I'm about to crack...read this and help!!!! - page 4

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 banditrn
    Sahara - best of luck to YOU, my dear. Hopefully it will all work out for the best!
    Thank you very much. If God willing, all will go as I hope.
  2. by   SaharaOnyxRN
    Quote from mickey0314
    I worked in long term care for 5 yrs but as a nurse for about 6mo. I went from doing medical records-CNA-LPN. As an LPN I was responsible for all the same duties although I was like you and felt overwhelmed. My husband had to listen to me complain about my job and my staff each day after work and I did not look forward to going back each day. I eventually had enough and quit. I have been so much happier with my new job and my husband can tell a great deal. There are better options out there maybe not better pay but happiness means alot!!
    Oh, you have said something that is priceless. Happiness is everything. I used to think that more money meant I would be happier. I thought that if I had more money, i wouldn't have as many worries, ya know, bills, cost-of-living, etc. But i would rather take happiness and my health over a higher wage anyday. Besides, i think no wage could compensate us nurses for all that we are responsible for. You just can't put a value on it. But, don't get me wrong, we sometimes aren't paid enough. Especially LPNs/LVNs, they really get the shaft in some states.
  3. by   SaharaOnyxRN
    Quote from newLPN04
    I also work in LTC. The CNA that said she wasn't going to make sure the pt was dry when the ambulance got there..well..then it's time to put pen and paper to her. Don't keep letting the CNAs walk over you like that. You are their supervisor, and that was not a request that she had the option to say no to. But all in all, if I were in your situation, I would pick myself up and head for the door and not let the door hit me in the you know what. It's hard work to become a nurse, and the work is hard, very hard. It takes a team working together. For myself, I'd definitely give my notice and when that time was up, it would be "adios" (spelling?). Even if it meant I didn't have another job lined up. Good luck, and keep us posted as to how things go.
    You know, lately, I have been considering writing up a couple of CNAs. I guess, I have been reluctant up to now because I don't want them to see me as the type that always has to speak with the pen. But, you know, as much as I respect them and help them when they need me, I didn't think I would get that type of disrespect in return. I often have stopped what I was doing to help them take patients to the bathroom when they couldn't find anyone else But, oh no, these same ones are starting to bite me in the butt everytime.

    You know, i usually don't stick around in environments that are toxic to both me and my patients. This environment is a very toxic one. But, since Christmas is coming, I was waiting until another position came open. And due to the Lord's blessings, one has come open. I wish this place on ill will, but I hope that they one day see the light and make things better. Because unhappy, overworked nurses always = unhappy, shafted patients.
  4. by   SaharaOnyxRN
    Quote from mybackpages
    God bless you, is all I have to say. I am merely a student, and it discourages me, but also encourages me, to fight to make some changes in this profession. In my mind you are a saint!
    Oh, my, I'm sorry if I am discouraging you by all this. But don't be, we need more activist nurses that will stand up and not take this sitting down. If we all protest, things will have to change. I get tempted to just quit nursing alltogether. I said earlier that I was going to change my career. But, I'm just venting and it makes me feel better. I really would like to stay in nursing because as the population ages, we will need nurses to take care of these people. We just need to stop taking this and speak up. If we can get some unity in the workplace and nurses stop backbiting one another, then this can happen.

    Oh, thank you for calling me a saint. But I'm really not. I'm just one of the few. There are so many nurses that do stay in these environments and lose their health and sanity in the process. We just have to pray and ask God to bless up and help us improve healthcare. First thing, the business aspect of healthcare is going to have to go. You can't have good nurses and big business in the same arena. With that, you have patient care that gets put on the backburner and the bottom line becomes the almighty dollar. If these for-profit places really cared about the patients, they would make sure we were adequately staffed and not overloaded with work. But they work with as few nurses as they legally can and overwork them. It's not right. We've got to form a strong united front to combat this all.

    Best wishes to you as you pursue nursing. I'm sorry if I discouraged you at first. But, you seem to have the potential to be a very excellent nurse that will be a fighter. Together we can change things. Thank you for everything.
  5. by   SaharaOnyxRN
    Quote from banditrn
    Reading this - and all the other posts here - plus my own experience in the past few months has shown me a whole lot - the guy that invented nursing homes should be run over by a truck!

    I remember a supervisor that I had at the hospital saying one time that she couldn't wait to retire and have some nice little low-stress job in a nursing home. That's what gave me the idea to go to work in one. Never DID like her.
    LOL!!! She just didn't know, did she? I have heard nurses that thought nursing home nurses didn't have as much responsibility as acute care nurses. Well, I've worked in both, and I think that nursing homes can sometimes be worser that acute care. You have way more patients. And although the acuity isn't as high in a nursing home, on a rehab unit in a LTCF, these patients are often post-op and are coming to us sooner and sooner after surgery. This is no place to be when you are understaffed and overworked. Your license and the patients are not very secure.
  6. by   SaharaOnyxRN
    Quote from chatter
    i know what you mean about the DON (i love her dearly). we had a med-aide call in one day so she had to pass the meds and the ADON and the MDS coordinator !!! All three of them and still the pass was out of compliance because of time. sorry just had to say it. After that for at least a week or so they appreciated all of us just a little more.
    LOL!!! Sometimes it takes reality to bring them back to reality, doesn't it?
  7. by   SaharaOnyxRN
    Quote from LZRN
    Give a good report and leave!
    I try, but most times, when I come in the next day, things are still not as they should be.
  8. by   SaharaOnyxRN
    Quote from k3immigrant
    i can relate to your situation.i work in critical care & tried LTAC to break my routine thinking that it will be less stress, i was wrong.two weeks on the job, i quit.
    you seem like you are a very good nurse & i guess the best way for you is to talk to your DON/Management & if they don't do something about it, get out of there.there are lots of hospitals who are willing to hire good nurses like you.
    GOODLUCK!!!
    Well thank you for those very encouraging and sweet words. I know that I try to best I know to be. Oh, so LTAC is just as bad? I figured it had to be, the local LTACH has a high turnover.
  9. by   SaharaOnyxRN
    Quote from barbie90210
    [font=book antiqua]start by getting organized. you know that you can't complete all that work in eight hours. if i were you i would make a sheet organizing what treatments were an absolute priority - maybe about half of them. i would give my report to the evening shift and pass whatever was not done along reminding them that nursing is a 24-hour profession and you are expected to complete your shift in eight hours per your manager (by the way she sounds like a slave driver). we all try not to leave things for the next shift but you are being taken advantage of. when you do this it will force the manager to deal with the complaints and do her job. consult with the labor board on the issue. do not clock out on time and continue to work. if you are clocking out after your shift ends and they are not paying you for time worked i believe this is a violation. you should remind your manager of this. learn to stand up for yourself in this situation. the job doesn't sound as if it is worth keeping anyway. document everything and be professional in case you need it in the future. you must chart that you have passed on such and such treatment (dressing change, etc.) to the evening shift. make sure you chart your assessment, the patient's condition, and indicate that there are no complications. make sure to write something like "dressing change endorsed to n. nurse rn) - and report complete to n. nurse rn)". this will cover your license. be prepared for resistance and even being ostracized. the other option is letting them beat you to a pulp. you are saying that the situation was manageable when the shifts were 12 hours. this says to me that the eight-hour shifts can work if the manager does her job. you have to think about yourself and your children first. just be careful to do everything in a civilized and professional way. if they argue with you during report do not go on a guilt trip. simply state what needs to be done and do not defend yourself or argue. this will be very good practice in assertiveness. you state that the second shift doesn't "deserve" to have work passed on to them? no. what about what you deserve? you have to realize that you are not the only one working there. try to realize that you are a part of a team - you are not the entire team. if you document as i described and the patient suffers an adverse reaction your license is covered. i'm not saying i like the idea that the next shift will not do the work and harm the patient. but you are not their manager. let her discipline them. you may need to write this up because they are uncooperative and lazy. you can also write that dressing change on the mar and include a time (such as 2200). it sounds as if this will be hard to fight or change but there is always a possibility. they know you are new, insecure, and are preying on that. do not be threatened by being written up. respond in writing to any counseling and have it included in your file. keep copies of everything. you state that you are concerned about losing your license if everything isn't done. the workplace is unsafe so you need to protect yourself by properly documenting as i have described. in the meantime you should look around for another job that is less abusive. :trout:
    thank you very much for your much needed response. the manager is worthless. i believe she may be wanting my job anyway. that may be the reason she is letting this continue to go on. i've told her about it and she knows because she's worked the cart herself when i was off. she even said that it was horrible, but did she try to change it? well of course she didn't. she even disclosed to me the other day that she wanted my position and had put in her notice so she could go to the floor and work the cart i'm now on. she told me that she was sick of being supervisor. but she said that when she put her notice in, they denied it and begged her to stay supervisor. well, i'm very analytical, so i put two and two together and i figure that she is wanting a job, and that would be mine. i see some other behaviors indicative of that. well, i wonder, when and if i leave, will all the work still remain on first shift? i bet, then, that things will change. because right now, they don't seem to change. and she is well aware of of everything. do you think that she may have contempt for me?

    i thank you for the advice on assertiveness. i really need to learn to be that way. i believe that i need to be assertive more often. i have always been the one that would not speak up because i wanted everything to stay calm. but, in the process, it wears me down. i will try to be more assertive. i am not superwoman. i cannot do it all. now i've got to train myself to say that i will not do it all. once i get past that, i can gain the respect that i so cherish.
  10. by   SaharaOnyxRN
    Quote from Daytonite
    I'm glad to hear you're getting a new job. On your way out the door of this place you should place a call to your state department of health which is probably the agency that licenses and inspects the place. Tell them about the situation with the treatments and why you quit. They'll be interested and might pull a surprise inspection on them.
    Thank you. I would love for the State to roll up in there right now. I want them to see what I see and know. They won't be able to turn a blind eye to it. I might help them on getting there
  11. by   SaharaOnyxRN
    Quote from HotmaleSPN
    Dont Crack, that is what they want you to do, I would stay at that job, because the next place you go to will be even worse. I work in LTC and I experience high pt loads, staying late every day, ect... A little trick I do is Flag all the priority treatments, and take the Treatment cart and the Med cart with you on your med pass. THis may seem like it takes longer, but once your done the pass your done, then all you have left is charting, and if they request prns ect.. Also Nursing is supposed to be a team effort, so dont feel bad for rolling anything over to the next shift, thats why they are there right?
    You're right. Nursing is a 24 hour job, and they know this, but they won't accept it. And I guess the DON and Administrator are afraid of losing them because it's so hard to replace nurses on 2nd shift. And the patients tell me all the time that they can never get anyone to come see about them on 2nd shift. You know, I wonder what are they doing? I know that they have 2 med passes, but so do I. But they don't have treatments, and don't have to deal with as many meals, etc. What could they be doing? I worked part of 2nd Friday, and it was so quiet in contrast to the day shift. On top of that, excuse my language, there is this cow in PT that thinks she knows more than the nurses and is always coming around tellling us nurses what we need to do for our patients. I am so sick of everybody being so disrpectful toward the nurses. Do we ever get a break?
  12. by   SaharaOnyxRN
    Quote from P_RN
    Tell me why you are staying? And not that you love patients etc. What makes you want to stay?

    I suspect that your answer is because you want a good job reference or a good evaluation. Do you honestly believe that anyone would accept what these people consider a day's work? Facilities' reputations get around.

    Do not ever work, medicate, chart, pick up off the floor or anything else if you are off the clock. You can fight it in worker's comp hearings, but it's better to be either off and gone or on and getting paid.

    I'm with the screen door theory. Vote with your feet and don't let the screen door hit you in the rear. Right now you are so stressed it's making you ill isn't it?
    I guess besides all the other reasons, I'm staying because I want to believe in my heart that things can't be this bad all the time. I get good feedback from the patients that make me feel like I am making a true difference in the care they receive. But what they don't know is that I don't feel they are getting the best care, especially when they aren't getting all that need to be done for them. I feel that it is an underserved area that people can't tolerate to work. Now, I know why, they are not able to do all that they are required to do.

    Oh, yes, i feel terrible. I have aches and pains that I've never had and it seems that my psoriasis is getting worse. I have some cruel anxiety attacks and my hair is shedding (may be seasonal) like a mangy mutt. I am definitely going to go to that interview. I think I've had enough. I feel that the Lord knows that I've done all I can do. That's why He opens these doors for me to exit.
  13. by   HisHands
    Good luck with your interview... I'll be praying for you.

    I worked in a LTC facility day shift 12 hours. There were days that it seemed like I would be staying over forever. But eventually those days subsided and I was ready to leave when the next shift came on about 95% of the time. It was extremely busy, but getting everything done in 12 hours was extremely do-able.

    Now, I work in a rehab hospital/ltc that only works 8 hour shifts. I'm staying late probably 50% of the time because of my time management skills. I'm so used to having that extra 4 hours a day to catch up on everything. It's really really difficult to feel like I am on top of things. But let me tell you what I found to be the MOST defining reason why I stay late at my new job and not my old job:
    Breaks.
    At the 12 hour job, I took every single break that was coming to me.
    At the new job, I think I'm too busy to take a break, so I don't. Many days I don't even take a lunch. So, I end up getting tired and overwhelmed, but instead of giving my mind a few minutes to relax, I over burden it with even more work. I'm going to start taking my breaks now... and you should to. You'll return to work with a fresh mind and you'll feel more organized.

    Blessings,
    Crystal

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