need advice

[candycane267]

i am in need of advice. i am currently working at a major medical center which is also a teaching hosptial. i work on infectious diseases/aids treatment center. I work 7p - 730am. i have been working here for about 6 months. also the commute is 45 minutes each way. this is also kicking my but too.

i was doing fine until the last 3 weeks. i cant sleep during the day anymore. i wake up after 3 hours and that is it. i really dont like the floor anymore. the ration is 1/6 which are alot of high accuity and 2 hour pain med iv push.

i recently had a young man who was coughing and when he coughed he desatted. i called the md and the md said he was fine. i assessed he showed no signs of respirtory distress. his lungs were fine, he was not acting apoxic (sorry about spelling), moving about. the doctor told me the same thing. i guess during the day they did his abgs and he ended up in medical icu. looking back i wished i called icu. here is my problem due to the tiredness i cant belive i did this i did not chart on any of it. when i started charting in the am chaos broke out with everything and it slipped my mind (broke the cardinal rule of not charting). my assistant nurse manager called me at home and asked what happend why i didnt call the md. i said i did and that is when it hit me i didnt chart on it. i always chart these things. so the next night i went in the assistant nurse manager refused to acknowledge me or look at me.

i would like to ask for a transfer to days on another unit. i feel that i have been marked now on this unit. i really do want to transfer anyway. any advice. thanks i also have been thinking of going to the hospital (smaller) which is 15 minutes away. i think i would have more patients but the accuity is not nearly as high as i have been dealing with.

[Chloe'sinNYNow]

i am in need of advice. i am currently working at a major medical center which is also a teaching hosptial. i work on infectious diseases/aids treatment center. I work 7p - 730am. i have been working here for about 6 months. also the commute is 45 minutes each way. this is also kicking my but too.

i was doing fine until the last 3 weeks. i cant sleep during the day anymore. i wake up after 3 hours and that is it. i really dont like the floor anymore. the ration is 1/6 which are alot of high accuity and 2 hour pain med iv push.

i recently had a young man who was coughing and when he coughed he desatted. i called the md and the md said he was fine. i assessed he showed no signs of respirtory distress. his lungs were fine, he was not acting apoxic (sorry about spelling), moving about. the doctor told me the same thing. i guess during the day they did his abgs and he ended up in medical icu. looking back i wished i called icu. here is my problem due to the tiredness i cant belive i did this i did not chart on any of it. when i started charting in the am chaos broke out with everything and it slipped my mind (broke the cardinal rule of not charting). my assistant nurse manager called me at home and asked what happend why i didnt call the md. i said i did and that is when it hit me i didnt chart on it. i always chart these things. so the next night i went in the assistant nurse manager refused to acknowledge me or look at me.

i would like to ask for a transfer to days on another unit. i feel that i have been marked now on this unit. i really do want to transfer anyway. any advice. thanks i also have been thinking of going to the hospital (smaller) which is 15 minutes away. i think i would have more patients but the accuity is not nearly as high as i have been dealing with.

OUCH! I can only imagine how dizzying and exausting you must be feeling.

I can imagine b/c I went through it. Til it took its toll on me. When you're so exhausted that you are making mistakes all around you, it's time to back down. You obviously need a break.

How many hours a week are you working at this pace?

Can you ask your charge nurse for a more relaxed schedule?

I'm guessing they won't give you a smaller pt load. I am new myself, but from my experience, they don't like to do that. Will they perhaps give you 8 hour shifts instead of 12's? Or 8's plus 12's? So that you can get your full time load and they can meet their budget census?

You obviously need a break from the long commute-work til you drop-long commute home- tug-o-war. I hope you find resolution. My first instinct is to get together with your charge and ask for a schedule re-do.

Good luck hun. :icon_hug:

Chloe

RN-BSN, BA