The management staff works 7-3. There are five nurses on that shift-one for each half the patient load and 3 salaried administrators. They also have a unit secretary and 5 CNA's. With all that help, they still can't get their paperwork on assessments done in a timely manner or seem to complete tasks. So, when the 3-11 shift comes in, the stuff gets dumped on us. So, we are expected to finish their stuff and also ours and still manage to get off the clock when the 11-7 shift gets there. We have to referree family concerns/complaints, collect/send labs in, do and complete admissions, receive the pharmacy shipment and place/follow up on orders day shift didn't complete, handle the doctor, and still get the meds passed twice, do the lions share of treatments and body audits (and enemas now), chart on 19 medicare patients!!!!!(not to count the 25+ LTC patients) and still get off on time- with only two nurses. Oh, yes, and make sure all the O2 tanks the dayshift left empty are refilled. Forget about the 11-7 shift picking up any of that-it doesn't happen. So, the 3-11 shift is the dumping ground for all problems. This is a posh beach-size home where the residents pay nearly $10K a month to be there and they expect service!!! So, the nurses in addition to all that have to make up for the fact the CNA's have 9 patients who all want to be toileted and put to bed at the same time by pitching in and doing their job as well. And, there's always the phone that rings off the hook.."Could you put my mom's tv on her favorite show?" when it isn't your patient and your on the other side of the building dressing a wound. Plus, you wear a beeper and are expected to answer the calls withing minutes or get written up when she tracks it in the system.
So, all that being said, the only thing I will miss IS the paycheck! Their pay was good, gotta give 'em that, but still can't be in more than one place at a time and there are only so many hours to go around.
No, I didn't have a problem with every shift. I had a problem with ONE nurse on the day shift and ONE CNA from the day shift that filled in on my shift one night. Our crew was working okay. We openly discussed amongst ourselves the bad rap from the day shift towards anyone who worked 3-11. The would come in the morning after our shift (no matter who worked my shift, since I was PRN) and complain about what a bad job we had done. FOr example, the few wound dressings that were done day and evening, when I would get in there to do them, the supplies would be used up and there would be no one to refill it at night so I would have to scrounge around for supplies. Then in the morning, my favorite nurse would complain about the dressing I put on the night before. And, say something like, there was the proper supplies when we did her dressing. Little snarky sabatoge things that add up.
The real issue is that she is unable to complete her job without going into overtime. So, she dumps her stuff on me. Then, I can't get my stuff and her stuff done on time, but I'm the one who gets in trouble, not her because I don't have the relationship with management. I'm the night guy.
This isn't an intrinsic problem of me being unable to get along with people. I am fine with my fellow nurses (I drove over to say goodbye to them to night). This facility is run by a woman with a publically known reputation for chewing people up and spitting them out. In my short time there, two others were fired from the 3-11 shift. I make number 3 in two months!
I'm happy to go, as I said. It will be nice to be off for the holidays. But, I do need some money coming in so I will need to start looking again soon.
Being able to vent here is helpful. Hopefully I won't receive posts that just turn it around into a personal attack and make it all about me. It's too bad when that "Stop whinning and admit it's just your fault" stuff gets dumped on people who just need a safe place to vent.
Thanks in advance for any constructive advice. I know there is a problem in nursing with back-biting behavior or else we wouldn't have studied about it in school. I also know there is a problem with CNA's and insubordination. I know the fix for that is management has to back you up. If I were allowed to say, "Clock out and go home" a few times, those who wanted their jobs would be working to keep them and not messing around. But, it keeps happening here because the DON won't punish the CNA's. The last nurse before me who wrote someone up found that both him and the CNA got suspended! What message does that send! Then, we have a huddle where she calls us in and threatens to write up nurses who don't write up CNA's for not answering call bell lights (because someone complained no one came) and all this happened AFTER I did write someone up for that and look what it got me- immediately my hours were cut and within two weeks, a reason found to send me packing.
Truly a toxic environment!!!