Jolie 28,868 Views
Joined Oct 17, '01.
Posts: 9,537 (48% Liked)
We can debate the merits of one form of passing the time over another, but I think the most proactive approach would be to talk to your supervisor and say something like: "It is difficult for me to stay alert during the long periods at night when a patient is clean, comfortable and sleeping. I find it helpful to have another activity to do at the same time that helps me stay alert. Are there any activities that you feel are acceptable?" You may not get the answer you want but you might get some alternatives that you could live with.
What would you have liked them to do? I note your bias for allowing written work and reading, so long as it isn't on a phone.
Let's be specific here. In a dark room on the night shift, what is acceptable? So far I'm hearing that using a small light in order to read a book-not-on-phone is okay. Anything else?
What did the staffing agency sitters do that you approved of?
We're not talking about anyone lying down on a bench. We're talking about what a good employee should do in a dark, quiet room in the night, when s/he needs to stay awake/alert.
Supervision is about hired role and licensure, not level of education. The MSN prepared nurses cannot "refuse to be supervised"- it's simply not their call. The nurse manager should have a frank conversation with his/her staff about this issue.
Honest to God, you are supposed to, wake the patient up? í ½í¸¡
IMHO, it is WAY over the top. Starting with waking the patient up, and with everything that follows.
The good news: if everybody (and I mean that:every single nurse in the unit) will either 1) clock off late because of meticulously following that schmolicy AND write down an explanatory note every single time it happens, as well as every single time when patient refuses to participate in that circus; 2) file incident report and write down a full blown note about every single patient/family member unhappy with being woken up (I assure you, there will be plenty of them), and/or 3) tell the aforementioned unhappy "customers" something like that: "I am sorry to see you not happy about me waking up your mom but I am just doing my job and I can be fired if I omit any part of it; here are paper and pen, please write down a letter to management team, and also please make sure that you mention this in the survey you'll fill at the time of your mother' discharge", then the whole madness will die within weeks.
Or, if you can afford it otherwise, just vote with your feet and take medical/family/vacation leave for the remaining two weeks
No way....over the top...nursing has turned into an unrecognizeable bureaucratic mess... By nature patients are often complaint magnets and people just like to gossip. I can see the writng on the wall. If the family is in the room; good luck getting out of there. Sounds like something the social worker needs to do.
I'm not going into a patient's room and say how I know the oncoming nurse or whether I'm going home to my family or out to a bar and down 6 shots of Jack because that's how I descalate from a work shift. It's none of their business. Facilites are places of business, not social functions to all hold hands and sing Kumbaya.
Next, there will be safe places for patients who get tramatized due to the change of shift.
Talk about a waste of time...IMO of course. I can't even pee half the time or eat lunch let alone walk into every patient's room with the oncoming staff and have a chit chat about where I'm going after work and how I trust incoming.
Wonder how they would feel if I told the truth, instead of "I'm going home to be with my family, your day nurse sure is super fabulous!": "Mr Smith, sorry for waking you after you finally managed to fall asleep at 6AM. I'm going home to eat a Lean Cuisine in front of the TV with my three cats and try to forget the fact that if I was killed by falling down the stairs at home, no one would notice unless I failed to show up for work, but by that time, said cats would have already chewed my dead face off. This is your day shift nurse... um, whatever her name is. Probably Katie or Abby, most of our 40 new nurses are one of the two. I'm sure she'll take great care of you, especially since management just sent out that super helpful email reminding people that the proper procedure to take off a stuck microclave from a PICC doesn't involve cutting it off with a pair of scissors. Anyway, she's been a nurse for like six months but she's already in FNP school, so I'm sure it'll be fine. Bye!"
So glad my patients don't talk.
I agree that leaving the room to care for another patient is not patient abandonment. No one suggested patient abandonment to the OP. If I found sensitive information in the trash, I would just shred it myself, not report a HIPAA violation. If my coworker asked me questions about my sexual experiences that I didn't want to answer I would just tell them not to ask me stuff like that. I probably wouldn't be bothered at all if they asked me about a coworker's sexual orientation, but I guess that might depend.
OP, these were all things you made reports on. It sounds a bit like tattling and it can ruin your relationships. Some people tattle when they have anxiety about a situation. Do you think this applies to you?
You were offered another position, but even though you felt you were being bullied, you didn't take it right away. Were you feeling anxious about transferring?
Don't assume that you didn't get another job because of this termination. There could be many reasons.
I think you should move on, but don't miss the learning opportunity. Figure out why you felt the need to report your coworkers. Think about what you can do to
be a team player in your next job. Become aware of your own anxiety to avoid sabotaging your next job. Maybe some therapy.
I probably would have just placed it in the shred bin.
Things happen, ideally we do not want to put assignments in the trash.
If your manager is concerned they will follow-up. That is their job. You will likely not know if any follow-up has been done since it is between the manager and employee.
What did this other person say when you mentioned it to him/her the first time you found one in the trash?
What did your manager say when you let him/her know that you've come across a couple of assignment sheets in regular trash recently and wondered if the staff could benefit from a reminder?
Why is there conversation going around about who finds which other staff member's assignments in the trash?
Tip for the future: Those who attempt to boost their own morale and personal sense of self worth (consciously or subconsciously) by trying to knock down others, NEVER truly win that game. NEVER.
I was bullied mercilessly from 6th to 8th grades and considered suicide myself many times. I honestly don't know what got me through it all. My parents never knew how I felt because when I tried to tell them, they told me it was my fault for not being able to make friends. I felt like I had no one on my side. Even my teachers were mean to me. I was chronically sick and depressed, often with horrible stomach problems and diarrhea/vomiting, I was so upset. I missed half my school year in 6th grade, too sick to go to school. It was an awful time; I was so lonely and sad.
I was hypersensitive when I was a parent as a result, and I watched my own kids for signs of them being bullied but they never were. They were more confident and able to make friends than I ever was. My daughter's school was unique and had a really nice program to tackle bullying head-on. She was in a group of kids selected to sit with younger kids who had no friends, at lunch. It was a wonderful program cause these kids were suddenly "cool", as the "big" 8th grader was eating with the lonely 3rd, 4th or 5th grader. They also hung out with them at recess, further cementing a relationship that lasted for years and benefitted both the lonely child and the one helping him/her. It boosted the younger child's confidence and the bullying stopped.
Schools and teachers need to step up and do more about bullying. You can't tell me, for one minute, teachers don't know who is being picked on or bullied and they need to stop it. Bullying has horrible consequences. Suicide being but one. Another extreme being the kid(s) going to school and killing classmates. Bullied kids grow up to be nervous adults with no confidence in themselves and those feelings last a lifetime, often stunting potential.
It's never ok to bully, harass or pick on anyone for any reason. Parents need to be accountable, too. If their kids are incorrigible, then they should be removed from the school and sent to an alternative school or homeschooled. They have no right to be there, hurting others. It's often the other way around, however. It's the bullied ones who end up being pulled out of school, which is the opposite of what should happen. It sends the wrong message that the bully always wins and can chase others out when he or she chooses to do so. The victim should not be re-victimized by being stigmatized or removed.
The child bullies often go on to be adult bullies and raise the next generation of bullies and on it goes. It has to be stopped.
I need a catch phrase now!
Usually you will find some luck contacting the major academic medical center in your area.
You'll get better location-specific answers if you ask on APNA forums.
To add to the coming troubles I see ...
Some school systems are no longer teaching/requiring cursive writing (hand writing, script, etc.). Students are graduating high school without being able to write in cursive and only a minimal ability to read it. Everything in their schools are printed in block letters. I've read that history professors and other social sciences are concerned because their students can't read documents that aren't in block print -- diaries, hand-written letters, etc.
The school district that my niece and nephew attend is such a school. As teenagers, we discovered they couldn't sign their names in cursive -- only in block print. We have since insisted they learn to read and write cursive on their own so that they will have the ability as adults.
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