LTCangel 6,565 Views
Joined: Nov 8, '05;
Posts: 85 (49% Liked)
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Sorry for the spelling errors in the above post! My fingers were typing too fast!
ADLs is Basic Nursing 101 along with handwashing and making beds. I have ALWAYS assisted my patients along with Nursing assistants and other Nurses with basic patient care, and yes it might mean poo. To be able to do this for someone usually would never think they would need this kind of help, is a way of connecting with the patient, protecting their dignity and their help. I hope if I am ever a patient and cannot perform basic ADLs for myself, that someone, anyone, will help me and not make me feel less of a human being for it. IMO, there are many other bodily fluids worse than poo!
Med errors are supposed to be used as an educational redirection, unless of course a sentinal event occured. Even then, it is used to reeducate the entire staff and change policies. We are taught in Nursing School and encouraged to self report med errors, but when NMs use this as a reason to discipline it causes nurses to try to cover up mistakes. I can see disciplinary action if a certain nurse was consistently making med errors or was obviously negligent and sloppy but we are human and mistakes to happen. You try to fix the error, call the doctor, monitor the pt, and document the incident. I just don't understand Administration nowadays, it seems as though Nurses are burned at the stake for everything! Not to mention coworkers who try to get each other into trouble. In my 15 yrs I have made a handful of med errors that thankfully did not lead to any harm to the pts, but my NMs used it as an opportunity to re educate me in the 5 rights and to be more careful. Once a co worker made a more serious error and our NM had her to do an inservice for the unit to not re educate herself but to keep the rest of us from making the same mistake. Always be as careful and vigilant as possible but just know that you are human and I feel this NM juat wants to "make herself look good", so to speak. Just sayin'... Lisa
What kind of unit has only one nurse and no aides? That is crazy! There should always be at least 2 nurses in an acute care setting. Trust me I understnad your physical pain completely but I would worry about my license if I was all alone. What kind of patients are you caring for?
From one chronic painer to another, I understand completely! Go for it and I wish you all of the luck and blessings in the world, Lisa
I can understand how you feel. I am only 41 years old and became ill with Fibromyalgia about 4-5 years ago although I did not get an actual diagnosis until 2009. I have been a nurse for almost 15 years. started as an LPN, then earned my ADN while working full time and then obtained my BSN. I was a night-shifter for 10 years and when I first started feeling bad I thought that this was due to night shift, so when a position became available I was able to go to dayshift. Big mistake! It was so hard to get up at 5 am and get to work and then work 12 hours non-stop with hardly a lunch or bathroom break. I worked on Orthopedics/Joint Replacement, which I had grown to love but it requires constantly lifting, assisting, turning, and repositioning patients who are broken or fresh post-op. My fibromyalgia worsened and so did my tardies and abscenses. I had a very caring and compassionate Nurse Manager who really wanted to help me and advised me to file for FMLA so that my absences would be covered. I did this and it was granted. I could take up to 16 hrs a week of intermittent leave due to fibromyalgia. Soon after my Nurse Manager(who is in the National Gaurd) was called to active duty and we were given a new Nurse Manager. I swear that her main agenda seemed to be watching me with a magnifying glass. So began the write-ups for tardies-1-2 minutes was considered late at this facility, no grace period. I tried to work with her and promised to do better. I even went back to night shift and it was easier. Each quarter my tardies were less and less but she still wrote me up. Now mind you, I am a good nurse, never have had a pt complaint, excellent charge nurse and people skills, excellent critical thinking skills, and considered an "expert" on my unit in Orthopedics. I'm not tooting my own horn here, this was written on my evals.
So in March, I was terminated. I had 5 tardies of no more than 5 minutes. As she fired me she said you are a wonderful nurse but this is the policy. Since my termination, I have been contacted by several former employees who were either fired or "pushed out" after either getting injured on the job or admitting to being sick, ie FMLA. The hospital also fought me for my unemployment and I did not get a dime except my last check. We had to apply for emergency food stamps. I am the major breadwinner in my family and help to support my daughter in college and still have a teenager at home. It took 4 weeks to even get an interview and was at a LTC facility owned by a large corporation, they are hiring more RNs instead of relying on LPNs only.(Probably because they can get by with in these days and times with the economy and job market the way it is). I am very grateful to say that I am now finishing my 3rd week of orientation. I will be on night shift(sigh!), but I took a huge paycut and I will have to pay some pretty expensive health insurance premiums. We did not pay insurance premiums at my former job mostly due to the union in the facility that fights for that stipulation every 3 years.
I gave this hospital 14 years of the best years of my life and I am still mourning the complete lack of empathy shown to me. I am so excited to get my first paycheck tomorrow after 2 months, although it won't be much it will be something. I am also working on my MSN-ed but am on a break from it right now because I knew I wouldn't be able to do floor nursing much longer. I worked in LTC as my first job and really came to love my residents and I am sure I will again. This company offers a very generous Tuition Assistance Program and encourages upward movement in the company, so I can see myself working a job such as CNA instructor, RN Education Cooridinatoe, MDS and Care Planning... the list goes on. I asked God to show me where I needed to be now. When I interviewed for this position, I told the DON the whole story from beginning to end and she looked at me and said" sounds like someone was picking on you." She also shared that she has fibromyalgia so she understood all of the symptoms that go along with it- insomnia, pain, fatigue,etc. I felt this was my sign! So I am making an effort each day to close the book on my hospital career and let go of bitter feelings and open the book on my new career so I can be the best nurse I can be. I live in Southern WV in a tristate area that is absolutely saturated with Nursing Schools and I consider myself blessed to have gotten an interview and to be hired on the first interview. By the way, this facility has a 7 minute grace period when clocking in for your shift:heartbeat
Hang in there and remeber that Nursing has many avenues. Some of them we never see ourselves traveling but it just may turn out to be for the best!! God bless you. Lisa
I think male nurses are great in any area and not just because of their muscles! Males in the nursing world bring a different element into a female dominated career. They help break up all the female cattiness and gossip because they are there to WORK! I have had the pleasure of working with several male nurses and have loved the different perspective they bring not to mention the wonderful teamwork and their calmness under pressure. Guys have the ability to go about getting their work done without distractions about the latest floor rumors and who's dating who crap. That's just been my ovbservation and personally I would like to see many more male nurses in the world today!
Nursing is hard! School and then the work afterward, but it is also very rewarding on most days. I wish you luck in your endeavors and I hope it is all you want and hope for.
When I worked in the hospital if we used our ER we didn't have to pay a dime but if we went to another we had to pay 80%. This also included labs and tests. This may be why she went to the ER where she works. I had to do it many times for myself and my family just because it was free. I was always treated well because a lot of people knew I was an employee. Just sayin'
Haha, broken equipment is also a big problem in hospitals. After working in one for 14 yrs, I used to say "This would be great place to start a hospital!" Especially after looking all over for diffferent things that should have been readily available in order to adequarely care for acutely ill and post-op patients. Just sayin', it's not just LTC!
Hi, first I'd like to say so sorry you didn't really get much orientation. I just changed from being a hospital nurse back to LTC. The reasons are too long to go into right now, but when I started I fully expected to get a bare bones orientation but it is 4 weeks and if I don't feel comfortable I can ask for 2 more weeks!I was so pleasantly surprised. This SNF is owned by a very large corporation and my orientation package closely resembles the one I had in the hospital. I will get one on one days with the Wound care nurse, the Respiratory therapist, along with several days of computer charting competencies. I have a large stack of skills comps to be checked off on along with 2 weeks with the night shift nurses that I will be working with. I have been warmly welcomed by everyone and the DON is terrific. I feel very blessed. You will get better as you go along. even in the hospital, we all have to learn what organizational pattern works best personally. It is overwhelming but it goes with the job category of nurse! Just try to go with the flow, learn your residents and CNAs and it will all come together. A year from now you"ll look back and be able to give advice to other new nurses. But I feel you were definitely done a huge injustice by not getting a better orientation, it's unsafe for you and your residents. God bless and Good Luck. the fact that you are even worried about it says to me that you will be an EXCELLENT nurse.
Hi all, I just started orientation at a LTC facility this past week after 14 yrs in the hospital on an Orthopedic/Joint Replacement unit. We also took Med/Surg overflow. I will just say that I did not leave there of my own free will and it was related to health issues that were a direct result of the complete LACK OF STAFFING that you are all complaining about. 14 yrs of loyalty and no respect no empathy even denial of my unemployment claim. We had 7-8 pts to 1 nurse, we did direct patient care, and we were lucky to have one aide on the floor. Mind you this is acute care I am speaking of. Fresh post op pts, trauma pts, just plain ole sick pts. We had the same complaints that I have been reading. Staffing was based on census, not acuity. We lifted, pulled, lugged, and tugged on these pts along with constant passing of meds(esp. pain meds), calling MDs every five minutes, admissions, discharges,q shift physical assessments, q 2h vital signs,glucoscans, ssi coverage, crazy pts, pts in dts, pt who thought they were in a hotel, family members up you ____, dressing changes, ambulation, ng tubes, iv fluids, blood administration, and charting q 1hr ADLs. By the way get it done on time, no fractional overtime allowed. Who cares if the NM and CC just walked out at 4pm and left you severely understaffed and sinking fast. It's not just LTC people! It's Healthcare, period! I worked LTC as my first job as an LPN. I am now an RN and I put in probably 60 applications over the last 6 weeks. Besides travel nursing agencies, this was the only one that called me for an interview. 15 yrs exp. RN,BSN. I didn't state the reason for my separation from my former employer just that I would like to speak about it in person. the fact that it was actually my first employer seemed like a sign to me(and a paycheck). It is a NO LIFT facility. there are Hoyer lifts all over the place! 2hr med pass, bring it on! I did a 12-13 hr med pass for 14 yrs. At this point I am grateful to have a job and praying my back will feel a little better. Still waiting for a judgement on my unemployment appeal. All I know is I will do the best I can 100% of the time in the time allotted to me. that's what I have always done. Some days were better than others and I expect no different in this facility. There is no perfect, just you as a Nurse doing what you know is best for those in your care.
kids I pray YOU never ever make a mistake. And if you do I hope that you will be able to handle all of the associated fallout.
"With the nurse's death, the Seattle BON closed it's investigation into the matter", as posted by DoGoodThenGo.
Absolutely correct, but I really hope they have a hard time sleeping at night. It seems that each year I continue to practice Nursing we have become targets for anything and everything. At the last hospital I worked in, it did not matter what actually caused the mistake, the Nurse was responsible for EVERYTHING! and there seems to be less and less recognition that mistakes do happen but just get rid of the Nurse in order to appease family members and reduce their their own liability. It makes me sick!
This all so sad for both families. I cannot understand why this nurse was thrown under the bus, 27 years is a long history of nursing experience and loyalty to this hospital. The hospital had every right to discipline her and so did the BON, but the harshness that was shown to her will cause other nurses to be afraid to report their mistakes and try to cover them up. We were all taught to self report any errors and that it would not cause us to be fired, disciplined or educated but not fired. Each and every nurse no matter what type of nursing they do are having to take care of increasingly larger amount of patients and mistakes are almost inevitable. Seems the hospitals and any other medical facility are deciding to always discard the nurse because at this time in many areas there are 50 more waiting for a job. All of this could have been handled in a better way. So sad.
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