LadysSolo 4,950 Views
Joined Dec 17, '06.
Posts: 220 (71% Liked)
You know, If I could have gone to school to "just be a nurse" that would have been awesome. I enjoyed taking care of patients, talking to them, learning about medications and treatments as well as working with tons of different disciplines. Prior to going to nursing school I worked a lot of odd jobs - food, bars, grocery, manual labor ect. None of those jobs were amazing but I made decent enough money and was treated pretty okay. I got dual degrees in psych and nursing because I wanted to help people, get an education, have more respect, and better career prospects.
Except I didn't become "Just a nurse".
According to some of the hospital's where I've worked - I also am suppose to be providing patient's with "The Disney Experience"... So I'm a Disney Land Character with a Specialty Skill. However that specialty skill seems to get in the way of getting high patient satisfaction scores (Like NPO-ing someone's kid before surgery damnit) and I should be able to fix that complaint according to one of the hospitals I worked at. Just try harder! Be Sweeter! Smile More! It's your fault that they complained!!! So Although I'd like to think I'm Bell... well read, empathetic to the best of my abilities while remaining assertive, My hospital has this belief That I'm Nurse Gaston apparently... withholding food and not smiling enough to get good scores.
Others have decided I also double as Marvel's Comic book character "Quicksilver" because I should be able to handle 6 patients, some with requiring total care, while providing transport, doing rounds, running groups, passing meds, performing admits, charting, discharges and somehow able to squeeze in a lunch and 15 min break... or float right in the middle of my shift to pick up another 6 patients. I mean what it comes down to is using our unpaid breaks to chart because good lord if you stay over 15 min to finish your charting you can expect a screamer from the Administration about your "Bad time management". Never mind that we've told them that running the unit on a bare bones crew without CNA's or Techs literally makes it impossible to take breaks and that we need more help. It's however never the system's fault... it's our fault for not managing time better and if we don't like it "We can quit".
Somehow I've also manage to get a decent education in being a human punching bag along the way too. I've been hit, kicked, spit on, cursed out, had patient's threaten to rape me, had patient's try and spray me with HIV-HEPC infected spit balls, watched staff members get brain damaged by patients and one unlucky soul strangled to unconsciousness. But it's never the patient's fault because "They're sick" and pressing charges is highly discouraged. Oh and the patient's behavior - according to some managers - is your fault because you should have been more therapeutic, you shouldn't have enacted this restriction or set that limit. God forbid you ever defend yourself or one of your fellow staff members - we had one guy that lost his job and was turned into the BON because a patient started strangling a nurse from behind until she lost consciousness and no one could get the dude off of her - that is until that staff member finally decked him in the face. Well, sorry - that's patient abuse.
That's not even bring up all the non-nursing stuff I also apparently got educated in - Omnicell/Pyxis Trouble shooting, Novel-Length Progress note writing, when I worked in the OR there was also surgeon mind reading with equipment set up that they decide they "Just have to have" at the last minute, patient room cleaning with laundry service, phone answering and turkey sandwich/opiate administration, and so much more!
Oh, and don't ever get sick on the job because you'll never be allowed to get off early - According to one manager breath mints not only cure bad breath from vomiting but are good enough to power you through mandatory overtime!
No. I didn't become a nurse. I became the hospital scapegoat, patient punching bag, overworked, chronically stressed customer service representative that just happens to have specialty nursing knowledge - but damnit it better not get in the way of those satisfaction scores!
How ironic it is to me that nursing is supposed to be a profession of compassion, yet most nurses eat their young. It seems that quite a bit of nurses are bitter and uncomapassionate and seem to forget that they once too were new nurses and that everyone makes mistakes. So many keep saying she kept making the same mistakes over and over, but I don't see her making the same mistakes over and over again. Others will say that these were not mistakes, that they were intentional, I also do not see that either. Yes she made bad choices by not completing the CEU they required her to do to keep her job, I admit that, but on none of her later jobs did she claim to have made another medication error. She did admit that she charted having given treatments when she did not, but everyone is assuming that she did it maliciously, and I don't get that from what she wrote. She said that she had a high patient load and was not able to get to them. I've seen nurses chart that they have done things before they have done it, although they eventually get to them, but they still chart them that they did it at lets say 9 am when it was really done at 1 pm. Sometimes with a high patient load and high acuity it is impossible to do all the things you are supposed to and have time to chart everything. Maybe she had the intention of eventually getting them done and just did not get to them, and forgot to mention it to the nurse on the upcoming shift. I mean we don't really know what happened because we were not there. It is still wrong, I totally get that, but everyone is tearing this nurse apart when they probably have done similar things, but just haven't gotten caught. Then there is the time card thing. Yes it was wrong for her to falsify her time, but she clearly explained that one of the patients on the other agency allowed her to leave a little early and still let her record it as her scheduled time. She got confused and did it with the wrong person. I have had jobs before were employees do that and the managers know it and it is not a big deal. I not minimizing her actions, but there is no reason to tear this person apart when we've all made mistakes before. It's so easy to go at somebody when you haven't made the same mistakes before, but when it us that makes the mistakes we hope for understanding and for someone to help us out (which is what she was looking for). I think her biggest mistake was coming here to look for help.
She has recognized her mistakes and has owned up to them. She clearly wants to improve and has said it herself, it's crazy how everyone just keeps telling her the same thing that she has already stated. I think nurses should learn to have more compassion, not only for their patients, but also for their co-workers. It would be horrible working around people like these, who tear you apart instead of giving constructive criticism. Everything that was said to her could have been told in a constructive manner. I try not to judge others because I am not perfect either and I too make mistakes. It's sad that people just don't have mercy of others. My mom always told me not to be mean to others because you never know in what position you may be in the future where you would need that person's help. People that like to act like the mistakes of others are so dumb that it's ridiculous usually end up making way more ridiculous mistakes.
If nursing is what you really like to do don't let others bring you down. Ask God to help you during this rough time you are going through. Work really hard to get your act together. I do believe you can change with the help of God. Ask for help if you cannot handle something, ask questions if you do not know the answer, and get the help necessary so you can get through this. Remember that patient safety is first.
Just let your mistakes be a learning experience. The nurses here have made them as well, we are human and not perfect. However, you will encounter this mentality of being criticized. Remember !! be CAREFUL you have human lives in your hands !! there is nothing at all wrong with you, you are new !!
I am sorry for the multitude of negative responses you are receiving on the board here. I also have been blasted by them. I am new to nursing also, I also moved to different agencies, facilities looking for my right fit as well.
I do not think there is anything wrong with you. You were not careful, should have read the doctors orders and not relied on the out going nurse to tell you everything. Keep in mind as I have found, not many nurses will help you and I hope you can decipher this by the reactions you receive on the board here.
You need to be CAREFUL, with home care, you have the time to read those orders !!!
I agree, the facility is dangerous as it is bulked with too many patients and not enough time or staff. I don't care what anyone says on this board. Too bad the nurses do not stick together to report the dangerous conditions for the patients and the staff. However, everyone is so afraid to lose a job !!!
I remember meeting my trainer at the facility I oriented with, she was employed for 5 years there and it is still a mystery to me, why she would want to work the way she did. She guzzled a lunch in 5 minutes, no peeing or taking a sip of water the entire shift. I find it inhumane, to be subjected to this day after day.
I think you are smart to take that bridge to RN, there are more options for you. Just let your mistakes be a learning experience. The nurses here have made them as well, we are human and not perfect. However, you will encounter this mentality of being criticized. Remember !! be CAREFUL you have human lives in your hands !! there is nothing at all wrong with you, you are new !!
The first time, within your first year, hedging your bets that BON doesnt know about what else you did. On one hand you say you understand the seriousness, and on the other, you minimize the consequences as if it will all somehow work out. If I'm honest, I'd say your words sound like those of an addict, repeating the same mistakes, taking great risks, minimizing the consequences, and repeatedly saying 'Next time I'll won't do this." I'm not saying you ARE an addict, I'm saying the thinking pattern is similar, and you are right...it's odd, and it would be a good thing to understand why this behaviour is occurring before you or someone in your care gets hurt. Consider booking a therapist, and getting to the bottom of why you are sabotaging yourself.
Where do begin? I have been an LPN for 1 year in 2 months and unfortunately during this period I have had 5! nursing jobs. yes 5.
(1) I started off in a nursing home, Two months in the DON called me and said, he thinks that its best that he let me go. He didn't give me a specific reason,
(2) My second job was in a pediatric home health, It was a med error and the agency said I cannot work for them unless I complete a med error CEU. I never completed it, so never went back to work for them.
(3) My third job was a nursing home again. This lasted a month and a few weeks. Well, I had so much patient work load that I did not do my treatments, although I charted that I did. I was first suspended, but then let go. They informed me that they would report me to the BON.
(4) My fourth job was at a pediatric clinic. i did not like it much as I felt I was losing many of my skills. I mostly gave immunizations to babies and worked on the doctor's schedule for the week.
(5) I am currently working for 2 agencies. one is a pediatric agency and the other is a pediatric and adult agency. yesterday I got fired from the pediatric agency. The reason is I document that I left at my scheduled time when in reality I left 30 minutes early three time. y. Anyways, got called into the office today and I was let go. It is considered insurance fraud.
I do not know what's wrong with me. I've never been fired before until I started nursing. I'm a few months from graduating an RN program and I still cannot get my act together. I want to treat this as a lesson learned. I'm feeling stupid cause I've been fired so many times. I'm still working for the pediatric/adult agency but I am going to chart the correct time that I leave, at the end of the day the I have to protect my license no one else. Does anyone know how long it will take for the BON to contact me? will they make a big deal over 1 hour and 30 minutes? My first year of nursing was rough. I take full responsibility. I am so embarrassed that I created another account to write this although my other account is not even lay real name. I need to remember all the handwork I put in into obtaining my license and not let it go so easily. What's wrong with me? I just do not think that I am learning from my mistakes as a normal human being would.
Sometimes, I think that this may not be the profession for me because I can't even get through my first year. I love caring for people and helping them get better. I guess I just didn't think nursing would be this strict about EVERYTHING! Literally have to follow rules to the T. and I'm not used to that unfortunately.
I think everyone realizes that, but your previous post dismissed the OPs ideas for middle managers doing their part.
I would rather support OP's effort into writing and submitting suggestions (for a part of the picture) then to respond with a "yeah but".
I work under who I call the Ernest Shackleton of nurse managers. She supports us when conflict arises, be it with families or attending physicians. She encourages us to call security if at any moment we feel unsafe or even uncomfortable -- she recognizes that a verbally abusive family member is going to distract us from patient care. Not just physically aggressive ones. She has fought and been granted more staff during budget planning, even permission to hire during a hiring freeze. And get this: when we are critically understaffed, she and the assistant manager work the unit.
Don't get me wrong, I love cookies. Especially when there are many of them. But how I feel appreciated is -- to use the Shackleton reference again -- to have a leader who will get in a tiny boat and row through the treacherous Antarctic oceans to help her staff. Not one who tells us to be Nurse, Waitress, Concierge, Diplomat, and Professional Gluteus Maximus Kisser...that we will like it...now have a cookie.
One of my employers said that their company buys the list of nurses from the Boards after I asked how they knew to send me one of their solicitations. I found out that the information is given to the public when I inquired regarding another situation. I was told that an individual nurse could make her information non-public by going through a request process when she is a victim of stalking, domestic violence, etc. I looked at the process and thought one would probably be dead before they could get any benefit from that policy.
What would be wrong with privatizing it? Less government intervention results in cheaper, more efficient organizations. We have got to save money here. We're bleeding entitlement funds.
PsychGuy: Are you for real? You're a bloody psych nurse and you have no problem with gays being "locked up" or "fined" because you don't agree with our marriage? I hope to God you're never my nurse. Perhaps a profession where you aren't expected to have empathy would be better?
Let me guess, you're a pissed off white male with a whopping sense of entitlement who thinks women and minorities have gotten too uppity. Reading your posts makes me want to vomit. I'd expect your level of discourse in the comments section on yahoo news but I'm pretty disheartened to see it on a message board of fellow professionals.
We're going to have to see what happens. ACA certainly had proven successes in states like California where the insurance marketplace is being run by the state. I don't know how the new administration would handle the transition from ACA to a different system but I am holding out hope that the president elect and his advisers would not be cold and heartless enough to allow millions of Americans to all of a sudden lose their insurance exchange coverage without an alternative means of obtaining coverage. Having said that, there will always be a need for providers. The question is what kind of system will be proposed as an alternative for those previously covered by ACA should it be repealed.
Then why did you cry? I think that all of the handwringing (and rioting) is because folks don't understand what powers a POTUS has and does not have. He can cause inconveniences and annoyances, but even those are reversible (thank God). We have state constitutions and a US constitution and exist in a republic.
Anxiety is far more appropriate in light of some local elections I've seen.
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