I transfered to my current unit for about a year. It's a great unit: my boss is excellent, my coworkers are nice, and the job is easy. However, I feel that recently I felt bothered a lot at work, I need help to keep my inner peace!
The major prob. is with a couple of charge nurses. They are young, cocky, and dangerous in my opinion. An example:
One time I have to change the chest tube canister, I had everything set up, but forgot whether I have to clamp the chest tube or not before I switch the canister. I asked the charge nurse, she hesitated for a second, then she said "no". So I changed the canister without clamping the chest tube. I found on the manufacturer's website later on that you do need to clamp the chest tube before changing the canister. Glad the pt had a pigtail and no harm was done, but I was upset. You don't need to know everything but don't pretend that you do! My trust in you could have put patient safety and my license in danger! The same charge nurse kept Cardizem at lowest rate without titrating it up because " the pt's HR was 150s one hour ago and now she is 130s, I don't want to bring it done too fast." What???
It's frequent that our charge nurses have to call other unit to ask what type of blood tubing to use. one time one charge nurse proudly states " SVT and V-tach are pretty much the same thing", the other time the charge nurse titrated a drip up and down without documenting any changes in the MAR... These charge nurses are the ones that frequently tell me what to do with my patients...
In addition to the lack of clinical experiences, our charge nurses are very privileged. We are a very small unit and the charge sometimes have to be in staffing. They always have the easiest one or two pt assignment but they will NOT help or selectively help since they "are in staffing".
I don't have prob. with the two charge nurses personally and I don't ever want to be in charge, but I feel that it's starting to really bother me I need some input to keep my inner peace and keep me sane till my year is up here.
Featured Replies
Join the conversation
You can post now and register later.
If you have an account, sign in now to post with your account.
I transfered to my current unit for about a year. It's a great unit: my boss is excellent, my coworkers are nice, and the job is easy. However, I feel that recently I felt bothered a lot at work, I need help to keep my inner peace!
The major prob. is with a couple of charge nurses. They are young, cocky, and dangerous in my opinion. An example:
One time I have to change the chest tube canister, I had everything set up, but forgot whether I have to clamp the chest tube or not before I switch the canister. I asked the charge nurse, she hesitated for a second, then she said "no". So I changed the canister without clamping the chest tube. I found on the manufacturer's website later on that you do need to clamp the chest tube before changing the canister. Glad the pt had a pigtail and no harm was done, but I was upset. You don't need to know everything but don't pretend that you do! My trust in you could have put patient safety and my license in danger! The same charge nurse kept Cardizem at lowest rate without titrating it up because " the pt's HR was 150s one hour ago and now she is 130s, I don't want to bring it done too fast." What???
It's frequent that our charge nurses have to call other unit to ask what type of blood tubing to use. one time one charge nurse proudly states " SVT and V-tach are pretty much the same thing", the other time the charge nurse titrated a drip up and down without documenting any changes in the MAR... These charge nurses are the ones that frequently tell me what to do with my patients...
In addition to the lack of clinical experiences, our charge nurses are very privileged. We are a very small unit and the charge sometimes have to be in staffing. They always have the easiest one or two pt assignment but they will NOT help or selectively help since they "are in staffing".
I don't have prob. with the two charge nurses personally and I don't ever want to be in charge, but I feel that it's starting to really bother me I need some input to keep my inner peace and keep me sane till my year is up here.