Being a re-entry work in a busy tele sure kicks my butt. High acuity, no nursing assistants. I've gotten my speed up but see my peers trying to keep thier heads above water too, for 12 hours. Every end of shift I seem to fall short in some way, maybe a dressing did not get changed for example. Day shift has all the doctors with thier pages of orders, tests,meds, the baths you all know the scene. It seems like though instead of a 24/7 attitude I feel like a witch hunt starts happening. I've come on shift to many screw ups like people with MRSA that have no isolation info, carts, beds soiled, etc. I feel that if I want mercy I should show mercy but I don't get the same treatment. I take it home and chew and chew on it for days, always a new situation. I doubt that anyone is perfect but how do you guys deal with it and or present a situation like I know the dressing in 1523 says "change every day" and I really did not get to it because I had one D/C, one admit, one in DT"s and the drsg change person had 5 tests and 25 meds not to mention is paralized and incontinent and I had no A.M. break, lunch at 2:P.M. which I had to fight for, I don't want to whine because I know what my day was like and I can't think of too many people I know that can do this type of work and remain sane. What would be an assertive approach?:monkeydance:
