Old new grad: take UHMS intro course? - page 2

I started a new topic over in the careers area that has gotten no attention. Basically, I live within commuting distance of several wound care centers. I recently applied for a hyperbaric technician... Read More

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    Fair enough and I really should clarify and apologize for my rant. I've been having a very hard time in my position as I do work at a for profit clinic where hyperbaric patient census overrides the need for safe and adequate staffing, however, you cannot beat the benefits and corporate support from those who oversee Safety Directors. Overall it is a good company, but with a few poorly managed clinics. There's no way they can police them all. I have a great Program Director but there's only so much he can do if that makes sense.

    Anyway, I do wound care as well, TCPO2 studies in the clinic and inside the chamber, I have learned a great deal about wound care, compression wraps, debridement and get respect from the doctors as a nurse.

    I am spread very thin as a wound care nurse, hyperbaric tech and safety director. I have 5 patients per day to dive by myself with no help from anyone (We have two monoplace chambers) I am allowed 15 minutes between patients to get one patient out, get vital signs, blood sugars, change linens, get vital signs and blood sugars on the next patient going in and make sure the MD checks the patient who just came out before they leave the clinic. Lunch breaks? What is that? There is nobody to relieve me so I may not get one, but don't you dare get a minute of OT. I am overwhelmed and tired, that's all.

    I should retract my statement and say that hyperbaric medicine really is a fascinating field of healthcare, and I am seeing first hand how successful it is in healing difficult wounds that other specialists have given up on. We have saved limbs and healed wounds that never would have healed with more conventional methods, so yes, hyperbaric nursing is very unique. I hope more physicians open their minds and start referring patients with appropriate diagnosis for hyperbaric treatment.
    Last edit by LTCNS on Feb 19, '13

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    Allnurses forbids naming actual companies, but from your personnel descriptions, i.e. Safety Director, Program Director, etc., I know who you work for. The company has grown too fast with the mergers that they have gone through in the last couple of years. My ex-wife was Safety Director/Tech for them ten years ago. Their problem seemed to be finding qualified hyperbaric clinicians to staff their clinics. So, they train some RN for a week and, voila, they're the new Clinical Director. You know what I mean. I see on their website that a couple of clinics have opening for MA's or CNA's. You need to press for them to hire one of those to do BGL's, Vitals, and change linens, etc. If you are a true Safety Director (meaning you've been to an actual safety course like International ATMO) then you are within your rights and responsibilities as a licensed provider to tell them that you need help.
    LTCNS likes this.
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    You would be right CaliBoy. It's the company you're describing. I came in this morning to the news of number six being added starting next Monday. I stated that I really need help for that many and was told that wasn't going to happen. I am female and already have three heavy patients, and this will be number four. Guess I know what my next step will be, and I wish them good luck in finding somebody to stay.
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    So I went to put in my notice, but first telling them that they really need to hire someone to help out because I did not feel safe and felt my license was on the line. I was met with anger and was told not to worry about working it out. At least I tried.
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    I don't understand. Did they let you go on the spot? Who was angry? Believe me, someone in that clinic KNEW you were in over your head and they did nothing to help you. The same BS will continue with the next nurse that they hire as well. I feel for you, HBO can be a real kick ass job if the vibe and work load are right. What state do you live in?
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    I'm in MS.

    The CM and Program Director were angry. They told me they felt like the job did not require two people and I didn't have to worry about working out a notice. I left it like that and just walked out. Even the patients said I needed help. Sad huh?
    Anyway, It wasn't until recently that I found out they have a heck of a time keeping nurses in the clinic AND in HBO. In just 3 months they have been through two RNs in the clinic and I was the fourth HBO SD/Tech/Nurse in three years.

    I like HBO for what it is and have learned a great deal. I feel like if I had had the help I needed and the support, it would have been very enjoyable. Right after I got back from my week long training I was literally left on my own, but was told I would not be until I felt comfortable. It was sink or swim and I feel like I did a heck of a job swimming with so little support. I honestly believe that if I went elsewhere and did HBO and had good support I would thrive. It can be a very rewarding career in the right setting. I know a nurse who does HBO at another clinic and the difference is night and day. She has the help she needs and loves her job.
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    I got a new job! Although hyperbaric nursing is interesting, it's just not for me. I pray they find someone very soon who will stay and be able to handle the heavy workload on their own, because that's how it will always be there unfortunately.

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