pamelalayn 2,398 Views
Joined: Feb 2, '09;
Posts: 42 (48% Liked)
; Likes: 42
sigh there's not enough time in a work day ... as new nurse i know im' slow so I gotta get the time from somewhere, ... so starting monday i'm going to go in 40 mins early and start work at the 30 min mark because I can't think of any other way to get the work done, not lose license, not cut corners. I won't be doing any patient care before my shift, and will only sign out the med keys at the start of my shift time no earlier. Procedure book says X steps, but I don't have time to do it to that level ... Maybe everyone else cuts corners and thier superior turns a blind eye i dunno. Whose job is it to restock nurses's rooms anyways? PCA or nurses? Anyways rant over I gonna take my time with meds, procedures and if anything i cna't be fired for being slow and using lunch hour to do more work but can be fired lose license if i screw up.
There is a nurse that's comes in at 555am every single shift.... We start report at 715am.... And she straight GRILLS you during the entire thing, like she hasn't looked up every patient in painful detail and collected all of their AM meds in perfectly labeled and organized baggies.. Tad OCD if you ask me
I dont share with my pts because I dont believe in religion. I hate when people ask me to pray because I just stand there looking like a doofus. But if it works for the pt/nurse whatever, I think it is great.
Oh Ruby. If you do, your boss will think you are crazy. Who knows what you do when you are at work with sensitive information? Basically, I'd react by surveillance on you immediately, as well as pretty severe discipline or loss of your job.
Unless the person posts break HIPAA they have a right to personal comment. Any person can state their experiences with any person place or thing. Legally, there has been a crackdown on the type of thing you propose to do. What a person has to say is what they have to say about a subject - no matter good or bad. Opinion is protected speech.
As stupid as it was to use her picture as her avitar, allnurses is supposed to be anonymous and I think it would be unfair to use that against her
Nurse A: Mr Smith has chosen not to acknowledge that his doctor will not write him anymore orders for IV dilaudid'
Mr Smith:you better get me my pain meds!!!!!!!!!
Oh we could have so much fun with this part.
Nurse B: Ms Jones has chosen not to eat the prescribed diet here, and has had her family bring in 2 big macs and a large order of fries, with a coke, so her Bg"s have all been off the charts......
Pay is crap, patients and management treat you like crap, chance for getting a job are crap, and the schooling itself was crap. I love my job but I know I am getting taken advantage of by patients and bosses and I am underpaid and overworked. No handholding, just running your butt off to please everyone else.
I wouldn't do it if I were you. It may seem like a calling, but at the end of the day it's a job like any other with all the BS and politics that goes with it. In a hospital or LTC setting, you will *not* have the time to really sit with your patient and offer the compassionate care you seem to desire to give. If you want to escape a profession that's all about money, healthcare is the LAST place you should be looking. Hospice might be something that could fit, but that's generally not for a brand new nurse.
Reading another thread got me thinking about this...I always get to work at least a half hour before my shift starts. Do I want to or like to work for free? Hell no! But I really don't know how else I would ever get out on the floor in time to get everything done. If I start at 0730, I've got glucs to do before breakfast, probably at least a few 0800 meds to give, etc. never mind getting vitals on 5 pts, doing assessments on all, washes as needed, putting out any fires that spark, etc.How do you adequately prep for your shift if you get there at the beginning of shift and not early? Reading kardexes & shift summaries, checking meds on MARS vs charts, etc takes me minimum half an hour for 5 pts. Usually quite a bit longer if the pt has a thick chart that takes forever to get through (which is many of the pts). There is no way if I spent a half hour-45 mins prepping after start of shift that I would ever get all my stuff done on time and get out for breaks. I hate going in early, in practice and in principle, but just in order to meet expectations and also to avoid the stress of constantly being behind and trying to play catch-up, I do it. If there is some other way, I'd love to hear it. The only nurses I've noticed who don't come in early really don't seem to be double-checking their med orders vs MARS, which is a policy at our hospital q shift. That's the biggest time eater, really.
The hospitals in this city use the Alaris pump and this kind of Alaris infusion set:
Prior to my preceptorship, I've always twist that end cap a little bit so that the IV solution can dribble out while priming.
However, during my first shift of my preceptorship, my preceptor didn't agree with my method. She said just to let the IV solution flow to just before the end of the line, put in a threaded cannula (http://static.medshop.com.au/images/...ula_303369.jpg) and then let the solution dribble out. She mentioned that my method would cause the end to be non-sterile?????
Can someone shed some light on this as my previous clinical instructors have seen me prime IV lines and they never had a hissy fit about the way I do it.
TO Pam - Thank you for expanding further on what I was thinking also.
To OP - I deleted/rewrote some of my post that I DID NOT enter. Along the lines of being 'a warm body with a license'. This is a moderate-sized facility with problems. I'd love to see their last survey and Plan of Correction. That the 2 top nursing positions need replacement makes me question WHY???
Makes me return to my professional sports analogy, ie when a team is losing, the head coach and assistants are let go. The problems are then left for the new guys to deal with and everybody expects miracles! As others have posted, recognizing the need for a broad-based LTC background is a very real concern. We work with different pressures under conditions, rules & regs, etc that do NOT exist in the acute care setting and would make their heads spin! (Had a MAJOR issue last position with a 17 yr experieinced L&D PRN part-timer - sentinel event reportable to DOH but she had no idea until I asked further.) And the family called the State themselves.
Also, I don't know the level of education the DON has/will have, but advanced degrees in LTC nsg management vary. It will look good to Corporate, but with a future MSN (in mgt) on your resume, you may be expecting a high level of administrative practice. Many ADON positions are CLINICAL down&dirty trouble shooting, cleanup, delegated fix-it, supervisor positions with little regard for your career expectations. And it can be overwhelming, frustrating and non-fulfilling (esp if you're the new kid without LTC). I've seen it before with newly hired ADONs, Staff Developement and/or Infection Control nurses with strong education but no LTC. They freq DO NOT last long for several reasons.
And finally, if this is a union facility (as many are with CNAs & LPNs, and hskpkg & dietary), you'll need to be up on the contract, esp when negotiations are due. I've been in these positions in various capacities. This is the reality of LTC. Background is truly desirable for the upper level in today's LTC environment. As I've said, been there, seen it, done it - won't do it again.
My unit coordinator came to me yesterday to tell me that the social worker complained to her that she saw one of the residents taking his medication without me present. What she didn't know is that I was right outside the room and just about to go check on him when she walked out. There's a whole big story why I left the meds with him momentarily and I won't go into that now but I know that it was the wrong thing to do and I guess she was probably right to report me.
However, it does gall me that every single day I run my you know what off like crazy to pass meds to 30+ residents, do a dozen fingersticks with insulin injections before breakfast and lunch, vital signs and treatments, the endless charting, taking off orders, filling out no less than 10 forms when a resident falls followed by a million phone calls, chase the aides around, talking to relatives, and all the other thousands of tasks required of a med and treatment nurse. In fact, we are not even called med and treatment nurses here. We are referred to as "charge nurses," even though we each take a hall and the "unit coordinator" actually functions more as the charge nurse. (However, when she doesn't want to take responsibility for something she will say, "Well, you are the charge nurse down that end.")
Anyway, I guess it irritates me that here is this social worker who has no idea what my job is, and evidently she has taken it upon herself to decide what is appropriate and inappropriate. And the reason I'm irritated is that, believe it or not, this was the first time I had turned my back on a resident after having given him the meds, and wouldn't you know that I would have the misfortune of having this twirp watching me MY VERY FIRST TIME. You would have thought maybe she would have given me a chance and then if she saw me do it again (as though that is her business!) then she may have gone to my coordinator. In fact, even my unit coordinator felt it was inappropriate that this social worker didn't come to me first rather than going directly to her.
Okay, I know it's a big no no to leave meds and it is not my habit but honestly with all the tasks and demands they ask of us, do they REALLY expect us not to take a shortcut now and again? At this particular nursing home, I am convinced the higher ups really don't care whether we actually do the work or not, they just want to make sure we charted that we did it and there is at least an appearance that we are following the rules. I'm sick of it. I've only been there three months and I'm really sick of it!
Anyway, it's a fine thing when a social worker gets to monitor what nurses do. Isn't it nice she gets to sit in her office and no one sees her work!!!
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