DesertSky, BSN, RN 2,966 Views
Joined Feb 21, '12 - from 'Missing the desert...'.
DesertSky is a Critical Care RN.
Posts: 91 (40% Liked)
Long time lurker on this site. Finally decided to make an account because I need some advice..
I've been a nurse for 2 years, been on night shift a little over a year. Within the last few months I have began having major health issues such as fatigue, anxiety, depression, tachycardia, dizziness, you name it. I barely sleep anymore--I get on average 3 or 4 hours a day, and I barely have an appetite. It is concerning to me because prior to this I have never had any health issues. I have been to the doctor several times and accrued many many doctors bills. I've had lab work done at every visit and everything came back normal. My doctor recommended that I get off night shift and try to get my body back to normal functioning because of course, nights aren't for everyone. At first I blew it off thinking I would improve over time, but it has been about 6 months. Some days I feel ok, but most of the time I feel like complete crap.
At this point, I'm actually considering going to day shift. The only thing I didn't like about days is getting up so early, but it beats not having a life on top of feeling like death on a daily basis.
There is no opportunity for day shift in my current position so I would have to find a new job all together. I have been hesitant because I love the job I have now--I get along with all of my colleagues, and of course the other pros to night shift (more laid back, higher pay). I know that if I go to another hospital/day shift the pay won't be as great, and I might not get along with colleagues as well as I do now. However, I feel like I need to make the change to improve my health. I dread coming to work now. I just want a normal life again.
Is there anyone that had health issues due to night shift? If so, what did you do? To those who haven't what would you recommend?
I am currently going through the orientation process at a CVICU. I have one year experience on a med-surg tele floor. I am absolutely terrified when I'm on the unit. So many different equipment, lines, diagnoses and a whole new way of doing things.
I was wondering if anyone had any tips on how to organize your day when you have what it seems like endless charting to do.
On my unit, you can have up to 2 "stable" ICU patients. You do vitals, check IVs, check the monitor hourly, assess every 4 hours including a head-toe, measure CVP, I/O (unless foley then its hourly) and pacer settings. Stable LVAD is every 2 hours.
If you have a patient with ECMO, IABP, CRRT, fresh cardiac surgery or a fresh LVAD... you only have 1 patient since everything you do is hourly or less documentation.
They also want you to do a CHG bath daily, lotion the patient down, etc. (we do not employ aides on this unit)
Then of course I have medications to give, labs to draw, other care in between.
I feel like no matter how I try to consolidate, I always have something to chart and I'm always behind. (And this is me coming from a med-surg unit with 6 patients and having everything done by 10am)
Any recommendations? Advice? Support?
When the charge nurse looks at you when you walk in and says "I'm sorry..."
I'm an FNP (and also will have my AGACNP later this year) and really just went with the FNP because it was offered at the public university in my area, and offers more diversity in terms of job prospects. My background is adults and I currently work cardiology and internal medicine, so I'm not exactly using all of my degree, but I like knowing that if I wanted to go work in ER, an urgent care, or go work in a family primary practice, I would be able to. A pipe dream job later on in life is to work for the department of state overseas as one of their embassy providers, and you also need your FNP for that.
Overall though I kind of doubt I will ever use the full scope of my FNP, but I do like know I have more options. Also, even though I never worked in peds and likely won't, it was by far my favorite rotation in school, and probably where I learned the most.
In terms of jobs, I think most jobs for NP's are geared towards adults, at least in my area, so I don't think you'll have too much trouble.
We have a critical care float pool in my hospital that we utilize a lot, and I really like the float nurses...they're awesome. I considered it but the one thing I really couldn't stand is that they seem to have to change units every four hours. I don't know about you but when I take over a patient I like to know exactly what's going on, do a full assessment, change dressings, bathe them and make sure everything is followed up. Usually I feel like I'm getting caught up after about 8 or 9 hours in a shift and if I had to do that 3 times a shift I'd lose my mind. There's just way too much going on, and way too much to get to grips with in 4 hours just to change assignments and units again. Nope...give me my two patients and let me fly for 12 hours. I know we get admissions and post ops but still....I would just hate having to give or receive report up to 5 times a day. No thanks. I think they're abused to some extent, and they never get the really interesting acute patients which I really enjoy taking care of.
I work per diem and float among a few units. I feel I am treated very fairly. I've also worked on units where unfamiliar nurses were given slightly heavier assignments ...not to dump on them, but to leave regular staff more available to help with the things only they knew how to do.
It seems like agency nurses probably get the worst assignments, if anyone does. They may or may not ever return, and people tend to feel little sense of comradery with them. I've gotten to know many of the nurses on the units I float to regularly and feel like an integrated part of the team.
I have a question. I am a nurse with about 3 years of critical care experience. I have my BSN, CCRN, TNCC, PALS, ACLS, and BLS. During this time, I had one job where I was only employed for 6 weeks. I left quickly as I realized the unit was chronically understaffed and the ratios were unsafe. Due to the short time of employment, I do not list the position on my resume, however when I was recently filing out a job application I was sure to list the position in the employment history of the application. Is this an appropriate way to verify I did work there without highlighting it on my resume?
Thank you in advance!
And it it seems each state adds one little caveat that is impossible. For example, Kansas requires that your out of state fingerprints be sent to them directly from the Sheriff's office. Hello, the Sheriff's offices DON'T DO THAT! My fingerprints don't change if I send them to you! Uggh! So frustrating! And don't even get me started on states that require a PAPER written application. It IS 2017!
I have worked in critical care the majority of my career, so I have experienced a great deal of death. As others have mentioned, it is often not the deaths that are most traumatizing, but the suffering you witness leading up to the death of a patient or the reactions of loved ones when they find out their family member has passed.
When I worked trauma ICU, I often joked going to work made me scared to leave my house as most of our patients were young, healthy, and just going about their daily lives when they were a victim of an accident, violence, or some tragedy.
When I worked in medical ICU, it used to make me sick to see families who said "do everything possible to keep them alive" when their loved one was never going to recover. I suffered some serious moral distress when I witnessed patients subjected to painful procedures that were not going to reverse their impending death from chronic illness and disease.
Now in cardiovascular ICU, I do still see death, but not nearly as much as in other areas of critical care. It's rewarding because most of my patients recover and do well after open heart surgery, valve replacement, etc.
I will add that most nurses who have experienced any amount of death usually have a coping mechanism whether it be a morbid sense of humor, love of extreme sports, or some other outlet in order to blow off steam.
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