There's a Mousetrap In My Med Cart - page 7

As some classmates in our RN nursing program gathered around in a small group this morning, I sided up and listened to a story that quickly carried me back in time when I was a newly licensed... Read More

  1. by   whoopsadaisy
    LMAO @ "Signed under duress. Med passes done outside the open window causes included a patient who had fallen and who required fall protocol procedures as well as the requirement to care for the Charge Nurse who exhibited symptoms of cardiac distress. No assistance was given even to me even though I notified heard nurse of the impending problem." zunsyne!!

    Loved this article; so glad to know I'm not alone. (But MUST we disparage the night nurses? I've had my fair share of report from 6-6 and 2-10 nurses who spend more time on gossip than report, and/or are also tired/frazzled)

    Many great suggestions here for this problem, and an awesome example of excellent leadership to end the article perfectly! Printed and shared. Like others, reading this made my stomach tie up in knots all over again. Keep writing!!
    Last edit by whoopsadaisy on Feb 17, '14 : Reason: wierd format
  2. by   adventure780
    whoopsdaisy same here, falls happen or something goes south with someone and my charge nurse is MIA, I hate when I have to man my cart plus go do her job, it takes precious time I need for my patients
  3. by   spiderslap
    Quote from Valerie Salva
    I think that there are tens of thousands of LTC nurses who are giving their meds outside of the time parameters every day. Some meds passes are so huge, there is no way humanly possible to get the meds out "on time."

    We pretend we give them on time, and mgmt pretends to not know how it really works- that is the reality of LTC.
    Very true. If called on it, I would challenge anyone to try to work a single shift of mine, as a brand new rn and float, and pass meds by the books. Won't happen, it's impossible. I may have 27 patients who I barely know or never met with different schedules (pt, activities, appointments. ..)and of courses there's always a handful of 15 min checks or qhr vitals. Lights, alarms, yelling. It goes on. Its absurd to order eye drops 4xday which don't align with any other meds, among other little details that become huge when multiplied by the amount of patients. I often wonder what will become of ltc if there aren't safe ratios enforced. People at the top get richer as we run like chickens with our heads cut off trying to keep everyone alive. This story was fantastic and just what I needed after another horrifying day at work.
  4. by   adventure780
    oh my story has some added spice to it, not only were we responsible for 20 plus patients' meds and treatments plus doctors calls, we had a flood by the visitor's bathrooms and the maintence guy told us to go suck up the water with the machine in his office, he refused to come in and fix it
  5. by   Penholder
    Props to the nurses who face this every day.

    No props to the MDs who feel the need to have people on so many meds. I've seen a patient on 32 meds and 1/3 were supplements.
  6. by   adventure780
    I agree, we get happy when patients have only 6 or 7 meds, it's rare but at least they aren't on too much, and we can call if they seem to need anything else down the road
  7. by   erickadomingo
    Omg I am in tears. Second week as an LVN in LTC. Prior work was in a Drug and Alcohol Rehab. I was more administrative. This has been the worst time of my nursing career. I felt like I was ready my daily struggle except I only work 8 hours with 24-26 patients and still have outrageous amount of charting that needs to be done before I get off. A lot of the time I end up clocking off so I don't get in trouble for overtime, and try and finish my charting. Only to be driving home to remember all the stuff I forgot to do. So stressed and the nurses that have been there forever are mean and don't help and irritated when I asked questions. I just wish they could remember when they where new nurses to LTC. I cry everyday regretting taking the job not because of the patients love them. Just thinking I was the only one still passing morning meds at 11. So frustrated and exhausted. My feet literally have bruises on them and swollen every night. I can barely drive home because of the pain is so bad.
  8. by   adventure780
    hey erickadomingo, you need to get some of your fellow nurses together and demand change, also check your shoes, do they have enough support? In LTC they keep adding on patients and paperwork for us to do, it's crazy! We are treated like machines by adminstration rather than human beings.
  9. by   Bear92
    Hey Ericka! A word of encouragement. Yes, it is tough and seems impossible BUT please give it a couple of more weeks and you will find that it gets easier. You will craft a routine that is effective. You will also become aware of priorities such as insulin etc. You are on a huge learning curve with multiple areas. But you will get it and even wonder why you stressed about it so much. Be patient with yourself. Those of us who have worked LTC sympathize and understand. It is tough BUT it is also very rewarding.
  10. by   angeloublue22
    Thank you for this! I had to do this with 30 geriatric psych patients and I thought that was bad until I moved to a prison and had to pass meds to 300 patients in 2 hours. Oh, I cried a few times for sure. We had a secretary that always had a treat box and when she heard we were having a particularly bad night she would treat us to coffee. There are some great lessons in this. The lesson I like the most is that it doesn't take much to support each other but it sure makes a huge difference.
  11. by   tsm007
    Best read I've had all week.
  12. by   xxMichelleJxx
    Wow I love this. It explains exactly how I felt when I used to work as a LPN. I had 40 patients and every day at work I cried. It was miserable. Now I'm a RN and work in a hospital In the ED. I'm glad I don't have to deal with mousetraps anymore.

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