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Discussion

Everything Sucks: Red Flags?

Okay, I'm gonna keep it semi-short. I'm a new grad yay! Working in a skilled nursing facility...today will be my second day of following behind a nurse....and she sucks lol

I mean I literally didn't get to do anything yeserday other than insulins (that went unwitnessed because "the computer does the math so no need", coumadins, and breathing treatments.

Mind you, I'd been doing that as required for a week prior along side the medication aide lol

She wants me to do the exact same thing today.She disappears off the unit every 4 minutes to smoke.....bleh. Did I mention she's the DON?!

I just feel like she doesn't want to train me for the two days she has me. Which is super dumb as you do want competent employees right?

What the heck? LOL

A few other things:

- I haven't been paid on time for second week in a row (every friday) - I'm being told now I have to wait until Monday

- They don't have coverage for a shift in which I'm supposed to be training

- They have yet to increase my pay rate when they said it would be done immediately - not to mention every time I ask what they pay rate is they go around it or beat around the bush...

- I'm the only 2nd shift nurse who will be charge - AS A NEW GRAD????!!!!

- They did all this talk about honesty and family and yet I literally read the lies in her progress notes on PATIENTS

How do I bear the madness?!

Featured Replies

Were you an employee of the facility prior to becoming a nurse?

  • Expert

Could you possibly be receiving any more invitations to interview? If so, do well. If not, resume a job search. This position does not seem to bode well for a satisfying start to your career.

  • Author

No I was not an employee at this facility prior. However I did request to talk to employees prior to beginning and they all assured me it was a great place to be. I think I was misled lol

  • Author

I do have other interviews lined up. Its just so frustrating when I'm ready to begin! Gah.

Just wanted to say that our computers "do the math" also, for insulin, but the purpose of a witness is to verify that the correct amount was drawn up in the syringe.

How do I bear the madness?!

You don't bear the madness. Sounds like you know better .keep trying to find something else.this situation is setting you up for massive failure

This is why I hate nursing being licensed. Anything wrong will come back on YOU.not the facility.even if you didn't know something or weren't trained for something.you will be to blame.

I wouldn't want that over my head.

Good luck in finding ssomething else.

  • Author

Yeah. I explained that to my DON and she just said....not necessary. Shock. lol

I've never worked anywhere that requires a second nurse to co-sign a subcutaneous insulin injection. An insulin drip is a different story and always requires a co-sign.

It always blows my mind that some places require 2 nurses to verify an insulin injection.

I've never worked anywhere that requires a second nurse to co-sign a subcutaneous insulin injection. An insulin drip is a different story and always requires a co-sign.

It always blows my mind that some places require 2 nurses to verify an insulin injection.

Ours did it and then stopped (for SC) but for Heparin SC we still need a co-sign.

Ours did it and then stopped (for SC) but for Heparin SC we still need a co-sign.

Madness I tell you!

I just don't see the relevance for small predetermined doses to be double checked by trained healthcare professionals especially in relation to adults. Peds I can see, gtts I can see, other high alert drugs that are rarely given I can see but not meds that are given routinely every shift.

It just adds to the workload and desensitizes us like alarm fatigue does for when two eyes and brains are really necessary for safety.

JMHO though.

Ours did it and then stopped (for SC) but for Heparin SC we still need a co-sign.

That's ridiculous! Both places I've worked the SC heparin has been the amount in the vial (1ml), so no real way to mess it up.

Ummm they don't require a co-sign because they know how hard it is to find another nurse to sign when you are the only nurse on the unit. Find a job somewhere where they have enough nurses around to check you when you need it. And if you co-sign that someone pulled up 40 units of Lantus, make sure you actually saw the bottle, while we are on the subject ;)

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