Forced to Take an Assignment You Can Not Handle - page 3

by 1RN4Christ 12,279 Views | 38 Comments

Hello! I am a nurse who has been practicing in MO for a little over a year. This is a new profession for me in a new state. I previously attended nursing school in Texas and learned about Safe Harbor there. Safe Harbor... Read More


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    Most of my days are fairly close to the day you describe. I did have a really great day the last time I worked. I went home feeling great. But back to the problem at hand. I Have found in my years of experience that staffing is usually done as a number , not a concern about the acuity of the pts. I often have the feeling that today may be the day I finally lose it and walk off the job. I understand that I would lose my license, but can only take so much. The answer to this question, I only wish I knew. Yes, you can look for another job, but usually things are pretty much the same wherever you go. Some suggest home care. I was in that situation and let me tell you, that call is not all that is cracked up to be.
    anotherone likes this.
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    I'm appalled by the apathy that most or the responders are showing. I've been a nurse to nearly 40 years. When we can't do the work that our patients need it is frustrating. To tell a young nurse, that's the way it is, get used to it....which is what I read in many of these responses, I find disturbing to say the least. I think the more important message is to write to the person in charge with a copy to the person he/she reports to, doesn't change...keep going up the line until someone listens. When we are put in situations that are unsafe, we need to speak out, if possible with the support and help of co-workers. Aren't we there to care for people?
    Cauliflower, 1RN4Christ, Starr1966, and 3 others like this.
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    I had a similar situation.one New Year's Eve. 100 yr old female pt fell on 3-11 shift. 3-11 Nurse did not report it or
    pass on to me coming on the 11-7 shift. Took report and made rounds. Found Pt up and wandering in her room, confused and moaning in pain. Got her back to bed did an exam, discovered a broken left arm. Called the Doc. Got answering serv., said he would have the Doc call me right back, immoblized arm with makeshift sling. To make a long story short the Doc never called back. The shift was going to hell, the pt kept getting out of bed, lights flashing everywhere. I called the family member on the chart and told her I was calling an ambulance and sent pt to hosp. Dr. was ticked off. D.O.N. was ticked off. Family was grateful. Pts. got proper care. We could all fill a library with these stories. When it dosen't make sense anymore. Call a family member to come and watch the Pt. That gets all kinds of attention.
    MECO28, Cauliflower, 1RN4Christ, and 6 others like this.
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    I think in the case of this confused patient you should have initiated a low bed with floor pads and possibly considered using a posey vest restraint. This, of course, would require an order from the MD as well as family consent, but doesn't sound unreasonable given the acuity of your other patients.
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    Quote from herring_RN
    This is what happened in my state. Click the name of the hospital
    Pomerado Hospital
    15615 Pomerado Road, Poway, 92064, San Diego County - The hospital failed to ensure the health and safety of a patient when it did not follow its policies and procedures for fall prevention. This is the third administrative penalty issued to the hospital. The penalty is $75,000.
    ^^^THIS needs to be blown up and posted EVERYWHERE...that'll definitely take the wind outta the sails of the "bottom line" people..why pay a fine when you can pay a nurse??? *rhetorical question*...

    Knowledge is POWER...thanks Herring for providing this info. I am sure that most states have restrictions and will provide fines for not following policies and procedures...guess we ALL have investigating to do, for the sake of us providing optimum care and for our licenses!!!
    herring_RN likes this.
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    The confused pt getting OOB needed a roll belt. Simple as that. Oh, and I loove it when the various specialties get you bc they can't understand what the pt is saying, lol....like you have magical mind-reading powers!
    herring_RN and anotherone like this.
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    Quote from cclash
    I'm appalled by the apathy that most or the responders are showing. I've been a nurse to nearly 40 years. When we can't do the work that our patients need it is frustrating. To tell a young nurse, that's the way it is, get used to it....which is what I read in many of these responses, I find disturbing to say the least. I think the more important message is to write to the person in charge with a copy to the person he/she reports to, doesn't change...keep going up the line until someone listens. When we are put in situations that are unsafe, we need to speak out, if possible with the support and help of co-workers. Aren't we there to care for people?
    I agree with this completely. We have to speak up and say this is not right. Contact your health department, your congressman, your state nursing association. The important thing is we have to stop just accepting poor working conditions as just another part of the job. I applaud Texas. All states should have something like that. As a profession, we have to stand together and make ourselves heard. We have to stop telling each other to deal with it. All our voices together is the only thing that will really affect change.
    herring_RN and HouTx like this.
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    Quote from sapphire18
    The confused pt getting OOB needed a roll belt. Simple as that. Oh, and I loove it when the various specialties get you bc they can't understand what the pt is saying, lol....like you have magical mind-reading powers!
    What's a roll belt ?
  9. 1
    Quote from jrwest

    What's a roll belt ?
    Made by Posey- goes around the pt's waist and ties to the bed. When applied correctly, the pt can still roll back and forth but not escape the bed. They can be used with geri chairs too.
    herring_RN likes this.
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    Ahh- they sound like a good idea, but I guess we would not be allowed to use them as it is tied, and pt can not move as desired- ie: the " I can fall if I want to " thing.
    Ughhhhhh.
    anotherone and herring_RN like this.


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