I started a new gig, RN, nights, LTC and rehab. I alternate between two wings.
The 0600 med pass is impossible. Close to 30 residents get meds, at least 10 get BG readings and SS insulin, I have been frantic. I haven't been able to turn over the cart on time, nor do those who have been doing these passes for awhile.
My count was also off this morning, by one pill. The nurse coming on said she didn't want to involve the DON and I said we had to. And the DON was behind the door! Nurse was explaining that it could have happened on the afternoon or evening, I just stated that I had signed off on the count as correct and it was on me. I asked the DON, half kiddingly, if she wanted me to pee in a cup and she just laughed and said it happens once in awhile.
I also told her that I was never, ever going to finish the pass on time. She asked why and I explained that while there were a lot of meds there were also a LOT of diabetics and other monitoring. I suggested that we change half of the pass to 5 am which would give me plenty of time, and that I was not comfortable with giving dig without an apitcal, etc., even if they weren't required because I felt it was unsafe practice.
SHE IS CHANGING THE TIMES.
This group is so unlike any I've worked with. We ALL work together, RNs, LPNs, aides. When I told the aides on my wing tonight that I would be in the break room they thanked me! They like communication. When I toilet someone they thank me. When they help me - and Lord knows, they do - I thank them.
I can't believe I am working with such a great crew.
That "forgetting to staff nursing on each unit" thing got old very fast where I was working. Come on, everyone makes mistakes occasionally, even the scheduler, but when it is a weekly thing, you know that they have another motive and it starts with $.
It's about time that you found a place that appreciates you and values your input. Teamwork and good mgmt make all the difference between a job you can enjoy, and total misery.
Valerie, thanks for the heads up on my pm. I did not know that it was disabled. I was given the avatar by a friend, in a hard copy. She thought it came from a movie too.
Moogie, I agree with all that you said in your previous post. It really is a sad situation for the residents and for us.
MauraRN
526 Posts
That "forgetting to staff nursing on each unit" thing got old very fast where I was working. Come on, everyone makes mistakes occasionally, even the scheduler, but when it is a weekly thing, you know that they have another motive and it starts with $.
I am becoming a cynic.