Monkey off my Back!! Vent
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So, I am nearing the end of my first official year of being a nurse and have been at a hospital (small, rural) the entire time. In the past 3 months, since we have aquired a new DON, things have gone from really bad to deplorable for the patients and staff as well. Our normal staffing is 7 pts (usually at least 2-3 total care) per nurse, rarely an aid (avg census being 21-25 pts). When our new DON came in she met with everyone as a group and then was to spend at least 1/2 day with each nurse in every deptartment to see what our frustrations/needs were (never happened) and stated to us "If ever you feel like you are drowning, come get me and I will do all that I can to help". For the past month, we have nearly drowned on several occasions and when asked if she would help do this and that what happens? All talk no action!!!!
There are too many numerous "occasions" to mention, but, to make a long story short, I found another position at another hospital and gave my letter of resignation stating my final day was to be May 30th which was more than 2 weeks. The day after I turned it in, she came up to me and asked what the day was? I told her, and she stated "We will make it 2 weeks from yesterday". OK-fine with me. So that would have made it this past Thursday. So, when I saw her Wednesday morning, I was just verifying that Thursday is when she had my final day as being, she said "NO, it's the 30th". At this point, I just shook my head and tried to refresh her memory about the conversation that we had and she stated "We never talked about that":confused:
I walked off from her in dismay!!
Well, Thursday, on what was to be my final day, again, I started off with 7 pts and got an admission at 0830 for a r/o GI bleed who ended up being the patient from hell!!! As usual, I had 3 tc pts, 1 walkie talkie awaiting a lap/chole, and the other 3 were over the age of 85. No aide, no help, no nothing all the while the DON is walking up and down the hall trying to "straighten up" while we are literally in a state of panick all the while our Charge nurse is trying to get it through to the DON that we need help NOW!! Finally, at 10:00, she sends out a "floater" from ICU to help. She did my assessment and history on my new admission, who refused to give any past medical history. At 11:00, floater gone, new admit starts w/ CP and is demanding to get nitro SL, Doc to room, stat EKG ordered, nitro given, pt has bigemenies/trigemenies, and obvious MI on EKG. Refuses to go to ICU instead goes AMA. I finally got to open 2 charts at 16:00. 17:45, 2 IVS infiltrate and one is painful to patient (b/c of position of which she was noncompliant all day of trying to keep it straight) and refused to have a new one. Left the IV starts for next shift, gave report, and began charting changes and doing new orders that I couldn't get to so I would not leave everything for the oncoming nurse to do. Finally got out at 23:15. At this point I was too tired to get P/Od.
I called the HR manager yesterday afternoon, after much deliberation and loss of sleep, and told her that I would not be back on Monday for regulary scheduled shift that my last day was Thursday. When asked why, I told her exactly what the problem was and all she could do was make excuses!! Then she asked should she put me on the PRN status!!!!! HELLO!!! I would love to know how people get jobs in HR that have no college education what so ever!! What part of the conversation did she not hear??
Anyway, I feel so much better to be totally out of the situation. That one little phone call has made me smile again. I start nursing orientation at my new hospital on the 31st and am very excited.
Thanks for letting me vent, getting it out to people who will understand makes all the difference in the world!!