Just me.

I'm sorry about your spouse and current situation. Do you feel you are ready to go back to work? Mentally and physically? You don't have to answer on this site, but something to consider. Are you saying the current job is going to let you work for 30 days and then fire you if you don't find another job and leave?

For years I only did b/p checks with a dinamap. I got confused listening to manual readings, the different korotcov/korotcoff sounds when I was required to start checking them this way. I did practices online thru Youtube to retrain myself. IF someone re-rechecks, and says something drastically different, I know what I heard.

I left the Hospital setting about a month ago. I only worked part- time, 8 hour days.. I got burned out for various reasons, including the commute. I am currently working in a primary care/clinic setting and now working Monday thru Friday. I am still adjusting to the schedule and working more hours, and having less free time. Overall, my stress level has dropped tremendously! Getting a lunch break everyday, priceless! To be honest, it is a very busy practice. The hardest adjustment for me has been a new computer charting system and doing many things with less resources, and things that are not hard, but still need to be learned. And in my case the pay cut was tremendous, it would depend on your location. The pay adjustment has been worth it for my overall well-being. As you have your Bachelor's degree, returning to the hospital is an option. Or you could work prn at the hospital to make sure you like the new position?

The employers response sound a little extreme. It seems straight forward, that you tell someone apply this cream to the patient's...I may have asked myself. Was there a barrier in the communication, language? And as was already pointed out, was this a job that should have been delegated? The only other thing I would have done is call Poison Control.

I sympathize with your feelings. Having any surgery is scary and must have been a very emotional experience, no family around, etc. And having an unexpected hysterectomy, especially for someone of child bearing years, or not, can be devastating. This would be compounded if one planned on having children in the future. EDIT: I understand it didn't state complete hysterectomy...* I don't know anything about the nursing culture in Brazil. But to me it sounds like you wanted/needed some bedside compassion and it just wasn't happening. EDIT: I really appreciated the post from the nurse who actually lived in a foreign country and experienced things first hand after having a baby. And what she said made sense about the healthcare and cultural differences. I remember having post-partum depression almost immediately after having a cesarean. I distinctly remember a nurse telling me that she didn't have time to help me. I called once for medicine, they were busy. I remember crying and crying. Years later I remember all the details. As far as legal action or a formal complaint, I simply don't know. Just continue to be the type of nurse you wanted those days you spent in the hospital.

Is it a peer interview? Or one to one?

The narcotics need to be tracked. If the signature is for ongoing/off going you would sign appropriately for where you are in the shift. Don't accidentally sign in slot that was left blank by someone else. By signing at the end of shift with the nurse, you are accounting for the narcotics being the same or reduced or increased based on activity (dispensed or received from pharmacy)

I work in an ED, and have a good relationship with registration. We do annoy each other at times. And yes, they do collect co-pays and give the option to pay now or later. Overall, basically my goal in life is to get to the patient before registration! That is especially true if they have never been to the hospital before. And if registration is with a patient, I will let them finish before interrupting. I will ask if registration is almost done, especially if the pt needs a stat ekg, etc (they are to be done in a timely fashion). There are a few times I have spoken up and needed to interrupt. But in most cases, if the patient is in acute distress registration will usually recognize the timing is not good. That being said there are times the Doctor or PA is ready to see a patient, literally standing in the doorway. Most of the registrars will acknowledge the provider and mention I'm almost done, is that okay? Others make us them wait, like they are not even there. And I will say, some doctors are just rude about it, some nurses too. And there are times, I'm having a private conversation with a patient and registration is hovering. I have asked them to give us a moment. I understand no work situation is perfect! And I have no doubt there are some very toxic people, believe me.... Take a deep breath and be the bigger person. If someone really does offend you I would approach them privately and talk it out. And if that doesn't work, talk with your supervisor and she can speak to the unit manager and give reminders about what registration needs to do. It sounds like you are doing some solid things to make things work better!!!

Not to me personally, but... I wouldn't take it personally. They may just forgotten the appointment. Or the person that was supposed to call got sick, who knows? Now, if they don't respond to your email that is just rude! Did they get back to you? And if you are still interested I would give them another chance.

One of our Doctors leaves the prescriptions on the printer. To get the discharge done and over with, I walk it over to provider to have them sign it. If the Doctor refuses to sign, leave it without a signature. When the doctor gets repeated calls from the pharmacy, they might start signing. Fill out an incident report, likely you can do this anonymously? It is not fair for the patient to be delayed at the pharmacy, but why should you lose your job? Don't put your job at risk. I know they are supposed to sign, even with the electronic signature. For your states do all prescriptions need an ink signature if the medication is not a controlled substance?

Personally, I do believe the OP did their best. Sometimes when reading the Original post, you don't have all the facts. And it is easy to miss some details when they are revealed later in f/u posts. When I read the original post, it sounded like the daughter was there when it happened, expressing her concern(not in the right way). Later, it is learned that she was not. And the patient details and daughters location were revealed in later posts. When in doubt, I don't think it hurts to call a RR. IF nothing else, you are not alone. As far as abusiveness, our hospital has become increasingly responsive to abuse. Abusive family members have been removed from the grounds, others banned from the facility (unless they are dying), no trespassing orders. We do try to talk people down, but have a right to defend ourselves. @Tweety I am going to clarify if the Hospitalist is on the RR team, I may be wrong. He may have just responded, it was some time ago. I will correct if I misspoke.

@Tweety When I was on the floor the Hospitalist was part of the team, but teams vary at different facilities. Not sure now who is on our team, I'll have to ask.

@Davey Do is their a self-portrait in this illustration? Like a Norman Rockwell?

@Susie2310: I have to agree with most of what you said (in the above post) I didn't think about it from the daughter's perspective. The daughter was way out line in how she communicated her concerns. Her behavior was inappropriate. I think the OP did their best. And the patient did not code. When our hospital began the RR team, it was such a relief to know you could get help fast! You were not alone. I used the team a few times. To the OP, I think you did try your best to help your patient! Use the RR team in like situations in the future and don't put all the stress and responsibility yourself.

@RNperdiem I agree that tech help can make or break you sometimes.

I feel the pain! I struggled on days with 5 or 6. It takes one thing not going right, a post op pt, "direct admit"...etc. I was a nurse for more than 7 years at my breaking point. Many times I had to ask for help. I remember once asking the charge to give a pt her am meds because I couldn't keep up. The pt was admitted for migraine, years ago...and kept calling for pain meds and her daily meds. It took the charge nurse an hour to give the meds...I was done with Med-surg after that. I did it for 7 years in the float pool. The charge was mad at me, and I thanked her thinking how was I supposed to get this done with all these other people! Today, I know locally that admitted patients have to be really, really sick to qualify for admission. The floors are probably even heavier than when I left. It takes a while to develop a rhythm. Night shifters used to get up to 10 at night, no way!

I once visited a friend in the hospital who was having a sudden onset of sob, sweating profusely and in obvious fluid overload. The nurse was not convinced she was deteriorating, I was. I asked the nurse to call a rapid response she was overwhelmed and so was I. Is it correct the daughter was present? She could have asked you call, even though you were handling the situation. @ruby_jane I think it is a great idea to document the incident. I have done that myself in the past when I felt a doctor acted negligently and another incident involving a nurse.

It sounds like she wants to, but there are no jobs. OP, would you be willing to travel some distance to find that job? Op do you mean removing the stitches is the part that keeps you busy, another one your responsibilities, not what you are unsure of doing? In the U.S. check with sites like Indeed, and search for nursing jobs in your area, see if traveling some to find yourself a more suitable work environment is possible? Take care.

There are different online sites, for some reason the FDA one didn't give me much information. The hospital pharmacy should have the packaging insert for the drug. We have all made medication errors, even if we didn't know it. And experienced nurses make errors too. I have made them just like everyone else. A seasoned nurse I work with asked me if I needed help, I said yes. She gave bentyl iv instead of im. Similar risks. Use it as a learning experience. I am sure you will pay more attention next time. EDIT: I don't even give phenergan anymore except suppository once in a blue moon, next time you have a drug you are not familiar with: look it up in the old handy drug book/or download an app or call pharmacy. One pharmacist calls me by name when I call.

I agree that you need to ignore the comments. You know your own work ethic. I sometimes feel I have to justify why I'm asking for help, and that is wrong. We delegate not because we are lazy ( in most cases), but because have to. Be direct and polite, always say please and thank you and do your job well.

I think I understand where you are coming from. You have a role as a Nurse: you were hired to do biologics. And now that the MA has left, they want you to do 2 jobs. And do you feel you are lacking in some of the skills you need? Some of the bedside nursing functions? Yes, you are a nurse, but you are unsure of some of the tasks and computer work the MA does. EDIT: I have learned a lot on youtube I hate to admit! Techniques for difficult blood draws, tips on how to perform skills. But, I know I have to be careful the techniques are correct for my facility. Are you concerned about being able to do your job and that of filling the role of the MA? Just like working short-handed in the hospital, the job is still expected to get done. It sounds like from your concerns that you are not comfortable with the added new role, but that you aren't likely to get a new job soon. If you need to keep the job, don't be too hard on yourself. Unfortunately, I'm learning first hand that you sometimes have to learn as you go (subbing for school nursing) EDIT: And as long as it is within the scope of Nursing, in your state. And though it doesn't sound fair to you, would that let you shadow an MA at another site for a shift?

I cannot remember if I was already a nurse or not, but I remember watching an episode of the Oprah show, and Dr Phil was being introduced. A long time ago. He was giving advice and a nurse was saying how basically things were not what she thought they should be and she wanted to leave the job. He basically told her to be the one who makes the difference. I literally from a young age grew up around a ltc facility. I knew what I was getting myself into. Everyday I do my best for the patients, I've had many thanks just for being kind. I advocate for my patients even in little things. I push myself to do this for the difficult ones too. I say I don't need this in writing, but sometimes it hurts someone didn't put it in writing as so many of my co-workers get this recognition. I sometimes beat myself up for not accomplishing everything, dealing with difficult work situations and sometimes people (co-workers for me). In this profession I am my own worse enemy. And yet at the end of the day I can always say I did my best, even when co-workers say "your too nice...I wouldn't have done that..." I believe that in little ways everyday I make a small difference. Added: I may not always comfort a dying pt, I've done it. I catch things that could have been missed, but save lives I don't know. I don't always believe it, but what we do and say does make a difference.

Do they have Soap suds enemas as part of the protocol at your facility? Could it be pt wasn't able to hold the solution long enough for it to work? Is the staff properly trained how to do them? I ask because as a nurse in ltc years ago, I didn't know and a nurse showed me the WRONG way. Did they have to digitally remove the stool in the hospital, maybe that is what it took? I don't remember having to do that in ltc, and I definitely don't do it in the hospital! As the manager, make sure the nurses are vigilant about reviewing the protocol.

Is your home base where they do training? Will these nurses be asked to move after they have done training? Even though it is in your contract, it doesn't hurt to talk it over with the manager...Does everyone have this in their contract. Just curious how the training works, since the new nurses could have been asked to go to the different location., or is tough for the place you work to hire?

We are not going to catch everything. And the other manager, as competent as she likely is, there is no way she does her job perfectly. When I worked in ltc, we had to chart qshift if patients had bowel movements. And we did that pretty well. If the patient didn't have a bm in 3 days we had standing orders for mom. Despite that, I remember a particular resident having just as you described, even though he was having bowel movements practically everyday! He was impacted...quite terribly...Maybe look to improve standing orders or monitoring of bowel movements. How would you know? I personally wouldn't resign my position over this. In acute care, healthy young people get impacted too. And I'm guessing, that they notified you because you are the unit manager, that doesn't make you in the wrong. Maybe check when he last had a bm, and if not why nothing was done by the floor nurse?