It's The Grim Reaper Charlie Brown

Ever hear that expression, "lowering the boom"? It's pretty descriptive of the way I felt tonight when my dear, sweet DON told me, ever so gently, that I might want to be prepared for lean times ahead: Our census has been dropping for weeks, and the numbers aren't going up any time in the foreseeable future; ergo, nursing hours are about to be cut. Big time. Like instead of being scheduled for four shifts per week, I might be lucky to work two. Nurses Announcements Archive Article

I know it's just a bit of rotten luck that can't be helped; the other nurse who works in that section has got YEARS of seniority over me, and she wants to work as much as she possibly can. But it also means that I'm going to have to look for another job---again---because I can't live on two shifts per week. There's no stinkin' way...especially not with a husband who is woefully underemployed, working at best 30 hours per weeks for minimum wage, and whose prospects for anything better lie somewhere between slim and none.

I don't want to leave. I love my job, love my co-workers, the residents, the schedule...it's all as close to ideal as it gets in this cynical age. But I don't know what else to do. Rumor has it that our prospects will be vastly better once the other nursing home in town closes down in September, but that seems awfully far away when you're looking at the possibility of being unable to pay your bills for three long months. I've done without cable, phone, even electricit...but I certainly don't recommend it.

So, what to do? I'm not laid off...at least, not yet, but that might come at some point if the census keeps heading into the dumper. I may be popular and well-thought-of at work, but I feel like I'm waiting for the other shoe to drop, as if the Grim Reaper were standing at my elbow drooling in anticipation of the moment when someone says "Sorry, but I've got to ask you to leave your locker key at the front office." I haven't been there long enough even to HAVE a locker yet. That's what makes this so frustrating: I have no seniority---most of the nurses have been there for years (hence the reason why there are no lockers available). There are only three nurses with less time in than I have, and they're first in line once layoffs begin...and they WILL begin. What we don't know is where---or with whom---they will end.

I don't want to jump ship, but when management as good as ours is running around doing the modern equivalent of rearranging deck chairs on the Titanic and we're STILL sinking...well, the chances of keeping my job just don't look all that great from where I sit, and I've never been much for playing things by ear.

Ah, well, looks like I'd best dust off the old resume and put out some feelers. Just not today---my son graduates from high school, and I will not spoil his big day by giving him something to worry about besides the possibility of tripping on stage in front of 40 gazillion people when he steps up to receive his diploma.

But I'm worried, yes I am, and at fifty I am not looking forward to starting over yet again.

Wish me luck.

Specializes in LTC, assisted living, med-surg, psych.
:nurse:I have always loved being a nurse. Today I am ashamed of being a nurse.

Would you elaborate on this, please? I'd like to hear why your feelings have changed.

Specializes in Education and oncology.

Viva- thank you for your post- I too have experienced tremendous canceled shifts at my second job in town. My hubby is unemployed, accepted into grad school and I carry all insurance. I was canceled 2 shifts last weekend and am scheduled for 3 shifts this weekend. The solution? I will be cross trained to cover the Emergency Dept. Lovely. But I can't complain, and am thankful that I don't have to look for a 3rd job. (That was my dear hubby's suggestion when I whined about being canceled. ) I'm not 50 yet- but getting close. Feeling the groans of running around non stop, but what else to do?

Hopeful the economy turns around- there will be a nursing shortage in the future. So for the "newbies" who are panicking- don't. The pendulum always swings back....

Just my.:twocents:

Specializes in LTC, assisted living, med-surg, psych.

Well, the good news is, I don't believe I have to worry about my hours anymore: our census is going up thanks to the impending closure of the only other nursing home in town. The bad news is, our staffing has not yet caught up with the census, and we are being driven into exhaustion trying to care for too many people with too few nurses and aides. :madface:

Last night was easily my worst since I've been at that facility. Since our census went in the dumper, the nurses from the skilled wing have been watching over the residents from the middle section, but now that their census has gone up also, they have enough to do with their own patient loads. Which is unfortunate, because several residents from that middle section are Alzheimer's patients and they wander onto MY unit and a) fall; b) exit-seek; or c) get parked at the nurses' station while I'm charting and jabber at me, pick at themselves, set off their personal alarms, undo their dressings, and otherwise make it impossible for me to think straight. :sstrs::scrm::redlight:

Last night, dealing with these folks (who technically are NOT "my" residents) was like trying to herd cats: one fellow kept zipping out the door when a family member or staff would go out---of course, he didn't have a WanderGuard on, so he didn't trip the door alarm. Another one fell trying to transfer himself into bed, requiring the usual stack of paperwork, assessment, vitals, fax to MD etc. (not easily done when you don't even know the resident). Still another kept removing the dressing on his foot stump, which is already in bad shape..........and I hadn't even gotten to my own people yet, six of whom were on alert charting and one of whom was a new admit.

It was so bad, in fact, that I didn't even get my 2100 blood sugars and insulins done until almost 2300. I also had to make up THREE skin sheets for one resident who had multiple skin tears---some of which had been treated, but none of which was documented anywhere. She was flailing around so much I could barely clean and slap a dry sterile dressing on the wounds, let alone measure them and try to approximate the edges with steri-strips per our facility protocol. More reams of documentation followed that one. Still another resident came back from an eye surgery with detailed instructions and several types of eyedrops that needed to be done on a precise schedule..........well, any of you who've ever worked LTC will get the picture.

So......guess I don't need to worry about job security at this point. Now all I need to do is try to stay sane until TPTB bump the staffing back up to where it should be with this number of residents!!

Specializes in Geriatrics, Dialysis.

Yikes! I feel your pain, I work LTC also and your experiences sound eerily familiar. Its either feast or famine; cut hours because census is down and then get a bunch of admits in quick succession and scramble to get staff on the floor. I'm not too worried personally about cuts, I am one of a very few dedicated night owls and have been the shift supervisor since I changed to nights 7 years ago, but I do understand those hours are not for everyone. Good luck to you on this roller coaster ride!

Specializes in ICU, Telemetry.

We have the same kind of feast/famine thing going on as well; everybody wants to be home this week, will bust their fluid/sodium restrictions all to pieces, eat sugar like they aren't a brittle diabetic, and 'long about 0100 on July 5, here they'll all come....

Glad your job seems more secure, but my feet feel your pain....

Specializes in LTC, assisted living, med-surg, psych.

Ouch! so do mine..........I just finished three days of total looney-tunes shifts and am exhausted, then today work called me twice to come in because the nurse with all the seniority had to take off yet again for yet another family crisis, which has thrown the schedule into complete disarray.

I know I'm probably going to Hell for this, but I just let both calls go to voice mail....and then I turned the phone off completely :chair:

I'm all for teamwork, but I'm running about a quart low on energy right now and I don't even know now if I'll get my nine-day vacation that's scheduled for the 7th through the 15th. I need it badly. My arthritis is flaring up, my feet and legs hurt all the time, and I'm feeling the early stirrings of burnout. I love my residents and enjoy my job most of the time, but I enjoy it a lot more when I have adequate time away from it. My body also does better if I respect its limits---a three-day stretch is good, four in a row......not so much. And if I'd gone in tonight, they'd want me to work tomorrow night as well; then I have two nights on, one night off, then two more on before my vacation starts.

Having been management, I feel terrible for my DNS because I KNOW how tough it is to find coverage on short notice. On the other hand, it is no longer my responsibility to worry about it, and I'm not going to work on my days off if I don't want to.

So why do I feel so guilty??

Specializes in ICU, Telemetry.

Because you're a good nurse and you care, that's why you feel guilty. Don't. We can't help anyone if we run ourselves into the ground. My biggest fear as a nurse is that I'm going to be so tired after doing "fill in" shifts that I make a mistake -- miss a lab, don't check behind a CNA who wouldn't tell you if someone's BP was 4/2. So when I start feeling all guiltridden, I just remind myself how much worse I'd feel if something went wrong because I was too tired to notice it.

So just do this when they call you to come in: :sofahider

Specializes in Geriatrics, Dialysis.
Ouch! so do mine..........I just finished three days of total looney-tunes shifts and am exhausted, then today work called me twice to come in because the nurse with all the seniority had to take off yet again for yet another family crisis, which has thrown the schedule into complete disarray.

I know I'm probably going to Hell for this, but I just let both calls go to voice mail....and then I turned the phone off completely :chair:

I'm all for teamwork, but I'm running about a quart low on energy right now and I don't even know now if I'll get my nine-day vacation that's scheduled for the 7th through the 15th. I need it badly. My arthritis is flaring up, my feet and legs hurt all the time, and I'm feeling the early stirrings of burnout. I love my residents and enjoy my job most of the time, but I enjoy it a lot more when I have adequate time away from it. My body also does better if I respect its limits---a three-day stretch is good, four in a row......not so much. And if I'd gone in tonight, they'd want me to work tomorrow night as well; then I have two nights on, one night off, then two more on before my vacation starts.

Having been management, I feel terrible for my DNS because I KNOW how tough it is to find coverage on short notice. On the other hand, it is no longer my responsibility to worry about it, and I'm not going to work on my days off if I don't want to.

So why do I feel so guilty??

No need to feel guilty. Don't get me wrong, I love my job [usually] and I love my residents - but I also realize that I can't be there 24/7. You are a fantastic nurse and you will be even better if you enjoy your time off and return to work refreshed and ready to go!

Specializes in OB, HH, ADMIN, IC, ED, QI.
I decided (following my above post), that I am going to take the certification course for medical coders.....if I can get approved for financial aid.

I just submitted my FAFSA online. If I am approved, I am going to register for the earliest available class.

Time to reinvent myself, as I feel that my nursing days are over.

I will be 58 on Sunday. What better way to celebrate, than with the start of a new career?

Good for you!

It's important to reinvent ourselves many times throughout our lives and careers. Necessity often spurs that, and looking back I know that I've developed other skills when changes in employment (and the times) happened for me. Flexibility is a great asset, and survival skills and attitudes help, too. There will be more opportunities opening to us with the changes that will be made with Universal care. It's essential that costs are conserved, and less recovery time will be spent in hospitals, utilizing more home health services.

Making a guess, I imagine the families of prospective residents have decided that staying at home is less expensive than paying LTC facilities' rates. They can have home health care which may be sufficient to prevent conditions from occurring or to worsen. Certainly it's easier on elderly patients' minds, to stay in familiar surroundings, having friends, relatives and neighbors visit them. Home cooked meals arer usually appreciated.

It is especially important that families realize, especially those who live in large cities (and not so large ones) that

having sturdy locks to pevent criminals from entering homes of elderly people, who could do them harm. If an elderly family member lived with me (I don't have any)I'd place the monitor used to listen to babies, in their rooms at night. Fluids for them are very important, as you know, especially in hot weather. That teaching needs and many other topics must be addressed when residents leave LTC facilities, to live in their homes.

One of the first things home health nurses do, upon starting their home visits, is to assess possible sources of injury there, and recommend changes such as removing scatter rugs, etc. Enterprising nurses might want to start their own businesses to assist with needs of these patients, such as cooking and feeding them meals when their

family and friends are at work, or otherwise unavailable.:idea: