I recently started a new job, med/sug. Small hospital that has no ICU, but have already had a pt with multiple PE's on hep drip, Afib with RVR on Card drip,titrated; bowel resec with insulin drip, titrated; dopamine drip with BP of 60/30-PO2 in 70's, that was life flighted after several hours. These were all on the M/S floor, and I had 3 to 4 other pts to care for, and sometimes no CNA. I was told upon hire they always have 2 nurses and at least one CNA for up to 10 pts, then at 11 they call in a 3rd nurse. Well, now I find out that up to 5 Pt's they only have ONE nurse on the floor. I just don't think one nurse on the floor is safe at any time. The CNA thing was a farce, we often have 4 pt's, no CNA. Is this common in other places? I've only worked at 2 other hospitals, and this was never the practice, always had 2 nurses on the floor. This is day shift, 7A-7P. The house supervisor is rarely seen, ususally in ER, since they only have one nurser there. Last week had a man who had orders to insert dobhoff, attempted after 2mg ativan, we tried, but he fought us off, DR came in, had him held down and forced it in, I was thinking, unlawful restraint, assault. Need advice. Feeling really scared. I'm thinking I need to go back to my old job, even though the hours suck, which is the only reason I left.
Last week had a man who had orders to insert dobhoff, attempted after 2mg ativan, we tried, but he fought us off, DR came in, had him held down and forced it in, I was thinking, unlawful restraint, assault. Need advice. Feeling really scared. I'm thinking I need to go back to my old job, even though the hours suck, which is the only reason I left.