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ThePrincessBride, BSN, RN 42,508 Views

Joined Jun 13, '10 - from 'Somewhere'. She has '2 RN, 3 tech' year(s) of experience and specializes in 'Med-Surg, NICU'. Posts: 2,100 (60% Liked) Likes: 5,716

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  • 3:25 pm

    From just a practical standpoint, the thought that if everyone were a strict/orthodox/practicing _____, that there would be no nurses working on certain days of the week does not make any sense to me. From an ethical standpoint, it is not fair to make other, non-believing/practicing staff to bear the brunt of someone's decision to follow such restrictions.

  • 3:25 pm

    OP, don't listen to the naysayers on here telling you to mind your own business. It is your business because you are getting the short end of the stick and it is impacting your workload. Nursing is a 24/7 job and if this woman seriously felt it would interfere with her religion, maybe she shouldn't have become a nurse or work in a place that requires staffing on the weekend. Her religious accommodations shouldn't mean other people get screwed as a result. I would either find a productive way to resolve this issue or look for another job elsewhere. I'm honestly not sure what else you can do if the union isn't willing to help. What has your manager said?

  • 3:25 pm

    Quote from SmilingBluEyes
    The bold part is wrong. They became her "problem and her business" when she started to have to work short-staffed because this nurse refused to work Saturdays. As I said in another post, this nurse should be a team player and work EVERY Sunday or pick up slack in another way then. But she apparently isn't a team player. Everyone saying it's none of the OP's business is wrong. It is her business because she is forced to work in dangerously short-staffing conditions, taking 3-4 vent patients. It's untenable, unfair, unsafe and wrong.

    I have problems with people who agree to work in 24/7 places/conditions and then re-neg and refuse to work 24/7 or at least try and make up for it in ways that benefit others who have to cover for their shortfalls. This nurse knew damn good and well the ICU was a 24/7 unit when she accept the position, but took it anyway, knowing she would refuse to work Saturdays, even though everyone is required to work every other weekend.

    The union is failing miserably here, but I bet they don't fail to collect their dues. And the OP TRIED to "work on the problem"; she went to the union, who failed to do anything about it.

    It's grossly unfair to the nurse's coworkers--- and the patients, who are not receiving safe care. The nurse's religious beliefs are not anyone else's business, but the conditions they are forcing everyone to work in, and the patients' unsafe care, are.
    Probably the best comment so far on this entire thread! I am just baffled at the folks saying that this is none of her business. It impacts her workload, therefore it IS MOST CERTAINLY her business.

  • 2:48 pm

    Many NICUs prefer to hire BSNs, so be forewarned.

  • 2:48 pm

    People have finished school and gone directly into the NICU, but you may have to decide whether you can afford to wait for one particular specialty before starting to work. Many of us have bills to pay and would have to set a reasonable time limit for finding work -- if the NICU job didn't come along, we'd have to take something else.

    Another thing to consider -- after exposure to various other patient populations during nursing school and clinicals, you may find that your heart is truly in another specialty. Keep an open mind. You may find that you hate NICU but love adults.

  • 2:41 pm

    OP, I agree that PA would stand you in better stead than RN if your ultimate goal is medicine. The medical and nursing models are completely different ways of approaching patient care.

  • May 23

    One of the advantages of working at a place like Wrongway Regional Medical Center is that they can't keep Nurses so there's very little low census.

    And I've noticed from working here for nearly 15 years, the more WRMC's reputation gets out there, the less number of Patients are admitted.

  • May 23

    Quote from CiaMia
    I have had this conversation multiple times in my own practice with my rabbi, and with a beit din (rabbinical court), and have read extensively on the subject because I am passionate about it. The RN role is vastly different to that of a provider -- and that makes a difference. I was told explicitly NOT to drive but rather was given another solution; you are oversimplifying immensely complex issues that need case by case consideration.

    I am deeply involved in both my hospital community AND the Jewish community. Regardless, I am not going to continue a circular exchange here. My original point - that calling the employee in question "unethical" is unfair and unfounded and that we have no idea what the conversation was to begin with - is one I still stand by.
    Again, I don't disagree that you would still not be allowed to drive for work you knew about ahead of time and could have made other arrangements.

    While the role of an RN is different than that of a provider, what's relevant here is whether or not the lack of nursing care could potentially harm a patient, and there really is no arguing that lack of nursing care can harm patients.

  • May 23

    People have a right to their beliefs, absolutely. I would never argue that. But maybe they ought to choose not to work in a place where a 24/7 commitment to work is at odds with them. JMO. There ARE nursing jobs that do NOT require weekend work. Why not go there?

    And yes, I agree that management is at fault. The staffing situation should not be a mess due to ONE nurse not meeting the commitment EVERYONE else has to meet to work every other Saturday. They hired her; they are at fault. They have opened a Pandora's box now, especially if this is a community with a large population of folks with similar beliefs and religious convictions.

  • May 23

    Quote from DovMarcus
    Personally, if management would say "You must work every other Saturday" I'd quit on the spot. Its not about perks/privilege or anything like that; its just simply my lifestyle. Other people might try to sue for religious discrimination (and I know that employers are scared of that.
    Its a tough call. I have a cousin who went through hell on a unit- was literally persecuted by management and other staff all because she was strong with her religious conviction. I think a lot of it has to do with personality- my coworkers liked the way I worked, liked my attitude, and most importantly they understood that I wasn't just after my own self interests.
    I think the segment I bolded shows a lot about your character. While I do think you were correct in being upfront about your religious needs, and while I do believe management was correct in accommodating your religious needs, I believe quitting on the spot is an absolutely horrible thing to do to your patients and coworkers. I can't imagine God would prefer for you to leave your floor with questionable staffing, jeapordizing patient safety, in the name of honoring a religious tradition. Additionally, it IS perk and a privilege. Just because you think your request is in the name of honoring God does not mean that it isn't a religious privilege.

    If management needed you to work one Saturday randomly, it's probably because the floor is short staffed and you are a needed professional. By not even giving a two weeks notice, you're leaving your team to flounder until a replacement is found.

    I believe that would be a very selfish decision. You chose the nursing profession, and what's more, you chose to work in a facility that operates around 24/7 care. Everyone has to be flexible to work in a hospital. If you can't be flexible, there are plenty of 9-5 nursing positions out there.

    As a side note, if management agreed to give you Saturdays off and then continually tried pressuring you into working every single saturday, that's a different story. (Though you should still give a 2-weeks for the sake of your team). Management should try their very best to honor your request if they agreed to it. But as a nurse you absolutely must be prepared for the inevitable every once in a while, and if you're not prepared to be flexible once in a blue moon, you are not being a team player.

  • May 21

    Quote from adventure_rn
    However, if you thrive on true critical care nursing, you might be disappointed with the lower average acuity in the NICU.
    I also agree with the above two posters about this.
    Adult ICU experiences high acuity on a far more frequent basis than Level III and Level IV NICU's do.
    I worked NICU for 2 years and did see very sick babies, but they are the exception. In NICU I hardly ever saw a shift where the nurse was so busy that they didn't have time to chart. In Adult ICU this happens fairly often.

    However, NICU has so many other perks and charm to it that the trade off may be well worth it to you.
    I will admit I miss the NICU a lot. There's a reason why NICU's have such low turnover rates.

  • May 21

    NICU speciality? Yes.

    Bedside RN Role? No. - However, if I could find a hospital with split NICU's of critical vs. feeder growers where I could ONLY work critical, it would really make me think twice about going back to school. I love the 24/25 week to 33/34 week population. But as another poster inferred, I can only feed so many babies before I go crazy.

    If I can't find that, I will go back for my NNP.

  • May 18

    I don't know the answer to this question, but I DO know that you just opened a can of giant mutant worms the moment you defined "old" as over 35.

  • May 17

    Eight weeks in and they're giving you critical admits?

    Wow- they need to re-examine how they assign patients.

  • May 16

    Quote from ThePrincessBride
    I guess if employers are willing to accommodate Jewish people by giving them Saturdays off, then they must allow all Christians off Sundays. The problem is that when one gets into a 24/7/365 job, the expectation is that one must be willing to work weekends, holidays, etc. People don't stop needing healthcare on Saturdays.

    Similarly, a Jehovah witness must be willing to administer blood comes with the territory.

    Your religious freedom ends when it encroaches on others. And in the OP's case, it does. An employer could be accused of religious discrimination and favoritism which breaks federal law.

    If the nurse can't work Saturdays, she should find a job where working Saturdays aren't required.
    THANK YOU SO MUCH! agree 100%. You said it far better than I ever did on this thread.