Frustrated with management

Nurses General Nursing

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I am a fairly new nurse (almost 2 years), and for the most part I really like nursing. But I am getting so frustrated with management that I am close to quitting altogether.

I work nights, 7p to 7a, in a small hospital on a med/surg floor. We get mostly elderly people who are bedridden and incontinent and quite often confused. Our patient/ nurse ratio is 6/1. Sometimes with a tech, sometimes not. Our floor has 27 beds. Most often I feel very overwhelmed with 6 patients, especially with no tech, or having to share a tech for the whole floor, (which then means taking primaries). I feel like I am drowning under my patient load with no help. Our charge nurse ( of which I am frequently charge as well, with 6 patients of my own), has six patients as well, so asking her puts an additional burden on her, of which I am reluctant to do. The other night, I was charge, with 6 patients. I had two new nurses on the floor and some issues with taking admissions. It was 9 pm before I got to see all of my patients. 1 am before I could start charting. I was on my feet all night long, had no lunch break. And now I am getting blasted for asking to be "up staffed" because one of our patients was on CBI, and we had several complete cares.

I am so disgusted about the whole thing. Someone tell me what the incentive to be charge is? I don't get extra pay, less patients, recognition, no considerations at all!

I feel like I am stuck on this floor. I decided to be a good graduate nurse and do my year of med/surg, and now I am having a hard time getting into a specialty because all the new graduate nurses are filling their spots!

At this point I think clerking at Walmoart would be much less stressfull, less fear of being sued or losing my license, etc.

Anyone give me some advice? Is nursing like t his everywhere?

I hear you, definetely. Within the past 12 yrs of nsg. I have had my share of charge. And you are right there really is no incentive to charge especially if you carry a full pt. load yourself. If we do charge we get an extra $1/hr. Yipee! I am now per-diem so I don't have to worry about charge.

Some people love charge and other hospitals and units have strictly a charge nurse who is in charge of the floor without a pt. assignment but it sure is different if you have your own load.

Have you talked to your manager? What is it like on the other units in your hospital?

Maybe you could try to update your resume and submit it to a few places just to see what happens.

Try not to get too disgusted, that will just get you down. Hang in there.

It just seems that if we are in such demand, that we should be treated better as employees. I work at a summer camp and although the work is hard, they treat me SO nice. Because they know they need me in order to run this camp. I think hospitals need to adopt some of this philosphy.

Gosh, reading these responses, sounds like the one I hvae been thinking of writing. I work on a busy Med/Sug Unit floor on night shift, and we don't usually have a CNA 3 of the 7 days of the week. It is difficult for these patients to receive the proper care, post-op as they should. Sometimes I feel I've short-changed my patients. Management doesn't seem to care. It's the patients and the NURSES who suffer!

At the facilities in my area,charge nurse gets nothing as incentive. It depends on how many staff members are there as to who gets charge. Two RN'S: one is charge,one does all IV meds. Only one RN: charge plus all IV meds. No extra pay. Just the lovely title and extra grief.

Specializes in med/surg/tele/neuro/rehab/corrections.

Wow it sounds like your job is eating you up. Are you going to look for a job elsewhere? You are an experienced nurse. Maybe other hospitals will accept you into their training program where you can go into the specialty that you like. If you have to relocate they can help you with that too and to get your license in another state. You could go anywhere and do anything. Keep us updated.

Specializes in ICU, Education.

This was how it was 20 years ago on the M/S floor as well ( well sometimes on night shift we had 10 to 12 patients back then, but all the patients weren't as sick as they all are now days). We never stopped, never got breaks, and still felt like we didn't give the best care we should have, and always got out late. But my point is, it won't change as evidenced by history.

I reccomend trying ICU. It is a whole different level of stress and a whole different kind of busy. Sometimes you still don't get breaks, and get out late, but at least you get to give better care to your patients. It was the best thing I ever did. I don't think I would still be in nursing if I had stuck with floor nursing.

Specializes in Med/Surge.

Do I know you Kdm? It sounds as if you are at the place that I just left. Last year when I first started, one of the RNs that precepted me told me right off the bat, "Just say NO" and I was like "to what?" and she said Charge Nurse!! When they charge, they get a whopping 2 bucks extra plus all the above mentioned HAs that go along with it. Do what ever you can to get out of there and like someone else suggested, send out your resume b/c experience vs new grad does work in your favor, especially being from a M/S floor. I really thought that I would have a hard time finding a position about a month ago with all the new grad nurses (I haven't even had my license a year yet but work on M/S) flooding the market but it didn't take anytime at all to find a new hospital. Plus, with your experience, you can go PRN (if you don't need the insurance) and earn some really good wages.

Good luck on finding a different hospital or unit.

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