I'm about to crack...read this and help!!!! - page 5

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   banditrn
    Quote from SaharaOnyxRN
    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?
    I'd have told her, sweetly, that anytime she thought she could do my job better, to go back to school for however many years, and give it a try!!

    I understand what you mean about the lack of respect, sometimes, but we don't have to tolerate it. The incident that cemented my decision to leave my current LTC position was during a nurses meeting when the DON stated that she couldn't understand how we could ever have to have overtime on nite shift!! Now, keep in mind, this gal absolutely refuses to ever do any of the nurses jobs and has NEVER come in on an off shift.

    I have myself and 1 aide at nite for 35 to 40 residents - and, I'm sorry, the residents come first. Some nites the lites are crazy, everyone is wet, they all want PRN meds, we have 5 wanderers, several skilled, I have extra paperwork to do at nite, plus a large med pass to do in the AM. So, I told her that unless she wanted to come in some nite and see how things went, she had no right to say anything.

    It's not like it's often - I hate getting out late, but if it's been 'one of those nites' some of the charting gets left until the day nurse gets there.
  2. by   SaharaOnyxRN
    Quote from 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
    Thank you very much. Please keep those prayers coming. I need all the prayers I can get. As for the interview, it went really well. Seems like the manager will be calling me in a couple of days. I sure hope and pray everything works out.

    I think you're right. I definitely don't take my breaks. It just seems that I need every waking minute and don't have time for much more than anything but bathroom breaks. On a seldom good day, i take a lunch, but mostly, I don't. I believe that I am going to have to train myself to start taking those breaks. Breaks give the mind a pause. I think that would certainly help. Thanks for the much-needed advice. And God bless you, too.
  3. by   SaharaOnyxRN
    Quote from banditrn
    I'd have told her, sweetly, that anytime she thought she could do my job better, to go back to school for however many years, and give it a try!!

    I understand what you mean about the lack of respect, sometimes, but we don't have to tolerate it. The incident that cemented my decision to leave my current LTC position was during a nurses meeting when the DON stated that she couldn't understand how we could ever have to have overtime on nite shift!! Now, keep in mind, this gal absolutely refuses to ever do any of the nurses jobs and has NEVER come in on an off shift.

    I have myself and 1 aide at nite for 35 to 40 residents - and, I'm sorry, the residents come first. Some nites the lites are crazy, everyone is wet, they all want PRN meds, we have 5 wanderers, several skilled, I have extra paperwork to do at nite, plus a large med pass to do in the AM. So, I told her that unless she wanted to come in some nite and see how things went, she had no right to say anything.

    It's not like it's often - I hate getting out late, but if it's been 'one of those nites' some of the charting gets left until the day nurse gets there.
    LOL!!! I started to let her have it. No, but really, I don't say much to them because I'm afraid I may let my emotions take over. I guess she feels that because she went to school for 6 years, that gives her the right. But, she went to school for PT, not saying that they don't take some of the same things we take for prerequisites, but she really thinks that she is Florence Nightengale or somebody. And you know, my supervisor has a vendetta against me. She does nothing all day long. And I mean nothing. So, when I called in because I had the runs the other day, she got mad at me because she had to work the floor. Well, I told her, i can't help that my body doesn't handle stress very well. And why would i come in when I am already about broken down? Needless to say, she rolled her eyes and kept going. She is never around when we need her. I don't know where she hides out, but she definitely is not available to us. And she sometimes blatantly refuses to come when someone asks her to come for a second.

    So, as you can see, we have not support from management, not one bit. I will be so thankful unto God when I get to leave this place. I fear for my health. I won't last much longer if I don't get out.

    :zzzzz
  4. by   Simplepleasures
    All of the above posts describe LTC to a tee, bottom line, once again MONEY.Unionize!
  5. by   Retired R.N.
    Quote from SaharaOnyxRN
    Thank you very much. Please keep those prayers coming. I need all the prayers I can get. As for the interview, it went really well. Seems like the manager will be calling me in a couple of days. I sure hope and pray everything works out.

    I think you're right. I definitely don't take my breaks. It just seems that I need every waking minute and don't have time for much more than anything but bathroom breaks. On a seldom good day, i take a lunch, but mostly, I don't. I believe that I am going to have to train myself to start taking those breaks. Breaks give the mind a pause. I think that would certainly help. Thanks for the much-needed advice. And God bless you, too.
    Please take better care of your own health! How long do you think an automobile would function properly if you constantly tried to drive it when the oil level was too low, or when the fuel pump is sucking sludge out of the bottom of the gasoline tank because you can't be bothered to stop at a service station and put in the fuel and oil that automobile needs? You absolutely have to give yourself enough sleep and proper food at regular intervals to help avoid any unnecessary stress in order to meet even the ordinary challenges of everyday life. When you learn to stand up for your own rights to remain healthy, you will automatically become much more able to advocate for your patients' well being. You worked too hard to earn that nursing degree to gamble it away on a bad decision you might make because of fatigue or stress.
  6. by   brendamyheart
    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.
    Great answer!!!!!!!!!!!!! I work in a LTC and when the OP described her problem, my answer is to get out of there. That management will never change their tune!!
  7. by   brendamyheart
    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!!
  8. by   brendamyheart
    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.
    That is great, however if one does not pass meds on a regular basis it is hard. You pick up speed with each pass. If I were to pass meds now, it would take until Christmas till I was done.:smackingf :smackingf
  9. by   Nursonegreat
    Quote from SaharaOnyxRN


    I was thinking about traveling for a while, but I feared that I needed to be in nursing for at least 2 years before being considered, so I have never applied. But someone else told me to that as well. I know that next fall, I plan on going back to school to embark on a new career. I would really like to stay in nursing, but since healthcare has become so business oriented, it really has been hard to be a good nurse to the patients. I have prayed and prayed about it, but it seems as if things are not getting better, only worse.

    I got into nursing not for the money, but to make a difference in someone's life. But we nurses are only human. I believe they take us for machines. Our bodies are going to strain and break under all of the pressure that is put upon us. I have had so many older nurses tell me that nursing is not what it used to be. But I guess maybe they've been in it for so long that they don't want to get out.

    i traveled after working on a nursing unit for 1 yr. was a great experience...saw many different sites and how things can be good and bad....

    i think that we do make a difference in many peoples lives in many different ways that NOONE except us and our patients will know. GL with your decisions.
  10. by   brendamyheart
    Quote from SaharaOnyxRN
    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
    You would be surprised at what state does and does not do. Our LTC has had many complaints on staffing. Do you not know that the Admin staff also counts in the mix. When state investigated staffing complaints, we were not sited. Until there is a mandatory nurse patient ratio we will always face the same problems.
  11. by   BoomerRN
    Not only is it against the labor laws to work off the clock but the facilities insurance policies do not allow this.
    I have worked in LTC for 25+ yrs. and there has only been one facility that that I counted it a joy to work for and it had a union for housekeeping, kitchen, laundry. Whatever raises they received, the nurses also received. They (union) also made it easy to get rid of those who called in often or who were not doing their work. The staffing ratio was ideal and you were never running around like a chicken with her head cut off because someone was always willing to help. It was privately owned and I worked there for four yrs. I have since worked for many other long term facilities (we moved to another state) and as I said I have never found another one that even comes close. It seems today that (at least around here) you're expected to carry pagers/phones, and be on call 24/7. I was touring another ltc facility last year, after an interview with the don and as we approached a nurse sitting at the desk. The d.o.n asked here where she was yesterday because he had tried to call her to come in to work. She said she was off and had thought that she didn't have to answer the phone if she was supposed to be off. He (d.o.n) chastised her and went on down the hall showing me the rest of the facility. I later learned that this nurse was leaving. Wonder why? We are human beings and we do have lives! Of course, I didn't take the job.
    All I can tell you is to find another job and leave this one. I found that most of the time the smaller ltc's were better to work for than the larger ones. Clinical research is better than floor nursing. You can still deal with patients in some instances and not be responsible for more than several pts. at a time. It depends on what type of research you get into.
    Good luck.
  12. by   SaharaOnyxRN
    Quote from ingelein
    All of the above posts describe LTC to a tee, bottom line, once again MONEY.Unionize!
    I think that unions would be a good thing. But they seem to be very unpopular in this area. Why? I don't know. Somethings got to be done.
  13. by   SaharaOnyxRN
    Quote from Retired R.N.
    Please take better care of your own health! How long do you think an automobile would function properly if you constantly tried to drive it when the oil level was too low, or when the fuel pump is sucking sludge out of the bottom of the gasoline tank because you can't be bothered to stop at a service station and put in the fuel and oil that automobile needs? You absolutely have to give yourself enough sleep and proper food at regular intervals to help avoid any unnecessary stress in order to meet even the ordinary challenges of everyday life. When you learn to stand up for your own rights to remain healthy, you will automatically become much more able to advocate for your patients' well being. You worked too hard to earn that nursing degree to gamble it away on a bad decision you might make because of fatigue or stress.
    You are very right. I have been very blessed thus far to have made good decisions. But I know that all it takes is one fatigued thought to ruin a whole career. By the way, I got the other job. When I put in my notice, they told me how disappointed they are in me and how it gets better with time. They also told me that they were going to change things, but they have been tied up with other things and that's why the conditions have been so bad and they promise things will get better. Also, they told how many countless people are lined up for my job that I should be grateful to them for my job. Can you believe that crap they spewed at me?

close