Going to be fired?

[Meridian2]

Hello I need advice I am in a terrible situation. I have been a RN for 3 years now just transitioned from hospital for a long term care position. It wasn't my choice but I am per-diem at the local hospital and couldn't get full time. I only work there one weekend a month but they keep hiring new grads instead of giving me more hours

I started skilled LTC position 2 months ago evening shift. And it is not full time but 3 days a week and no weekends yet. I only got orientation for 2 weeks and it wasn't enough im afraid. Its too busy and Never slowed down at all. I get everything done really late and I don't have time to follow up on every single thing that day shift didn't do so then I give report to the night nurses and they give me attitude because I didn't get everything done. I don't understand because night shift isn't busy at all they don't do much so should that shift be the ones to follow up on left over stuff?

They do not ever follow up on anything either. I feel like I am drowning and being a target. 2 of the night nurses went to my manager when I was just off orientation and said that I leave things out of report all the time and thats a lie. There was only one time that I left out information but I was honest. My boss said to me "even just the one time was dangerous." I think it was a honest

mistake but not dangerous. It was a patient's endo appointment changed to be the next morning and I forgot to tell the night nurse to pass onto the day nurse. So the patients transport came and no one got the patient ready so the patient did not have time to eat and they are a diabetic. They got a snack to bring with them so they were ok. I apologized to my manager.

I got a verbal warning for that and begun to do better but then a week later the same two nurses said to my manager that I always leave the cart a mess, that they find pills in the cart all the time. They told her they found 1 unused syringe with insulin in it that I signed for. I should not have signed before I gave it. I was going to give it but it got too late and I got sidetracked. and then the night nurse came and she wanted the cart keys. I said "I just have to finish something" and she insisted I give her the keys and said "last night I waited 15 minutes"

My manager asked me if I am giving all of my medication or if I am just signing that I did. I told her I am giving everything and that I must have left refused pills in there. Then yesterday my manager called me and said that a patient who is AAOx3 told her that I gave all her 5pm pills with her 10pm pills. Yes I had to do that because there's not enough time!!! I have 18 patients!!!

Maybe if they had more staff or made some of the 10pm pills to be given after 11pm the night nurses could give them and there would be more of a balance! I used to work nights as a sitter in the hospital before I was a nurse! It was so easy that it was boring. My manager is siding with the 2 other nurses and even my evening nurse coworker said its notright! These night nurses are a clique and if you make one angry they all hang up like its high school. We are going into the next schedule period and I called my manager and asked why I am not on the schedule and I am meeting with her tomorrow. I asked if I am fired and she said no so I don't know what this means. I am scared and I feel betrayed and horrified. Has anyone been through workplace bullying before?

[bugya90, ASN, BSN, LVN, RN]

I never said thats being night nurse is a slice of cake. But ur not as busy as me. U have 3 meds to give.the rest seems like technical stuff with the machines and charts. I can't do this without leaving a few things for night shift i am only 1 person. They aren't cliques because they have no support they are catty and never talk to me they go to my boss and complain all the time. How is someone supposed to learn if no one shows me anything or ever helps me

This rubbed me the wrong way.

1. Never assume another shift is not busy. I use to rotate shifts in LTC, all 3 shift (day, evening, night) are busy in their own right. Night shift typically has 3-4 full med passes for 20+ residents.

2. Take responsibility for your actions and accept accountability. Your coworkers are complaining to management because you are not practicing safely. They are being patient advocates. There is no excuse for drawing up and signing for insulin and then not giving it. Your 1700 meds that you just lumped in with the 2200 meds were all technically med errors. The appropriate action would've been contacting the provider regarding every missed dosage and getting approval to give the med late or document as missed dose.

3. You are not at work to make friends and calling you coworkers "catty" is very immature. You are there to do a job, which you seem to be unable to handle.

4. Dumping your work, "leaving things for the next shift", is never ok. It happens every now and then to all of us but every shift is ridiculous. You need better time management skills.

There seems to be a pattern here and I would be willing to guess these issues are the same reasons the hospital is not giving you more hours either.

[Meridian2]

I will ask if I can switch to someone for night shift I will have more time to get things done and learn easier things.she is going to talk to me about a plan so I'll tell her I accept the responsibility and I will do ok on a slower pace on night shift

[Meridian2]

This rubbed me the wrong way.

1. Never assume another shift is not busy. I use to rotate shifts in LTC, all 3 shift (day, evening, night) are busy in their own right. Night shift typically has 3-4 full med passes for 20+ residents.

2. Take responsibility for your actions and accept accountability. Your coworkers are complaining to management because you are not practicing safely. They are being patient advocates. There is no excuse for drawing up and signing for insulin and then not giving it. Your 1700 meds that you just lumped in with the 2200 meds were all technically med errors. The appropriate action would've been contacting the provider regarding every missed dosage and getting approval to give the med late or document as missed dose.

3. You are not at work to make friends and calling you coworkers "catty" is very immature. You are there to do a job, which you seem to be unable to handle.

4. Dumping your work, "leaving things for the next shift", is never ok. It happens every now and then to all of us but every shift is ridiculous. You need better time management skills.

There seems to be a pattern here and I would be willing to guess these issues are the same reasons the hospital is not giving you more hours either.

no the hospital is going to give me more hours when a position opens in icu.they only have one patient so it will be a lot easier

[bugya90, ASN, BSN, LVN, RN]

no the hospital is going to give me more hours when a position opens in icu.they only have one patient so it will be a lot easier

Since when is ICU "easier"? You can't remember to give a diabetic their insulin but think you are cut out for ICU. Also many ICU ratios are now 2-3 patients per nurse, there's not many 1:1 left and the few left are fading fast.

For someone who supposedly has 3 years experience, you have a lot of learning to do. I pray you don't kill someone in your negligence one day. I really don't understand the thought process of someone who thinks critically ill ICU patients are "easier".

[LadyFree28, BSN, LPN, RN]

This rubbed me the wrong way.

1. Never assume another shift is not busy. I use to rotate shifts in LTC, all 3 shift (day, evening, night) are busy in their own right. Night shift typically has 3-4 full med passes for 20+ residents.

2. Take responsibility for your actions and accept accountability. Your coworkers are complaining to management because you are not practicing safely. They are being patient advocates. There is no excuse for drawing up and signing for insulin and then not giving it. Your 1700 meds that you just lumped in with the 2200 meds were all technically med errors. The appropriate action would've been contacting the provider regarding every missed dosage and getting approval to give the med late or document as missed dose.

3. You are not at work to make friends and calling you coworkers "catty" is very immature. You are there to do a job, which you seem to be unable to handle.

4. Dumping your work, "leaving things for the next shift", is never ok. It happens every now and then to all of us but every shift is ridiculous. You need better time management skills.

There seems to be a pattern here and I would be willing to guess these issues are the same reasons the hospital is not giving you more hours either.

Agree.

To add: whether you don't like the delivery, you are not practicing safely, which is a HUGE target in the facility's back by the state; each time you practice unsafely, it has to be reported-clustering meds and not giving meds must be reported immediately; failure to do so it a delay in care, failure to rescue and constitutes as negligence in which the facility has to report or face fine or sanction by the state because they were improperly taking care of the patients.

LTC is a highly regulated industry; the population is vulnerable, and there have been a history of people not doing what is right by this population, hence the high regulations, as well as a prompt need to error anything that occurs, for the benefit of the residents.

[Meridian2]

Since when is ICU "easier"? You can't remember to give a diabetic their insulin but think you are cut out for ICU. Also many ICU ratios are now 2-3 patients per nurse, there's not many 1:1 left and the few left are fading fast.

For someone who supposedly has 3 years experience, you have a lot of learning to do. I pray you don't kill someone in your negligence one day. I really don't understand the thought process of someone who thinks critically ill ICU patients are "easier".

I don't understand why everyone is being so dang rude here. I am falling apart right now. I do have 3 year experience in assisted living I left and they begged me stay. I went to the hospital oriented and got per diem hours they give full time to new grads to save money. I never said that ICU is cakewalk!! But 18 patients is to much. Everyone cut corners in skilled LTC . But they hide it better

[WheresMyPen]

I never said thats being night nurse is a slice of cake. But ur not as busy as me. U have 3 meds to give.the rest seems like technical stuff with the machines and charts. I can't do this without leaving a few things for night shift i am only 1 person. They aren't cliques because they have no support they are catty and never talk to me they go to my boss and complain all the time. How is someone supposed to learn if no one shows me anything or ever helps me

How do you know I'm not as busy? I didn't say, "three meds" to give I said that I have three med PASSES. Every shift is busy for different reasons. I cover a lot of other shifts and I love my night shift but it is not easy at all. And no one expects you to be perfect or to follow up on every thing, but you come off like you are just making excuses. They expect too much of you, they're bullying you, they're catty. You can keep blaming everyone else or you can admit that you have made mistakes, improve them, and move on without making any more excuses.

[Ruby Vee, BSN]

I don't understand why everyone is being so dang rude here. I am falling apart right now. I do have 3 year experience in assisted living I left and they begged me stay. I went to the hospital oriented and got per diem hours they give full time to new grads to save money. I never said that ICU is cakewalk!! But 18 patients is to much. Everyone cut corners in skilled LTC . But they hide it better

I haven't noticed anyone being rude to you. Being honest and telling you things you don't want to here doesn't constitute rudeness. The fact that you cannot tell the difference tells me a lot about your level of maturity and is a real good indicator of why the night shift doesn't like you. It's also a real good indicator of why you're not getting more hours at the per deim job.

To be perfectly honest (and trying very hard to avoid being rude), you don't seem competent. Worse, you're finding excuses for yourself rather than owning up to the deficiencies in your practice and trying to correct them.

Please don't move into ICU. It really isn't easier, and ICU nurses tend to have strong personalities. If you think we're rude here, you're really going to have difficulties in ICU.

[SmilingBluEyes]

You have received excellent words and advice, but alas, all falling on deaf ears. You have a lot of growing up to do. And you WILL have problems no matter where you work, with your lack of introspection and insight. You are making excuses and whining. Not traits that make a good nurse.

[BuckyBadgerRN, ASN, RN]

Unless you've worked the NOC shift, you've NO idea what goes on there. My sympathy level is very low for you, OP. You HAVE made serious mistakes, you DON'T acknowledge the seriousness of them. I'm not saying you're a bad nurse, but you are not a good LTC nurse. Yep, I said it.

I never said thats being night nurse is a slice of cake. But ur not as busy as me. U have 3 meds to give.the rest seems like technical stuff with the machines and charts. I can't do this without leaving a few things for night shift i am only 1 person. They aren't cliques because they have no support they are catty and never talk to me they go to my boss and complain all the time. How is someone supposed to learn if no one shows me anything or ever helps me

[BuckyBadgerRN, ASN, RN]

Bullsheet. Not everyone does it. Seriously, if this is your attitude in real life, I totally get why there is a target on your forehead and fellow nurses have no problem reporting your mistakes and "corner-cuttting ways"/

I don't understand why everyone is being so dang rude here. I am falling apart right now. I do have 3 year experience in assisted living I left and they begged me stay. I went to the hospital oriented and got per diem hours they give full time to new grads to save money. I never said that ICU is cakewalk!! But 18 patients is to much. Everyone cut corners in skilled LTC . But they hide it better

[Meridian2]

How do you know I'm not as busy? I didn't say, "three meds" to give I said that I have three med PASSES. Every shift is busy for different reasons. I cover a lot of other shifts and I love my night shift but it is not easy at all. And no one expects you to be perfect or to follow up on every thing, but you come off like you are just making excuses. They expect too much of you, they're bullying you, they're catty. You can keep blaming everyone else or you can admit that you have made mistakes, improve them, and move on without making any more excuses.

No need to yell at me in caps. And theirs no need say that I will kill peopl. I don't. My goodness I see you are only 22 years old and not an RN. You are typical of night shift gal. I don't make excuses I gave further explanation and I am crying I got defensive. You make excuses go look at your own threads. I looked at YOUR user profile and saw topic you made about your 'Attention deficit disorder. ' that's not even real disease. Thats your make believe excuse for your incompetent