Olivelove20

Maybe I'm not understanding your post, but if coworker wants to change from nights to days and is going to ask your Nurse Manager how is this your problem? It isn't. Your coworker is making a lot of assumptions on the fact she has been there a mere 2 months longer. You were hired for days. You are not obligated to make any changes for your coworker. That is your Nurse Manager's arena. Why you have not spoken directly to your Nurse Manager about your concerns with what your coworker has said? Now, if the Nurse Manager has come to you and said you need to switch with this person then you need to be asking why and if necessary, get HR involved since it would be a change you haven't requested and a shift other than what your interviewed/hired for. Either way you need to advocate for yourself/your needs because no one else is going to.

You have zero idea what race or ethnicity I am. You are assuming I am white. You state it is not up to white to decide what is racists - just as it is not up to other races to decide what is racists or meant to be racists. It's subjective. And again, I would adivse anyone reading the above article or any other one similar, to confirm the facts, not the emotions, of the situation. Maybe some of us just refuse to take the race bait - regardless of who throws it out or what color we are.

I wonder where nursing will be in another year or two given so many who are leaving. I too am one of them. Though I am unable to leave the profession completely (and did not prepare as I should have for retirement so I am stuck) I am moving as far to the periphery of the nursing profession as I can while being able to still make a livable wage. Not a wage that allows for frills but one that allows for low stress and my bills to be paid. I am too tired and uninterested to return to school for another career and don't have the money for tuition anyway. The very people (I.e. companies/corporations) that publicly profess to love nurses, value nurses are the very ones who, privately, are screwing us. I have never, truly seen in my 29 yrs as a nurse, more pressure, more (mostly) useless documentation, politics and lack of support for nurses than I have in the past 10 years with it becoming exponentially worse. It borders on abuse in some situations. Hospitals, home health agencies, etc. (not all of course) seem to feel nurses are "a dime a dozen" with new grads desperate for jobs so those with a little (or a lot) of experience who balk at the unfairness/unsafe staffing issues, etc are easily replaceable. Then the new grads end up overwhelmed, disenchanted and the cycle repeats itself. I worry about what healthcare is going to be like in the near and distant future, wonder if the "powers that be" within the hospitals/facilities/home health care agencies will ever see the light, but right now, like with many on here, it's down to emotional, physical and mental survival and no job is worth losing all that over.

Not everything that happens to a person is because of race..sometimes it's the persons perception that is the issue. This person was mean to me therefore it's because I am (fill in the blank) when in essence it could be that some patients/people are just rude, demeaning in their behavior..does that mean because they happen to be interacting with another race they are racist? No. They are just a-holes. Some people get offended about everything, everyday and they look for their "triggers" or assume they are being treated or not treated a certain way because they are a certain sex, race, age, etc. Some articles like this also bring of questions of accuracy on facts, not the emotional response or emotional interpretation of the situation. Sometimes we are treated how we are because of OUR attitude and OUR assumptions about another person based on the attributes we think THEY are judging us on. The media doesn't help in that it panders to division. Division of who is vaccinated, who isn't, division on race, political views, gender, age, sexual orientation, and on and on. Racists of ALL colors/ethic backgrounds exist but the major of people seem to want to just live their lives, take care of their families and drive on.

The primary difference between an LVN and an RN is that the former requires a less formal program. An LPN performs specific medical duties but is not given the same responsibilities as an RN.

My spouse had his booster (Pfizer) and had no issues at all.

Can your agency not discharge him for non-compliance? Someone has to be writing the orders for the 485 - that is who you can report to but if that physician isn't willing to accept responsibility, then I'd firmly and politely tell your boss someone else will need to see him as you aren't willing to risk your license. I feel certain another agency would hire you in a minute - even w/limited experience. Put your applications in elsewhere stat.

The patient sounds like she has been catered to because of her behavior (which sounds controlling and like an impetulant child throwing a fit) and therefore is in control. On a variety of levels this isn't acceptable. As others have stated, what you are doing/where you are is ZERO business of hers and that reporting of your whereabouts on/off duty should stop immediately. If wound care is being performed that is not doctor orders, you are risking YOUR license. If she doesn't like/accept the orders as written, let the ordering physician know, document it and simply let the patient know you an ONLY perform wound care that is ordered and you have let the MD know the patient isn't happy with what is ordered but she can either do w/what the orders are until they are changed/contact the MD herself or refuse care. If she refuses, document it and move on. You said she is alert/oriented so if she refuses, that is on her. If your nursing leadership isn't going to intervene and throws it back on your to work out, then continue to document but do NOT stay after work or allow this patient to continually manipulate/demand your time/attention. That is unfair to you, other staff and other patients. Two years is way too long for any of this to have gone on. It sounds like others have washed their hands of the situation knowing you would step in. Either place limits without a lot of explanation, ask to not take care of her or find another job elsewhere. This situation has disaster written all over it and you may very well end up being the scapegoat when it all hits the fan if you don't set limits NOW. You are going to have to save yourself here.

If you can't transfer until you have been employed for a year it doesn't really make much sense to shadow now as you are only 4 months in. A lot can change in the next 8 months on the unit you are interested in, including staff and leadership. My advice is to wait until you are employed w/the hospital for at least 6 months, then, approach both managers (your unit and the unit you are interested in) and request to shadow since your ultimate goal is to work with neonates. Being up front about your intentions to transfer to another specialty coupled with the fact that unit is in the same hospital you are working at now will save you a lot of grief in the future with the hospital if you are upfront w/the hiring managers.

I worked 7 on/7 off in the past and never once did sups visits. I agree w/you - that is something the CM's or day shift nurses should be covering. If they are seeing their patients on a regular basis they should be doing the sup visits as a part of their documentation anyway.

Williams Shatner is 90 and just flew to space and back. NO ONE is too old to try ?

This is exactly why I turned down a recent job offer for IMCU. The information I was provided in the interview did not jive with the information I saw while touring the unit nor from the employees working. I also saw a large amount of travel nurses, which this particular hospital in the past, absolutely would not have brought into the facility. Too many red flags, too many promises made that just did not line up. One of which was being offered the position with the recruiter and director knowing (as I made it clear multiple times) that I had not worked in a hospital setting in 5 yrs. and said repeatedly I would prefer to re-enter on a med/surg unit.. The fact they were willing to bring me on to a unit such as IMCU knowing I was not comfortable re-entering on a higher level of care unit..well, it told me all I needed to know - which is they just needed a body to fill a position. I miss some things about hospital nursing but not enough to risk my license for the benefit of any employer who wouldn't remember my name 10 minutes after I left. I'm not sure how all this will play out in the end with the nurses being fed up, leaving the profession or organizations depending more and more on travelers but one thing is for sure, everyone who needs healthcare is going to end up paying the price until hospital leadership "wakes up" and realize THEY are the largest part of the problem when it comes to nursing dissatisfaction. If that ever happens.

Yes, I should've qualified my statement..

Like Tractor Supply, seed and feed type stores.

Don't answer the phone when you are off if it's someone from your job calling. Period. When you are at work and they ask you to stay over, stay if you want, if you don't, be upfront, tell them "sorry, I can't" and leave it at that. It's the Supervisors/Leaderships problem to get shifts covered/come in if they can't. Not yours. They may cry abandonment, but your shift is done and it's up to them. They are being paid way more than you - not to mention they are home with their families or doing whatever they want to do while you are working over 12 hours - which isn't safe for you or the patients. And, most likely know in advance they need someone to cover the shifts. As long as nurses are guilted/bullied into staying the powers that be will sit on their laurels and do nothing more than shake the saber. There are PLENTY of other jobs out there, especially now. Take care of yourself because your job certainly won't. You have nothing to feel guilty about. Hospitals, long term care facilities, etc. and the corporate machines have created this mess. Not nurses, not covid, not anything other than greed. It's only in the past 1-2 yrs it's all come to ahead. I assure you, your place of employment needs you way more than you need them.