Judy911

Hello, everyone This is the first time for me to use this forum to get some advice. I just moved to one of the southern state recently, and found the job at Med Surg floor. I was excited that I found the job with decent wage in the South. I did not want to change my job after commitment, so I was very careful to ask manager and director questions when I had a interview. How is the acuity of the floor? How physicians place the order, patient ratio, staffing etc. Manager said, " It's med surg floor with non complicated cases." When I got to the floor, I found out that the manager did not tell me that it was a Covid floor. All my patients have Covid 19 with Bi-pap, non-breather plus HHF NC with maximum O2. Some of them came with significant medical history. My concerns were, We take care of 5-6 patients with max assist, most of them have DM II and telemetry. CNA refused to help me if the patients were not theirs, such as get me water, change diaper etc. One day, I had a CNA who disappeared often, ran away from patient if she needed to change massive mess in the bed. Nurses know how the CNA behaves and they said, "That's how she is." I had 2 discharges and one admission on the day. The day was really bad. But it is norm for the floor. One day, patients family decided to show up to the hospital because they did not get any return phone call from physicians or nurses. It was a lie, I talked to patients family one hour ago, and already asked physician to call them back because the questions they asked were not suitable for RNs to answer. Charge nurse got phone call from entrance, and told Manager (not me, first). Manager and charge nurse called me in and said, family showed up at the lobby and was very angry because they did receive return phone call from you. I was told that I need to go and fix this problem RIGHT NOW. I was running late for schedule meds, had no time to go downstairs and talk to family at this moment. But they forced me to go down stairs. I just started working this unit and still have preceptor to check my performance. I assume that situation like this, manager or charge nurse would go talk to the family member. Especially I had 5-6 patients who needs oxygen so bad. No time to sit down with family for an hour......if something happen while I go down to lobby and meet family, who will support my patients?? Of course nobody on the unit has time to help my patients at the time....they were very occupied with their won patients, and charge nurse did not offer me to watch my patients. At this time, my preceptor helped me, but how about in the future??? Also, most of the doctors come by between 8-11, and gave me bunch of verbal orders even though they have a computer access in 10-20 feet away....Even admission orders for the new patients.......I don't have time to take every single orders form multiple physicians for multiple patients. But other nurses let doctor give orders even though that is not emergency one. I don't like to do this because I had situations that physicians declined to signed the verbal orders in the past. I am very concerned if I resign my current offer, I will be marked as "non-hire" in the future.... I worked for the same group hospital years ago, and it may reflect it as "non-hire" also. I do concern if patients die while I was away from floor, they may put me in the position to take responsibility. I feel very disappointed and still wondering what will be the best way..