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!

Don't worry about getting another job after quitting with little notice. There's a shortage out there and the employers will be falling all over themselves to interview you. Many nurses change jobs as often as we change our PJ's. I've worked with terrible despicable nurses who were fired from one place and simply moved on to the next with no trouble. A concientious caring person like yourself will have no trouble finding a nich. When you do go on those interviews, find a point where you can sneak away from the interviewer and on the unit, ask a nurse or two how they like their job. Observe the staff and look for signs of severe stress. Once on an interview I asked a nurse how she liked it and she told me to run like hell for the nearest exit. And it really looked like a good place to work.

Sounds like you had a major blow to your self confidence. A little trick I learned was to go into a new situation and pretend that you're an actor in a play. Play the role of a highly competent experienced ,self-assured nurse with all your "acting" ability and not only will you convince those around you but in the end you will convince yourself! It works!

Specializes in Oncology, Med-Surgical.

Thanks for all the wonderful advice. I"m doing better. I've calmed down a bit and just trying to take one day at a time. All of your support really does help so I know I'm not the only one who's been through this. I have an interview tomorrow and hope it goes well.

Hey Phantom---your idea for a resignation letter was great. But for effective date, should I put the date I spoke with her on the phone or two weeks from the doc's note? I spoke with her once on the 11th, when she offered me the days position. Got a doc's note on the 13th, and then called and got her voice mail on the 15th and told her I was resigning. OF course she never called back. Also should I send the copy to the HR manager of the person that hired me?

Thanks!!!

I'm working on it today.....

Specializes in Oncology, Med-Surgical.

Also....

When I interview and they ask me if they can contact the other hospital, the one I just left, what should I tell them? And when they ask me why I left there, should I be honest or just be vague and tell them "It wasn't a good fit". I don't want to sound like I'm bashing the hospital or that I'm a difficult employee.....

THANKS>:kiss :kiss

Amy, you will get different answers to your last question as we all handle things our own way---I would say yes and also provide the name of someone you know will give a good reference at that old facility if possible. Is there another RN or supervisor you trust at that facility who will provide a good reference for you? Instructors and/or preceptors? Providing several positive references will counter one negative one, IME, if this occurs. It may not come up at all but I always say pray for the best and prepare for the worst in any situation.

Get a feel for the person interviewing you as well. You can share as much with him/her as you feel comfortable with, in a non-bashing, non emotional way. You're correct in not wanting to come off like a problem employee; you want to show your best side if you are pressed for details. You may be asked what you learned from this experience so formulate a good non blaming, professional answer there too....what did you learn about yourself? What are you looking for in a workplace? Would you handle things differently in retrospect? They will appreciate a mature response from one who is actively learning.

A good way to appeal to your interviewer is to know some positives about their facility or share some glowing tidbits /references from friends or colleagues that led you to want to work at their facility. A little schmooze can go a long way if you know whatI I mean...LOL! ;)

You probably already know this stuff I just typed but you're still feeling a bit low and it hasn't clicked yet...it will!

Good luck, Amy, and I hope you're feeling better every day.:)

Amy - Sounds like you have a workers compensation claim and should not have to use your accrued sick leave or vacation time for some much needed time off. Nurses file work comp claims all the time because of stressful and traumatic situations that they have experienced. Let Human resources know that you want this documented as a work comp issue. Good Luck!

Amy....yes, you should follow up with a "paper trail"...meaning letters to your manager and to HR, detailing the incident - with all the details. It's important to state it in a neutral manner...."just the facts, ma'am). Also keep copies for yourself.

In this day of nurse shortages, I'm not too sure that references are checked as thoroughly as they might be, but don't burn your bridges. If you can make it through the two weeks notice period, so much the better.

And DO talk to someone....starting with your personal physician. You need to take care of yourself now....with tender loving care. You are the important one....if you lose yourself, who do you have?

Feel free to get hold of me any time....I care and I'm here for you.

Amy, I think you could get away with using any of the three, but I would probably use the 15th.......especially since you have an MD note stating you do not need to go back anyway........it matters little.......your 2 week notice will be served at home.

I would put as per our conversation on the 15th I am tendering my resignation effective 3/29. State the doc note is attached. Remind her that you will be unable to fulfill your scheduled days until you are released from the md.

I handed in my resignation a little while back and it was a whopping 2 sentences long. All they want to see are the facts, anything else and you open yourself up.

I would also follow up [once you have your next job] with a fact filled letter to their risk management and HR dept. Just to let them know what went on.

Yes, Amy I have used the "it just was not a good fit" excuse for when I quit my first job after 6 weeks. My new manager asked me why it was not a good fit and I told her that "I felt uncomfortable with some things that were going on there."......then I let that hang in the air and she did not push and I did not offer any more information.

Specializes in acute care, supervision, admin.

Amy,

My Lord! I totally agree this was not an acceptable practice, and really feel you got "Shafted." The preceptor is there to guide you through these type of things, not to disappear when you need them. Sounds to me like you were thrown into the "Meatgrinder" which is often med-surg nursing these days. This does not excuse this!! I would find that a very hard situation to deal with~

My recommendations:

1. You must take care of yourself. Talk this over with someone you trust- be it a Chaplain, Minister, Doctor, or a trusted person. You have been wounded emotionally by this on several levels and you have to cope with this and heal. Talk it out, do not let it fester. you have been hurt deeply from the way this sounds. you cannot let this go.

2. I'm not a lawyer, but I think if you are not at work it is not considered job abandonment if you do not show up. That said, this is not the best way to leave, to just not show up. I urge you to talk you to your manager, she or he may understand your feelings and needs. In my management experience when we had references there were often attempts to get information, "Off the record" when HR or managers would call about fellow employees.

3. I will pray for you tonight! I am so sorry this happened to you.

We need our young people in this field, you deserve support, not to be abandoned!!!

i wouldnt send a copy of my resignation to the new job. i wouldnt even bring it up unless they did. and absolutely be vague. you arent lying...it wasnt a good fit.

dont feel badly about what happened on your part. you did what a good nurse would do given the same situation.

you have nothing to be ashamed about. this was not your failure...it was theirs.

those dumasses lost a good nurse.

Left my hospital position about a year ago because I just couldn't stand the atmosphere (not one particular incident). Had no job to go to and thought I had made a big mistake.. Gave notice and my manager actually walked me out a week early (Now think she was afraid people would see how glad I was in leaving and influence them--although I had said nothing)--had been there 6 years and no goodbye, thank you etc. Went to home health and it was the best thing that could have ever happened...Ist agency hired me on the spot...When interviewed for the next agency (Now work for both) asked if I had had any previous conflicts, I stated the situation..when asked if I would do anything different I replyed...I would have left years earlier.

Hang in there ....There are some great places to work and terrific people to work for.

Specializes in Mental Health.

Just for clarification - I am a Registered Health Information Technician as well as a Registered Nurse. I specialize in Mental Health Information in a Community Mental Health Center- Most states protect mental health information in medical records, and the federal Government protects addictions information in medical records.

Any information of this type cannnot be released without a specialized Release of Information - indicating that the patient is fully aware that the information to be released is mental health or addictions related. According to Federal Law - a general ROI is not sufficient.

Also under HIPAA - this information is even further protected. If this information is used against Amy - she would have grounds for a breach of confidentiality suit.

Hope this helps.

Thank you Barbie, that is good for us all to know. :)

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