New experience

  1. Ok, so I am moving from one job to another. My one job is on a busy hospital floor where one nurse could be bald from carrying 6 patients a day. My new job is at a local hospital where it is a combination of acute care/hospital/nursing home. Now my problem is with the new job. Now realize that I am fairly new in the scheme of nursing. My new coworkers are essentially idiots. I say that nicely, really I do. Now this facility is only regulated by the state, and it shows. They want to be JHACO certified in the near future. I want to try to raise the standard of care without stepping on too many toes. I find real problems with nurses who only assess the primary reason that they are in the facility. (like, a wound, only checking how the wound looks and not heart,lungs all the good stuff). Any ideas? I don't want to quit, but I don't know if I can watch idly by that poor standard of care.
  2. Visit moonshadeau profile page

    About moonshadeau, ADN, BSN, MSN, APN, NP, CNS

    Joined: Jul '00; Posts: 639; Likes: 70
    Specialty: 15 year(s) of experience


  3. by   Louie18
    I understand your situation.
    I once worked as a pool nurse throughout the state. (for a private pool)
    It is all about money today I would imagine.
    The only way to assure proper care is through your hand picking the ones you want and ask them to mutanize and then there are more of you.
    (comparable to a union) you go now!
  4. by   Louie18
    Incidently; Cat Stevens was playing during my previous post. lol
  5. by   Mijourney
    Hi moonshadeau. Is doing complete assessments a requirement for all the patients in the facility? If so, are these nurses documenting that they are doing complete assessments when they're not?

    Are complete assessments only required at intervals on all patients?

    Is complete assessments by each shift required on acute care patients or does one shift do this and then everyone else documents by exception or according to the care plan?

    It sounds as though you need clarification on how often you should document on the different types of patients you take care of. Perhaps your preceptor, if you have one, or a nurse educator could answer your questions. Best wishes on your new job.
  6. by   Mijourney
    Hi again. If you find you're not getting clear answers on documentation, then I agree with Louie. It's time to look for another job.