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dream'n, BSN, RN 9,810 Views

Joined Aug 28, '06. Posts: 861 (56% Liked) Likes: 2,341

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  • 4:49 am

    Of course it's cheating. It's also unethical, irresponsible, and arrogant to think that one is so good that they don't need the amount of education that expert educators have decided is necessary to become competent.

    It's really the responsibility of the FNP program to verify that clinical hours are being completed. If this misrepresentation of hours is so widespread, clearly the program isn't fulfilling their obligation to validate the hours submitted. Since you're not the preceptor for this student, nor an FNP instructor, I don't see what you could do about this (other than report the student to the school, but the time to do that would have been when you first learned it was happening). I would just make sure that if you are asked to precept any student in the future, you make it clear that you will only be signing off on the hours they are present.

  • Mar 28

    You need more staff, it sounds like.
    That's the only "team building" that will likely help.
    Is your unit looking to hire more nurses?

  • Mar 28

    I'm just going to put this quote here:

    quit-boss-jpg

    I'm in the position where I want to find a new job, and have been trying to do so for the last several months. I love what I do; management has torpedoed morale to the point that no one is happy.

  • Mar 28

    What is drawing you to med-surg? With 3 years of experience, you would be qualified for other opportunities.
    Handling med- surg entirely depends on if you have the physical stamina required to work on a physically demanding unit. Can you stand on your feet for 12 hours, walk for miles, and lift 50 pounds?
    I worked med-surg until the age of 60. I feel I was lucky I could handle the demands, but would only take 8 hour shifts. I felt luckier when I got out of it.

  • Mar 28

    Never too old!!

    Ok, now that I got that out of the way.

    It's not about age, it's about if you can handle the physical demands of med/surg. There is a lot of running, bending, turning, twisting and lots of lifting.

    I have worked med/surg with nurses older then you and never felt they could not do their job because of age. I have worked with much younger nurses that couldn't meet the physical demands.

  • Mar 25

    Our unit got another one of our periodic reminders to quit looking at our phones at work. So, my last shift I made a concerted effort to comply. Yes, I'm as guilty as the whippersnappers!

    What do you know, when I got home after midnight I'd missed a text from the assistant manager about working the next day, lol. So sad. I would have replied quickly if I was checking my phone frequently at work like normal...

    I apologized the next day when I replied that I couldn't work.

  • Mar 25

    Well, if they write you up, does it do anything? Do you get suspended after so many write ups, or is it just another piece of paper for them to wrangle. I'd be tempted to send an email (and save it) explaining why you are unable to attend within 12 hours of your night shift, and then just don't bother going. Let them write you up. It's unsafe, and illogical, and don't they circulate minutes of those meetings? Just read the minutes.

  • Mar 20

    If a workplace has a lot of people quit, the employer needs to wake up and start appreciating and respecting the remaining employees and grant their time off, otherwise they will have an epidemic of burnout and a revolving door of employees.

  • Mar 17

    The most sincere & well thought out exit post I've seen here cocoa_puff (full disclosure, we prefer Count Chocula at our house)

    I've often wondered if I could have coped with the job had I started with nursing as it is today. I won't offer anything in the way of your possible options within the field as a whole as you've already been diligently exploring alternatives.

    Your mention of disliking patients and families is a symptom of the other stresses you described. You're not and never were a horrible person.

    All the best in your new career path.

  • Mar 17

    Well, I did it. I turned in my two weeks notice. I'm finally leaving the nursing profession, for good. I had planned to do this months ago, but I decided to persevere a few more months to see if my opinion of nursing changed. It has not. These last few months fully confirmed for me that nursing is not where I belong in healthcare. I applied, interviewed and shadowed in various other nursing specialties, including ICU, outpatient clinics, case management, oncology/hospice, dialysis, and even outpatient psych, and none of these were right for me. I thought my problem with nursing had more to do with my specialty (cardiac step-down) being the wrong fit for me, but now I know that I honestly do not want to be a nurse, at all.

    Like most nurses, I dislike the short staffing, high nurse to patient ratios, the demanding families with their unrealistic expectations, needy, rude, and manipulative patients, patient satisfaction surveys, the increasing demands being placed on nurses, healthcare politics and drama, and so on. I know I'm not alone on this. But I dislike the basic elements of nursing, I don't like my role in healthcare with so much responsibility and so little power.

    Surprisingly, I don't mind patient care. I have no problem cleaning up a patient, helping them to the bathroom, feeding them, or cutting a little old lady's food for her. I have no problem doing this. I also like collaborating with MDs and NPs (well, most of them), I enjoy learning from them and trying to advocate for my patients. I have been told I do very well with critical thinking and problem solving. I don't mind charting. I absolutely love my dementia patients. These are the few positives I have with nursing.

    Now on to the negatives.

    My biggest issue in nursing is resuscitating a terminally ill patient, not because it is what the patient wants (I would not have a problem with the patient's own decision), but because the family is selfish, unrealistic, and refuses to let go. I have had several instances where a patient in a persistent vegetative state, with a trach, peg tube, and no quality of life is kept full code by family, even though the patient is in that state because family insisted that "everything be done." I have had several patients who died peacefully, were DNR, but family insisted that we "do everything" and we had to. I have serious moral and ethical issues with this.

    On a smaller note, I'm a perfectionist, leaving work undone is extremely difficult for me. I dislike the routine of passing medications over and over again; how impossible getting everything done feels with 6 high acuity patient and the many issues and problems that come up; running around the entire shift with very little food and rarely my full 30 min break (considering that I've lost 10 lb since becoming a nurse, and I was underweight to begin with). Being genuinely uninterested in what I'm doing/learning as a nurse, while also feeling super stressed and overwhelmed. The lack of hard science in nursing also contributes to my lack of interest.

    I also cannot stand dealing with constant issues for 12 hrs and "customer complaints" among the thousands of other things I need to do. I honestly dislike most of my patients (however, I never let this show). I absolutely hate talking with family members. I hate small talk with patients and dealing with patient/family drama. I hate getting blamed for everything (even if I have no control over it) and feeling like a human punching bag. I hate that I feel no connection or sympathy for 99% of my patients, and that nursing has made me see the worst in people. I always feel frustrated and angry. Every minute of my shift I hate it, and then I dread going back to work on my days off. Since becoming a nurse, I feel like I haven't been able to enjoy life anymore due to how much nursing drained me. After being diagnosed with anxiety/depression about 2 month ago (I was crying every day and getting to the point where I thought dying would be a relief - thankfully that has passed and is under control now), I realized I didn't want to live my life like this anymore, and for my physical and mental well-being, leaving nursing would be the best solution.

    Since I've "officially" made the decision to leave nursing, I have felt better than I have in a long time. I feel alive again, like a weight has been lifted off my chest and I can finally breathe. I will always remember and value what nursing has taught me, but I sincerely believe that I am one of those people who is just not right for nursing. It does not mesh well with my personality, interests, and especially not my mental/physical health. I have the highest respect for nurses. Everyday, you are able to do what I cannot. I felt like a failure and a horrible nurse for a long time because of this, but I came to realize that it is best for myself (and my patients), if I find something else to do. I also realized that there is no shame that nursing is not right for me, as long as I did my best to take care of my patients, didn't let my disdain for nursing show, and continued to be a responsible and dependable employee while working as a nurse.

    I'm going to be moving on to a new career, with no patient/family interaction and way more science involved (Masters in Biomedical Engineering). I'll still be around on allnurses because, well, I love you guys!

    *Way Too Long to Read: I'm leaving nursing, it wasn't for me at all. I'll still be around. Nurses are awesome, thank you for all you do!!*

  • Mar 17

    Mountains out of molehills annieb. Nobody there cares that your grandma was a patient nor do they care if she becomes one again (and by caring I mean it isn't an issue). This happens all the time. There is nothing to disclose. If she gets admitted again let your charge nurse know so she isn't assigned to you and carry on. They are not going to fire you for this but you must let your family know that if it occurs you are not available to them while you are on duty. That's where things can get sticky.

  • Mar 17

    Exactly. This is a big, fat non-issue. You don't care for family as an employee and that's it. No biggie.

  • Mar 9

    I have been a manager, a director of the Emergency department and critical care services, and I have been an educator. I again sit here shaking my head at some of the responses. Too many nurses truly take themselves too seriously. People have private lives. We have NO IDEA what her business is and the importance of that phone call to her life outside the hospital.

    I agree that she could have handled it better but I truly....in my heart of hearts, DO NOT find it a reason for termination. Unfortunately, she is on orientation and that means they can fire her without cause. As a supervisor I will say that an overwhelming majority of nurses have their phones on their person and use it to look up things. Cell phone are a necessary evil but there is an edicate for their use.

    So, she took an important phone call and the instructor was not happy. But to flip out about "not knowing where she was!!" tells me this person has some issues. How could the OP handle it better? Tell the instructor ahead of time she may have to answer her phone. Talk to th4e lawyer until the OP checked in with the instructor. But I stand by statement, this is NOT aan event to fire someone. I would consider it an omen about working there and move on.

    Good Luck!

  • Mar 9

    Quote from Strugaaa4eva
    I guess you're right. I will take this as a lesson learned but will not be seeking anything else at this time.
    I am looking at the responses and I sit and shake my head at the responses and I am reminded once again at the present culture of nursing. Frankly I feel we all need to take a look at ourselves and develop a sense of humor....we need to learn to laugh at ourselves.

    I don't think your phone call was a terminating event. If this facility fired you for this and the person in orientation flipped out....which I feel is extreme....and they fired you for it.....count your blessings. IMHO this would be an extremely difficult environment to work in...keep this experience in your mind but don't let it deter you from what you want.

  • Mar 8

    the doc is right, there is minimal difference. if he wanted the dose delivered in a certain time frame he could have increased the flow rate an amount eq. to the difference. the only problem would be with some one on a SEVERE fluid over load watch.


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