Ive lost all faith in the medical field. Please help!

Nurses General Nursing

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I am a nurse on a med-surg floor in Kentucky. I cant take my job anymore. I dont even know if I want to be a nurse anymore. My best friend (who worked on this floor until a month ago) was there to visit her mom who was a patient. She had been in the ER numerous times and they kept sending her home. They finally admitted her the other night. Well, she coded. When they got the crash cart..... IT WASNT STOCKED! They couldnt get an IV on her and didnt have the supplies to get a deep-line inserted. My friend called me crying because her mom died, I called to ask if I could take off to be with her (I had just left one funeral and had 2 more to go to), they YELLED AT ME. Well, I went to work and sat at the nurses station and cried for an hour before being able to do any work (this pt was like my 2nd mom).

Another occasion....I had a patient who had ascites BADLY. He had a dobhoff with TF and IVF's (total almost 300 ml/hr), plus on a regular diet! He wasnt on a low Na diet or restriced fluids. By the time I came on shift, his lung sounds could be heard all the way down the hall. He was begging me to do something. I checked stomach residual and did NOT put it back in him, was supposed to but he was overloaded. I called the doc approximately 20 times, no kidding. I finally demanded an xray of lungs to check lung status and an xray to determine dobhoff placement and a f/c. I also got some Lasix IV. I turned off TF's and KVO'ed the IVF's (no order for that, but it was my nursing judgement). The doc wouldnt come to floor, the charge nurse wouldnt go with me to see this patient. The doc FINALLY came to floor at the time this pt coded (he ruptured internally and it all came out his nose and mouth). The doc turns and walks out of room! We stabilized him enough to get him to ICU, but they didnt do anything, no tests or anything. He died 30 minutes later.

Another episode... A man had an open appy. He got majorly infected. When he questioned the doc, he had been 30 hours without antibiotics (wasnt my pt, btw).

People come into this hospital with minor health probs and end up DYING! I live in a small community with only 1 other hospital, which is worse than this one. This is the only place to work unless I want to drive 1 1/2 hours one-way to get to a new job. What would you do? I have to work tonight, get off at 7:30 am tomorrow morning and then have to turn around and go back at 3:00 pm. I wont get any sleep. Are all hospitals like this? From what I've seen, I dont ever want to get sick! I need advice BADLY.

maybe go exploring - in search of another employer

make the trip to another location, you can always relocate

(I've done it and things worked out fine)

YOUR LICENSE IS ON THE LINE

you will be of no good to a patient if you are in court defending the actions that you had no control over..

Specializes in jack of all trades.

Please pm me as to what area in KY you are. I'm an EKU grad and worked in the Lexington area and also in the rural eastern KY areas for many years so I very much understand. Maybe I can help in some way.

Specializes in Med/Surg, Home Health.

Thank you guys so much for your replies. I was wondering if I was justified in feeling the way I do. Those incidents I mentioned are just a FEW of the MANY that have happened at this facility. Moving or travel nursing isnt an option for me (I have kids and a mortgage). I wish I could move, I know there are some great-paying jobs out there. I just want one that I can feel safe and be a part of real teamwork with doctors who know what they are doing. There is none of this at this hospital.

I know that the crash cart not stocked may or may not have made a difference with my friend's mom, but its scarey knowing that when the supplies are needed they may not be there. Whats the point in having it, ya know?

Right now its 0830, I just got home and cant sleep. I have to be back at work at 3 pm. I am just so depressed.

Again, thanks to everyone who responded to my post. It's nice to have people to talk to who understand.

Specializes in Nephrology, Cardiology, ER, ICU.

I feel so bad for you. You have been given some great advice. Sift through it and see what can work for you.

Hey, Chenoa, I have an idea for you! :idea:

How about signing up with a travel agency and let them pay to relocate you to greener pastures; while you're there, you can put your house on the market and find a permanent home in your new location.

The hospital I currently work at pays well, but there's no way I would be a patient here, either. (well, outpatient surgery is pretty good, but that's all). I've seen my share of unneccessarily bad outcomes. Heck, we even recycle disposable items to save the hospital $$.!!!!! Luckily, there's a good hospital the next town over, only the pay is crummy.

Good luck, are you up for the adventure?

Dear Cheno,

I am so sorry for your pain. I know the feeling of helplessness and hopelessness. I do think you need to have a mental health break, but I do know how hard it is to take a day or two off when you work in a rural facility. I do not agree to your talking with anyone from your work environment. Anyone from work knows the problems and has to protect their employment, so seek out stress counselling from a group of professionals close to your area but make sure it is a professional basis only. That way anything you discuss with them is covered and cannot be repeated to come back and bite you on the butt at work.

Have you thought of looking into a weekend only job? Some of the larger areas offer these type of positions. It would mean a training period, but I am sure you could figure out a way to do this. A friend of mine got one of these jobs, borrowed her parents camper, rented a lot for the training period to put the camper on, and lived in it for 6 weeks while she trained, now she just has a room in another nurses home on weekends. She works, has less stress, is home with the kids more, makes good money, and her SO says they are happy with this arrangement. Home health is a option, LTC too. Just try and think what is best for you and the family. I added your name to the jar I have for the allnurse buddies who need a little prayer, I will pray that He gives you comfort and helps you find a answer soon.

Well, first, let me say that you should not call to ASK permission to not come in. You will almost never get it. If you need to take off, TELL them you will not be in, call at least 2 hours before the shift starts (if that is the required call-in time), and say you have to take care of some personal business or that you are sick. You TELL them. You do not ASK them.

Next, I think you have a responsibility to report the physician and charge nurse and whoever was supposed to have the crash cart stocked to the state licensing authorities. Yes, you read this correctly. You have a legal and ethical responsibility to report the negligence and sub-standard care to the state licensing authorities.

Next, you are also required to report these things to JCAHO.

Be prepared to get into a new line of work unless you already have a new job lined up. You will not, of course, be very popular at your present job once you open fire.

You might want to talk with a couple of lawyers first but do it right away and don't put off reporting too long. You might be viewed as being complicit in letting the hospital get by with this mess.

Also, if the doctor and charge nurse are not doing right, your next move is to get the Nursing supervisor, not to let the matter drop. She, then, would be expected to reach her boss and/or the physician's boss. He does have a boss. It's the department chairman or Chief of Staff. And if the N. Sup did not come eval the pt and take action as listed, you could then go over her head and get the doc's bosses yourself. Just for future reference, should you ever encounter these problems again. You could face problems for not doing so, I believe, if the hospital's attorneys wanted to make trouble for you.

The long commute is hard, I know, but it is the least of your worries.

I'm really sorry you have all of this to contend with and wish you a clear head and good luck in helping this hospital get its act together.

The point someone made about how a stocked crash cart might not have helped - that might be true but it is something attorneys would just eat up. The cart has to be kept stocked. Period. Huge liability exists when it is not.

That said, people do die. Don't be hard on yourself. But the one who left it unstocked - that one should pay, as in be reprimanded and reminded that the cart has to be kept properly stocked or someone could die unnecessarily.

Hey, Chenoa, I have an idea for you! :idea:

How about signing up with a travel agency and let them pay to relocate you to greener pastures; while you're there, you can put your house on the market and find a permanent home in your new location.

The hospital I currently work at pays well, but there's no way I would be a patient here, either. (well, outpatient surgery is pretty good, but that's all). I've seen my share of unneccessarily bad outcomes. Heck, we even recycle disposable items to save the hospital $$.!!!!! Luckily, there's a good hospital the next town over, only the pay is crummy.

Good luck, are you up for the adventure?

If you did not recycle disposables, would anyone know? You could start a little rebellion in this area. Also, just wondering - what makes them non-recyclable? Manufacturer saying so? it's hard to know if they really should not be recycled or if the manufacturer is trying to increase sales.

Thank you guys so much for your replies. I was wondering if I was justified in feeling the way I do. Those incidents I mentioned are just a FEW of the MANY that have happened at this facility. Moving or travel nursing isnt an option for me (I have kids and a mortgage). I wish I could move, I know there are some great-paying jobs out there. I just want one that I can feel safe and be a part of real teamwork with doctors who know what they are doing. There is none of this at this hospital.

I know that the crash cart not stocked may or may not have made a difference with my friend's mom, but its scarey knowing that when the supplies are needed they may not be there. Whats the point in having it, ya know?

Right now its 0830, I just got home and cant sleep. I have to be back at work at 3 pm. I am just so depressed.

Again, thanks to everyone who responded to my post. It's nice to have people to talk to who understand.

You need to put your foot down, Cheno, and tell them you cannot keep doubling back. They have no respect for you and are just sucking the life out of you, while you let them do it. :angryfire :angryfire :angryfire :angryfire :angryfire :nono: :madface:

They are probably not giving you even the legally required minimum amount of time off between shifts. Why are they having you do this? Do other nurses have to do it? What does a lawyer say is the legal requirement for time off between shifts? Make up some story about your kids and babysitters and getting them home from school or something.

I know it is daunting to have to think about moving and selling your house but it might be necessary, unless you can get some other relief.

Dear Cheno,

From rereading your post I take it you were not working or part of the code team that took care of your friends mother? You cannot write up an incident for the code without first hand knowledge. You can bring it up during a staff meeting, but again it may be treated as gossip. I would however have written up the incident regarding the patient with severe fluid overload, also any physician who cannot write orders clearly. Like many other who have posted, some with excellent advice, get out of there, see an attorney, report misconduct to the state and proper agencies, and

get some stress counselling. Good luck.

The story of your experience is heartbreaking.

Ok, the closest, reasonable good hospital is too far away, this is out of the question. Could you work for a clinic, or private MD's office?

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