How do I handle poor standards of care at a new job? - page 2

To make a long story short I had a job in an ER that was heaven. We had teamwork, strictly enforced policies that made things efficient, doctors that didn't mind you questioning them, liked to teach,... Read More

  1. by   Kalipso
    Duskyjewel, my comment about my husband was suppose to be taken with a bit of joke to it. My husband is very aware of how unhappy I was to quit my job and move for him. Even more so now that he is laid off of the job we moved here for. I loved my previous job and coworkers and statistically speaking the odds of finding a new hospital with good enforced ethics AND workers is not high. In the 7 hospitals I've worked at 2 have been 'nursing heaven' because of good staffing ratios, caring coworkers, and hospital polices that actually are aimed at quality care. It will take quitting several positions to find this work environment again, my husband does not understand medicine or the medical field and doesn't entirely get why this situation is upsetting. His opinion is 'no one likes to go to work, just get it over with and get paid.' He can't see that this is more than just 'not liking work'.

    Not that it is any of your business but I did not promise to love, honor, respect, or cherish my husband in our vows. We wrote our own and promised honesty with each other in hopes that honesty would keep us true to ourselves and allow us to grow with each other instead of apart. We have 20 year age difference between us, I have teenaged step-grandchildren, his second wife was a friend who died suddenly, and my family has a hard time with us because he is only 6 years younger than my parents. We dated for 4 years before we chose to get married. So yes, I feel that I am pretty capable at handeling conflict. And my husband has jokingly called me stupid before and I didn't 'go balistic'. It concerns me that you are so up tight about 'the correct way to be about your spouse'. Maybe you aren't married or your marriage isn't happy for you to assume that one sentence with an emoticon means I have poor interpersonal skills and am 'dogging' my husband.
    Last edit by Kalipso on Aug 28, '14
  2. by   traumaRUs
    Okay guys - her husband is not the topic here!

    Multiple posts deleted for being off topic. Thanks.
  3. by   eCCU advice CYB all your patients don't worry about your coworkers and their care do the best for your patients and go home sleep comfortably. Otherwise you are going to drive yourself and your loved ones crazy. Sometimes we have to choose our battles....Hopefully things will look up soon for your family :-)
  4. by   Wheels28
    OP-- I'm not a nurse, just a patient who really admires nurses and the work they do. You sound like a great nurse, one I would want taking care of me. Never loose your passion. I hope you find a new job soon. Thanks for doing what you do. Always remember you are a nurse and you rock!!
  5. by   Cheyenne RN,BSHS
    Please see my other entry below. I am having brain far*s today.
  6. by   Cheyenne RN,BSHS
    Quote: Aug 21 by canoehead
    Inside the door vrs outside the door, an argument could be made both ways. It's not something I'd get in a twist about. The discussion itself was not helpful for the patient to hear.

    EKG would be done in some ERs I've worked, but not in others, especially with known gallbladder disease. Most hospitals have written standing orders for differing presentations. I suggest you check your policies, and push the issue if it says to do an EKG. But, if this is your own patient, and you feel strongly, an EKG never hurt anyone. When you comment on what others are doing it's wise to do it gently, and be ready to back it up with policies.

    if you keep showing anger about substandard care, you will have a target on your back. Be silent, and give YOUR patients five star nursing. You can't change the whole unit, they will eat you alive if you try.

    Canoehead, I like the balance that your comment brought into the thread. I could not find the words to express my sentiments but totally believed something was missing. I have seen so many new employee's come to a hospital and whether consciously or not, be so busy comparing their old job or prior place of work to the new one that they are unable to see anything of value. There is often a component of perception as well as actual judgement.
  7. by   Kalipso
    Fire Wolf, I don't entirely disagree with Canoehead's statement, but I do think some things are obviously wrong with my new environment. I am willing to practice different policies if people could a) find the policy and b) all come to a similr conclusion as to what the policy wants us to do. But more importantly I know I cannot handle a department that is inconsistent and where people don't actually work together. I realize that a vast majority of nurses go to work, give the best care they can in a crapy situation, and can go home and shake off the issues at work. But for myself, if the evironment is poor I will always dread my job and I won't be able to shake off the feeling that had things been more efficient then someone could have suffered less. The kind of environment I described in my first post has been what I've worked in most of my 6 years as a nurse and for most of my nursing career I thought I had made the worst mistake in my life by getting a degree in nursing. My last job was the first time I ever knew things didn't have to be ' just keep your head down, do your best, and hope you don't miss something important because you are so busy.' Now that I know it is possible for a hospital to have consistant, evidence based policies, with high efficiency and good, friendly conversation between staff and to patients I have even less tolerance toward these half assed measures.
  8. by   LilgirlRN
    Standard of care is what any prudent RN in that given situation would do. What if the patient WAS having an MI? You knew she was having chest pain but didn't do an EKG? They could eat you alive in court! You know what needs to be done, just do it. Believe me, I've been in your shoes, know how you feel. Know this though, you're the prudent nurse, you're hte one who went a step further!