would be the best thing for me to do. I am a new grad since May of last year. I began working at a hospital in Sept and they just recently began training me for a Team Leader position, since they do team nursing there. Well, it's been a complete disaster. Their turnover is tremendous, they understaff all the time. They only gave me a two week orientation! Most of my friends are getting 6-12 weeks at their hospitals. Well, on my last nite of orientation something happened and I don't know if I could even go back to work there. I was trying to wait until my six mos and transfer to a hospital within the same system. And if I didn't do that, I wanted to give a two week notice to cover my references. People are telling me that nursing jobs are so abundant that it shouldn't be a big deal but I don't want to burn any bridges. Okay, here's what happened in a nutshell---WARNING! It may contain some graphic material but I may not be able to explain it and the depth of it without going into detail. Sorry if I offend anyone. Okay, I work on a med-surg, post surgical unit. We had a lady come from the ER who was in the process of a miscarriage. She was 17 weeks and her US showed that the baby was in her pelvic/lady partsl area. She came to the ER stating that she felt the "baby was coming out". Okay, so I admit this woman - I'm still on orientation supposedly. First of all, she shouldn't have even been on our floor and second, I should have had someone help me through this mess. Well, I get her admitted, she's comfortable, and then the doc shows up. My preceptor or whatever you want to call her, sends me in with the doc and disappears! At this point, the doc is asking for some gloves and lubrication. And before I know it, she's pulling out this fetus. Oh my gosh, I didn't know what to do. The patient was basically in shock. Then the doc says she needs a clamp and sterile scissors which we don't carry on our floor because we are not an OB floor. We had to call the OB floor, and the house supervisor. In the meantime the doc is waiting like 20 mins to cut the cord....then she asks me for a blanket to wrap the baby in. Hands the baby to me!!! I didn't know what to do. And the patient is right there. She tells me to put the baby in the STORAGE ROOM until the mother decides if she wants to hold, have a burial,.....etc. In the meantime, OB comes down, weighs it, takes footprints, and explains all this stuff we need to do, the forms, etc. the grieving materials for the mom....and that we need to take some polaroids of it. I had a new grad nurse with me who was very brave, thank god. Well, then we were told that if the mother decided to "dispose" of the baby that we would have to put it in saline water. So they gave us the things we needed and left. I know that I may have to deal with things such as this in my career but I feel it was totally wrong for me to be left alone. Now I feel like I'm suffering from PTSD or grief or something like that. I am ready to just leave this place but I want a good reference....or at this point I don't know if I care. I was going to call on Monday and tell them I can't work under these conditions any more, that my license is on the line. Someone here mentioned to me to go get a doc's note saying I can't return to work but then others are saying that may look incompetent when I go to the next place. I need some serious advice before Monday when I have to go back to this place. I don't feel safe here. I have only had two weeks of training and they are throwing me to the wolves.....

Please help!

Specializes in cardiac, diabetes, OB/GYN.

By the way, post traumatic stress is a viable thing. You have mental health rights and anyone who tries to use a leave or rest against you for those reasons is in violation. Check the EAP policy of your institution. If it is a policy, they have to honor it...

I always thought EAP conversations were confidential. Have I been misinformed? If Amy's manager 'uses' info from EAP or even has access to it I wonder if that is a violation of confidentiality issue.... anyone know for sure?

Amy, I actually did not read all of the posts after what thisnurse posted, but please realize what was said in that post is entirely incorrect. It is not any future employer's business whether you go to a doc for therapy, go to a therapist etc... the only way that it would come up is if you have a to do an employee health questionarie for preemployment. Then that information goes into your employee health file where it is not accessible to anyone but those who absolutely need to know. As the patient you are entitled to patient confidentiality just like any patient that you take care of. It is highly illegal and could get any number of people in trouble for anything that is related to your health to be discussed around the water cooler per se. Nor are you under any type of obligation to discuss treatment you may receive with any future employers. The only thing that you should disclose if you have a preemployment physical and screening that are required is any meds that you may be on.

I do three things where I work. I am the wound nurse, the infection control nurse and employee health nurse. As the employee health nurse I work closely with HR and occ. med. so trust me when I say you do not have to tell anyone a thing unless it is a direct question for preemployment purposes, it is not a reason you can be denied employment and whatever information you do give may not be shared with anyone else.

Last but not least, please do not leave out risk management when you notify others of this incident. I told you that before but feel I need to reinterate that. Understand that sometimes the only way that you can change a major problem is through risk management. If they realize they have a problem that can result in someone bringing a lawsuit or even increasing length of stay because of care issues, it has been my experience that issues are worked out a lot faster once they get involved.

If any posts in front of this already say what I have, I am sorry, I was felt I needed to let you know this right away because I saw that you are concerned that what thisnurse said is right, and I can assure you it is not. Most important thing at this very moment is for you to do what you need to do for yourself. Don't let anyone scare you off of that.

Went back and did some reading, sorry. EAP is fully confidental. If that information has been shared without your consent you have grounds for a lawsuit. You have full patient confidentialty like any other patient. If you prefer to f/u with your own doc that should be a choice you make not one you feel forced into. You do realize that in many ways you could hang these people by the balls if you want to don't you? It takes guts and courage to do it, but you have grounds. I would guess that there were several policies and/or procedures that were broke. They are likely doing a bit of CYA right now, and they are doing it not because they are concerned about what happened, but so no one ends up in a problem over it. Not concerned about you, but about themselves and if it hadn't been wrong, they wouldn't be having to do the CYA thing.

In the end though if all you do is take care of yourself, you will have done more than half the nurses out there manage to do in a poor situation as it is.

" I was felt I needed to let you know this right away because I saw that you are oncerned that what thisnurse said is right, and I can assure you it is not."

mcountry...do you truly believe that this whole incident cant POSSIBLY come back to haunt her?

if amy goes to her own doctor and gets an excuse and treated for post traumatic stress syndrome, that will be in her MEDICAL records. im not talking about the EAP.

and i never said that post truamatic stress syndrome is not viable. absolutely it is.

what i am saying is that she has a better chance of this incident following her around by going to her own medical doctor.

say she applies for a new job and signs consent for them to access her medical records? that is going to be in there.

say she gets hurt at work and is collecting workmans comp. she will have to have an independent evaluation and she will have to sign consent to access her medical records. this whole incident will be in there.

valid or not, fair or not, this is going to be something that CAN be used against her. and someone with the motive to discredit her certainly will try.

this has nothing to do with confidentiality because she would have to sign a release for her medical records. there is no breech of confidentiality.

you can say "although i tried to reach a comprimise with management, i was unable to do so as my phone calls were not returned. i felt that the safety of my patients was being comprimised and i was unable to continue working at that facility under those circumstances."

period...the end.

and there is nothing said there that isnt true.

to me thats much better than years down the road having to explain her treatment of post traumatic stress syndrome.

in a fair and good world, this is a valid diagnosis. but unfortunately we live in a world where mental illness is still looked at with a raised brow.

"You do realize that in many ways you could hang these people by the balls if you want to don't you?"

How so?

I'm not trying to debate this with you but I am trying to understand what you are saying.

That hospital had every right to put that patient on the med/surg floor. since her baby was dead she was more a medical patient than ob.

NO ITS NOT RIGHT...ITS A TERRIBLE THING TO DO TO A MED/SURG NURSE, LET ALONE A NEW GRAD, AND SHOWS A TERRIBLE LACK OF CONCERN IN REGARDS TO THE PROPER CARE OF THE MOTHER...BUT THE HOSPITAL WILL TAKE THE STAND THAT IT WAS NOT UNSAFE.

they will also say that amy should have been able to care for the mom and they will also say that if amy wasnt able to care for the mom she should not have accepted the assignment. they will turn this all back on her. its what the hospitals do. they hang us out to dry.

so while amy can file a lawsuit, what are the chances of her winning?

being able to file suit is little consolation when the crap hits the fan.

amy...if you feel like you need treatment for what happened to you by your own doc, then by all means seek it. if you are going to your own doc just to have documentation and a medical excuse, i still say its not worth it.

forget the notice.

Specializes in Oncology, Med-Surgical.

Well,

Guess it's too late for that guys....I did see my MD yesterday. Had no choice, I felt like I was going to have a breakdown. I even smashed into my husband's car as I was pulling out of my driveway....nice, huh? She definitely was concerned. She gave me a note, but don't know if I will use it or not. I'm debating and trying to think straight at the same time. She gave me some meds to help with the stress and anxiety. I am not going to sit here and worry about if this is going to "FOLLOW" me or not anymore. I have to do what's best for me. If it does, it does I guess. I had no choice but to turn to someone for help. She even asked me if I wanted to be admitted. So that's the point I'm at right now.

Specializes in Home Health.

{{{{{Amy}}}}} just worry about you. To hell with what anyone else may think. I think many of us have been through depression on this BB, and even on meds. It does help. It also helps to talk. If the meds the doc gave you don't help, please follow up in a few weeks. Once you are feeling better, things will come into perspective. Right now you are so out of sorts, you can't think clearly. It will be easier to make those important decisions after you are feeling more settled. Take some quiet time while you are off. Write your feelings in a journal. Listen to some soft music and relax. I find that when I do that, it allows the answers to come to me, rather than me trying to find the answers.

Take care. Let us know how it's going.

Take a well deserved "sabbatical", 'just breathe', heal and give and get mucho hugs from hubby and kids!!

I'll be keeping you in my thoughts and prayers, Amy!

Specializes in ER.

Hang in girl.

Go out to the dump with a sledgehammer and smash something really good. ;)

Specializes in Oncology, Med-Surgical.

Hi all---

Just an update. I'm feeling a bit better. Son is adjusting well at new school so that helps a ton. I called my manager today to tell her I won't be returning to work. Now I just have to write a resignation letter. Should I attach my doc's note to this letter? Do I send a copy to HR? Since I've never done this before, I'm not sure how to do it. Thanks!

Yep, send the resignation with the docs note attached. Your manager should send a copy to HR, but I would also send a copy to them.

Make sure you keep a copy for yourself.

The resignation should be short and sweet. You do not need to go into great detail, just put her name up top and put todays date and state "As per our conversation on [date] I , Amy Doe, tender my resignation effective on [date]. State the docs note is attached.

great advice from phantom.

YOU did nothing wrong. if this comes up in the future, so what.

if the company that is considering hiring you doesnt want you because of what happened then its probably not a place youd want to work for anyway.

amy, i got hurt at work lifting a patient. that was in october. i am still having pain and problems with my neck. in december i went for an independent insurance exam. first thing the doc said was...i see you had a drug abuse problem.

years ago i was taking duragesic for pain. when i finally got the pain resolved and went off the patch i had withdrawl. i checked myself into a rehab hospital for detox.....VOLUNTARILY....

THIS is what he was talking about. it wasnt drug abuse, it was a dependency ...there is a difference. i dont even drink dammit.

went thru my pcp's records with him, there is NO mention in my chart of abuse. just dependency that had been resolved. you know amy, i even had a note of introduction in my chart from my surgeon stating the circumstances of my dependency.

as a nurse you know how damaging something like that is in your records. and I DID NOTHING WRONG.

the whole thing was manipulated by the case manager of the insurance company to discredit me.

i never meant for you to not go to the doc for treatment if you needed it. i was only saying that if you are going there just for a note its better to quit without notice.

im glad you got treatment.

and it really pizzes me off, but doesnt surprise me that your mgr tried to turn this back on you and even offered you a position she knew you couldnt take so that she could cover her butt.

its good you are leaving.

be well amy

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