zbar

So it's been almost a year and a half since I started working as an RN on a medsurg floor. After taking care of countless patients I've started to notice a couple of things. I work in a **** floor and pain medications don't work. Every time I do a pain reassessment there's never any improvement. Most of my patients have a history of chronic pain so 6 mg of morphine is the equivalent of taking one sip of water to them. The call lights are also going off every 5 minutes because the patients are requesting saltine crackers and soda even though they are diabetic. When I enter the room I give fulfill their request and tell them if they need anything else while I'm here they should let me know because I will be helping another patient. They say they don't need anything else. You can guess what happens 5 minutes later. On top of that they keep getting out of bed after being educated on how to use the call light. A fall happens. Now I have to report it and spend an extra 15-20 minutes charting. Last week I had a whole team of GCS 14's so the bed alarm and call light pretty much went on for 12 hours. Then the manager has the nerve to ask me why am I always clocking out late. I almost forgot, a patient threw a tele monitor at me lmaooo, but I dodged it. So whoever is reading this I have a question, do you wake up every morning and tell yourself, "Yes this is what I want to do with my life. This is exactly what I signed up for. This is my passion and I wouldn't have it any other way."

Yes I do have a preceptor that works alongside me. Technically I'm on my own now and have my own team. If I'm ever drowning in tasks the preceptor will assist if possible (sometimes they're drowning also). I have actually built a good rapport with my preceptor. The fact that my coworkers are talking about me is not the main problem. I really just want to be a good nurse so I can come home and feel accomplished.

On my 2nd month working in the ED. I still continue to struggle with giving handoff report to the next shift. I'm aware that the general method is SBAR but I still am all over the place when giving information. I start off pretty well in the beginning stating why the patient is here (chief complaint), but after that I start to trail off and present information that is not pertinent to the matter. I found out from my friend that I have had co workers complain about that. Any tips/advice?