proudtobeRN777 1,093 Views
Joined: Oct 9, '09;
Posts: 41 (10% Liked)
; Likes: 7
32 residents 1 nurse ,2 cna, 2 - 10 :30 shift
- being 2 weeks new nurse
- a 1 hour meeting in the beginning of shift.
- a new admit (my 1st one that I actually did a part of... assessment and documentation)
- start medpass 2.5 hours into the shift
- wandering/missing pts, half of them... have to run around the whole facility to find them
- everyone suddenly all needy and in pain or just losing their marbles for no reason at all
- A&I just when I started catching up (never done these before)
- understaffed NACs... 2 for 27 pts... one of them is slow, lazy and annoying
- one of the NACs walking away 1.5 hours before the end of shift with only 1 left
- another res screaming for help 24/7 and falling down the bed every two hours (we have mats under her bed, so it doesn't count)
- a brand new (inexperienced) nurse as a partner on the other side of the hall
It wasn't fun.
i dont know how other places are ...but am telling u LTC is very very stressful job.. either u take up night shift or you go to alzheimers unit..but working AM shift and PM shift is like hell..it will wear you out ..may be other people have more potential than i have but thats my personal experience i sarted feeling like being in depression so i decided to quit right away....it actually depends on facility but my facility they were adding one paper every day...we would have meeting every week and they will say.." ok..from now licensed nurses have to fill up this paper "if we would say anything they would say "ok..we understand what ur concerns are but dont forget you are working for the company ,company is not working for you, if you dont like the policies ,go ahead and quit. " i couldnt quit because of job freeze in my area and financial issues .i stayed in that stressful environment for 7 months but i ended up not being able to work anymore(am so stressed and worn out , doctors advise).....there was no treatment nurse ,no supervisory nurse .one LN for 30 residents and work included ..passing meds (which would eat up half of your day) , charting, weekly summaries , daily notes (charting on computer , printing out and pasting in chart) doing BE 123 , call family , call doctor , do orders , do IPN ,for every fall , altercation , skin tear( even if a very small scratch ) sending them to hospital for every unwitnessed fall, do neurochecks. no time for breaks , attending all phone calls ( no body wants to pick up the phone ,u have to ) phone rings like in call center , ....and they would admit anybody ..no matter how serios they are ..putting your license at risk because you are not able to give that care to a serious because of no time ... one time they admitted a resident suffering from respiratory failure , i had to send him to the hospital only after 30 minutes of admission and he passed away in the hospital .......
even if the resident has been sent out to hospital ..and nothing found out...even then the resident is on neurochecks Q shift for 14 days and on charting Q shift for 14 days ... yesterday 15 of the 30 residents on my wing were on alert charting.
i was given a writ up for being absent (calling in sick with medical leave ) for 3 days in 7 months period....and i was like what the hell is this for and my on was like ....you know we have a policy to give writ up if you are absent for 3 days in 12 months period even if you have doctors note its still considered an absence ......and couple of weeks later i got an other writ up for calling in on weekend (monday morning- is it stilll a weekend)
and that writ was for one of those three days tooo........
i would say , call 911 and then start your interventions ...
in my facility policy is to send the resident to the hospital for every unwitnessed fall even if the patient falls twice in 1 shift u have to send them to the hospital ...and i have done it no matter what the ambulance think, what the hospital think..... u have to do it....
never forget to order the Xray , it will take 5-10 minutes but u save yourself doing this.......
waiting for my first job ....thanks to all posters
i applied for 3 jobs last night and got 'not selected' msg from all 3 of them by 9 am this morning, omg they r soooooo fast ...
i applied for 3 jobs and got 'not selected' from all 3 of them
i haven't received my license yet,but my name is on CA BON website. when shoul i start applying for jobs
baby sierra ...
hey mblue thx for replying,really encouraging story, so at last u got wat u really deserved,thx for advice,i really appreciate it, actually i thought the strugle has come to an end after passing nclex,but it has actually started,wat a luck ,when i joined nursing , hospitals were paying sign up bonuses and now when am done,they r not even ready to hire us ,but as u said i will not lose hope .....
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