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Been there,done that 52,105 Views

Joined Aug 4, '09. Posts: 5,597 (74% Liked) Likes: 21,875

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  • Nov 19

    Quote from RNperdiem
    Whenever I hear the term "forced out to pasture", I think of what my Dad told me about growing up on a dairy farm.
    There was no pasture for old cows; they were sold to the butcher.
    Well, that's grim.

  • Nov 19

    Yikes... sorry BTDT. That sucks. Their (big) mistake.

  • Nov 18

    I've found myself in a similar situation at least once before. I don't see anything wrong with your actions, but I do understand the guilt and "what if" questions. I wish we could at least get a definitive answer regarding cause of death, sometimes...but that doesn't usually happen.

  • Nov 18

    It seems to be in our nature to feel guilty, but I don't think you missed anything. And while you might second-guess yourself in your private moments, do not let anyone else second-guess you. It's not unheard of for administrators and doctors to throw nurses under the bus. Especially doctors who don't respond to pages.

    Remember all the interventions you listed here, and be prepared to list them over and over as you are questioned. You did assess your patient, and you did respond appropriately to her change in condition. Period. If there is something to be learned from this, it is probably to be learned by all concerned. Maybe some policies or practices need to change. Most untoward events are really systems errors, not individual errors.

    Is there someone on your unit who can debrief this with you? I once got a call at home from the regular charge nurse after an unfortunate demise. I really appreciated her sympathy and support. I am sending you good thoughts. ((((())))))

  • Nov 17

    i LOVE being a nurse but i think there are better choices in healthcare. if you have the brain and are willing to put in the work i would recommend being a dentist, physical therapist or pharmacist. also, respiratory therapist is a great job where you make a decent living and you don't have to deal with a lot of the bs that comes with being a nurse. as someone else mentioned nursing is very different depending on what unit you work in and what hospital, you may love one area and hate another. good luck!

  • Nov 17

    So I have been just about killing myself these past 3 years trying to get INTO a nursing program, I finished all my pre-reqs and am currently working as a CNA at LTC. I made allnurses my homepage as a way of inspiring me to continue pursuing my goal, while keeping me up to date with what is going on in the nursing community. It is a wonderful site and I have learned a lot since joining. I've gained a lot of insight from the different walks of life that have taken the nursing career path. I've also noticed that there are an overwhelming amount of negative posts and regretful nurses who wish they had never chosen this profession. I understand that everyone is different, but I do fear that there is truth in what they are saying, and it makes me wonder if it is even worth busting my ass over trying to get accepted, let alone complete the program and pass the NCLEX (I am an excellent student and great tester, by the way, I just had a rocky start to my college education way back in 2010 plus the whole GPA/grading system is crooked and keeps people with potential from ever getting a seat in a program)

    Anyway, I am sorry if there has already been a post like this. I am just wondering from nurses who have much more experience than me, is it worth it? Any insight is appreciated!

  • Nov 16

    Quote from ixchel
    BY LAW, your facility is required to make reasonable accommodations, which includes allowing you light duty. For more information, you can look this up under EEOC's ADA online. Any conversation you have regarding this should take place in writing. Trust me on this.
    This is NOT accurate, and a simple Google search will confirm it.

    You would still need to be able to perform your expected nursing duties -- it's simply not "reasonable" to expect that a bedside nurse would never lift/push/pull more than X amount of weight.

    An example of a reasonable accommodation would be providing a larger computer screen and a magnifying glass for an office worker who had visual problems, or an ergonomic keyboard/mouse for a secretary with carpal tunnel issues. Those are relatively inexpensive, one-time purchases to allow a worker to complete all of their usual tasks independently.

    It's NOT reasonable to expect a hospital to hire an additional worker just to perform the physical duties of a nurse -- that's a huge on-going expenditure for an organization to undertake because a worker cannot complete all of their usual tasks independently. At that point, the onus is on the worker to find a job that they can reasonably perform (like case management, which is desk work without hands-on patient care).

    Think about it -- should a taxicab have to hire a blind driver, and then turn around and provide that employee with their own little "helper" to actually drive the cab? How about a quadriplegic firefighter? A dental hygienist with no hands to do teeth cleaning?

    There are some jobs that have physical requirements that cannot be reasonably accommodated. Bedside nursing is one of those jobs.

    I recently injured my knee, and my work restrictions included no deep bending at the knee, limited ambulation/standing, and no pushing/pulling/lifting more than 20 pounds. I was off for a little over two months (short term disability) for surgery and rehab, because there is simply no way to do my job without lots of walking, standing, and lifting.

    I did qualify for FMLA protection, so I didn't have to worry about losing my job, and I did have short term disability insurance that covered part of my wages, but the hospital did NOT have to hire me an assistant to perform my job functions while I followed along in a wheelchair.

  • Nov 15

    Same thing happened to me at exactly the same age. I manage to keep it at bay with everyday exercise and stretching, but when it goes out, it's like being disabled. I echo a previous poster- develop a plan to change specialties! Your med-surg career is not long for this world. Oh, and do a lot of research before having surgery; some studies show that long term results of it aren't necessarily better than conservative treatment...

  • Nov 15

    I wouldn't necessarily say that it's not for you. You sound like a great nurse and
    someone who could definitely shine in the ICU. Lord knows the world needs
    plenty of good ICU nurses, right?

    I'm thinking of a few things though, that are maybe causing you to feel like
    you do. First of all, just adjusting to night shift alone, can cause all sorts
    of issues. Nurses come on here all the time complaining of being more
    depressed since starting night shift. It's not an easy adjustment! Night
    shift is not for everyone.

    From what you've written... I suspect that the hard reality of working
    the ICU is getting you down. Spending 12 hours with critically ill
    patients who may not make it and in fact, often do NOT make it.
    Sounds like you may have had a rosy idea of what working ICU was
    like; lots of adrenaline, codes, constant excitement... then got
    into it and realized what it really was, a hard 12 hours of taking
    care of horribly sick people who often do not make it. In
    med surge, you likely had so many more people who came in
    sick, got better, and went home. Not so in ICU, huh?

    No wonder you are feeling like you are. I'm not trying to put
    words in your mouth, thoughts in your head... I'm just going
    by what you have written.

  • Nov 14

    As the license holder you are ultimately responsible for the tasks you delegate. It is important that you evaluate the skill and competence of the person you are delegating to.

    What I usually do is observe someone perform a skill, once I have determined that they are competent and able to perform that skill I delegate appropriately.

  • Nov 14

    Quote from AbbyW
    I'm in college, and considering switching to nursing. I'm still trying to find out a little more about nursing and would love it if ya'll have any input. A couple of random questions--I've heard that there tends to be politics or drama among nurses--is that true? Also, how long did it take for you to feel confident working as a nurse? I like the idea of helping others, but the thought of being responsible for someone's life scares me a little.
    Politics and drama exist among all people every place, in every line of work.
    They say it takes two years to feel "OK" and seven years to feel "confident". I've found that to be true, for myself.

  • Nov 14

    Was your injury determined to be work related? If this isn't a workman's comp type of situation, your employer may not allow a light duty. It is completely up to them, but in all the places I've worked, I've only seen them allow someone to go on light duty when it was a workman's comp situation. If it was unrelated to that, then don't go with it because they don't want the risk (liability) of someone that's already injured in a non workman's comp situation to get further injured while working (and potentially turn into a workman's comp situation).

    I agree that you need to do what's best for you and it does not sound like bedside nursing is going to be a good option for the future of your career. Do everything you can to save your back now.

  • Nov 11

    Each time he wakes you up during the day, wake him up at the corresponding time during the night.

  • Nov 11

    Agreed- start looking for an RN job right now. You are not likely to land a new grad/ internship so you need to be less picky about getting your foot in the door.

  • Nov 11

    Ugh. This makes me so mad! Wishing you good luck with your job hunt. Or a giant surprise severance package