Unsafe working conditions - (Graphic) - page 2

Hi all-- I was in the chat room last nite and talked to a few people and got some pretty good advice but was trying to still process what would be the best thing for me to do. I am a new grad since... Read More

  1. by   mattsmom81
    A big hug for you Amy---I would have been shaky too if I was handed a freshly aborted fetus and I've been an RN for 25 years! I've never encountered this in med surg or ICU. I think you are only human here and shouldn't be so hard on yourself. Sounds like you handled the situation best you could and that's often times the best any of us can do.

    I still get emotional today in tough situations and that caring aspect is important...sometimes I do cry with family and don't believe it's wrong to do so. You are a new grad and need a nurturing environment to put your new skills into practice, and learn to balance your professional duties with your caring. If one is sensitive in nature, we need to learn not to internalize. We learn in time how to do this, it doesn't just happen overnight. I'm sorry the senior nurses abandoned you, I would never do this to a new grad but today's wild and crazy hospitals seem perpetually overstretched and understaffed, and it happens. (Not that it's right.)

    There's a good reason your hospital has high turnover, sweetie, and you should look for a facility with a new grad internship program or consider working with your friends as it sounds like they have the better environment of practice. Nurses need to take care of themselves first, something we are not always good at!

    Is there a nursing instructor you bonded with? Someone you trust who can sit down and hash this out with you? Use a few sick days if you can and decide what you need to do. The nice thing about nursing is there is LOTS of options out there!

    If you need to, please see your doctor---PTSD happens to nurses and we need help sometimes too. A psych nurse on another board had a patient commit suicide on her watch and she had flashbacks and nightmares for awhile, but did eventually work through it. Don't be afraid to ask for help! Vent here anytime
    Last edit by mattsmom81 on Mar 9, '02
  2. by   askater11
    I'm sorry this occured.

    I do find it inappropriate.

    You work on a med/surgical unit and received a patient miscarriaging. I find that totally inappropriate. There are different areas geared for each patient...those units have been appropriately orientated for THEIR field.

    In our instituation we follow a rule that all O.B. patients go to O.B. floors. Ortho patients to ortho floors. Cardiac to cardiac floors. Whatever the patients "Main" diagnosis is. (e.g. I work a cardiac stepdown--Thus if a ortho patient goes into SVT or VT we'd take that patient until the cardiac problem resolves...once resolved the patient goes to ortho because at that point "ortho" problem will be their main problem again)

    We've had "admitting" wanting to book us inappropriate patients. E.G. a patient that cardiac arrested 5 minutes before report was given; another example a 8 month pregnant lady in pre-clampsia. We spoke to admitting and explained the "criteria" of our unit and admitting apologized and put the patient in the "appropriate" unit.

    We've never had problem's with admissions....going to "appropriate" units except a couple time's on a med. surg stepdown unit I worked on. They closed one of the I.C.U. and the Dr. would have an unstable patient....and want a unit bed but none was available so the Dr. would request our unit. We'd go through supervisor explain the situation. They'd find the most stable ICU patient and the more unstable would stay on the unit. And we'd get extra staff on the step-down.

    If there were no more beds available in O.B. or the woman's ward....I'd asked for an O.B. nurse to be available for questions at all times. I'd get the O.B. nurses phone number and I'd be calling her with questions. If you have any troubles call the supervisor right away.

    You always have resources. Anesthesia, supervisors, ICU nurses, pharmacist, teaching hospitals house interns. I love all my resources.....I'm always calling them....we're all a team.

    I hope if you stay at this hospital....the other unit you work on has better orientation and experience. I work in a big hospital there's good and bad units. What I've done is asked fellow nurses what units they like working. E.G. a pool nurse comes to our floor I'd ask her what floors she likes working on....about staffing....supervisors etc.

    Good luck!!
  3. by   AmyRN1227
    Well, I do think that I'm suffering from some form of PTSD. Especially with all my symptoms. So, in that case, this place is definitely not worth it. I would gladly start fresh somewhere else. I have left my "manager" a voice mail stating I can no longer work under these conditions, explaining what happened and how I should have not been left alone like that. Who knows if it will matter or not. I"m not going back there to be subjected to that. These nurses turned their backs on me. I feel like on this shift I have noone to ask a question to and I'm new. I am not going to know everything right away....these nurses are burnt out, and alot of them are out to get the new kids on the block. Yes, I need to be somewhere more supportive. Maybe I should go into home health or to a doc's office? Right now I feel like I need a long break and I've only just begun. How depressing.
    Thanks for all the advice. And BROWN---That's basically what I will be doing is walking off the job. Without a notice. Will that look bad on my future references? Or is there such a nursing shortage it won't matter. Will I be considered as abandoning patients? Oh yeah....and by the way, this ratty place called and left a message for me to come in today. What a joke. I've left the voice mail for my manager....and hopefully she will get back to me on Monday. I am going to try to get some peace and quiet over the weekend and stop worrying about the "right" thing to do. After being treated this way, I really don't care at this point.
    Thanks again!!!
  4. by   AmyRN1227
    PS: Should I also follow up with a letter to HR and the manager, stating exactly what happened to cover my butt when I put them down as a reference or can I get by without even using them as a reference???? How important is it for today's nurses to follow through with the two week notice anyway?
  5. by   Mary Dover
    Good for you Amy - it sounds like you are developing a plan. Please take care of yourself.
  6. by   Mary Dover
    I won't offer you advice about working out your notice. You have to do what you feel is best.
    Personally, I handed in my resignation at my job yesterday. I would love never to have to set foot in the place again. But my stressors are completely different from yours, and I feel professionally obligated to work out my notice.
    I don't even have a real job yet to walk into, but have tentatively set things up to go back to work part time at a hospital where I previously worked. That's where it pays not to have burned any bridges, I think.
    But again, my situation is not the some as yours.
    I plan to be in the chat room tonight, I have become somewhat of a regular there, but just crashed out early last night due to all this past weeks' stress. Would love to talk more to you, anytime.
  7. by   AmyRN1227
    I would love to chat with you tonite. I will try to meet up with you later. What time do you usually go in there. I think I was in there around 10pm last nite.
    Look forward to seeing you.
    Anyone else want to join in later tonite to give me advice just let me know....
    Thanks so much.
  8. by   Brownms46
    Dear Amy

    Don't worry about a thing gurlfriend! Just take care of YOURSELF! Have you ever heard of SPA DAY? This is where you get a family member or friend to take care of your children...for the WHOLE DAY...and if your're married/involved....the WHOLE NIGHT! You get out the credit card...blow the dust off...and you and your best friend...whoever that is...go out and have a day at the SPA! And if you're married/involved......you come home and the two of you act like newlyweds! Gurl that should at least take a couple of the kinks out..

    No babysitter available?
    Get hubby/SO to take the kids to a movie...put some scented candles in the bathroom...play your fav music...pop some bubbly send out for your fav take-out.....and then go into the chat room...and let yourself vent away! When hubby/SO comes home...let him get the kids ready for bed....and you two play some indoor games....

    That should hold you until you can get some professional assistance....hopefully on Monday. " Take good care of yourself"

  9. by   Mary Dover
    Amy - I usually go and check in about 8 to see if anyone's around. I may be there anytime between the hours of 8 to 11 or so. I think there's an hours time difference from my location to yours. Hope to talk with you later.
    PS - just to share with you a somewhat traumatizing experience I had as a brand new nurse - try searching this BB for a thread I started a while back. I can't remember the exact title now - but was something about "what was your scariest moment". If interested, maybe you can find it. The easiest way may be to click on my name, which will take you to my profile, and there will show the threads I have posted to. Totally different from your experience mind you - but just something to share about situations and feelings new nurses go through. I've been a nurse for 12 years now, and will never forget that experience. It truly helped mold me into the person (and nurse) that I am today.
  10. by   Mary Dover
    Marvelous suggestion Brownie. Amy listen to her. Gotta 'work out the kinks'.
  11. by   PhantomRN
    I have followed this thread all day and I would like to hear from some OB/GYN nurses as to what the practice is for a woman who miscarried. Is what amy is describing "somewhat normal?" practice? What should have happened?

    Did the doc schedule a D&C afterward? Did she need one? It seems to me if the doc went to do a pelvic check, found the child in the canal and removed it. I doubt that your preceptor or anyone else expected that to happen.

    For you Amy It is too bad that you are so young to the profession and you are being treated so poorly. In such a situation as you described above you and the patient needed alot of support.
  12. by   mattsmom81
    New nurses need a lot of encouragement and I'm glad to see all the support for Amy.

    Generally I would say its best to always give a 2 week notice. But that may not be best for you right now either. Generally it's also better to resign and say something like "the shoe didn't fit the foot in this position and I need to pursue a different type of environment as a new grad .....bla bla bla". You may not wish to burn bridges so early in your career.

    You've gotten some excellent spa advise too!! Throw in a box of Godiva chocolates and some Calgon from me! I'll try to make chat one of these nights too, gals and guys, as i enjoy all this sharing.:>)
  13. by   AmyRN1227
    The doc didn't schedule a D&C right away. She still hadn't passed the placenta!!! THe clamp was left on it and we were told to call her if she developed heavy bleeding or passed it. The nurse coming on after us told me she didn't feel comfortable taking care of this woman because it was not an OB floor. She was swearing up and down but what can you do? We are stuck as far as how much the hospital dishes out.
    So, how do I state my resigning? I already called my manager and told her I could no longer work under these conditions and that I would follow up with a letter. So, I don't know, would that help my reference even if I don't give a two week notice. I need to also look out for my health and sanity right now.