I worked Friday night- which was changeover night and I am a new grad and just started a month ago on the 11-7a shift. I am starting to get the hang of my med pass and treatments, but this night was he!!. The night started off horribly- not only did I start off with 3 new admissions that were not completed yet, one had refused to be sent out- he had blue fingers and toes and his pox was in the 70's and the nurse before me stated he refused to go out and he was a complainer; the other new admission had a trach- that needed suctioning q2h and he was anxious- I had a new hip that was in quite a lot of pain. On top of this, everyone wanted prn pain medications- whenever I sat down to start the changeover. I also had two IV antibiotics that needed to be given- one was q12 and the other was q6. On top of this, the stna's did not get my vitals on my other patients and I had to run around to find them. One gave me the excuse that she forgot she had two- 2 rooms even though she had been in at the beginning of the shift. I was soooooooo frustrated. I did not start my med pass until 6:30 am- because of changeover and 2 really bad dressing changes that took over an hour. Suffice it to say- I did not get out until almost 1200. My supervisor did help with changeover on two of the admissions and one we had to call the doctor to get clarifications of orders, I also had to call to get clarification of orders on a patient that was coming back from the hospital, it was just one looooong, frightful night. I was glad that I was off for the next two nights, but I slept through the whole day- I did not awaken until Sunday at 5:00 am. I have a daughter, who is 15 and this is an age that can easily get into trouble- even though she is a good kid. She did not wake me, she got her own dinner. I was disoriented when I got up thinking it was 5 at night and it's dark and then seeing that it is 5 am. I was just soooo thoroughly tired. I know not every changeover will be like this and the rest of my days have not been like this. I'm just wondering if this is what I really want to do this- work in LTC. This is the first day that I felt that I could really make a medication error or forget a med order to write it over. We only had three nurses on this night and from previous experience (i'm going by hearsay), they usually have another nurse on to help with the paperwork. It was totally outlandish. Oh how I wish a hospital would call- I know that I will have other problems in another setting, but I would not have to worry about doing this paperwork and still providing care the patients need. I hate this!!!! I hate not having enough equipment, having 20 patients, fighting with the aids to get my vital signs, not having enough time in my day to do the things that I should be doing qshift. Having to write out everything little thing. I needed to take a day away from the situation just to try to get my head around the situation and that is why I'm posting today. Now I have to go back tonight and I am still tired. I'm just thinking maybe I need to go prn and concentrate on finding a full time job someplace else and maybe having to leave the state if I want a hospital position. I so don't want to do this because my daughter only has 2 more years of school. Oh well, they didn't tell you about days like these in nursing school. Thanks for allowing me to vent!!!!
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