LMSNew

Thank each and everyone and you for your responses.

Thank you. It’s a terrible feeling. The thing is the ppl smile in my face, although I did sense a sort of non genuineness from certain ones later on, but wasn’t sure if I was paranoid. I will definitely take this going foward on what to look out for.

Thank you so much. You handled all of these things very swiftly. I will use this method going foward.

In response to the ratio, that’s the thing. Because nurses have been making it work, you will be told it’s acceptable, but you’re stretched so thin. I went to listen to a patients lungs and was told that was the first time someone did that. Mind you the patient had been there for over 5 days which made me realize how some are getting by.

If you don’t mind me asking. How did this end for you in those 2 instances and how have you combated this going foward? You can pm me if you want. Thanks in advance. ?

Thank you so much for the response. I am on a contract that will be 5k to break. I don’t have a desire to stay after this experience and the fact that telemetry just doesn’t interest me. I would prefer ICU or Psych for different reasons. I find 6 patients with 1 PCA a lot of times to stretch me way too thin.

Cxray showed scarring. Legs were a bit swollen. In the end the doc still kept the patient on fluids.

Thank you. I am planning to leave. I actually enjoyed work to a degree but now I get about feeling, especially when I work nights that she’s there.

Oh in regard to the desatting patient I did get orders to increase her from cannula to venti and she was saying well. The other order was a diuretic.

I work on a busy telemetry unit. I’ve been at it for 9 months. We usually have 6 patients and the acuity is very high. The the thing is when I first got off of orientation, my ANM approached me about 3 weeks out and said that all the patients were complaining about me. She didn’t really go into specifics, she just said that they were ALL complaining and said I was too quiet. I got a good letter written about me about a week later by a patient. A month later she said all the nurses were complaining about me giving report. I asked what were the complaints she said “ you don’t know your patients”. I said in what ways and showed her the reason they came, the hx, what was done, needed to be done, IV sites, radiology, mentation, ect... I was 5 months in at this point, 2 nd month on my own. About a month or so later I was pulled aside and told I was doing really bad. All the nurses were complaining about report still.I brushed it off. Very recently a patient was desatting and I got an order that I thought could be given later. She scolded me ( which is not a problem) but then proceeded to say “ you’re not getting it, this is why everyone is complaining and you are doing very bad”. I go home and look up skills and try to study things I encountered on the shift to learn. Many times we get 6 patients with 1 PCA and no secretary so it’s hard to take it all in at times. I have made my share of mistakes but imo they were small and mostly due to issues understanding the EMR more than anything. My question is how can I improve? Although work was very hard I never minded. Now I’m always anxous as of late and it’s really affecting me. Any advice is appreciated. Thanks in advance.