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LOVEGREEN 2,806 Views

Joined Aug 4, '12 - from 'Central NY US'. LOVEGREEN is a RN. She has '4' year(s) of experience. Posts: 13 (54% Liked) Likes: 51

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  • Jan 29

    Quote from NewRN'16
    OK so I paid attention. It's not the older nurses who say that. It's the younger, off orientation nurses who report bms and voiding as "for them"!

    Is that way of them trying to fit though???

    What if I confront them????
    Confront them because you're annoyed? Just suck it up. Lots of things are going to annoy you; get used to it. Save the confrontations for legitimate safety issues.

  • Jan 28

    Quote from VANurse2010
    This is far enough in advance that you should just find a new job and quit. I'm a little put off by all the advocates for putting the unit before your life, but that's the lay of (some people's) land I guess.
    I have no qualms putting work before family because without work my family is not going to survive. IMO the new buzz words work life balance are as overrated as EBP and huddle.

  • Jan 28

    I've worked with several nurses over the years who have been in similar situations. I personally would not leave a job that I like (or even one I didn't like if I did not have a replacement job secured already) because of a situation like this - rules are rules and they are there for a reason. Basing PTO/vacation, especially at a busy time in July, is very commonly based on seniority and obviously unit needs. I know when I worked nights for years, we couldn't have the same amount of nurses sign up for vacation weeks on nights as they could have on days because we had less staff at night, so only one nurse at a time was able to be off for vacation on night shift versus 3 per week for days.

    Another thing to consider is that even though your wedding is obviously important to you and it may not seem fair, many people who request PTO have similar situations and reason to request PTO which they feel are important to them as well. It wouldn't be fair to bend the rules for your wedding but not give the other nurse PTO to take a family vacation with their dying parents, for example. Almost everyone feels their needs are important to them and feels that should put them as a priority, which is why there needs to be some process for signing up for PTO in the first place.

    As others suggested, I would try working with your coworkers to see if they are able to cover those six shifts or make trades to have as many days off without needing to take PTO as possible. If that doesn't work, I would suggest changing the date of your wedding after you speak with management to find a good time where you would be able to take 2 weeks off. It is the most stress free option for you, and you already have enough stress to deal with when planning a wedding.
    P.S. this is one of many reasons why we eloped

  • Jan 8

    "Could of" "would of" "should of". It's "could have" "would have" "should have". Can be abbreviated "would've"; not to be confused with "would of" which makes no sense.

    Also redundant phrases like "fellow coworker" "fellow nursing comrade" "we were frightened and scared". People seem to find this pedantic, but do they really think they can be taken seriously when they can't communicate above a fifth grade level? I'm willing to cut a lot of slack when English is a second language. Unfortunately for some, English seems to be a second language and they don't have a first one.

    And this is my COB rant.

  • Jan 8

    *shakes fist

    Off my lawn you kids!

  • Jan 1

    EXCELLENT thread MichelletheRN!

    I could sense your frustration, but reading your posts caused me to laugh out loud a several times. Yours is probably the most interesting and entertaining vent I've ever read on AN.com.

  • Jan 1

    I guess the part of it i find most offensive is the lack of even a pretense of respect, the "guilty until proven innocent" thing.

    I don't understand why the actual floor nurses, PAs, and doctors can understand what a load of crap it is, but the administrative staff, who are supposedly our leaders and smarter than us, can"t or won't see it.

    And the move away from "patients" to "customers" and "clients". And i am all about good customer service. All about it. I want to provide the best, most competent care, with the goal of helping people to get better. That is all. I enjoy direct, hands on patient care, and interacting with others. I want to assess, treat, think, comfort, encourage, and teach. I don't mind getting you a can of pop, or a pudding cup, or changing the channel because you were too weak to do so, and instead pressed the other button so i could come and do it lol. Up to a point. But you have to take it for what it is. It's not a spa, and you're in my territory. Don't be ridiculous.

    This sounds terrible, but i honestly feel there is a direct correlation between innate IQ and being rude/fitting about everything. And the nicer i am, the harder they push. I will think, "But.....i let them use my cell phone/ipad/ipod/charger/ magazines/gave them $5". It doesn't matter, it's never enough.

    There IS (and i am going to figure out how to do a study on this someday) ABSOLUTELY a correlation between IQ and now well you protect an IV. Most people of average or above average intelligence know that even with the best of veins, getting an IV inserted isn't fun and causes at least mild, albeit temporary, discomfort. For that reason, a normal person will be cautious of the IV, and try not to pull on it or mess it up (unless they are confused or senile). You get an idiot, they can have such awful veins it takes 4 of you ten tries to get a 24 gauge IV inserted in their pinky or some ridiculous thing...takes 2 hours...lol. Five minutes later, they will have crawled out the side of the bed, pulling the IV and pole across the top of the rails by the tubing, and the room looks like a murder scene. That is when you know you have an idiot, so you better be in there every ten minutes, begging them to just stay in the damn bed, bribing them with ice cream (what, no chocolate sauce? You'll be hearing from my attorney!)

    In the example of the lady wanting more and more narcs, what on earth should have been done? Really? Norco and Percocet wasn't cutting it for a 2 year old knee scope? I had my knee scoped before. I know how it feels. It DOES hurt...for a couple weeks. If i was having enough pain i wanted narcotics years later, i would be getting ahold of the surgeon who did it, and saying, "hey...idk what this is about, but it isn't right!" So did they REALLY want us to give her dilaudid or fentanyl for that? That's beyond ridiculous. If we actually did that, and something went wrong, can you imagine? I mean, we hadn't even had a chance to really look at it, or xray it. She wanted IV drugs, NOW. Nothing else was satisfacory. And why does SHE get the benefit of the doubt rather than my friend (whom has been there nearly ten years, vs this lady we have never seen before or since, and don't know from Adam)?

    Why doesn't anyone stand up for us? I have been a bedside nurse for twenty years. If I was a manager, I feel like I would stand up for us. But honestly, after twenty years, if i was going to be a manager, i already would be. I don't feel like i would be a good manager, it's impossible for me to separate myself from the floor staff, or to tear them up. I feel like there is some part of my personality that wouldn't work in that role, and i would be bad at it. It's probably unfortunate as i am not getting any younger.

    One of the surveys we got back last summer, the wife said her husband had been in there 3 days and never received a shower. That is not true. I admitted him. We showered him before we even put him in a room, because he had dried poop and pee all over himself. He may not have got a shower that next morning (8 hrs later), but i am pretty sure he did the next day. It is charted that he did, anyways.

    What it amounts to, is he wasn't showered while she was there, it took place later at night and/or earlier in the morning, and he was too confused to remember.

    But boy, did we get reamed. An email saying how this is "unacceptable", "ridiculous", "how would we like our family member to be treated this way", "consider this a warning", "there will be disciplanary action next time", blah, blah, blah.

    What are they going to do, fire us? We are already short 4 or 5 RNs, and half of our staff is traveling nurses. We are skimming by on providers, but one MD or PA or NP away from utter chaos. We recently lost a great PA because she had a baby, and we refused to work around a reduced schedule for her. I don"t know why. She was very competant, sweet, and a hard worker. Why do we just let these people walk out the door?

    We have lost several bright, hardworking RNs as well. I don't know why we are just like, "okay, bye!" Instead of "what can we do to make this work? We value you and want you to stay".

    Obviously, i am developing a bad attitude, and i don't want to, but it seems so hard to stay positive. Despite how jaded i am becoming, i honestly do still like people and want to help them. It's just hard when no matter what you do, it's wrong. I am burned out, we are all burned out, and there is no end in sight. We are back to getting extra shifts again because some of the travel nurses' contracts are up. In my eval, apparently i have picked up 18 extra shifts in the past 6 months, completed God only knows how much continuing education, and attended over 80% of all the extra meetings (if you don't make 80%, you don't get your yearly merit raise). This earned me a score of "average". 3/5.

    How do you get a 4? Does it involve sacrifice and the blood of a virgin? (Guess i am screwed then. Lol.)

    I can't believe how long I went to college and how hard I try, to end up being a complete peon, who is one "diet coke instead of pepsi, and i prefer CRUSHED ice to cubed" away from some kind of "disciplinary action". I don't know what the disciplinary action is, some kind of vague horror that is threatened when i don't put miracle whip on a sandwich, or forget to lock the little drawer in the room that holds bandaids, alcohol swabs, and tape, because we must prevent the stealing of bandaids that is apparently an issue.

  • Jan 1

    Quote from Tenebrae
    Dead people end up in the morgue where I come from, the ICU is for the 'tried to be dead but not dead yet people'
    mostly-dead-jpg

  • Dec 21 '16

    If I were to say I had a patient with orange skin and a severe comb over, is that a HIPAA violation?

  • Dec 21 '16

    I am sure there are many tattoos that would count as identifying tattoos- any tattoo with a name, birthday, or intricately drawn face, or a photo (versus a description) of a unique tattoo. A gang symbol would not be an example of an identifying tattoo. Nor would something like a clichéd phrase, a heart, a peace sign, or a bird, I would think.

  • Dec 21 '16

    I admire your gumption, MVNurse. You took an initiative, and were honest with the family. Your approach was untempered, direct, and forthcoming. Your objective documentation was an excellent maneuver.

    We learn to temper our approaches according to the situation and the institution for whom we work; we become somewhat like politicians. We say what People need to hear and let them know any concern will be addressed by those responsible. The best we can be, in a lot of situations, is a strong link in the chain. We have only so much power, so we learn to dance and put on a good show, never forsaking our principles or integrity.

    All in all, you did a good job, MVNurse. Just learn to play the game a bit.

    The very best to you.

  • Dec 19 '16

    If you could see yourself indefinitely at your current place, then stay. Skills are easy to learn, honestly. I work at a larger hospital that gets many referrals, but I am a little jealous of nurses at smaller hospitals. They don't have as many resources or back up as I do, so I feel like they have to assess more independently and handle urgent matters. My point is... the grass is always greener. If the only reason to leave is to take a wider variety of patients, I'm not sure if it'll be worth it.

  • Dec 19 '16

    "Patient in motorized chair. Patient refuses to be transferred to bed as patient refuses Hoyer lift."

    Nuh-uh. This gal's not wretching her back because a patient refuses a safe method of transfer. And what in the name of Grinch does a different bed have to do with patient getting from chair to bed? "I could ambulate with a different bed." What does that even mean?

    What a waste of EMS time. Basically they have to show up because your patient is throwing a hissy fit. I totally would have refused to help with that transfer too. Sounds like someone at your facility needs to lay it down with this patient instead of letting the patient walk all over the staff.

  • Dec 13 '16

    OP, you've received more that four pages worth of replies to your post. Any thoughts you wish to share?


    Quote from Daetwin2
    I heard the patient ask, "A nurse came into my room at 3a.m. and put something in my IV. I have no idea what it was."
    I heard him say, "you know, Nurses are stupid. They think if they are awake at 3 a.m. then you should be too." It was probably a flush to make sure the IV is still working. Anyhow, I'll find out fore sure."
    The P.A. responded with a great big smile on his face, "See, I knew we would find out!"
    I'd be very curious to know what the PA's tone of voice was when he said that nurse's are stupid yadda yadda.

    I see two possible scenarios. Either the PA was perfectly serious when he said that nurses are stupid. (Which of course would make him both wrong and unprofessional). If that's the case, he revealed himself to be an idiot to the patient. There's really only one conclusion any rational patient can draw if the PA first states that nurses are stupid, and then minutes later turns around and offers up a big smile while stating "I knew we'd find out". (Because that means he called nurses stupid, despite knowing/being reasonably certain all along that the nurse had a very good reason for administering the med in the middle of the night). The patient will correctly deduce that the PA is full of ****.
    No further intervention necessary. (Other than perhaps getting the patient a new PA, since he or she will have lost all respect for this particular specimen).

    The other scenario... I used to work with a physician who was brilliant. Scary high IQ. He was also socially handicapped to the point where his foot was permanently lodged in his mouth. This is exactly the kind of thing he could say in order to calm a patient displaying anxiety. Trying to dedramatize a potentially scary situation by ham-fistedly joking about those stupid nurses, always bugging you with harmless saline flushes in the middle of the night.

    I spoke to him about it once (away from bedside, never in front of a patient. They don't need to think that they're surrounded by buffoons , one's more than enough). I asked him if he was purposefully being a ****, or if what he just said didn't come out right/the way he intended. He looked dumbfounded when it dawned on him that what he'd said was really inappropriate and was likely to result in the patient losing confidence in him/us. He really didn't have a clue. He wasn't mean. Merely socially inept.

    Whatever led this PA to say what he did, my advice if you want to address the matter, do it out of sight/earshot of the patient. Patients shouldn't in my opinion have to be subjected to our work related dramas. They usually have enough on their plates without us adding more crapola. Patients are for the most part, not stupid. If a coworker treats you poorly, they will notice . I have no need to chastise the offender right then and there unless it's a patient safety issue that has to be addressed right then.

    Personally, I wouldn't get all het up if a coworker did what OP described. I just think it reflects poorly on the person who behaves this way but I have enough confidence in my abilities to not take ignorant comments to heart. I wouldn't report him but I would talk to him to let him know that I don't want this repeated in the future. Mostly because it undermines the patients' faith in our professionalism. I have actually also talked to two nurse colleagues who in my opinion said inappropriate things about the patient's physician to the patient. It cuts both ways.

  • Dec 13 '16

    I would call that PA all night long with questions, being stupid, I am bound to have many......


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