dream'n, BSN, RN 9,622 Views
Joined Aug 28, '06.
Posts: 853 (56% Liked)
I don't recommend nursing for you. As I've said in a previous thread, I don't like when people come into nursing and don't want to touch a patient. Nursing is a patient centered career. No you can't just skip the "bad bedside" stuff. Please...you'll have to pay your dues wiping **** and getting cursed out like the rest of us first. Get your degree in IT and work at Google or Amazon
I don't think I've ever worked at a place that had urine testing strips. If a concern comes up with a patient, we get a urinalysis. Maybe this antiquated testing just needs to be stopped.
I might get flamed here, but on the surface, I would not have immediately considered this a serious-type/sentinal mistake. It's certainly not good and could have important ramifications, but it's not like a full Heparin bag run in over 30 minutes or 50 units of Lispro given to a non-diabetic. Not dressing a wound is not the mountain top of horrific nursing actions. Now I would have spoken with the nurse; Why? Because I would want the same courtesy. Does her documentation clearly state that she dressed three wounds or does it just state that she dressed THE foot wounds? Perhaps she was distracted and not focused, which I agree is not a good or proper thing, but we all have made mistakes. Is it possible that it was accidental? You are not privy to all of her employment information that your supervisors are. So yes I would have spoken to the nurse AND I would have informed my supervisors of the patient complaint and my later assessment of the dressings/wounds (which I would document with a fine toothed comb) but that is where I would have dropped it.
And did you hear her yourself state that she didn't want her previous issue hidden from the boss? Or is it just gossip you heard from the other nurse involved?
Staffing to acuity
A coworker that has specifically targeted you that is buddy-buddy with management, I've never seen this scenario turn out for the positive. This person has already affected management's opinion of you for the negative. It feels like going to work and beating your head repeatedly into a brick wall. My recommendation is to leave. Maybe if you can hold out for around 2 more months then give 30 days notice you'll be able to get your year? Again in my experience, once you give notice they will leave you in peace and let you finish out your time more pleasantly (because they got what they wanted). Take the high road and let the two of them roll around in their own muck, life is too short to take such BS.
For me, I guess it would depend on the pediatric population at your hospital. I could handle a 12 year old appy, but a 5 month old with sepsis, no way. I didn't like pediatrics way, way back during school clinical because of all the medication math calculations, everything is so weight based in little ones.
When I first heard the term I thought it was just another load of co-dependent nursing BS for PsyDs to do fluffy research on but upon further examination I realized I had it to some degree. For me just recognizing my internal negative dialogue to the 1,000th cluster B patient of the month who was only trying to work me for schedule 2s with no intention at this time of doing any work towards personal growth actually made me feel more at peace, more compassionate for the 1,001+ patients I encountered. In my specialty I need to be cynical and look beyond the surface story but that doesn't mean I need to approach anyone's situation with disdain.
LTC facilities do not have the knowledge or staff to detox and provide substance abuse counseling to patients. They will need a behavioral counseling program for that.
I was mandated so much in my early career at a LTC, that it's a make it or break it issue with me now. I haven't been mandated in probably 20 years, if it happned I'd stay over, but only due to my license. I would seriously hold it against my employer though and give my notice as soon as I could secure another job. Recently they hired a RN that appeared less than reliable to the shift following mine. When I asked my supervisor what she would do if that new nurse didn't show that night, she insinuated I'd have to stay (The nurse did show up). Needless to say, that didn't sit well with me and I immediately found a new job. I'm too old now and will not play the mandation game for any employer; they might stick me once, but then I'd be out.
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