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brandy1017 27,324 Views

Joined Jun 30, '02. Posts: 1,966 (67% Liked) Likes: 4,212

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  • Apr 24

    So you happen to "see stuff on this persons phone" which seems like an invasion of privacy to me. This person did nothing to cause suspicion. His care was all outstanding. His charting was all good. He even was HELPING YOU! No one had anything bad to say about him, he gave you no reason to suspect he was high. But you saw something private on his phone and felt the need to go tell on him. Investigation was done and Jon was found to provide excellent care and charting and is clearly a team player. You then hear him joke with a co-worker and run to tell on him AGAIN after apologizing to him for telling on him the first time?


    I suggest you stay in your lane and mind your own business unless someone does something at work to cause concern and pt safety that isn't from you seeing private things on their phone or inside jokes with friends.

  • Apr 20

    Quote from Cvepo
    Check your contract/hospital/BON. Your guilt was vanish quickly, I assure you. My first year-ish of nursing, I would feel guilty every time I would call in. Until I realized that no one else gave a crap. Unless it is explicitly written about mandated OT, you are not obligated to do a thing. Halloween night in the MICU I used to work in, we had 11 nurses for 33 patients and this was with our nurse manager acting as the charge nurse that night. Literally every single nurse had a triple assignment (dangerously unsafe). We had 2 literally simultaneous codes in adjacent rooms, which is incredibly tough with little staff. We were left with bare bones, administration knew, but our contract (union) states NO MANDATORY OT, so we made the best of what we could. It was an awful night, but we got through it.
    I had a night like that once. We have three 10 bed sections. We had nine patients in each section with one room blocked. And we had three nurses per section. Literally nine sets of triples.

    Wasn't Halloween but I do believe it was a full moon...

    OP - If you have a shift that so short-staffed it's dangerously unsafe, I actually recommend going to JCAHO with documentation of what your shift looked like. I mentioned this somewhere else once, but it was after JCAHO got notified and their wrath rained down on my facility that we finally got travelers to help with staffing. Management wasn't interested in doing anything until JCAHO made them. They will work shorter on purpose before they hire someone else, unless The Powers That Be force them to hire more people.

  • Apr 20

    Quote from Rose_Queen
    In addition to the BON, just google mandatory overtime law for your state- you may find that your state has legislation on the books. Mine does.


    Source: Forced Overtime and Mandatory Overtime | LegalMatch Law Library
    And the state in which my above experience occurred isn't on that list...no surprise there

    OP: you will learn to get over the guilt quickly. You will also learn to let your phone screen calls so they can leave messages, and you will learn to respond via e-mail so they can't get you live on the line to try to guilt-trip you.

  • Apr 20

    Quote from DeeAngel
    Make a phone call to the local newspaper and have a conversation, they're always interested in general interest stories like this.
    I once worked in a facility that was chronically understaffed for years. This was a psychiatric facility where many of the patients had the potential to become violent. Periodically, an e-mail would be sent to staff with a list of vacant nursing and technician positions. Somehow, one vacancy list with 15 vacant RN positions and more than 20 vacant technician positions found its way to the local news channel (it was faxed by a burned-out employee who was tired of having to work mandatory overtime.) Once the low staffing became a news story, the facility scrambled to bring in agency staff to fill in the staffing gaps, before Joint Commission intervened.

  • Apr 20

    They have to adequately staff your unit. People are going to call off. People get sick. Some people may like the OT, others do not. Don't feel bad about not working OT, I wouldn't. Just approach management and say I enjoy the hours I do work here, but unfortunately cannot work OT at this time. If nobody complains and just picks up the extra hours, it's no incentive for them to hire.

  • Apr 17

    Yes, it's really that bad. Whining is not the same thing as expressing issues and concerns. Be respectful to those of us in the profession.

    You are romanticizing the profession. You will not have time to nurture or make a meaningful contribution, you will be worked like a mule to boost the corporate health care bottom line for profits.
    Three 12 hour shifts sounds good, until you have to go back the next day with your legs and feet still aching from the previous shift.

    The adrenalin rush is NOT enjoyable. You will be assisting in a life and death situation and that "rush" will make your hands shake with the endeavor.

    Only YOU.. can turn it into a balanced, happy life.

  • Apr 17

    "Whiny" is not a good start, to call your future colleagues that without knowing the first thing about what we do, what we cope with and how hard it is.

    You would do well to shadow some nurses and see how it really is and whether it's for you.

    I will give you some slack, being in high school. You are young and very short on life experiences.

    But don't romanticize it; nursing is dirty, difficult, mentally-exhausting, back-breaking hard work. When you do it, you will see why "whining" is not what people are doing. They are lamenting, maybe, but for damn good reasons.

    Best of luck to ya.

  • Apr 17

    Of course you can live a balanced, happy life, and because of "just" working three days a week, you will have a lot more time off than most people. There are also excellent benefits - my company starts people at 208 hours paid time off per year, which at 3 12s in one week, is almost six weeks of paid leave. You'd be hard pressed to find another entry level position that gives you that much paid vacation. Not to mention if you self-schedule, you would work Sunday, Monday, Tuesday, then Thursday, Friday, Saturday, giving yourself eight days off without using any vacation time at all.

    However, I feel like hospital benefits are so good just because the job *IS* so terrible. I don't think anyone would work as a bedside nurse in the hospital if you had to be there Monday through Friday, 9-5 - it it literally not doable to be there that often, just for our base pay. I worked four non-nursing, non-healthcare jobs before I went into nursing, and the difference in the stress level I have now compared to the stress I had then is incalculable. I didn't know it was possible to be this stressed out all of the time.

    So, I'm not discouraging you - the benefits of being a nurse, as far as your life outside of work goes, are fabulous. But you pay for those benefits in blood.

  • Apr 12

    Quote from Coumarin
    I've been on my unit for 2 months. I've made several major errors that put me on management's radar. My manager called me into the office and said legally, he must offer me a chance to join my organization's nursing union. I'm not terminated but legally it must be offered to me. What does this mean? Should I join or not join the union? He said I must come up with a decision by tomorrow/
    If you join the union, there are some protections in place re: the disciplinary process. For example, you may be allowed to have a union representative with you in any disciplinary meetings. My husband used to be that union representative, and he became quite skilled at negotiating fair outcomes for employees who acknowledged their mistakes and had a plan to do better. He met with the employee before the meeting to get their side of the story and plan a strategy. He knew all of the nurse managers and HR representatives, so he was usually pretty spot-on about what each of them was most concerned with and wanted to accomplish in a meeting. He was a support for the employee -- we got lots of late night phone calls from nurses who were stressing out over an upcoming disciplinary meeting.

    I've never heard of someone being given the opportunity to join the union because they'd made a bunch of mistakes, but I'll ask my husband about it when he comes home.

    If were me, I'd join.

  • Apr 6

    Four years ago this month, I decided to join allnurses. I'd been lurking for several months. I had 11 years of experience as an LPN, and thought I could provide some insight to other nurses and student nurses who shared their stories and questions. When I passed the NCLEX-RN in 2014, other members congratulated and celebrated with me. Every day, I learn something new from other members, and I truly feel that allnurses is a resource that has made me a better nurse. My favorite allnurses memory is how we all came together, in the fall of 2014, to offer our support and prayers for the two Dallas-area nurses who became ill with Ebola while caring for their patient in a Texas hospital. While the media was criticizing them and scrutinizing every detail of their lives, we stood together to offer encouragement and hope. I love allnurses, and it's true...Nurses Rock!

  • Apr 6

    You could probably search the allnurses forum and find 1000 posts of newer nurses expressing their fear, terror, anxiety, emotions/crying, feelings of overwhelmed, etc all related to starting a new nursing job (ICU or not). Equally the 'bad preceptor' probably also takes up 1000 threads. I say this to let you know your feelings are quite normal. However, there's a way to deal with them. For your fear or stress, utilize your normal coping skills. Whether that be exercise, talking with friends, spending time with family, spiritual pursuits, eating well, getting good sleep, etc....all those are things that you do in any job in response to stress. As far as your preceptor, as an adult entering a new profession you should take things head on and learn to be assertive. If the person is not a good fit for you, then request another preceptor. If the person is clashing with you then speak directly to the person about your conflicts and see if it can be resolved.
    All that said, it is unfortunate that being a new nurse is such a stressful circumstances. I think a lot of it has to do with how nurses are trained in school. They are trained for fear rather than confidence and curiosity. Just know it is normal to not be competent in any new job, nursing is no different. Take each step in stride, take care of yourself, learn and ask questions. But whatever you do don't let fear and anxiety rule you because at this point you cannot be an expert and there is nothing wrong with that! Also know there are hundreds of different nursing careers, so your first is unlikely to be your last!

  • Mar 31

    Smile and tell them that you would have been happy to work (or whatever you want to say), but--gosh darn it--we're not supposed to be checking our cell phones at work

  • Mar 31
  • Mar 31

    Quote from RiskManager
    I have had problems with staff using their cellphones to take pictures of the chart as displayed on the monitor, for purposes of breaching privacy. I had to write a 'don't do that' policy. There have been some reported cases on this throughout the country, some of which involved celebrities and staff selling the celebrities medical information to the media.
    I know I shouldn't be shocked that people do this, yet here I am, shocked. I mean, WHO DOES THAT???!!? Ew.

  • Mar 28

    I, for one, would not get too exercised over this. The patient clearly had no problem with it and there was no adverse outcome. I would not make a habit of it, though.


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