Published Nov 8, 2009
Sirapples
84 Posts
Ive been a nurse for about 5 years, floated, done agency, rehab, tele, medsurg. But about 4 months ago I got a job on an ortho-medsurg floor. I honestly dont like it much. Not very critical and mostly manuel labor. Push meds, remove the pca's, get patients out of bed with a walker and that takes about 5 minutes. Then get them to the comode, then back to bed then pain med after. And since its a 4 bed ward, the other 3 ortho patients realize one after another they want the same.
I have no problem with the patients and Im very pleasant and curtious. I just miss telemetry and more critical med surg complications. More of a rant.
I also think what I dont like is that most of the nurses I work with ignore the call bells, ignore the iv pumps that go off, and we have only 1 cna on the floor. And since I was a cna for 5 years prior to being a nurse, I feel obligated to get thier stuff. I think if I stay here this unsatisfaction will increase
DLS_PMHNP, MSN, RN, NP
1,301 Posts
I'm a new grad on an ortho/neuro/trauma floor and I feel your pain. Ortho patients (like any other) can be incredibly demanding, and quite frankly, physically exhausting. Especially when you have q2hour turns, etc.
All the best,
Diane
babe48076
81 Posts
I am not a nurse, but I am a PCT. I have worked on Tele and recently started working on ortho and it is a struggle everyday as a Tech so I definitely can feel your pain as an RN. I am glad that I am getting the experience as a Tech, because I know that once I become a RN I do not want to be a ortho nurse.
nyteshade, BSN
555 Posts
I was a traveler, and worked acute rehab. Well one night, they floated me over into trauma ortho (this was a level 1 after all) and I thought no problem same type of patients just fresh post-op. Man that night, a bad accident with a building happened, I kept getting admission after admission one from ER, one from PACU, etc. Oh yeah, everyone had an almost empty PCA pump! Long story short...it kicked my butt. I like rehab, but I don't like ortho. Good post OP! Props to the ortho nurses too!
SuesquatchRN, BSN, RN
10,263 Posts
I hate ortho as well. BO-ring!
locolorenzo22, BSN, RN
2,396 Posts
now, I work ortho...and I like the routine, I like being a expert at potential complications, and fixing people after horrible car wrecks, accidnets, etc. But I also work neuro, and have detoxes and back sxs, post ICU craniotomies, etc...adds a very different element.. If all I had were just orthos, I would get bored, but the neuro and potential medicals add a welcome change from time and time....
Tait, MSN, RN
2,142 Posts
89 y/o hip fxs make me antsy.
Tait
shodobe
1,260 Posts
Maybe you should move on and stop moaning and groaning about it.
litbitblack, ASN, RN
594 Posts
Word to the wise, if you stay where your unhappy it will show and could cost you. I worked ortho,neuro, trauma, med surg. and eventually it comes down to to many things to do and not enough time or staff to do it all
RNperdiem, RN
4,592 Posts
I worked as a CNA in ortho for a while. It is amazing how much time a person can spend getting patients up to the chair, to the bathroom and back to bed.
A good ortho floor requires plenty of CNA's up for the work.
newtress, LPN
431 Posts
One poster mentioned something that has been happening with me also. I am brand new on this ortho/neuro floor, and these nurses who have been on this unit a long time don't answer their call lights, or respond to their patients after I go in the room and they have specifically requested "my nurse Jane or Joe so and so." I can't get any of my own work done. I don't get why I need to be tending to other's patients and doing their PCA's, total cares, IV pumps etc. I am finding that the ortho part of the patient isn't near the care involved as all the co morbidities that I am doing nursing care for. It is total care for those patients. I am disappointed and can't see myself there for the one year I promised myself to have to be a better candidate for a new job. Do I bail out now and take my chances of going to a better new grad position elsewhere to gain time, or stay there because it is a large reputable hospital and hard to get on with hospitals right now.