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- Dec 21, '12 by Spidey's momI can't get past you're supposed to poach eggs for the residents during a med pass . . . . . .
Dec 19 by [COLOR=#003366]Starkrav[/COLOR] Dec 19 by [COLOR=#003366]Starkrav[/COLOR] A member since Dec '12. Posts: 8 Likes: 1
I can handle stress to a certain level, and I can handle certain types of stress better than others. For example, stress in an emergency situation doesn't get under my skin nearly as much as when I'm asked to make and serve breakfast while doing my biggest med pass of the day (I literally had to poach eggs in the microwave), and then having my boss ask me to do a project that requires digging through every residents' personal chart. Also, if the stress were intermittent, I think I would be fine. I literally spend my twelve hours running around like mad, and I never get a break. I do paperwork while I eat. And that's every shift except when I work Sundays. I don't know, maybe the place I work is really that bad
- Dec 21, '12 by joanna73When I'm busy, I will cut the "talkers" right off: "I need to check on another pt, but I will be back to see you later. Please ring your bell if you need help. Good night." Otherwise, they will eat your time up while someone else actually requires medical attention.
- Dec 22, '12 by playgames1Nursing in nursing homes is just as you described it and it is unappreciated by management and will stress you out if you let it. That is why nursing homes has high turnover of new hires. Not untill something is done about the lack of respect management has for the role of the nurse will it change. Get some experience and look for a different position.
- Dec 24, '12 by hiddencatRNQuote from StarkravYou do the one you have to do. You prioritize the higher risk situation. You don't do things just to make people happy, you do things to keep your patients safe.Is it okay to blow off a patient request if it's a low priority? For example, let's say one "healthy" patient asks to have their BP checked while another CHF patient has an ordered daily weight that needs done. You only have time to do one or the other, which do you do?
Quote from StarkravYES.Here's another situation... I have a few residents that will stop me to tell a story regardless of how busy I look. They tell stories in that way that you cannot get a word in edgewise, and the only way to shorten the encounter is to literally cut them off. Is that okay? It makes me cringe to think of doing that.
Practice polite ways to say no so that you don't have to think on your feet and use your script.
- Dec 24, '12 by mariebaileyYou may really like working as a communicable disease nurse or a TB case manager at a public health department. Doing surveillance, disease investigations, educating/counseling clients on prevention/treatment, coordinating care, etc...it all involves a great deal of critical-thinking. There is a huge learning curve in this area too; so many complex, infectious diseases that have burdened the human race for so many thousands of years! You are probably well aware of the pros and cons of working in public health. I hope you find your niche.
- Jan 7 by StarkravThanks everyone. It helps to hear other perspectives.
I ended up putting in my notice last Thursday. The final straw for me was feeling like my license was at stake. I know nursing can be crazy, but I do think the facility I have been working in is exceptionally bad. I checked online, and the facility is rated one-star, has 22 health deficiencies (state average is 6.2), and has had 5 complaints with state in the past 15 months. I read through the incident reports with state, and I could see how every single one still occurs on a daily basis. I feel a bit more hopeful now that I can find a job in nursing that is less insane. Although I'm nervous, because I don't want to land anything similar to what I just went through.
Mariebailey - thanks for the suggestion! I know little about public health, other than home care and vaccination clinics. I'm going to do some research on your suggestions.
- Jan 7 by loriangel14Yes you need to prioritize and say no. Why would you waste time checking a BP for no other reason than that the resident asked you to? You have to do the important stuff first and be firm about the rest.
- Jan 7 by StarkravQuote from loriangel14Why check the BP? what about resident rights? When I read through the incident reports filed by state for our facility, several of the deficiencies occurred simply because a resident asked for something that they did not receive. I get the point; the need to prioritize. But I still think it's wrong to not take care of a resident's request.Yes you need to prioritize and say no. Why would you waste time checking a BP for no other reason than that the resident asked you to? You have to do the important stuff first and be firm about the rest.
And I guess the implication with the BP is that the resident is concerned. In the real situation I dealt with, the resident had a history of uncontrolled HTN and he felt that no one had checked his BP in awhile. And although other nurses had charted BPs on him, I have come to believe that they were BSing the numbers. It has been a ongoing problem. Just yesterday I took his BP and it was 180/90. His last weekly BP was 140/60. Totally possible that it jumped within a week, but also totally possible a nurse fabricated his reading.
- Jan 7 by joanna73You don't know for sure that this person's BP was fabricated. I have two residents whose BP can fluctuate drastically from 135/90 to 190/90 within several hours on occasion. So it is very probable that you might see a similar trend within the span of a week. The dx of HTN is very real and presents complications for many individuals.