Phoenix1565

Thank you. I went to site(copied link).. but saw nothing about offer letter being "required". This is what I see as a theme: I have always rec'd an offer letter and it seemed odd. if you read my 2nd topic..” is this acceptable", I am thinking things are a little loose at this job and am a bit ambivalent. Thanks for all reponses.

Work FT at SNF that has an ALF attached to it, but ALF is a separate business. ALF uses med techs, when someone falls, one of the med techs will come to our unit and ask a nurse to asses the pt to see if OK. The med techs will say, they are supposed to call EMT to get pt up, but will attempt themselves (with nurse help) to get pt up. Sometimes the techs stand back, and do little to anything and wait for nurse to direct. It is inappropriate to me and it just seems to be a "quiet" agreement. Im not comfortable and not employed by the ALF. This doesn't seem right to me. Our leadership seems a bit not clear on the topic, or just mum.

Work FT at a SNF night shift. When hired, was told they don't give offer lettera to hourly employees. Just give pay metrics and when off prob, you get benefits. (Nvr had that before 14 yr nurse). Is that the case sometimes? Am in Fl.

Seen this topic floated around a couple of times, read about it elsewhere but am now faced with it. Gave the standard 2 week notice at my job, sent letter to Manager and HR giving last day. Manager said its 4 wks or no PDO cash out. Handbook says 2 weeks for staff RN’s. Nurses in this hosp all seem to get threatened if no 4 week. I never said I would work 4 weeks. I am looking for new employment and mgr has contacted me saying I did not give 4 wks, no show, no rehire, no PDO. Its rather frightening and I am concerned about how this is a trend bow to cower nurses and what recourse is there?

The response at a hosp where I worked was all the male staff would flood the room essentially. Some of these male staff members bought nothing to the equation and looked respectfully speaking... insipid. The patient (imho) usually displayed signs that they were on the “ledge” so to speak a good deal earlier than this crisis. The nature of nursing on a lot of floors (Med Surge in particular), doesn't always allow for a lot of time to be taken with ppl and in the Disney inspired customer service model we are programmed to operate under allows alot of problematic patients to be master manipulators.Some ppl who are behaving badly need to be given the “talk and look” way earlier. Not by the 85 yr old shuffling, stout but pleasant security officer. Is he really going to be effective if it “goes down”? Healthcare environments are out of balance. The body needs homeostasis to operate optimally, do does working in a hosp, nursing home or clinic. Lots of passive aggressiveness, gossip and provinciality in dealing with patients and staff cross culturally. Nurses/CNA’s/RT’s are oft times overworked, disrespected, bullied and cowed into silence when trying to raise legitimate concerns about the work synergy or lack thereof. So, that behaviour seeps into the healthcare staff and then..... code green.

Hello all, I am not new here, but seems like its been a while since I logged on with yet another woe is me story.. I am now a 5 yr nurse and coming into my stride with how things work in the wonderful world of nursing. So, I received the dreaded letter from MQA informing me that a formal complaint has been lodged against me from 2 yrs ago. I recall the incident and I was summarily fired the next day. I happened to be a supervisor and had only worked there 3 weeks. I was finished my shift and was staying to help some of the girls do some filing and waiting the 11-7 to come off of her smoke break to get report from me.. she always did that.. The oncoming and off going nurse were in report and an aide informed them that patient x was not looking good. Patient x, as told to me by these 2 nurses was a hospice patient and DNR. Well, patient x was dead and cold no pulse, no RR and pallid. I did check this along with the LPN. The 2 LPN's asked me to call TOD, (I asked why.. they said it needed to be an RN).. I called TOD and the nurses called the family etc.. I was told in report by UM that Dr. order was obtained for hospice and I received a call from hospice for next of kin name. I also did check (online search which said my state RN could call TOD for hospice patient). When I was term'd I was told patient was a "full code". There were some conflicting family dynamics at the time and he UM told me about some of it, (girlfriend, x-wife, not honoring patient wishes) . I called her months later and she interestingly quit. Basically, the wording on the complaint against me indicates patient x wanted to be hospice and the family wanted to delay, so I guess there was no hospice? but nursing staff was told patient was hospice and so I as an RN was practicing outside of scope calling TOD on a full code patient in a LTC whom I believed and saw written order that patient was hospice and DNR There is so much about this nursing life that is sketchy at best. Knowing what you have to do to be safe and the employers practice of hiring 'new' unseasoned nurses and really learning what you need as you go along. Its troublesome and I do have NSO and will be contacting a lawyer..