LadysSolo 6,725 Views
Joined Dec 17, '06.
Posts: 319 (69% Liked)
People who write regulations should first have to work in the real world of a nurse on the floor. This is pure insanity, probably written so the surveyors can find yet another nit-picky reason to cite a facility and justify their job.
Sounds like you are being treated like an agency nurse. Quitting by phone or e-mail is very bad form, and the LTC market (at least in my area) is small enough that everyone knows everyone, so it can make it hard to get another job if you quit that way. I get what you are saying, I did some agency nursing in my past, and it can be like you said, but it CAN get better as you get more sure of yourself. I can only recommend getting in early enough that you can get the med cart organized, and in relatively short time you will have seen all the areas of the facility and will feel you can handle anything! Good luck to you! It DOES get better!
I became an NP partially because in my 40s (after 23 years at the bedside) I decided I physically could not lift and turn people for 20 more years. There was never enough staff to get help with moving larger people. I now plan to return to the bedside in another few years, I have discovered a proliferation of better Hoyer lifts, sit-to-stands, etc. and I believe it is possible again.
In my experience (32 years) I have found physical therapists to be bigger "bullies" than nurses, although passive-aggressive. In one facility they were the only ones permitted to cut tubigrips for the patient, they refused to do it. I had a patient who needed diabetic shoes, and they refused to order them because the patient would not do what they wanted in therapy. I have had physical therapists tell me what MY job is (sorry, I know what my job is, do yours,) and be so snotty to me I nearly punched one of them. In most places I work, the therapists think they are "God," their therapy time takes precedence over anything else the patient needs ("I have two more minutes of therapy I have to do!") Really? The patient needs to go to dialysis. Or needs an x-ray. Or needs to go to the bathroom. Or whatever.
I "put on a happy face" for my patients, and usually my co-workers but I have been dong this for 35 years, and I am not happy about the changes I have seen in the profession over the years. I am sick of being expected to more and more with less and less, and not getting adequate compensation while the "powers that be" get more and more compensation for our hard work. We work more and more hours, with sicker patients, and then get in trouble for the time it takes to take care of them and then do more and more documentation to protect the corporate owners of whatever facility we work in or agency we work for. I can keep "making nice" with everyone because I am nearing Medicare eligibility and can then pick where I want to work instead of needing to stay for insurance benefits.
I also take care of feral cats (anything too wild to be placed in a home by our local rescue agency)in my horse barn. I was bitten by one of my house cats (who was feeling very macho one day) and so I got to forego the rabies treatment but still got a raging cellulitis. The only thing worse is a human bite (more bacteria.)
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