I'm sure there all sorts of you that can relate to this one.
So I'm starting again on nights after my usual 2 weeks of days. I arrive on the unit and am told I am being floated from my usual special care unit (severe dementia) to a chronic care unit on the "hospital"side of the facility. Timing couldn't be any worse, because the poor nurse that I'll be leaving all alone on the unit (they are replacing me with an aide) is caving to deal with a very ill resident who is actively palliative and her family, as well as 6-7 residents that haven't been sleeping at night, aren't stablized on their meds yet and need ++ supervision because of wandering. But do either of have a vote? No! A nurse on that other unit has called in sick, cannot be replaced with another nurse - we're considered dispensible and my turn is up. By the way, this is the second time this month that this has happened to me.
Anyway, I go to the other unit, thrilled with the fact that I I'll have to be working with thraches and gt tubes all night. The former makes me nervous because I have ZERO experience with traches and the latter, because they gross me out. I try to mention to the shift coordinator that hey, my home unit needs me tonight, but only come off like I'm whining.
At least I was treated allright by the unit staff but it was a rediculous situation. It was a quiet night, so I was basically there because babysitting traches and and giving tube feeds can only be done by an RN. I know there are people attached to these, but I'm tired, cranky and I don't know these people. I hate working on chronic care units! They make me all philosophical about the ethics of keeping these poor people alive when there is no thought process going on. But I guess we don't get a vote in that area either. We are simply in the business of taking care of these people ad nauseum, once the families have made the decision that they can't let go of them.
Hope I didn't offend anyone, just a wee story about my crappy night shift.