artistnurse 4,353 Views
Joined: Oct 20, '05;
Posts: 109 (17% Liked)
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I'm posting a topic today to offer hope to those of you who may have been in my shoes at some point in time.
Little history: I decided to go into nursing through a second bachelor's degree program since my first liberal arts degree was not marketable in the economy after I graduated in 2008. So on I went to take prerequisites and I was accepted (to my surprise!). Throughout nursing school I was a straight A student and enjoyed my classes, even research and some of the harder clinical courses that most people complained about the entire semester. So with much hard work and soul searching through two years, I became a Registered Nurse. Well, on paper at least! I passed my board exams and was offered two jobs about two months after graduation. Mind you, I applied to over 100 jobs since my last semester. It was only after I had passed my board exams that I was actually considered for an interview and called back.
So I decide to take one of the jobs at a private acute care hospital in a medical surgical unit that also received step down ICU patients and fresh ER admissions. I was paid $21.45/hr and worked on average 14-15 hours for each 12 hour shift. This was not isolated to me because I was new. This was a widespread activity for every single one of the nurses on the floor. We were expected to complete the impossible and yet the stress was overwhelming and the liability issues mounting. I would cry before I walked into work hoping and praying that the day would not collapse for if I dare forget one detail my butt was on the line with the charge nurse and director. Example of this was extensive management oversight during the day to inspect and watch to see if all customer service components were completed during change of shift report. This would easily take 45 minutes to 1.5 hours to complete all the shift reports for two nurses to change shift. Anyway, I digress.
After working on day shift, I requested a change to night shift, something I had never done in my life, for hope that the stress would be less and the demands of the job more tolerable. BOY WAS I WRONG! The night shift was terrible and I suffered a lot of health problems from the shake it made in my body. So after three months of employment, unpaid overtime and harassment and discrimination from the patients, management, and other nurses I said goodbye.
That was the happiest most liberating day in my life. I am now a professional educator and teacher for science and mathematics. While every day is no where near perfect, the impact I make on other people is much more fulfilling and deep. I am not robot nurse. I actually help people and feel like I am part of a profession. Something, that nursing tried to eat off my bones from the day I stepped into that field.
All I can say is.... if you are truly unhappy with nursing and the mountain of things that are changing in the healthcare system you can either be part of the problem or part of the solution. I chose to leave it and despite the work and time I put into it, leaving was the best decision for me. There is NO SHAME in moving on from something toxic and unhealthy. There is NO SHAME in discovering other talents and dreams.
YOU ARE NOT STUCK IN NURSING.
Hope this helps someone out there. Best of luck to all of you who actually finished reading this monstrosity of a post!
The Journal of Nurse Life Care Planning has a great article that would be helpful to you, written by a nurse who travels all over the country and manages her practice, including case mgmt, remotely. Lots and lots of helpful hints especially re telephone service. Go to American Association of Nurse Life Care Planners > Journal > vol 15, June. The article is called, "Can you hear me now?" by D Cook.
I suppose it would depend on the company and if you have a car you can drive around if you do community assessments. I think it's a splendid idea, I have a friend who does contract work and lives in an RV but she does not do CM. You will need a good internet connection and possibly some space for office equipment but if you can live in a small space I say go for it .
I do disease management from the home. I think it would depend on the company you work for. My company would frown upon it as they also do home visits for HIPAA compliance and being out on the road would limit that access.
My objection would be that I would someday end up in highly edited form on some YouTube video looking like an idiot. I'm fine with someone recording what I say as far as patient teaching purposes- if I am informed ahead of time and I know when they start and stop the recording.
It is quite another thing to record my image- I put my foot down then. I did ask a family to delete some photos they took as we were moving their child from cart to bed after surgery. They got the camera right by my (admittedly sizeable) rear end in an attempt to photograph their poor sick child's expression of agony. (Why they wanted to photograph this is beyond me- but I digress..)
I think recording in any form without express permission is unconscionable.
it's still silly.
if they don't know it already, physicians do not educate, hire, evaluate, discipline, or fire nurses (unless directly, as in an office setting). time they figured out the ds in their degrees don't stand for "deity."
if the nursing department needs a refresher, print out a copy of the nurse practice act and the ana scope of practice for them. post copies in the break room too-- you'd be surprised about what they say. pleasantly. knowledge is power, folks. you don't get given power, you seize power.
My nursing instructor was telling our class about how some hospitals are doing this now. Personally, I think it is a lawsuit waiting to happen. It also bothers me on a personal safety level. I work in the ER and my name badge doesn't even have my last name on it to protect my safety and privacy. Can you imagine if you found either a visual or voice recording of yourself on the internet? If a patient has a right to privacy, why shouldn't staff?
We have a policy against patients recording or videotaping staff, procedures. Patients or Guardians have to sign it. As for teaching, you should have a policy in place and a script to follow, which has been run by legal, if you are encouraging taping or video taping. You had better be sure not to skip anything as one day you could be on a court stand listening/watching yourself and a lawyer drooling at the prospect of $$$$$$$ because you forgot one thing. And if you are doing this on your own without a policy you better be carrying malpractice insurance because the hospital is going to throw you under the bus.
We allow parents to take photos and record videos of their little ones but they are not allowed to film or take pictures of a procedure or staff members. I do not want to be filmed or photographed; it is my personal right. 2nd, it could later be used as evidence in a lawsuit God forbid you accidentally omit a vital piece of information during teaching or contaminate a clean or sterile field, etc. I do not like the idea at all because you don't know what people's motives are for recording. As an alternative, offer handouts they can refer to or offer resources from the internet. At some point a line needs to be drawn. Us nurses have rights too.
Doesn't seem like there is going to be too much action on policy writing until some of us in fact do see our mugs up on YouTube (or something similar). I used to love working ED because one could always ask for those devices to be turned off citing equipment sensitivity. Working in other areas of nursing these days, I've been directly recorded far more than I would ever be able to feign comfort with. Or had family members literally asking me a question then shoving portable recording devices into my face.
I've really no idea how to address this.
I am with you artistnurse. I would not want to be recorded and I would want to have the option to opt out of being recorded. I don't discount the benefit of recorded teaching, but I personally do not want to be on the recording.
Discharge teaching starts at admit, so a large portion of patient teaching basically discharge teaching, but either way I'm still not sure why any patient teaching shouldn't be able to be recorded by the patient or by someone who has the patient's permission.
I don't know if our hospital has a policy on recording discharge instructions. I work night shift and I never discharge patients. I would not like my image recorded either, I don't like the way my voice sounds on a recorder but I'd prefer that if anything. We have some weird patients, so who knows what their reasoning is. If they wanted to record something like demonstrating a dressing change, we can work on it until the caregiver gets it right. I would hope my employer would respect our wishes if we didn't want to be recorded.
Since I was a little girl, I have always wanted to be a nurse. I wanted to help people. I wanted to heal. Now 4 years out of nursing school, I HATE nursing with a passion. I am a med/surg nurse with a BSN.
Reasons I hate nurses (in no particular order)
1. Most days I feel like a pill-pusher. I don't feel like I make a difference.
2. Doctors feel they are perfect.
3. Patient satisfaction scores.
4. Patient sense of entitlement. (see #3)
5. Family at the bedside dictating what they want...like I am their personal servant. I have to comply (see #3).
6. Lack of appreciation mized with how much more work can they give us.
7. Nights, weekends, and holiday. I don't want to give everything I've got only to see no return in work satisfaction.
I don't want to be a case manager. I don't want home health nursing. I really want to be outside of the hospital. Quite honestly, I want to be away from people. I would be quite content to work on a computer and have email interactions. Preferably work from home. Any suggestions?
I hear your same complaints frequently on this board and in person. One sad trend I continue to see is that young talented nurses such as yourself are burning out at the bedside and many see the answer is more education to "get away from the bedside". So then we are flush with educators, managers, and others who are still nurses but are so detached, they can not see the problems the bedside nurses face.
I have been a nurse 32 years, mostly at the bedside. I can't offer any specific advice for you, just comfort that you are not alone. That may not be much comfort at all! Nursing has been good for me. I grew up with it, as a new RN at age 19, it is all I know. That said, I never encouraged my children to go into nursing. Neither have the personality for it. My daughter in law has been asking questions about it and I have encouraged her to look elsewhere.
Many are entering nursing as a guarantee of job security, decent pay and flexibility. All of those are true, but they come at a high price. Many administrators, educators, and paper pushers in general still have the mindset that nursing is a "calling" and we should behave like the nuns of old and selflessless sacrifice our lives for the good of others. They do not look at us as professionals who have needs of our own!
While I enjoy what I do (ER travel nurse), I completely understand the frustration and sorrow of those who do not. I would not survive 3 months in most areas of nursing, nor would I want to. My backup is to drive a forklift at Home Depot! You may find your niche, you may not. It is not for everyone, sad but true.
But before you give up completely, look into other aspects of nursing. There are many. You have put in your obligitory one year of hell and can now branch out. Good luck, wish I could be more insightful and supportive, but I recognize the limitations of trying to work under adverse circumstances without backup.
We have all of the responsibility, and none of the authority!
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