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?
Specializes in Specializes in L/D, newborn, GYN, LTC, Dialysis.
Your words are so offensive and immature I, too, can see why they don't like you there where you work. And continue on this bent and attitude and you WILL be fired. You won't last anywhere. Grow up. Seriously.
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
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.
Mi already said 3 times I am responsible for mistakes but they are saying I am going tokill people and that i a bad nurse that is rude
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
your words are so offensive and immature i, too, can see why they don't like you there where you work. And continue on this bent and attitude and you will be fired. You won't last anywhere. Grow up. Seriously.
she accused me of going into the icu and killing people
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
Few things:
Wasn't yelling-emphasized med pass, which is different from your reference to poster about her only giving out "three meds"
No where in her response that you quoted that she stated that you will kill people.
She is a licensed NURSE, so-don't get the disparaging when you seem to be content on committing negligence.
And your posts attacking her are ridiculous and you will find yourself not being able to post here due to your seemingly inability to be professional and accountable for your actions and incompetence and want to lash out against others when your license may be at risk if you don't shape up your own practice.
Im sry I got defensive I wrote this here cause I'm crying my eyes out I thought someone else could give me good advice and say they went trough it too
People have given you important advice to consider; it is up to you to filter though it and make an action plan; what you don't realize is the gravity of the situation where you aren't being accountable to the residents and the setting you are in.
LTC is not a cakewalk; however, when done right it is manageable, and the specialty itself can be rewarding; being able to identify residents needs without the technology of the hospital with the high ratios is something that many nurses enjoy in this setting; you can look on the LTC forum and see there are many nurses who post there that enjoy their job and have great tips.
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
I never said you are going to kill people.
Your words don't offend me. Go ahead and keep reading my posts if you want I dont mind, but it's not gonna help you. I hope you can realize your wrongdoings and learn from them. The things you mentioned could get your nursing license taken away. And you could seriously hurt someone. You need to seriously reflect on yourself and how you handle stress. Gettinf organized and managing your time better will help you in any situation, especially at work.
Thanks to overcoming my "make believe" ADD I learned a thing or two about that.
Specializes in Complex pedi to LTC/SA & now a manager.
1. Take responsibility for your incompetence and inability to efficiently manage your time.
2. Stop blaming other shifts when you admit you leave work for them.
3. Learn the grave and citation/fine worthy effects of combining the 5pm and 10pm medication passes. Yes that can cause a fatal drug error. You clearly don't understand that.
4 lower nurse to patient ratio in the highest acuity patient unit is not easier. Your responsibility for those two to three critically ill lives will be tenfold of what it is for your relatively stable 18 patient load. It will easier to make a fatal drug error with a critical patient if you are inefficient and disorganized.
5. Night shift isn't easier or less work. It's different. It's no extra support. Less aides. No pharmacy. No therapists. No managers. No family. People like to have medical crises on overnights. You need to be skilled, efficient, accurate, trustworthy and organized to be successful on night shift.
6. Consider looking into books or online measures for executive functioning deficits. Poor time management and disorganization plus forgetfulness will destroy your career. You can learn to self modify and accommodate. Brain sheets, to do lists, and other tools can get you on track once you admit you need help and stop blaming the other shifts for their seemingly valid complaints filed against you.
7. Know you would be up a creek without a paddle and risk a formal BoN complaint if that patient you gave the 5 & 10 pm
Meds to because you are inefficient reported you to the state ombudsman or LTC inspectors. There is no excuse and to assume others cut corners and hide it better is a bad mindset---again refusing to accept responsibility for your own shortcomings.
8 rather than assume overnights is "easier" (very doubtful plus you need strong critical thinking skills, applied knowledge and the best time efficiency and organizational skills) Ask for a preceptor. Ask to shadow an efficient nurse on your day off. Take notes. Learn what tools the efficient nurse uses to stay on task, efficient and organized. Google LTC brain sheets and to do lists. Find what works for you.
9. calling a neurobiological condition fake to insult a person giving you a reality check is very middle school and is not only unprofessional but very juvenile. Check yourself before you start throwing stones when you don't like the answer. You owe a legitimate apology for your personal attack b
SmilingBluEyes
20,964 Posts
Ok are we being punked here??????