Drowning on the floor...only 2 months in. HELP! - page 2

Hello there! I finished my BSN in May 2016 and was unable to find a job until 2 months ago. I started in a med/surg floor. The patient ratio is usually around 1:10 and all I got where 10 days of... Read More

  1. by   NewKidOnTheFloor
    Hi! That is the regular ratio. My coworkers are just very fast with their rounds. They have been doing it for years now.
  2. by   NewKidOnTheFloor
    Quote from Night__Owl
    Is 1:10 your regular ratio, or your "short staffed" ratio?
    That is our regular. My coworkers just sort of work super fast all the time.
  3. by   NewKidOnTheFloor
    Hello! I was working retail that was the only job available. There is a huge need for jobs where I live. This is a small town and most new nurses just leave. But I wanted to see if I could find something here. When you are married and have a home, relocating is not that easy. I am also afraid that if I leave, it will take me another 2 years to get another job.
  4. by   SpankedInPittsburgh
    Just out of idle curiosity, how could you love working for an employer who didn't train you and puts you in a situation where you can't hope to care for your patients in any manner of an acceptable way thus putting your nursing license at risk?

    Quit these fools before the inevitable happens. Something bad will happen to one of your patients and you will be hung out to dry. Don't say you weren't warned. Its your responsibility to protect your license. Clearly your employer cold care less about you or the patients they "care" for
  5. by   PWA98
    Quote from Night__Owl
    1:10 is a ridiculously unsafe patient ratio. How do you or any of the other nurses on your floor even pass meds consistently on time? How many techs do you have? Is 1:10 your regular ratio, or your "short staffed" ratio?
    My floor is like that as well usually 1:8-1:10. Med surg/Tele. Mostly with 1 or no aid. The pts are very sick too. Very unsafe. But we have no choice, we can't say no, the hospital said it is abandonment if we do not accept the pts that are admitted to the floor.
  6. by   Kooky Korky
    Quote from PWA98
    My floor is like that as well usually 1:8-1:10. Med surg/Tele. Mostly with 1 or no aid. The pts are very sick too. Very unsafe. But we have no choice, we can't say no, the hospital said it is abandonment if we do not accept the pts that are admitted to the floor.
    Talk with a couple of attorneys to make sure, but I don't think it's abandonment for you to refuse what you know to be an unsafe assignment.

    How can you abandon a patient whom you have not accepted? Your employer won't be pleased, but it sounds like it's time you AND YOUR COWORKERS stood up to them.

    Yes, it's all about money.
  7. by   canoehead
    I was going to say that the feeling of drowning is baseline at two months into your career, but I take it back. You are in an unsafe job. If you had ten nursing home patients...still unsafe. That give you about forty minutes of bedside time for each person. Get out of there.
  8. by   amzyRN
    You need a union or push legislation in your state. Your ratios are unsafe, especially with sick patients. If anything happens to a patient, the hospital will throw you under the bus. I know this wasn't the topic, so don't mean to derail the thread, but if it were me, I would not want to practice under those conditions because I would not be able to provide adequate care in a safe manner.
  9. by   PWA98
    Quote from amzyRN
    You need a union or push legislation in your state. Your ratios are unsafe, especially with sick patients. If anything happens to a patient, the hospital will throw you under the bus. I know this wasn't the topic, so don't mean to derail the thread, but if it were me, I would not want to practice under those conditions because I would not be able to provide adequate care in a safe manner.
    This November the state had a vote on safe PT limits and it didnt pass.
    Last edit by PWA98 on Dec 7 : Reason: Typo
  10. by   Starreacher26
    Quote from unknownjulie
    I should also have mentioned the sleep problems. I can't work full time in a hospital because I have nightmares about it. When I was a new nurse, it took me several years to figure this out. I honestly just have nightmares all night long, waking up in a panic, and then would have to go in and do another shift of work. I currently only have occasional nightmares working one shift a week and am trying to assess whether even this is ok, since I am so much older and need my sleep so much. I have never had nightmares about numerous other types of jobs I've had. I think it has to do with the beeping and the lights and seeing the horror of mangled bodies everyday that disturbs me subconsciously or something.
    Julie, I too am having this problem working 3/12 hr shifts. My sleep is horrible for all the same reasons you stated. My mind is constantly thinking about pt situations and having to go back to work the next day. Even my days off are fill with anticipated dread. I am thinking of switching to 1 day of week just like you. I am more concerned about my health and longevity than the money.
  11. by   Carrie_RN
    Run from this employer!

    Any management that puts a new RN on the floor with really ONE day of orientation is nuts.
  12. by   TriciaJ
    Quote from PWA98
    My floor is like that as well usually 1:8-1:10. Med surg/Tele. Mostly with 1 or no aid. The pts are very sick too. Very unsafe. But we have no choice, we can't say no, the hospital said it is abandonment if we do not accept the pts that are admitted to the floor.
    Hospitals love to use the word "abandonment" to whip recalcitrant nurses into shape. The OP's coworkers may be "superfast" but I'm betting there are corners being cut. That only works as long as it works, then everything hits the fan. As others have stated, it will then be the nurse hung out to dry.

    If something bad happens, you cannot use unsafe ratios as a defense. The next question will be: "To whom did you report the unsafe ratios?" It's the pits that OP is the new kid in a facility where everyone else has accepted being abused. Doesn't give her much of a leg to stand on to speak out. I'd seriously start looking for the exits.
  13. by   tilelene
    Consider looking for a nurse residency program so that you can learn new nursing skills in a controlled, nurturing, learning environment. I'm sure you are not gaining meaningful experiences because you are running like a chicken with no head. Focus that fearful energy into looking for another job opportunity. When you do look for another job, do your research on the facility to make sure that they have a real orientation program. Now that you have experienced a bad orientation, you are in a good position to ask the appropriate questions on what you should be gaining in experience as a new nurse. Good Luck! You got this!

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