TriciaJ, RN 28,252 Views
Joined: Sep 17, '11;
Posts: 2,432 (86% Liked)
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I am sorry that you are unhappy with the people who work in your office, and that management seems unwilling to address it. I still don't think it would hurt to recognize people when they do something correctly. Even if it is just once. I am not saying to praise them, just point out how much more smoothly work flows when patients are prepared for their visit.
I've carried deadwood at many of my previous jobs. They are always a function of weak management. Some people are just plain lazy and will do the bare minimum. What's aggravating is you start to wonder why you should be busting your butt, which leaves you with a choice: Do you, too, start to do the bare minimum and feel dissatisfied with your own performance, or do you keep picking up after everyone and enjoy your resentment?
In that situation I usually live with it as long as I can and try not to let my own standards slip. When I find myself fuming even after I've gone home, it's time to start looking for the exits. Good luck.
"to save lives and touch the souls of others..."
When you do get a job and start practicing, your work goals may end up a bit more nitty-gritty. (e.g. "make it through this shift relatively on time and not make any major mistakes")
"THE one", "meant to be"? You're requiring an awful lot of your work life. How about earning a paycheque in a place that doesn't totally suck? Unless the negatives in a given job are sucking your soul then you're probably fine where you are. The "old, miserable nurses" are the ones who can't leave a job they've soured on because they believe they've found "the one" and can't possibly learn to function anywhere else.
Your best bet to not become like them is by keep your options open and not locking yourself in, or expecting to feel "passion". My goals have always been: 1. Paycheque 2. Be conscientious enough to take pride in what I do and earn the respect of others 3. Be prepared to jump ship if a job starts being intolerable for whatever reason.
This is part of where I am stumped though. There were definitely elements of fatigue, distraction, rushing to give the med tech her space back, having two different medications with very similar packaging, etc. But at the end of the day I know this was simply a human error that I committed because those elements I described above happen every shift and I don't make a mistake like the one I posted about here.
1. It's completely unrealistic to get through an entire decades-long nursing career without a single error. Anyone who thinks they did is self-deluded.
2. Most med errors are systems errors. This means there were more factors at work than just you being inattentive. For example, you said there were 2 similarly-labelled narcs stored in close proximity. That is an error waiting to happen and pharmacy needs to address that. Distraction is another factor and some facilities have implemented ways for nurses not to be approached or bothered while administering meds.
3. Many facilities become concerned when there are NO reported errors. That is because it doesn't mean errors aren't being made, they just aren't being reported. Not reported is a bad thing because systems problems can't be corrected and they don't want their first inkling to be in the form of a lawsuit.
OP, you absolutely did the right thing. I hope your employer also does the right thing. If they give you any grief over this, they are doing the wrong thing.
I can understand your mother wanting you to have a Plan B, but her advice just shows how little she understands about being a nurse. It's really not a good Plan B. It's difficult enough for many people when it's Plan A and it's what you really want. No, it's not a "calling" but it does help if your heart is in it. And like previous posters have said, a nursing career doesn't sit well on a shelf waiting to be dusted off from time to time.
New grads struggle to find jobs and then struggle to succeed in them. People who have been away from it awhile (to have babies, recover from injury or deal with some other life event) find difficulty re-entering. Many states require expensive refresher courses after a time of inactivity; some states require recent practice hours to maintain a nursing license; other states require a certain number of continuing education credits per year.
So, I reiterate, nursing is not a good "backup" career. I really don't know what would be, probably something you are at least interested in and would enjoy keeping your hand in while you're getting your music career off the ground. However, any profession with a certain education requirement will probably require an ongoing commitment to maintaining it.
At this point, you're just going to have to trust yourself to know what you want, and trust yourself to handle your life if it doesn't go as planned. That's what being a grownup is. And your mother is going to have to put her anxiety aside, and trust that she did a good enough job of raising you. I wish you success in whatever you decide to do.
Hey JKL33, there is no doctor on call. I don't know the regulations for retirement where you're from, but I'm in Ontario and health care here at the moment is very corrupt. It is not illegal to have a retirement home without an on call doctor, and I actually have never heard of a retirement home with one. I don't think it should be that way but believe me I have asked and its not an option, its a money saver unfortunately. Thanks for responding though! I feel better with my decision now.
Agree with Leader. Contact your union rep asap. This person can review the contract with you and tell you if they can extend your probation and if that affects your right to representation. They will not file a grievance unless you ask them to, nor will they do anything to jeopardize your current position.
Management banks on you not knowing the contract and your rights. Often, managers aren't even familiar with the contract, which is egregious. Do contact your rep before you decide your next move.
If you want to be a nurse (no such word as "wanna") and your present plan is your only option, then it's your only option. It is understandable that you don't want to spend any more time than you have to, but there certainly is merit in not racking up a pile of debt.
Why don't you sit down and make a grid of all your possible options, all the factors involved and a list of pros and cons for each? As far as being hard to find a job, you have to do some actual research into the area where you hope to find a job. If it appears that it will be difficult, would you be willing to relocate to an area of higher demand?
Would you not have prerequisites before being admitted to a four-year university program? Take a closer look at all the variables, then make your decision. Good luck.
One more reason I never agreed to 12 hour shifts. It was bad enough when 8 hours translated to 10. You got good advice about shoes, epsom salt soaks, foot roller, inserts, sit down when you can, etc.
Another thing: see a podiatrist. They can work miracles. I, too had plantar fasciitis from hell. I swapped my Danskos out for New Balance with custom inserts but that wasn't enough to solve the problem once it was in full swing. My doctor referred me to a podiatrist. The first thing they wanted to do was give me a cortisone shot, which I vetoed. Thought I'd save it for last resort.
I ended up going a total of two visits, no cortisone. Had ultrasound treatments, feet wrapped, course of antiinflammatories, and a splint to wear at night to keep my foot flexed. Cured. I worked another six years on that floor without problem.
Hope you get some relief, soon.
I would have done as you did, OP, including giving the Levimir. I would have added a 3am blood sugar check, but since she didn't drop til after 6am, its possible the same thing could have happened to me. Between you and me, the reaction of your preceptor is more concerning than your judgement. If she's supposed to be supervising you, she should have known about the situation, and advised you to do things differently if that's what she wanted.
Does your state board of nursing allow mandatory overtime? If not, you may want to talk to them about it. Otherwise, vote with your feet.
I experienced Peer Review as part of an annual performance review at one of my previous employers. It seemed like a popularity contest and as much as I respected my nurse colleagues, as a majority woman driven field there was a fair amount of petty complaints made about some of the nurses that had nothing to do with their practice, but more on their personality. It seemed like an unfair assessment. If an individual nurse is having issues, a nurse manager is usually well aware of this without a formal process. I am more of a proponent of the self assessment used in combination of the nurse manager's evaluation of her individual staff members. Where I currently work, the self assessment includes accomplishments, areas for improvement, and goals for the following year. It causes the nurse completing it to provide truthful and complete feedback of their own performance.
Do the MARs just contain meds, or also treatments, wound care and skin checks? Some facilities put everything on the MAR. If a med wasn't available, or a treatment couldn't be completed for any reason, that leaves a hole in the MAR. When the State audits, the facility gets dinged on the holes.
I think this is mainly a function of poor staffing levels. Facilities emphasize initialing all the little squares; they don't always care whether the thing got done. After all, if something was charted but not really done, then they can just throw the nurse under the bus for fraudulent charting. But they don't always provide the resources to actually get everything done; just make sure all the holes are filled...
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