Lovely_RN 8,562 Views
Joined Jan 12, '05.
Posts: 1,148 (42% Liked)
Hospital nurses are great and someone has to do it right? Well, that stated:
Some people have to tear others down in order to build themselves up. When I transfered from telemetry to outpatient my ex-coworkers gave me much grief. I was going to lose my skills, I was giving up nursing, and I would never be able to return to the bedside.
A few things: What I currently do is a skill set all of it's own. Hospital RN can't just jump in and do my job without training.
Skills? What skills are they referring to exactly? Does an ICU nurse have the same skill set as a SNF/LTC nurse? Do they need to have the same skill set?
Also, there is something called a refresher course if I ever get tired of always having nights, Sundays, and all major holidays off while still getting the same pay as the nurses on my old unit. I also do not have to give report to the next nurse because we are CLOSED after my shift and there are NO PCAs.
If you're happy at the bedside then by all means carry-on and I thank you for your service. If you're not happy at the bedside then don't let anyone make you feel inferior for your choices.
The MDS job sounds good. Maybe you should also consider applying for psych as well. What about clinic positions or chemical dependency?
I'm very efficient as well and what I've noticed is that there are two categories of efficient nurses. There are nurses who truly are efficient and then there are those who think they are but really they just leave a lot of work undone. As far as those nurses who complain that you are lazy because you finish your tasks quickly they too fall into two categories. There is the nurse who is truly overwhelmed and just works a bit slower than everyone else and then there is the the nurse who is disorganized.
Prime example. I worked with a nurse who always showed up late because she was coming from her other job. This woman was never less than 15-30mins late for every shift. When she finally made her appearance she would lolly-gag in the break room after getting report instead of immediately assessing her patients and entering some of her assessments into the computer. She would order dinner and go eat it about 10pm and then do her meds late. She took a 2 hour break every night because she was exhausted from working two jobs. In the mornings she would be groggy and routinely still be sitting at the computer charting 1-2 hours past her shift.
She was always the first to complain about a lack of teamwork but I refused to help her and would just hide after getting sucked up into her inefficiency a few times. Sorry but it's not fair if you arrive at work early or on time. It's not fair when you jump right to work and bust your butt while she shows up late and works as slow as molasses. I refused to help her out and stay past my shift because she wants to show up late and work slow. As long as the patient wasn't in danger I left it alone...sorry they got a bad nurse that shift but it happens.
Does this facility have a short term unit? You won't lose any skills on a short term floor. I'm sending some of my nurses to class to learn how to insert PICC lines....you won't get THAT working in a hospital.
Tele isn't that much different than med/surg and tele nurses are frequently floated to med/surg. Also tele floors get medicine overflow patients when the census is low. I prefer tele because unlike med/surg I know they are still alive because of that monitor. lol. I also hate having up to 8 pts on med/surg. I rarely get more than 5-6 on tele at night. Even that 6th patient is too much at times if I have 1-2 really sick ones. When I have more than 5 there is always a less sick patient that I almost completely forget about (I'm not supposed to admit that right?).
As far as transferring goes. I voted no because I gave up a sweet job in chemical dependency to try my hand at acute care and really haven't cared for the experience. That said I grudgingly admit that I have learned a lot and if I had never done it I would have always wondered what if? Dang my curiosity. I wish I was experienced enough to get a CM job. That's my dream. Maybe in a few more years.
Sounds like a nightmare. I can take care of 4 pts tops with no aid and all 4 can't be total cares. I sincerely doubt the hospital is going to give me a ratio like that on tele or med/surg.
When it's time to go it's time to go. You have made a lot of posts about your anxiety and depression which is likely related to or exacerbated by the job. You've put 14 years in and you don't owe anyone anything nor do you have to prove how tough you are by continuing to suck it up. You just need to find something not in acute care and maybe away from the bedside completely. A job is not worth your mental and physical health.
I so agree. I saw this thread and was like huh? So if you have a problem with being worked half to death and being treated like poo then there is something wrong with you? This is why I say leave the floor nursing to those who like the abuse. Things will never change for the better because co-workers like the OP are fine with being treated like crap.
There is a lot of abuse in nursing. Some people must publicly crucify themselves and tell people that they actually believe they are worthy over others of being crucified, eg. Abuse begets abuse. Psychologically they are also unable to parse this abuse as it happens to them, so one way of dealing is to say that it's not abuse and that they are not victims of anything of the kind, and are actually of a higher conscience than other members of the profession in that they are able to consciously continue and actually invite abuse because it's a requirement of the job - it's in the manual, and they know they can deliver.
It's called GASLIGHTING oneself, actually.
How about not allowing yourself to be sucked into it? As far as interactions with my co-workers go I have on horseblinders. I know they talk about me behind my back but I pretend not to notice. I was taking report one day and another nurse was standing right behind my back talking about me to another nurse. I heard her but I didn't acknowledge her. Getting through the shift sucks enough out of me. I don't need to add to my stress by giving my precious energy to losers who make the job the center of their lives. It's too bad that I don't like the people I work with more than I do but hey I just work there. I don't live there and I don't really know or care about them anyway. I show up do my best and go home...that is all. I'm grateful I have a good job and my bills are paid. That's what really matters.
You can confront a co-worker without blowing up at them. It is wrong to tie knots in restraints but blowing up and expressing anger in a hostile manner isn't going to help the situation. Do you feel that confronting someone needs to lead to a hostile encounter? Why did you yell down the hallway? You could have approached them directly. Next time you see a knot in a restraint speak to the person directly and stay calm so you don't escalate the situation. Tell them what you found. Explain why it's dangerous and ask them not to do it again. If they get an attitude that's their problem. Just walk away and if they do it again then report them because you gave them a chance to stop doing it. If your facility does nothing about it or gives you a hard time find a new job and maybe report them as well.
I think it was very rude of her to offer you unsolicited advice. That said...she does have a point. Being a nurse is interesting and meaningful work but it definitely isn't glamorous and it is hard to get a job right now even with a BSN. This is just my opinion but PA and PT is more on par with an NP than a floor nurse.
Find something on days. Nights isn't for everyone. I've stuck with it for a year now but have never adjusted. I can see the effects on my health. Since I've been working nights I've lost weight...have headaches in the morning after work..sometimes I have palpitations and my baseline blood pressure is higher than it used to be. Depression is another issue I'm fighting with since I've started nights and I'm getting all of these gray hairs out of nowhere! I'm looking for something else. Some people can do nights and some people just can't.
People have time to go to the cafeteria sit down and actually eat? Lol. We usually eat in our breakroom...no MDs allowed! Well they're allowed but it's our hallowed space so even when they come in to use the BR they get the "look" from us and leave quickly. The cafeteria isn't popular because it's open to the public, there are never enough seats, and the food selection is gross.
I guess it depends on what you think you will get out of the Med/Surg position. What are your future goals?
I find it annoying too. I also get asked for my penlight a lot too and I always have to run the MD down to get it back. How many times have you as a nurse had to ask the MD to borrow their stethescope?
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