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?
I could see from over four feet away a deep ulcer the width of a nickel.
I may not be a nurse, but I work with exceptional nurses. This includes a team of wound care specialists. I am not only in nursing school but will be specializing in that field. I've been to enough speeches by wound care nurses and doctors to know what a stage two pressure injury is.
A stage two pressure wound is a "deep ulcer"? This is your comeback, your evidence that you know enough to comment on nursing practice?
A stage two pressure wound is a "deep ulcer"? This is your comeback, your evidence that you know enough to comment on nursing practice?
I'm not a nurse, but I know the difference between a stage 2 pressure injury, and stage 3, 4, and unstageable. Of course stage 2 isn't as deep as the latter.
Specializes in SNF, Home Health & Hospice, L&D, Peds.
I'm not a nurse yet, so you're free to discount my opinion.
You're signing out meds and not giving them (and leaving them laying around?), passing meds out five hours late and forgetting to update charts. Those seem like big deals that are grounds for termination, IMO.
I don't think you're being bullied, I think you're not performing the duties of the job you've been assigned and it's impacting your patients and co-workers.
Maybe that setting isn't a good fit for you?
IMHO you are not as nurse, as you said yourself, so you really are in no position to offer an opinion period. If you haven't done the job you really have no basis to criticize. Now I have done that job and it is hard and you are often short staffed, over worked etc... And time management is crucial. Certainly the OP has some issues that are worrisome (and then some) however, as I said if your not a nurse and have not done the job your opinions would probably be more useful elsewhere.
Specializes in SNF, Home Health & Hospice, L&D, Peds.
I'll explain it to you.
The LTC in question is known for not being a good one, hence the high rate of pressure ulcers. More often than you know patients from there come to my hospital because people there can't seem to get it together when it comes to repositioning patients. The LTC facility would keep four patients in a long room, with only small sheet to separate each patient. My patient was on the end, furthest from the door. Meaning, you had to walk down the room. There were no curtains to prevent me from seeing the other patients in those quarters, and the patients were on their sides with no clothing on their bottoms. I could see from over four feet away a deep ulcer the width of a nickel.
I may not be a nurse, but I work with exceptional nurses. This includes a team of wound care specialists. I am not only in nursing school but will be specializing in that field. I've been to enough speeches by wound care nurses and doctors to know what a stage two pressure injury is.
Don't you ever talk to me about a frame of reference again. Leave your ego at the door the next time you consider talking down to someone. I've seen plenty of egotistical nurses think they're above others yet make mistakes because they think they know it all, and I've seen them fired.
If you think an experienced CNA who works closely with nurses and is in nursing school can't possibly offer up any sort of experience in regards to the field of nursing then you my dear are both arrogant and ignorant, and I'll be happy to remind you of it each and every time you take that tone with me.
Some nurses do eat their young. I have seen it. Meridian isn't that new, but maybe so if that's in comparison to someone with over 20 years of experience. Could she have softened up? Sure. Could you all have softened up? Sure. She is frazzled. Upset. It doesn't take a genius to see some of these digs. Do you really want this website to be known for its hostility when people going through tough times are looking for help? Tact could go a long way.
Just FYI it is a pressure ulcer not pressure injury.
Just FYI it is a pressure ulcer not pressure injury.
See, this is part of the danger of making assumptions about people.
It has indeed been changed, per NPUAP.org, of which I have gone to three speeches by doctors and wound care specialists, because I am basing my specialty on that in the future.
Did you know that they're now going to be called pressure injuries, and that there are not only stages 1 through 4, but also unstageable?
Please check NPUAP.org if you would like to know more.
I'm not a nurse, but I know the difference between a stage 2 pressure injury, and stage 3, 4, and unstageable. Of course stage 2 isn't as deep as the latter.
Not interested in playing your game.
Clinical knowledge is not a game. Nursing practice is not a game. A stage 2 pressure wound does not extend into the subcutaneous tissue, and so by definition cannot be "deep." But I'll agree that we're not going to have a productive discussion here and call it a day.
IMHO you are not as nurse, as you said yourself, so you really are in no position to offer an opinion period. If you haven't done the job you really have no basis to criticize. Now I have done that job and it is hard and you are often short staffed, over worked etc... And time management is crucial. Certainly the OP has some issues that are worrisome (and then some) however, as I said if your not a nurse and have not done the job your opinions would probably be more useful elsewhere.
I'm as entitled to an opinion as anyone else on here.
I'm as entitled to an opinion as anyone else on here.
If you aren't a nurse, your "opinion" means absolutely bupkis to anyone who really is one-who went through school, took and passed NCLEX, got a job as a nurse and has actually experienced life as a nurse.
Now that you and Wake have hijacked this thread and made it all about yourselves, continuing the discussion will be pointless, and I'm hoping the mods shut it down.
nutella, MSN, RN
1 Article; 1,509 Posts
Given that we have reviewed:
- I am a better nurse because I am older
- ICU nurses have only one patient
- LTC is bullying me
-it is all not my fault...
I am now just waiting for some vaccination statements and get popcorn...