gonzo1 17,069 Views
Joined Jun 8, '05.
Posts: 1,706 (45% Liked)
Our weekends are Fri, Sat, Sun. We have to work 4 weekend days per month. We mostly do self scheduling. I'm lucky enough to fulfil my obligation by working every Fri. So my schedule is Wed, Thur, Fri. It's the best schedule I've ever had.
Some nurses work Sun, Mon, Tues. Of course there are nurses who try to sneak out of working any weekends, but eventually they are caught and made to do it.
Holidays are every other year off. So if I work Thanksgiving this year, I will most likely get it off next year.
I was at a party recently and every nurse there had a tale to tell about other nurses being mean to them. However, I don't think being mean to each other is found only in nursing. I worked at an international company for two decades and it was a mostly female department, hundreds of employees and there were several that were horrible people. It's an universal problem.
It is possibly more evident in nursing because we rely on each other so much for help, as in changing patients, lifting patients, asking for guidance on how to take care of certain symptoms and so on.
I was once at a seminar where the speaker said his policy is to trust and respect everyone, until they do something to lose that respect. I have tried to incorporate that idea into my personal/professional life for years now, but find it hard to do at times because I was raised to trust no one.
I believe I have never bullied anyone and am a very helpful person, but who knows for sure. All I can say is that I have been bullied a couple of times and left jobs because of it. However, after I learned to use the coping skills and suggestions on AN I am now never in that position.
There are more than enough suggestions on how to deal with all these issues on this forum and having finally put them into practice I can say they do work, even for very timid people like me. Your world won't change until you make it change. As far as respect, I pretty much have always felt respected by the people that matter.
I do know some people who say they are never respected and the truth is they are respected, but they don't respect or like themselves and this is what they are really feeling. I feel so sorry for them because they actually are great nurses and good people.
Sometimes we have to heal ourselves before our world changes. It's something I have to work on very often.
I love them all.
JC reports state hand off is one of the unsafest times in pt care. For you to get a patient without report first is a gross violation. However, there are a couple of considerations. You have not assumed pt care until you get report. Make sure that you start charting, "report rec'd and pt care assumed at this time" on all your patients. That way when you don't get report you can chart, something like," pt rec'd into stepdown hallway. No report rec'd, pt on portable monitor. Will assume pt care after rec'g report."
If I were in this situation I would take care of the pt in the hallway, but the chart would reflect that no report was rec'd and pt care not assumed. This may protect you in court as the pt is being taken care of, but you have not assumed care. Since the pt is in the hallway they and their family will be asking all staff for help, and everyone will see what needs to be done and have to be involved in pt care.
If a pt codes in the hallway this will not be on you, if you follow ACLS quidelines, but rather on the hospital itself.
This won't last for long as pts and their families are going to be screaming. I would just go along with it for a while and make sure you educate yourself on JC standards of care as far as privacy and hand off and I don't know what else.
You are a brave soul for staying in such a position, cause I would be running for the doors as soon as my shift was over after having my first hallway pt. I have a feeling this will never actually happen. I have worked a few places where they said this was going to happen and it never has. Too many unanswered questions like how to use bedpan, urinal, hallway crowding and fire codes, no privacy and multiple privacy violations.
The only place you can guarantee sterility is in an operating suite. That said, I encourage the doctors to use sterile gloves etc because it never hurts to be cautious. They rarely say no.
This happened to me. I had to write a long description of how I worked and who I worked for and then get letters from the 4-5 agencies I had worked for. I was working with 4-5 different agencies and had been for about 4 years. Chase bank eventually said no, but a little mortgage company said yes. Of course I also had a fair amount in savings so that helped seal the deal.
We have been very happy with the little company that gave us a break.
Congrats and good luck to you. I'm sure you will do great
Thank you for sharing your experience with us. I'm sure that it will be helpful to many in the future as this is a question that arises alot.
Congratulations on passing and thanks for sharing. I've worked in ICU for 4 years and want to take it but was afraid because so many people say it's horribly hard.
You have given me the courage to do it.
They will most likely welcome your med/surg/tele experience. Almost all the ICU nurses I know started out in med/surg or sometimes ER. You will be able to teach them some things and vice versa.
1. Answer call lights fast.
2. Always be looking at something educational in your down time, not candy crush (until orientation is done) LOL
3. Be curious, ask questions and ask to see things. When there is a vent patient ask to go in and look at vent etc. Don't just sit and play on phone (true story) Probably not going to make it through orientation.
4. Talk to the other disciplines and learn as much as you can.
5. Offer to help when appropriate. There's no techs in ICU so we have to rely on each other a lot.
I have worked several places where this happens. When I was a new nurse people would ask me to change with them all the time and I did. Then I started asking people to change with me. Two times in a row I got even worse patients and so I have never again asked. I take what God gives me and it has always worked out for me.
I do ask to float if someone is floating to another unit I will ask if I can go instead and they almost always say yes. I'm comfortable floating to med/surg, ER, PP, EMU and a lot of nurses hate floating so it works out good for all.
Do you have to take pts as the charge?
1. The BON is not your friend, not there for you and could care less about the trouble you are having.
2. This is why no nurse should ever go without their own insurance. I have had mine since before I graduated and used it twice with wonderful outcomes.
3. Thank you for your service. Nursing is getting scarier and scarier.
You could also call and try to interview or arrange a visit to some existing group homes. This is a big business in AZ, Tucson for sure. Great idea. My mom was in two different facilities. Had to move from the first one near the end as it wasn't able to accomodate hospice patients.
Good question. I think I'll try these myself.
This sounds like a nice job. Can you tell us more about it? Maybe something I'd like to do.
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