Where do you even begin.
So last night was one of the first really awful nights I have had so far. As a newer nurse I knew it was coming but still when it was all said and done I just feel so defeated. To be honest looking back over the night I dont think there is a whole lot I would change. My main focus was patient safety and I feel like if nothing else occurred last night I was able to keep all my patients safe. I am the least senior nurse on my team and therefore do not take on the role as "charge nurse" but because the actual charge nurse on my team refuses to take any kind of responsibility I am left with 1: take control myself: or 2: all hell breaks loose. I work as a psych nurse on noc shift and when things go bad they can go really bad really fast. Sparing you the details last night was such a night. I was understaffed without adequate people just to complete basic paperwork and do rounds. All of my nursing assistants were stuck on a 1:1 last night and I did not even have adequate staffing to let them go on breaks. I ran around in between them trying to give them bathroom breaks while completing while my own tasks with one patient in particular "going off". So my question, I have told administration about this nursing staff I am dealing with and the lack of leadership (not to mention lack of competency in the job) and they don’t seem to hear me. I have also told administration that we do not have adequate staffing to run the unit in any kind of safe manner.... nothing happens. I don’t really know what else to do. I want to talk to the DON because non of the supervisors will do anything about it (got to be home by 5pm and all) but I think in the end if I plan on staying in the job I am in it will only cause a lot of hard feelings and problems (that is if she even listens to me). But on the other hand I don’t think I am going to put up with many more nights like last night... any advice on getting administration to hear ya and getting adequate staffing on the unit.