💔 nurse about to become a dog groomer

[CWS RN]

I am extremely disappointed with the nursing profession. I love being a nurse so much. I dedicate my individual time with each patient and give every effort that I can to improve their life. I treat each patient like they were my mom or dad.

I am never fast enough at work. I am too thorough, and I need to be quicker. That is always what I am told. Yeah, because wound care is one of the highest litigation areas in healthcare, there are always so grateful to my detail once that happens.

The new grads are coming in making so much money it absolutely shocks me.

 my niece just got out of school and she was making $3 less an hour than I am. That is confusing since I have been a nurse for 20 years and I also specialized.

At the hospital, I  feel like the levels are absolutely dangerous and I'm glad that I'm in wound care. I feel like I can never go back to being what I feel is a pill mule again. I feel like it's non-stop drug distribution. There's no individualization and the case Loads are unsafe.

I don't understand what's happening. I try and do my best and try and find my Niche but to give the correct care, it takes time. It is so hard to find a company that is willing to accept the quality that I give and  allow the compromise of time for appropriate care.

I completely 💔. 

I was just pulled in to my director of nursing's office so she could have a little talk with me. Apparently I received a verbal warning, because at the facility I consulted in (as the EXPERT) said I was using too big of words. Essentially she told me to be less smart. We both laughed because it was absurd and she absolutely loves me. But she was told by the higher-ups to give me a warning that I cannot use words like pannus,  calcaneus, metatarsal heads, ischial tuberosity in my orders.

I told her I would not compromise. The best I could do would be put something in parentheses next to it. What is happening? How is my intelligence and skill set being looked at in such a Negative way?

I am about ready to become a dog groomer at this point

[Been there,done that, ASN, RN]

There is no longer any time to care. The idea is.. get them in and get them out. That is where the money is. I know the nurses appreciate having a wound care specialist. I always did. Have you considered agency wound care? Otherwise dog grooming could be a good choice. The patients would be more fun.

Good luck.

[FolksBtrippin, BSN, RN]

 Asking you not to use big words, wow. That is the wrong direction, unless you are writing orders for family to complete care, like in hospice? 

I'm a troublemaker. I would be tempted to write "BUTT-bone on the right." Fixed it.

[JKL33]

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But she was told by the higher-ups to give me a warning that I cannot use words like pannus,  calcaneus, metatarsal heads, ischial tuberosity in my orders.

I have no doubt that dog grooming has its significant challenges doing it day in/day out, but man.

This is one of the dumber things reported here - - and whyyyyyy it must involve a warning of any kind? Well, that's the nursing/healthcare part. This is why it is more toxic by the day.

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I'm a troublemaker. I would be tempted to write "BUTT-bone on the right." Fixed it.

Most certainly would be tempting. Or use the lay person term for purulent. "Butt bone skin has hole in it with p____ discharge."

I know that is not right or kind, but this type of thing is one truly infuriating thing about nursing/healthcare. Especially with the write-ups, PIPs and various official warnings.

[CWS RN]

Tks for the comments. 

Yes dogs would be more fun!

Yes on agency,  but I relocated to help a terminal parent and I don't see options for that.

 

It's a unique verbal warning for sure.

Just feeling burnt out. 

[jobellestarr]

I understand. Just had a spat with an in-law about putting a camera in her mom's SNF room just because they weren't toileting her exactly every 2 hours. I told her "you are a nurse's worst nightmare" but what I wanted to say is people like you are why people like me leave nursing and only like animals. 

[kbrn2002, ADN, RN]

You got a verbal warning for being too smart? In an ironic sort of way that's kind of hilarious. Apparently dumbing down charting is indeed a thing. It was heading that way when I left the SNF where I was their wound nurse. I would use the correct terminology in my wound notes but the order entry for the treatment orders would use very generic language, like "apply under abdominal skin fold" or whatever general terms would describe the approximate location of the wound. Got a little tricky when there were multiple wounds in the same general area. 

[CWS RN]

kbrn2002 said:

You got a verbal warning for being too smart? In an ironic sort of way that's kind of hilarious. Apparently dumbing down charting is indeed a thing. It was heading that way when I left the SNF where I was their wound nurse. I would use the correct terminology in my wound notes but the order entry for the treatment orders would use very generic language, like "apply under abdominal skin fold" or whatever general terms would describe the approximate location of the wound. Got a little tricky when there were multiple wounds in the same general area. 

I sure did.

 

And yes I would order apply beneath R pannus (obeses abd fold).

 

Still not good enough. And I'm teaching them in the order.!!! YW!

I don't think anyone but a wound nurse understands the level of difficulty it becomes without using the precise location. You could have multiple wounds all over the feet you can have multiple wounds on the right buttock alone and the importance of differentiating it is critical else you will lose control of location source and etiology. Thats an nice F TAG.

Thank you for your comment 🙂