New nurse here. How do I overcome a suspension from work? - page 3

I recently got my RN about 5 months ago and have been employed on a medsurg unit. It is a very busy unit that is at times understaffed and it is a lot to adjust to. I started with 2 other nurses and we have all made mistakes,... Read More

  1. 0
    How about an inpatient rehab unit in the hospital? Patients are less acutely ill, better patient to nurse ratio then LTC. Your nurse manager doesnt seem to be very fair to me. ((hugs))))

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  2. 7
    I have a friend who's a "supervisor" at a LTC, and all that means is she supervises the LPNS and CNAs -- AND she has to come in and cover shifts if someone calls out or quits, and half the time she's "supervising" she also has a patient load.

    I just don't want to see you jump out of the frying pan and into the fire.
    SHGR, Lovely_RN, Not_A_Hat_Person, and 4 others like this.
  3. 6
    Supervising means carrying a greater load than one nurse's assignment. You (and your license) are responsible for the actions of those you are supervising. By definition it cannot be easier than what you are doing.
    Lovely_RN, GrnTea, VickyRN, and 3 others like this.
  4. 7
    Wow, you got some wise advice from some awesome nurses here, I know it must be incredibley overwhelming to face your fear of getting up and going to work everyday. This is not an ideal start for the New Nurse, and I wish they would have went lighter on you, instead of the false documentation vs. not starting the monitoring. I totally understand what you are saying, No alert, no problem.

    I'm not going to torture a cliche', but never assume in nursing. The times I have got called on something- I knew it was coming. I recieved a "gut" alert, or signs were pointing there, and I missed it. Now not all of these times did I get in "trouble,'' in a disciplinary sense, I just suffered a negative action because I didn't use my best clinical sense.

    I have learned NOTHING ever goes away, and NOTHING takes care of self within my first year of nursing. Address everything! That was the best advice I ever got, and I use it until this day. It really sucks sometimes taking extra time to bridge something, but peace of mind is wonderful. (you are still going to have OMG- I didn't . . . moments, but never let that pen write ANYTHING!, that you didn't see with your 2 eyes, feel with your hands, hear with your ears, or something you didn't do giving credit for done.

    The Assistant may not tell you that the patient in room 323 has a blood pressure of 83/37 HR 46, and Sinus Brady (and has no urine output), but don't ASSUME it's fine because you weren't allerted. And now, it's time for her Clonidine, Lasix, and Atenolol. This would probably mean more than a suspension.

    Just want your patients, and YOUR CAREER to have long happy lives.
    SHGR, Lovely_RN, GrnTea, and 4 others like this.
  5. 4
    Ltc is def not the answer. They are always understaffed and a lot of patients. I'm a new nurse also and they just threw me in and its either sink or swim. I have 40 patients on my watch and I'm the only nurse with 2 aides. I usually work over nights so the 40 is ok still hard but ok. But then I get stuck working 7-3 after just doing 11-7 and still by myself with a few more aides. It's crazy. Everyone makes mistakes that's just how it goes. Learn from it and just keep going.
  6. 6
    As a new nurse I had an older nurse who constantly picked at me. I called her Sarge to my friends. After I'd had enough, I sat her down and said "I need your help. You are so well organized, do you have some hints that could help me?" She changed from being my pain in the neck to being a valued mentor. It wasn't overnight or anything, but she did help me get my feet on the ground. Your supervisor might help too; again just let him/her know "this is what I've been trying...what else can you suggest or is there an easier way to keep organized?" I am a supervisor, and I would see that approach as evidence of someone who has both insight into their own learning needs, the motivation to have tried a checklist themselves first, and someone I can trust to let me know when they need a mentor or some assistance in that difficult first year. None of those things are negative, in my opinion. Of course, your supervisor may have a different perspective. Don't bail just yet. And certainly don't bail to a position where you will have more responsibility without the experience to know when you are in deep doodoo! Again, just my opinion.
  7. 4
    Supervisor in a LTC will mean being responsible for everyone on your unit ( or most likely the entire home). You will have to call the MD, take off orders, deal with family, treatments, help with admissions, replace call outs, and more than likely hop onto the floor and take an assignment... On top of everything else you are responsible for. I would much rather be floor nurse!!!
  8. 8
    With 5 months of experience you have not yet mastered nursing (no one has, in that time frame). You have no business supervising, guiding, or acting as a resource for others. Does this make sense to you?
    SHGR, GrnTea, Nascar nurse, and 5 others like this.
  9. 1
    Great suggestion! I am a new grad and will be starting on a busy med surg floor (1:8 ratio) next month. The biggest fear of mine is staying organized. I think I need to create my own "cheat sheet" when I start!
    BostonTerrierLoverRN likes this.
  10. 3
    Thanks for all your advice!! I am going to listen to it and count LTC out. I did talk with my manager about the one nurse who seems to want to get me in trouble, and I also asked her to speak to some of the other nurses that I regularly work with (because I know they will say good things about me). She thanked me for letting her know and told me that one person alone is unlikely to get me into trouble, because she will see that it is always coming from the same person. She seemed to want to work with me on things, but I dont know how much I can trust this? What if she is just saying that so that I stay my year (my floor has a high, HIGH turn over rate) and then right before it's up she fires me? I told her that I feel like I am walking on eggshells and I'm very worried. There are just so many things that can go wrong......
    SHGR, Lovely_RN, and Merlyn like this.

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