JBMmom, MSN, RN 10,140 Views
Joined: Jun 24, '09;
Posts: 548 (46% Liked)
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I sleep on my break every night (well, every night that I get a break, which is most of them). I'm fortunate that a 27 minute nap gives me time to clock out, get settled, nap and then clock back in feeling pretty refreshed. Other than that, I've had one night where I could feel myself getting drowsy while charting, so I got up and refilled my cold water.
We do have one nurse known to grab a blanket, sit at the desk and snooze. There was also an aide on my old floor that's known for sleeping in a chair. The managers are well aware of both situations, so it's their job to do something about it. They're both older women- late 60's and early 70's, respectively. Maybe they should leave nights, but I don't really think they could do the pace of days, either. We work around it, not saying it's what should happen, but it's there.
When I went to nursing school, my kids were 2, 4 and 6 years old. I also worked full-time, taught Sunday school, swimming lessons, and had time for quality family time. If it's what you want or need to do, you will get it done. I was fortunate that daycare wasn't an issue because my husband was a stay-at-home dad for many years, but even if he hadn't been, I needed to finish the degree to make sure I could provide for my family. You can do it, don't listen to people that tell you that you can't. Good luck!!
It will largely depend on your place of work how this will be addressed. If the patient has made a formal complaint, there will be an investigation that will hopefully result in the best outcome. Good luck.
There will always be something to feel guilty about. I will remember forever that I missed my son's first day of kindergarten because it was my first day of nursing school. My oldest cried every Sunday night the semester that I had evening clinicals Monday and Tuesday (and a day job), because I would not see them again until Wednesday. Even now, I just started a 7p-7a job and my 10- year old sniffled that I would be missing bedtime now when I work. But, I'm doing my best to provide for my family, and that's what they need. When I'm home I do my best to really be home, not on my phone or computer, spending time with them, so they know I'm really there. We will all get through, and when they talk about my school / 2 jobs / more school years, they don't focus on the times I missed, they have good memories of times together.
And you're a nurse, period. Every job needs a different set of skills. Not better. Not worse. Unique. There are many aspects to a job, and one important one is how it fits with your life. You're doing your best, and your kids have a hard working mom as a role model, good work!
I am definitely seeing from the responses that this IS the norm and I have to say I'm disappointed. Apparently I was pretty naïve.
However, it won't change a thing for how I will behave. I'm not saying that I won't ever talk about a patient. I will say that I won't call a patient a ****** ***** because they are in pain and then make fun of their military service. And I won't talk about them when the family is 15 feet away. But other than that, I am certainly not saying I am better than anyone. I wanted to know if it was normal and apparently, the answer is yes. In 6 months in clinical experiences, this is the first time I heard a nurse talk like this, so I was surprised. That's all.
It's hard to summarize a career decision in a single sentence. After many years in one field, the likelihood of unemployment as the primary bread winner in the household led me to find new options. So, financial need was the ultimate driver because I probably would still be in pharmaceutical research if it still provided for my family. However, when weighing my potential options, the field of nursing provided multiple diverse opportunities to help people and it seemed like it would be a good fit.
We were recently told that morphine and dilaudid supplies were temporarily out in our hospital and we started pushing fentanyl on the med surg units. Our orders were generally on the order of 25 micrograms, so we were wasting 75 micrograms every time. When we had dilaudid, a popular dose was 1.2 mg, and it would require a 0.8mg waste every time- (we were out of 0.5). If there wasn't so much waste, we probably wouldn't have these shortages!
I had the quantiferon gold for school because of a past positive with PPD, and they wouldn't accept a 4 month old chest x-ray. Apparently that test can also be challenging to ship/process correctly and my first one came back inconclusive because the controls failed. So, I had to eat the cost for two tests, at least now I have an employer that will cover it annually. I would definitely prefer the PPD if I weren't going to be flaming positive annually.
My parents, now in their 70's with a few medical needs, blurt out "Our daughter is a nurse, too!" to every nurse that comes in the room to care for them. I roll my eyes and get a sympathetic look from the understanding nurse. I ask them over and over to not do that but they just get excited I guess.
PS: I would NEVER interfere with another nurse's care by the way.
I really can identify with this. I am a new grad nurse and was in the ER for the past 6 months. My training was completely inadequate. When I started we lost 20 nurses in 4 months from the ER. All the experienced nurses. They replaced most of them with new grads. I was one of them. We were embarrassingly short staffed and there were NO resources!!! We were all new grads! I had so many different preceptors, none of which gave me any feedback. It was like the blind leading the blind. We were supposed to be 4:1 but I was taking 6-8 critical patients. I was taking 3 ICU holds at a time, rotating between 3 other patients after a 10 week training. After my orientation, my charge nurses said I could use a couple extra shifts and my director approved me for 6 more. By my next shift I was on my own. They were like we don't have anyone for you to follow so you are on your own. I was barely trained to be an ER nurse let alone taking patients on vents!! Those patients that were supposed to be 1:1-- TPA, baker acts. yeah right-- it was basically Russian roulette with your license and lives every night.
It has been the WORST experience. So unsafe. I decided to leave before something horrible happens to someone under my care and now they are coming after me for a 10k educational contract I stupidly signed bc I needed to start working. I really don't feel like I received a 10k training and now I have to pay back 10k making $23/hr??? Talk about a raw deal.
So after 6 months of Nursing I am so burnt out. I don't know how people put up with this crap for so long. I love my patients but all of the things you said are so true.
Unfortunately in this day and age many employers can hang the "be happy you're employed" carrot in front of employees, and unless you're able to leave and find something else in your area, they know they're pretty safe. Doing what they can to attract new talent must be their latest business plan, and while there's always the chance that an organization will find they've undervalued their experienced and loyal employees and make changes, it's not likely. I remember back to when my father lost his job at 49 1/2 years old with 19 1/2 years experience. Reaching 50 years of age or 20 years of employment would have triggered some sort of service bonus, but somehow it wasn't age discrimination that he was let go. My own company, when I was laid off last year after 17 years, was hiring new grads for similar positions. Is it fair? No, but then again life isn't fair. It certainly can't hurt to go and ask your management for what would clearly be a deserved raise in pay, I hope it goes your way. But, corporations these days aren't much for loyalty to employees, in any industry.
It sounds like you know what you want and you just want confirmation. I would not presume to tell someone else what the course of their life should be, however, you are allowing your parents to make decisions for you at this point, and that's also not their job. You will be working in your career for 40-50 years. Does being $30K in debt stink? Sure does, but at least some of your credits could probably transfer over into a different program. Does being $60K in debt with 40+ years of a job you hate stink? Even more than option #1, I would think. Best of luck in deciding what YOUR life/career path should be.
You are not the one that behaved inappropriately, they are. To call you out of a patient room, and then act in the way they did is completely unprofessional and if there are consequences, they are on them. I hope that your colleagues will learn how to treat people, and that it does not affect you negatively after this. Good luck.
I was not a CNA, but I worked full-time throughout my ADN program and was successful in work and school. If you don't need to work it would make life easier, but you do what you have to do, certainly many people have done it, and at least CNA works has some flexibility with shift work as long as your employer is willing to work with you.
I was told in my first position that I lacked the critical thinking they needed to hire me as a floor nurse and I was terminated during orientation. I had a pity party for the afternoon, questioned whether I really could do it, and found a new job. Eight months later I've received great feedback in my floor nurse position, I was nominated by my peers for a hospital award, and I recently started a position in critical care. I'm an everything-happens-for-a-reason person. Do I know why the first position didn't work out? Not really, despite me asking for specific feedback on just where my critical thinking was lacking. I moved on, and it really was all for the best. It sounds like maybe your next position will be a better fit as well. Good luck!
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