weirdRN 4,941 Views
Joined: Mar 19, '05;
Posts: 618 (5% Liked)
; Likes: 42
Wooo... I work night shift. I feel this way a lot. Yeah, the Day shift nurses are busy, but no busier than I am. I have a lot of adminstrative tasks that only get done on nights. I check charts, order medications, refill and restock ad nauseum, clean up and organize for day shift to make their lives easier. But the minute I don't get something done, and I leave it for Days, and they don't get it done either, I get the chewing and the write up for poor performance.
IMO every nurse should be required to work at least one month of every shift every year. That way we all would appreciate what the other shifts do.
Administrators and managers should be required to be in the building at least one week on every shift. There would be more appreciation and less gypping.
Ack! 4-5 12 hour shifts in a Row? With few breaks during the shift?
I worked in a hospital once where I had a difficult time getting bathroom breaks let alone a full lunch. I was routinely scheduled for 3 12's but never more. I had five to six patients at a time. It was horrible.
My goodness! I can't imagine doing 4/5 of those kinds of shifts. That is a sucky job if I ever heard of one! No matter how well paid you are.
Mostly I was just curious when I asked this question. I read the package insert to a dry inhaler. It talked about the effects of the med, the length of time and the route of excretion. So when one of our residents passed away, I wanted to know how big the dose was that they would get if they inhaled the entire amount. It wasn't that big. So I got to thinking about the number of times that when you are pouring the med into a cup, and the dust rises up and you get a sniffer full. It isn't about contaminating the meds being mixed, though I worry about that too. It was more about the effect on the individual. For example, if you get a nose full of BP med, does that med absorb through the lining of your nose? Does it lower your BP? Does that have an adverse or a beneficial effect? or a anti depressant, does that equal a better mood?
As one poster mentioned, most nursing homes are NOT JACHO accredited. We have audits and inspections by our state every year. We get the same kind of tags ect. But some of the procedures for a nursing home/LTC/ SNF are different than what is required in a hospital. In some instances, more rigid, in some instances more lax. Just my opinion, I believe Nursing should be nursing. The procedure I use to administer meds in the Hosp. should be the same one that I use in the nh, but it is not. because of a LOT of factors.
And to the poster who mentioned the Silent knight, I love it! I have gotten much better at not being so messy, and I rarely get a nose full. Usually it is when I am tired or in a hurry that I make that mistake.
I work in a long term care skilled nursing facility. I crush an awful lot of meds. I mix said meds with apples sauce or pudding or water or juice. I have learned how to avoid getting the dust up my nose for the most part but I still occasionally get a sniffer full.
My concern is that over the course of my carreer if I continue to get these sniffer fulls, Of course it will damage the lining of my nose , and potenially me lungs if it goes that far, but what effect will the medication have on me systemically? I crush everything from BP to Psych meds.
Anyone have any thoughts?
Flexibility. Compassion For the Patient and Family. AND for YOU!
I say this because it sounds like you want to be a good nurse, and all nurses make bad mistakes at one time or another. Some get caught and face the music. Some don't get caught and no one knows any different.
I think you need to go back and try med-surg again. When you go to the interview you have to focus on the positives you will bring to the job. The negatives are just learning experiences and an avenue to grow professionally. OK so they may ask you to lsit some of your negative characteristics. Do not list any of your shortcomings at that place of employment. Have a response ready for this question. You also need to practice answering some of the typical questions answered in interviews. I have sat on many interview panels as well as individual interviews and I know exactly what I look for. I really look at someones personality to see if they will fit in because interpersonal conflict and conflict resolution takes up way too much of a managers time.
Those places that give you grief because now they have to cover your sickness - ask them if they can't cover one day how will they cover you when you quit to find a place that treats you like the professional you are.
I am not for abortions. I am for a safe environment with competent Healthcare professionals to perform invasive life threatning procedures. I am firmly against abortions except in the cases of Rape, incest or fetal abnormality, to include, but not limited to, genetic disorders. I believe that there are some babies that just should not be born. That there are babies that should be allowed to die a natural death when born too early. I believe that all of the women and children who undergo invasive abortion procedures should be adequately informed and educated on all the things pertinent to making the decision to have an abortion. They should be educated on risks to the person undergoing the procedure. Including but not limited to the psychological effects years later when they decide they do want children and do give birth. Educated on the fact that the fetus inside them could grow to be a baby if allowed to remain in the womb, and that there are other options if they choose to use them. Having an ultrasound is NOT going to change a woman's mind if it is already made up. Ultrasounds do not show a fully formed baby or even a cute and cuddly baby or give the woman who does not want a child the feeling of love that every baby should have from its mother. I had multiple miscarriages before I gave birth to my son. It was only after that that I understood what I had lost. That more than anything contributed to my post-partum depression and later relapse into full Depression.
I believe in EDUCATION. From the time kids are old enough to move out of the womb to the time they are old enough to move out on their own., Education is the Key to Preventing unwanted pregnancies. Heck, Education is the key to preventing cancer and coronary artery disease. Don't tell the AMA or Congress or the lawyers that though, they might prevent Nurses from teaching patients about how to eat right and exercise. Might cut down on the medicare and medicaid payments to Hospitals.
So instead of bickering about abortion let's give the kids the information and make sure they know it well enough that abortion won't be required.
I've decided I'm going to call off sick. I'm feeling like absolute crap, and to me, it's not worth it. A 12.5 hour shift feels like a 7 day shift when you're feeling sick.
I have read in other posts that if you have Bipolar Disorder that you should not disclose that to your employer, supervisor or co-workers because it could put you up for scrutiny and attack from other nurses.
So, how do you manage if you have this or Depression or anxiety or what ever and are too functional to be considered for a disablity?
Okay, I was wrong. I have made some mistakes. Now, I would like to get past them and find a job for which I am suited. I want to be a good nurse, being good at what ever job I end up in.
I am having a difficult time finding a job. At all. I am feeling that I have been black balled but, I can not prove it. I called a hospital KNOWING they needed another night shift RN. KNOWING it was posted, KNOWING it had not been filled yet. I was told, "No, we don't need anymore RNs right now."
I would like to stay here in my little rural town. I do not want to drive. I drove three hours everyday at my last job. I was exhausted. The exhaustion was what lead to me being discharged from my last job.
I would prefer not to go back to Med-surg. I am good at it but I intensely dislike it. I feel like I don't have time to connect and really "care" about the People (not patients) that I am taking care of. I feel a lot like I am pushing Iv meds or pills and wasting ink on endless reams of paperwork.
I have a certificate in Diagnostic Medical ultrasound, with a specialty orientation in OB/GYN small parts, and Abdomens. I really liked Labor and Delivery. But what I enjoy even more is education. Helping People lead better healthier lives through education about everything. Diet, Exercise, disease pathology, etiology and prognosis.
I am telemetry competent, ACLS trained and I am getting my PALS certification later this month.
Any suggestions would be helpful. I am desperate at this point.
I have had a similar experience with the bedside nursing. Only thing is, I have been out of school for 2 years. I was a CNA and an LPN before I became an RN.
I went into long Term Care at first. I love the older geriatric population. At my first job, I stayed for about a year. I realized that management wasn't backing me up or thinking of me or my family. I was often mandated to work over. I made several mistakes that were found, and sent on to my supervisor. Basically, I was suspended for missing an accu check that I did not do because the resident had already eaten lunch. I felt attacked and instead of fighting back, resigned. I was really depressed over it. I thought maybe I just need a diff environment so I tried Corrections Nursing. That did not work out so well either. What a nightmare. You have to be one tough cookie to work in corrections. My hat is off to those that do.
So finally I tried acute care nursing. The environment was toxic from day one. I had a rough time fitting in there. During my preceptorship, the pace was deliberately slow. The most I ever had was 5 patients. And the assignments felt like they were busy work more than really needed acute care work. After I finished my preceptorship, I was accused of cutting a skin tag off a man. The truth was that I was scratching his back for him and my fingernail caught on the skin tag and it tore. So I put a bandaid on it and left it alone. I should have filled out an incident report or told the charge nurse, Something. Anything would have covered me better than the nurse who came behind me and said that I cut it off. Then there were complaints that I was slow getting things done. Nurses can only work as fast as the Pharmacy allows when it comes to nomograms and heparin.. Then one morning I misread a Heparin nomogram and so did the RN checking it with me. When I went to ensure my paperwork was properly filled out later, she had gone home for the day and I was left holding the bag for that error. The Charge RN took it to our NM who put me on probation for 1 month. During that time I had no complaints and no mistakes. Then a week after the probation time was up, I had a bad night. I had seven patients and two went bad. and Three got pretty much neglected all night because of those things. So I was let go.
I stayed with that health system and went to a Long Term Care Position. Because that facility had G tags in their last state audit three months before, I felt my prescence would be helpful, useful, productive. Well, to begin with, I was to be precepted by an LPN who had not been out of school six months. She watched everything I did and reported on it to another LPN, who Reported to the DON. When I was confused about the system for filing resident charts and couldn't make sense of it, I was said to have the attitude that everything needed to change. That kind of nasty malicious gossip was passed on and around until it made me sick. The kicker was this last weekend. The LPN wanted to give an IM to a 98# female who had no muscle mass or fat an IM with a 21g 1 1/2 needle over her hip bone. When I questioned her about getting a smaller needle, to she got really angry with me. Told me to do it myself. When I talked to this woman's POA, he did not understand why an IV was being put in, stated he did not want his mother in any additional pain, but did not want to prolong her life. I explained that his mother was actively dying and that it most likely would not be long before she went no matter whatwe did. He said no to all the interventions that the MD had ordered. When I let the LPN know all of this she said that I didn't know what I was talking about and that I needed to go call the MD and tell him all this. So I did and called the DON while I was at it. When I came in on Tuesday, I was let go for treating the LPN's like they weren't real nurses and having the attitude that I was going to change everything.
But the nightmare still isn't over. apparently when my references and employment were checked I had a negative employment reference. So now what do I do?
Here ya go!
I am considering relocating. I want to figure out if I can make enough to cover my expenses in the new area. Does anyone have any resources that might help me figure this out? Thanks for the help.
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