Hello from Arizona. I am an RN since 1977. Done med/surg/tele stepdown/floated to icu/er/code team. First shift was nights. Only remember a few things from that time. Not a night person. Out for 10 years having a boy and a girl. Next round of nursing was in neuro med/surg/neuro intensive observation. I learned a lot. Got bored with all the patients that would wake up and get shipped out. Found out they were all going to a nearby rehab hospita. That place was my next job. Loved it and got my CRRN. Now I'm working in a rehab unit inside an acute care hospital. We have 20 bed unit. Our staffing matrix includes LPN's. And yes, they "team lead". Or "evaluate" as the state board says they should. Anyway, for 20 patients we have 1 RN, 2 LPN's and 2 techs. Does that seem lopsided? Yeah..... We also carry on our floor, 7 medical overflow beds. We haven't used any of the medical beds this year, thank goodness. I think mainly because we don't have the staff that can be brought up there to take care of medical patients. (We would normally get a medical nurse from the regular acute floor to cover the medical patients on our unit). Our actual staffing matrix list used to go up to 24 patients I could cover on the 3-11 shift. Yes, that means me covering some of the medical patients and LPN's managing the rehab patients. And you know how busy medical patients can be. I got stuck with that one time---no more. Staffing was going to do it to me again a year ago and I told them to reevaluate and contact the supervisor while I went to my Director. Thank God I was supported. I really think I could have thrown up in order to leave. I had enough stress, yes, I could have thrown up, easily. 2 weeks ago we had 20 patients, 6 discharges and 6 admits. 3-11 shift did 5 of the discharges and all of the admits by 9:00pm. And I was the only RN until 7pm. I didn't know which way was up. Generally I love my job. The physical aspects of it are getting tough. I've already sustained 2 injuries in the last 3 years. But the nice thing about rehab is that you need to be directing your patients anyway. "This is how you need to be getting up and down-let me show you". I've been training the rest of the staff to be thinking the same way. Why should we be tugging on people when we should be teaching them how to do it.
Oh my. Look how long I've gone. Sorry .
I'm not anal. Just don't want to bore anyone. Well, anyway, I love to quilt in my off time. A friend of mine and I went quilt shop hopping in March around Arizona. We hit 18 quilt shops and had a blast. I need to work extra to pay for all the fabric I bought. What fun ! And one thing I've learned recently. Don't take your friends, family, coworkers for granted. One of my coworkers, an LPN, is in the hospital with cancer. She looks like she's dying and I didn't know it. She had been in the hospital for 5 days and no one knew it. I had left a few messages on her answering machine without following up why she hadn't called me back. I feel very lousy. WAKE UP CALL. Don't let your opportunities pass you by................ Joyce RN CRRN Arizona
It's nice to put info with names........thanks for listening