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Biggest Pain or Problem

Posted

Specializes in Med/Surg, ICU, ED. Has 4 years experience.

I am curious to see the various individual problems facing the profession. What has been everyone's biggest pains or problems recently or over the past year? Feel free to post aside from Covid or including Covid. This is a great place to vent, I will listen!

LibraNurse27, BSN, RN

Specializes in Community Health, Med/Surg, ICU Stepdown. Has 8 years experience.

seeing my "repeat customers" coming in for alcohol, meth, cocaine withdrawal. Stabilizing them and discharging them knowing they will come back next month with the same symptoms =( Many of them wonderful people when they are not in acute withdrawal. Wishing I knew how to cure mental illness, trauma and addiction but trying to meet them where they're at for however long they're here... ❤️

Davey Do

Specializes in around 25 years psych, 10 years medical. Has 42 years experience.

14 hours ago, tronix304 said:

What has been everyone's biggest pains or problems recently or over the past year?

I quote from correspondence to the HR director, where I stated I wanted certain "concerns... validated and addressed and I am reasonably sure that I will be respectfully treated while working a safe, non hostile environment where established laws, codes, guidelines, policies and procedures are enforced."

I was subsequently terminated, I believe, as a result of a retaliation.

That was my biggest professional problem recently over this past year, tronix304.

How about you?

tronix304

Specializes in Med/Surg, ICU, ED. Has 4 years experience.

7 hours ago, StillSearchingRN said:

Maltreatment from patients and employers.

Could you elaborate more on the maltreatment? I think I know where you are coming from but just want to hear your experience.

tronix304

Specializes in Med/Surg, ICU, ED. Has 4 years experience.

3 hours ago, LibraNurse27 said:

seeing my "repeat customers" coming in for alcohol, meth, cocaine withdrawal. Stabilizing them and discharging them knowing they will come back next month with the same symptoms =( Many of them wonderful people when they are not in acute withdrawal. Wishing I knew how to cure mental illness, trauma and addiction but trying to meet them where they're at for however long they're here... ❤️

That is definitely difficult to do, especially knowing that there isn't much you can do about it. Do you ever have time to discuss their addiction with them?

tronix304

Specializes in Med/Surg, ICU, ED. Has 4 years experience.

2 hours ago, Davey Do said:

I quote from correspondence to the HR director, where I stated I wanted certain "concerns... validated and addressed and I am reasonably sure that I will be respectfully treated while working a safe, non hostile environment where established laws, codes, guidelines, policies and procedures are enforced."

I was subsequently terminated, I believe, as a result of a retaliation.

That was my biggest professional problem recently over this past year, tronix304.

How about you?

WOW!, that is a doozy. You may have a lawsuit but it would be a battle.

Has this abuse been an issue throughout your career?

2 hours ago, tronix304 said:

Could you elaborate more on the maltreatment? I think I know where you are coming from but just want to hear your experience.

I have been open-handed palm-forward smacked, open-handed back-handed, punched with a closed fist, pinched (on my breasts, buttocks, as well as just general areas), kicked (once across the room, and then blamed that I "escalated the situation" so it was my fault), slammed against a door and into a corner, and bitten by patients.

Management has forced me to come into work following a car accident on my way to work in an ice storm, rebuffed me for rushing to my ill family member's bedside and then attending his funeral, gave me the choice of continuing to work with SOB/chest pain/fever of 102/severe cough/dizziness/no voice or being fired if I went home, and eventually firing me due to mental health issues that had been in LONG remission before working for this particular place.

Davey Do

Specializes in around 25 years psych, 10 years medical. Has 42 years experience.

13 hours ago, tronix304 said:

You may have a lawsuit but it would be a battle.

Thanks for that information, tronix. I did just fall off the turnip truck.

13 hours ago, tronix304 said:

Has this abuse been an issue throughout your career?

Yeah- numerous times. I chronically set up these situations so I can feel like a victim and blame others for my lot in life and not have to face my pain in order to work out unresolved issues stemming from my childhood.

LibraNurse27, BSN, RN

Specializes in Community Health, Med/Surg, ICU Stepdown. Has 8 years experience.

On 5/22/2020 at 7:37 PM, tronix304 said:

That is definitely difficult to do, especially knowing that there isn't much you can do about it. Do you ever have time to discuss their addiction with them?

Sometimes, if we have built a rapport 😃 We do have substance abuse counselors though who talk to every patient who comes in for substance related issues to discuss if they have a desire to quit and if so how we can help. The doctors usually address it too

amoLucia

Specializes in LTC.

to LibraNurse - I remember the frequent flyers' back from my early days. Only then, they were the chronic ETOH abusers. Fast forwarding ...

to OP - your post sounds like the basis for a school project. Might this be so?

tronix304

Specializes in Med/Surg, ICU, ED. Has 4 years experience.

StillSearchingRN I know of nurses that mental health issues turn out to be a basis for managers firing just beacause they don't like the person, even in remission. It's sad how some places treat nurses (and even people). Maybe it was a blessing you left that circus of a hospital.

Davey Do 1970 called, they want their idiom back (Yes, I had to Google it, so what).

LibraNurse27 That's good that someone actually addresses it. From what I seen, a lot of places just treat the acute process and send them out.

amoLucia I guess you could say that, more of a personal project, however.

mmc51264, ADN, BSN, MSN, RN

Specializes in orthopedic; Informatics, diabetes. Has 9 years experience.

High turnover. It seems that the expectations that new grads have about what nursing is does not match what the job is and there is constant "grass is greener" stuff going on.

CommunityRNBSN, BSN, RN

Specializes in Community health. Has 3 years experience.

I work for an FQHC that is unbelievably poorly run. Communication from top to bottom, as well as between departments, is nonexistent. As a result, NOBODY— not doctors, not nurses, not aides, not secretaries— knows what they are supposed to do in any given situation. We have no written policies (well, not literally none, but almost zero). I love our patients and my coworkers are absolutely wonderful. But I don’t think I will last long because of the mismanagement, disorganization, and total failure of leadership at the top.

LibraNurse27, BSN, RN

Specializes in Community Health, Med/Surg, ICU Stepdown. Has 8 years experience.

40 minutes ago, CommunityRNBSN said:

I work for an FQHC that is unbelievably poorly run. Communication from top to bottom, as well as between departments, is nonexistent. As a result, NOBODY— not doctors, not nurses, not aides, not secretaries— knows what they are supposed to do in any given situation. We have no written policies (well, not literally none, but almost zero). I love our patients and my coworkers are absolutely wonderful. But I don’t think I will last long because of the mismanagement, disorganization, and total failure of leadership at the top.

Sounds like most FQHCs... so frustrating! As you said the patient population and the people who are attracted to working in community health/FQHCs are wonderful! But the dysfunction is real.

Daisy4RN

Specializes in Travel, Home Health, Med-Surg. Has 20 years experience.

IMO, the biggest problem is the corporate entities that run healthcare and the fact that the bottom line is always money. If we had good leadership from the top down we would have better leadership from all levels of management. When the bottom line is the almighty dollar the only winners are management. The people in charge dont care about staff or patients. This takeover has eroded the quality of healthcare. Add to that endless and cumbersome regulations and the entitlement and ridiculousness of the society at large and what we have now is a perfect storm brewing.

Daisy4RN

Specializes in Travel, Home Health, Med-Surg. Has 20 years experience.

On 5/25/2020 at 8:39 PM, tronix304 said:

Davey Do 1970 called, they want their idiom back (Yes, I had to Google it, so what).

Oh my gosh, you had to Google that. So what you ask? Well for one thing you just made me feel absolutely ancient LOL.

tronix304

Specializes in Med/Surg, ICU, ED. Has 4 years experience.

mmc51264 - I can definitely see that. Do you know where the nurses go, do they go to another department or nursing job or leave nursing altogether?

CommunityRNBSN - That's crazy, do you think the management realizes this, or they just don't care? I wonder if the FQHC's are like that because it attracts that type of administration/management.

Daisy4RN - I definitely agree with this. It is ridiculously obvious in all of healthcare that every decision is made because of money. When someone tries to come in to change the process, it doesn't work becuase of one of the many variables in healthcare. Insurance, management, administration, government all work together to ensure healthcare is a highly profitable industry. What do you think the solution to this problem would be?

LOL. I've never heard that idiom before, after Googling I do remember it being on The Simpsons, though.