How do you keep your cool? Or do you

Nurses General Nursing

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Ok, in my small town 70 some resident LTCwith all psych, geriatric, and hospice patients), which is understaffed, things get crazy.:chair:

Tonight while half of the staff was out to lunch, and the rest were occupied in residents rooms, I was asked to answer call lights. So I went into a room and a a/o resident was angry because his light bulb was blown out. I explained that it is night time and the lights need to be out anyways and maintance will fix it in the morning. He became angry with me and he doesnt speak, he just yells.

I stepped out of the room and another call light was going off, and it was one of my a/c residents upset with me that I "never gave her a shower" which I had done so only a half hour ago.

She was yelling, that man was yelling, and this was at 9 when all the residents are sapposed to be sleeping, so the ambulatory psych residents come wandering out of their rooms and put up a fight when I tried to get them to go back to bed. I went back to my yelling residents and explained that they need to keep it down which only made it worse, they yelled twice as loud making me more and more angry. I wanted to step outside to get a little peace of mind but as soon as I had that thought 2 residents on both ends of the building were trying to get out making alarms go off waking even more residents, and making the ones who were yelling yell even louder and making more residnets yell or get upset. I got the residents away from the doors and got the alarms shut off but I could not get the residents to stop yelling. I just couldnt take anymore and broke down and cried. I was almost wanting to go home for the rest of the shift!

How do yall keep your cool? I wanna know the tricks of the trade.

Mandi..l can relate to this...with the bad nights l have had in the ER..esp triage where pple LOVE to take things out on you esp if they have to wait or someone goes ahead of them..l have almost been punched out there!......my shift is 3p-3a....and l tell myself...three am always comes...l decide what NEEDS to be done next;;prioritize..and l do that....one foot on front of the other, eventually you get there....l say to myself, l will do what l know needs to be done and if it's not good enough for someone...tough......then, lo and behold....it's 3 am....and my works not finished...LOL.......sometimes you gotta say..it's just a job....LR

Specializes in ER.

I agree with those who just put one foot in front of the other and eventually your relief will come.

I have some sympathy for your bad night, sometimes you can't do anything right. I was giggling when the second resident started screaming (Oh geez, what now?) and would probably come out of that room with a big smile on my face and told the rubberneckers "it's OK they just need to blow off some steam, give them a few minutes" shut the doors, and stood chatting to make sure no one went into the screamer's room to egg them on.

Absolutely would have called people back from break to disperse the crowd, and reminded them that everyone has a meltdown at some point and deserves privacy. Possibly threatened them with a meltdown of my own if they didn't give us 15 min of peace to let the screamers settle. OK, maybe leave out that last part-but you did OK. When the patients all gang up on you ya gotta just try to get out with your dignity intact.:)

Originally posted by FutureRN_Mandi

Everyday is not like this, infact alot of days I have a good time over there.

By the way, Angus, yes I am afraid for my job. Other gals that where from the same class as me got fired for turning down too many overtimes. This is the only place in the town that I live in that I can have a job as a CNA, and I love being a CNA and I love this little town. :)

UHHHH . . . did I just hear MANDATORY OVERTIME?

Don't answer your phone or turn your answering machine off arround the time the hospitail calls warn your friends to do the ring 2 method hang up and call back durring those times. If the hospital start insisting. I would tell them Iam trying to avoid from being burn't out .Also check that overtime make sure your getting paid time and a half and double when they pay it.

If you should get fired

I would sure meet with the hospital administrator first and ask her or him to write that I was fired for not doing over time.

Be nice and adult and just say I want my next employer to understand why I was fired. Its very important that you do this cause you do not wish to mess up your nursing carrier later on. You also want to check your record in Sacramento about a month from now where your CNA license comes from to make sure there are no bad marks against you. Then I would contact the labor board in California. I had something like this happen to me when my child was very ill and dear husband was in medical school and I just couldn't do over time. After working five years with not a bad mark. just had a great review. They tried to fire me but I sued them and won over 30,000 dollars. plus I was given a copy of my file at the hospital with all my reviews in case they tried to change any thing.

You may want to consider home health just advertise in your local paper its a lot less taxing when your trying to go to school or you could look under hospice care or home heath nursing in your telephone book

hope this helps happyhearts

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