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mia37

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  1. I feel like I am in a pretty bad situation and wanted some feed back from my peers. I have worked as an acute HD nurse for a few years now. I recently moved and took a per diem acute RN job with a major Dialysis company. Even though I am per diem I am on the schedule to work every M-W-F. Since I started a month and a half ago things have just been a mess but I mostly want to address the issue at the present time. A need has come up in one of the acute units my FA has just taken over. The nurse who has been running the program is very unorganized, stuff all over the place, pt information not filed in seperate charts but instead on clipboards all mixed together just to name of few of the issues. So, this FA/NM gets the idea that she wants to start sending me there. We both went to check out the unit on the same day. I was supposed to get oriented but there was only one patient (and we came in mid treatment) and the place was such a disorganized mess that I spent most of the time helping the relief nurse straighten the place up. My FA finds out a few weeks ago that next week there is no staff to cover this acute room. She insinuates that she will be sending me to cover. In order to work in this unit you need to be certified by the hospital, which I am not, although I have submitted the papper work which they are supposedly working on. Okay,To the point now, FA told me on Tuesday I will be covering this place next week. I said okay but can I go there one more day while the regular nurse is there because the first time I did not get much of an orientation. She says okay. Today she calls at about 3pm and says A crisis situation has come up and she needs me to go on Friday and there will be no further orientation. I told her I was uncomfortable with this because its been a few weeks since Ive been there and the place was such a disater I am afraid I will walk back into the same mess, not knowing where things are, can't access the computer system (because Im not certified) dont know all the codes for the rooms etc. I tell her that before I go I must speak with the nurse who has been covering this week to ask questions and get an idea of what patients may be in. I also tell her that I need to have a resource person available to me by phone in case I run into issues. She tells me she can't reach that nurse but she will try. I have asked her twice already to give me the nurses phone number and I will call her myself but she keeps saying she does not have it available and she'll get it to me later ( hello, when??). I am really tempted to just tell her forget it, I quit. I am worried about not being certified by this hospital and still going to work there. What if somethings happens?? Could it affect my liscense? What about the situation in general? Do you think I am being a baby (I mean after all I am an acute HD nurse and we do work alone...although we can always reach a support person by phone). Please respond soon, THANKS!

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