Latest Comments by Aurora77

Aurora77, BSN, RN 15,380 Views

Joined: Aug 4, '08; Posts: 888 (60% Liked) ; Likes: 2,260
RN; from US
Specialty: 4 year(s) of experience in Med Surg

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  • 33

    Feel better?

  • 4
    mb55, joanna73, emmy27, and 1 other like this.

    Quote from emmy27
    we exist in a constant state of manufactured crisis due to chronic understaffing.
    This is such an astute observation. Each shift is the same crisis and its not due to the patients. It doesn't matter the unit, it's all the same. We get told it's due to the nursing shortage, that there aren't applicants applying. I would think that would trigger discussions as to why nurses aren't applying. Hopefully it is. All I know is that nursing, and healthcare in general are very dangerous places to be right now. It's scary.

  • 1
    alyinct likes this.

    Quote from MunoRN

    It only works when I get a call during the week before 5pm, but what I do is forward the call from staffing to the administrator in charge of deciding how many FTE's we supposedly need.
    That is brilliant!!

  • 0

    Quote from bsn,rn

    you are just a hater...
    😀 But I'm right!

  • 1

    I can relate to the OP. I worked 12 hour nights for several years and it seemed like I never had time to do things outside the house. When I worked several days in a row, I didn't do anything besides work and sleep because 3-4 hours of sleep doesn't work for me. I also had trouble switching back to a semi day time schedule and spent one, if not two days, recovering from my shifts.

    I made the switch to 8 hour days Mon-fri and love it. I ever thought I'd give up those 4 days off but I feel so much more energetic and well rested. I actually have time to do things after work without cutting into my sleep time.

    You may want to look into a schedule change, OP. It's not for everyone, big I've had a huge improvement in my quality of life.

  • 0

    Quote from roser13
    Does ANYTHING pay "a lot" in Arkansas?!
    Not really, especially those no nights no weekends no holidays no call nursing gigs.

    Arkansas is beautiful and a great state but many areas aren't well known for their high paying jobs. Of course cost of living is lower, so it works out.

  • 2
    Here.I.Stand and dudette10 like this.

    For me it depends on the nurse and if there is a pattern of behavior. We all have crazy shifts and have to pass things to the oncoming nurse occasionally but if it's a frequent occurrence by the same person, I'm going to refuse.

    I thought you were completely appropriate in splitting up the tasks that didn't get finished. I'd be grateful for that kind of help if I had a crazy shift and was behind.

    ETA: We don't have a specific rule about leaving things for the next shift, but it's our culture that nothing gets passed on without specifically notifying the next nurse.

  • 0

    If nursing doesn't work out, find a new career. Maybe my perspective is different since nursing is my second career, but it's possible to change to something completely different. It's a terrifying leap of faith, but worth it.

  • 4

    Quote from OrganizedChaos
    Agreed. That's why I said something needs to change, either the person or discipline. If it is brining unit morale down & the person has been constantly disciplined then said offender should be fired. You are only as strong as your weakest link.
    That's exactly my point. If chronic tardiness or absenteeism or other policy violations aren't addressed it can drag down the entire unit. Other people start pushing boundaries because if management can tolerate bad behavior from one employee, why can't they tolerate it from another? I've been in environments like this and it's awful. That's probably why I feel so strongly about the chronically tardy. I don't care if someone shows up exactly on time, but frequently showing up late, no way.

  • 9

    Lateness is one of my huge pet peeves. If a person can't arrive to work on time on a consistent basis, they should be fired so that they can find a job that suits their lackadaisical approach to time management. Showing up late regularly just lets everyone know that they disrespect their coworkers. When my shift is over, I want to go home. There's no reason (short of unforeseen circumstances) that I should have to wait on my replacement.

  • 18

    I love starting IVs too.

    This will sound weird and very few people will get it, but I like post mortem care. I love supporting the families and then respectfully preparing my patient for his or her next stop in the funeral home. There is something so special about caring for a person at the end of their life.

  • 8

    It makes me feel good when they tell me they like me. My shifts always seemed to be easier when I could spend a few minutes chatting with the patient and family. Is it essential? No, but it does make things smoother.

  • 6
    Lavender111, macfar28, Dogen, and 3 others like this.

    Quote from Been there,done that

    Do your research on the efficacy and adverse effects of the antidepressants that make big Pharma even richer.
    I will happily line the pockets of "Big Pharma." Lexapro has saved me and allows me to live like a normal person. I'll take the weight gain and whatever long term effects over the years of depression I dealt with.

    I'm sorry you've had such a bad experience but it has literally been a lifesaver for me.

  • 2
    emmy27 and RNperdiem like this.

    Quote from GrnTea
    I review medical records for legal purposes. I want to tell you that someday, someone will be reviewing the charting and the care plans you have on record. I have reviewed records for LTC, AL, OB/L&D, critical care, home health, and garden-variety med/surg. Do not ever think that your charting, including your documentation of an RN-determined plan of care to be delivered or delegated, is a waste of time. It can save your butt ... or have it in a helluva sling. Your call.

    But don't just do it out of fear. Do it because it documents your worth. Yes, it does. When the atty comes a-calling on your risk manager and s/he is at ease when he does because s/he knows your care is awesome, be sure s/he can back that up with good documentation. And if your documentation sucks because the system they make you work with sucks, agitate. If you were a fine finish woodworker, you wouldn't be able to make beautiful furniture with lousy tools.
    Could you give some examples? I'm curious about how this works. Like other posters, I see most care plans as busy work and double charting. For example, practically every patient is at risk for falls. My judgement plus policies dictate what I'm going to do for them. That care is not driven by the care plan in the chart. In fact, I will have charted all of those interventions and patient care before I even look at the care plan.

    While I do see care plans as very useful to students learning to think through the nursing process, as a practicing nurse, I don't see their value, at least in my acute care setting. I'm sure there must be something I'm missing, can you help?

  • 12

    No!! It's one of my favorite phrases.