jlynn2303 3,120 Views
Joined May 15, '09.
Posts: 100 (17% Liked)
I don't know but it is one of the things I like least about nursing. I have not found it everywhere I have worked as a nurse, but I gave run into it a lot more here than in other professions in which I have worked. It reminds me of Junior High sometimes. Maddening.
Hi! Good to hear from another admitted student! I am just starting what looks to be a challenging stretch- biostats to pharm to advanced path...but honestly at least it is pertinent, unlike writing about the three branches of the federal government. Man. I wish we could spend more time in school on stuff we actually need- like stuff we will actually USE in the job! I am worried about biostats which I am starting TODAY. I set it up to work part time, as the older I get the more I value my sanity!! Any way you can work 12s? Pay some stuff off before then?
The first ltc facility I worked in, right out of nursing school, it was universal practice for all the nurses to get report, count, and then sign the treatment book, before they ever went out on the floor. I, new nurse that I was, said "but I haven't done them yet!" "you won't have time to come back and sign them later" I was told. They just laughed at me.They were right. You were in trouble if you stayed overtime to do it, you were in trouble if you clocked out and worked to do it, you were in trouble no matter what you did. I am not saying I approve, but that is the way it was.
I am currently in a facility where there are meds, and breathing treatments etc all due at 5pm, I'm supposed to pass trays, hang an IV, supervise the dining room, pass meds simultaneously every night. I have 26 patients, 5 gtubes, 7 diabetics, a trach, 6 breathing treatments (multiple times a day) one man whose chair needs repositioned every hour( and only nursing can do it), another woman whose brace needs to come off or go on every two hours, p cleaning someone's eyes, vitals, lotions, bandage changes, wound care.....next week I am supposed to get a woundvac/gtube added. Speech therapy told me she is going to turn the pleasure feeding of one of my gtube patients over to nursing, three times a day - I said "I don't have time." I am already in there, pouring the food, dropping the eye drops, for 12 minutes each time. Therapeutic feeding takes 20 minutes, at least. Add that to the trach care and just one of the other gtubes (just one of them) and there's an hour already - at med pass time. And I've got 24, count 'em, 24 more patients to go. I am supposed to be off at 10pm and it's not unusual for me to stay until 2am. Nurses in this facility stay for hours after their shift ends to get treatments done, meds passed, etc. It would be impossible to fill out an incident report every time a med was late. None of us would ever be able to leave. This is universal at this facility. I focus on the meds that are time critical - insulin, heart meds, antibiotics, etc - if someone gets their colace with their bedtime meds, they'll live. God forbid a patient actually wants to TALK to me, or needs a hug, or a family member calls, or a doctor's office, or pharmacy shows up. I go without dinner, without breaks. This is true on every shift and every hall in this facility. God forbid you find a rash - it's 45 minutes of paperwork. Skin tear? same thing. If you get a fall and skin tear in one night, don't bother crying, there isn't time. I come in repeatedly to the first shift nurse in tears trying to keep up with it (she's been there 13 years and has resigned, as has the adon, the unit manager, the 2nd shift manager etc) Management doesn't give a damn and I hope there's another level of hell for the people who admit these patients and just stack them up on these halls without any consideration for acuity and adequate staffing. I talked to our medical director about it one night - I said it's my license and yours, not the guy in the admissions office - why don't you have a say in who is admitted here? You are the medical director?! Not the aide who was promoted to admissions director, or the aide who is now facility director. He is going over the facility director's head to corporate, I think. Nurses are quitting right and left and I am looking because I hate working this way. Apparently, the facility director gets a bigger bonus the less staff he uses to run the facility. How he sleeps at night, I do not know. When I've worked outside of ltc this stuff hasn't been an issue. I was transferred here because census was low at another company venture (hospice) where none of this was an issue. There was sufficient staff, sufficient time, etc. Sure, it was crazy sometimes, but not like this. In the midst of it all, there are real people, real patients, real nurses....and I try to hold onto that, to the human contact, and try to make a difference to at least some of them.
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