I'm about to crack...read this and help!!!! - page 2

Hello, my fellow nurses. It's so good to be here. I need your opinions on this situation. Okay, I currently work in LTC on a rehabilitation unit/skilled nursing facility. Before I came on,... Read More

  1. by   SaharaOnyxRN
    Quote from DusktilDawn
    Unfortunately I have seen the "shift mentality" where one believes certain things HAVE to be done on a specific shift and will refuse to do that which they think the previous shift should have done. Management needs to be proactive on this issue. If you have passed something on to the next shift and find it is not done because of this type of behavior, it needs to be reported and addressed by management. As another has stated nursing is 24/7 for a reason. If a treatment or even a bath was not done on days, there is absolutely no reason it cannot be completed by the follwing shift.

    Do not clock out and continue to complete work that can be performed by the next nurse entrusted with the care of your patients. It is also their responsibility to ensure that the patients receive care, irregardless of whether or not they feel it is "day shifts" responsibility.
    I will try to get my manager to see this. But I really don't think she honestly cares. I think she needs a reality check. She is not a very good manager.
  2. by   babynurselsa
    Check with your state labor board and see what they have to say about working off the clock.......
    If you are going to stay at this place I would say that you need to do what you can get done in 8 hours and go home. Nursing is 24 hours and it is not reasonable for a person on the next shift to say...That is a day shift job and I am not going to do it.
    It is the managers responsibility to make sure that these persons are doing their job.
    In all actuality I would just get the blazes out of there.
    Go take your little calculator and figure out how much free labor that these folks have gottne out of you so far....
    I also agree with the above poster about the potential for problems for you of something untoward happens off the clock.
    Good luck.
  3. by   banditrn
    I wouldn't work day shift in my current LTCF for any amount of money!! It sounds a lot like your facility - I work nites, and I've already put in my resignation!
    I do know that the day nurse is actively looking for something else, and I'm sure that she'll find something better - she's a good nurse. When both of us leave, they won't have an RN in the facility, which is going to be interesting.

    I'm going to try one more LTCF, then I'm done with it if it doesn't work out. I didn't mind the job, and I enjoyed the residents, but I got really fed up with short staffing, and non-responsive management.
  4. by   CoffeeRTC
    I like a good battle, but it doesn't sound like this one will ever be won, esp if the adm and DON isn't willing to bend or make changes. Heck, we have about 20 pages on our admits and if you get a person with tons of skin issues...forget about it. You would be around forever.
    Bottom line, now that there is 3 shifts instead of 2, duties need to be split up.

    BTW, if you don't get to the dressings etc, make sure you are not signing them off. What we do is circle it and I put a not on report that they still need done, that way, I'm informing the next shift and not just ignoring it. Thankfully, we don't have to do it that often.
  5. by   hazeleyedbabygirl
    Whoaaaaaaaaa Nellie!!! Well number 1. You can NOT clock out and continue to work. This is against National Labors Board, or some such group. No one should ever tell you that this is okay, because it isn't. It sounds like you have management problems and those types of problems have to be solved by their higher ups. It is VITAL that the management is very supportive. You have a wound nurse who won't do txs? Um, Um, why is she there? This is not ethical in my opinion but your management is allowing this to happen, that is if they're aware of it. Does your manager's boss know? It IS very hard to get it all done in 8 hours, and when your having problems you need a person who is willing to step up and help when needed and you ask. You should be able to ask your DON for help and she should give it or find help for you. This can happen if you have a good DON/manager. SEEK DIFFERENT EMPLOYMENT!!! girl....
    If you don't want this, try talking to your DON again, if no luck, talk to the administrator, if no luck, talk to your corporate human resourse person. I also value my license and I worked hard for it. On the other hand, it's only been 3 weeks, you may want to give it more time. Don't focus on what others have done or not done but focus on your job and what good things you have accomplished in those 8 hours. I realize it is hard to do your work when you feel like you don't have the support of others. But remember, keep plugging along and keep reporting what you see or hear, and remember do this in writing and keep your own log. (I do). The squeeky wheels almost always gets the oil.
  6. by   CHATSDALE
    1. give two week notice with the particulars written on it [you probably won't get an exit interview
    2. do write-ups..i don't know if you can do lateral writeups do some on the tx-nurse..write up the aids that won't work..they put pts in jeopardy and they create work for the ones willing to work for their money
    3. your bosses are on salary you are not..leave when your shift is over and you have given report

    you can find a more reasonable job . you have a family and yourself to think of

    good luck
  7. by   Hellllllo Nurse
    Quote from SaharaOnyxRN
    Hmmm, I think I might get this book. It sounds like the book to read in this situation.

    You got out? Where do you work now? do you like it?
    I'm now a traveler- in hemodialysis. Some assignments are great, some are awful. But- each one is only 13 weeks. It is tough- I've been traveling almost continuously for two years. But, there are no nursing jobs where I live and this works for me right now. Sometimes I love it and other times....oh I don't wanna go there right now.

    Every area of nursing is rough.

    You seem to enjoy lots of hands-on care. Maybe you would like hospice nursing?
    I did inpt hospice for almost five years and loved it. I'd still be doing it now if there were any hospice jobs in my area.
  8. by   SaharaOnyxRN
    Quote from babynurselsa
    Check with your state labor board and see what they have to say about working off the clock.......
    If you are going to stay at this place I would say that you need to do what you can get done in 8 hours and go home. Nursing is 24 hours and it is not reasonable for a person on the next shift to say...That is a day shift job and I am not going to do it.
    It is the managers responsibility to make sure that these persons are doing their job.
    In all actuality I would just get the blazes out of there.
    Go take your little calculator and figure out how much free labor that these folks have gottne out of you so far....
    I also agree with the above poster about the potential for problems for you of something untoward happens off the clock.
    Good luck.
    Well, I am happy to tell you, when i got home today, i got a call from a nurse manager for another position. If all goes well, i will be saying goodbye to this place. Thank the Lord.

    I have noticed that for the first time ever, my menstrual cycle has been on for 14 days. I have never had that happen to me. I've always been like clock work and not a minute too early or late with my menstruation. It's really taking a toll on my body. That's when i told myself, TODAY, i will be getting the heck out of there. There's no respect and no teamwork. I hate to leave those patients because I have grown fond of them and do care for them. But, I need to start taking care of myself. I thought I was having a heart attack last night. It's all stress related.
  9. by   SaharaOnyxRN
    Quote from banditrn
    I wouldn't work day shift in my current LTCF for any amount of money!! It sounds a lot like your facility - I work nites, and I've already put in my resignation!
    I do know that the day nurse is actively looking for something else, and I'm sure that she'll find something better - she's a good nurse. When both of us leave, they won't have an RN in the facility, which is going to be interesting.

    I'm going to try one more LTCF, then I'm done with it if it doesn't work out. I didn't mind the job, and I enjoyed the residents, but I got really fed up with short staffing, and non-responsive management.
    You know I totally feel you. Even the night shift nurses are often running behind. I wonder if things will ever change? If not, a lot of people are going to suffer for it.

    Yes, if they loose RNs, they will be in a bundle then, won't they? I wonder do these people ever stop to think about why no one stays. The only nurses that do seem to stay at this place are the ones that cut corners. And I refuse to cut corners. Good luck in your future endeavors. I know that come next fall, if this next job doesn't work out, I will be heading back to school. I realize that every career has it quirks and there are politics in them all. But the difference is that we are dealing with people's lives and the powers-that-be don't seem to care about anything but the almight dollar. It's very frustrating for the state of nursing.
  10. by   SaharaOnyxRN
    Quote from michelle126
    I like a good battle, but it doesn't sound like this one will ever be won, esp if the adm and DON isn't willing to bend or make changes. Heck, we have about 20 pages on our admits and if you get a person with tons of skin issues...forget about it. You would be around forever.
    Bottom line, now that there is 3 shifts instead of 2, duties need to be split up.

    BTW, if you don't get to the dressings etc, make sure you are not signing them off. What we do is circle it and I put a not on report that they still need done, that way, I'm informing the next shift and not just ignoring it. Thankfully, we don't have to do it that often.
    Oh, I never sign off on anything that i know I haven't done. That'll come back to bite one in the bum. Besides, it dishonest and not very ethical. I always tell the 2nd shift nurse when things need to be done. And she knows that I try my darndest to stick around and finish. But, on the other hand, she never finishes the things that can't be done.
  11. by   SaharaOnyxRN
    Quote from hazeleyedbabygirl
    Whoaaaaaaaaa Nellie!!! Well number 1. You can NOT clock out and continue to work. This is against National Labors Board, or some such group. No one should ever tell you that this is okay, because it isn't. It sounds like you have management problems and those types of problems have to be solved by their higher ups. It is VITAL that the management is very supportive. You have a wound nurse who won't do txs? Um, Um, why is she there? This is not ethical in my opinion but your management is allowing this to happen, that is if they're aware of it. Does your manager's boss know? It IS very hard to get it all done in 8 hours, and when your having problems you need a person who is willing to step up and help when needed and you ask. You should be able to ask your DON for help and she should give it or find help for you. This can happen if you have a good DON/manager. SEEK DIFFERENT EMPLOYMENT!!! girl....
    If you don't want this, try talking to your DON again, if no luck, talk to the administrator, if no luck, talk to your corporate human resourse person. I also value my license and I worked hard for it. On the other hand, it's only been 3 weeks, you may want to give it more time. Don't focus on what others have done or not done but focus on your job and what good things you have accomplished in those 8 hours. I realize it is hard to do your work when you feel like you don't have the support of others. But remember, keep plugging along and keep reporting what you see or hear, and remember do this in writing and keep your own log. (I do). The squeeky wheels almost always gets the oil.
    You know, I think that I just may have a talk with my DON tomorrow. They (DON and Administrator) are well aware of the problem. And they are always talking about customer service. I guess customer service=slave labor. I have told them. What would make the "customer" happy would be for them to have enough help and to have good help. But no one that truly does their best is going to stick around because you can only dog a person so much before they leave. Only the trifling, lying, shiftless, lazy nurses that don't do what they're supposed to do because they just won't, are the ones that are going to be left. Whew!!!! I'm disgusted at the state of healthcare.:angryfire
  12. by   SaharaOnyxRN
    Quote from CHATSDALE
    1. give two week notice with the particulars written on it [you probably won't get an exit interview
    2. do write-ups..i don't know if you can do lateral writeups do some on the tx-nurse..write up the aids that won't work..they put pts in jeopardy and they create work for the ones willing to work for their money
    3. your bosses are on salary you are not..leave when your shift is over and you have given report

    you can find a more reasonable job . you have a family and yourself to think of

    good luck
    Thank you very much. I will start looking out more for myself. I think that I worry too much and just do not want to mess up. Thank you for you kind words and well wishes.
  13. by   SaharaOnyxRN
    Quote from Hellllllo Nurse
    I'm now a traveler- in hemodialysis. Some assignments are great, some are awful. But- each one is only 13 weeks. It is tough- I've been traveling almost continuously for two years. But, there are no nursing jobs where I live and this works for me right now. Sometimes I love it and other times....oh I don't wanna go there right now.

    Every area of nursing is rough.

    You seem to enjoy lots of hands-on care. Maybe you would like hospice nursing?
    I did inpt hospice for almost five years and loved it. I'd still be doing it now if there were any hospice jobs in my area.
    Somebody else suggested home health and hospice. Luckily, i have been offered another position. I know that God knows how much one can truly handle and he will always bail you out when the going gets too tough. I've never been afraid of hard work and it's what keeps me going. But this is just not right. It's IMPOSSIBLE!!!!!! So, therefore, I will go where my talents are appreciated. One way or the other, I am going to do something that makes a difference in others life. Even if that means changing careers, which is my next move if all else fails.

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