tuesday4

I would go straight to the DON and Administrator, negative behavior is NOT acceptable in the workplace from doctors or nurses. Administration would have to address this issue if it is presented to them. Do not be afraid, the administration which includes the DON would have to put into place an action plan possibly including inservices about consequences of negative behaviors in the workplace. It is already in all HR manuels and was probably presented during orientation (that includes doctors too). I for one will not accept inapproiate behaviors, no one should have to. :prdnrs:

The CNA that left a patient in feces and urine, refuses to clean pt etc. is your responsibility!!! YOU supervise the CNA'a and your nursing lic could be on the line. In orientation in nursing homes and hospitals you are told about incident reports, any occurence out of the ordinary is written in a detailed incident report which the DON and Administrator review and then investigate. As a nurse you are the boss!!! You are to monitor patients and make sure that they are not left in feces and urine. You supervise the CNA's and you should have told the CNA that you have found her work unacceptable and written her up. I do not know why your wrote anything about this in the patients chart. This may come back to haunt you if the family decides now or in the future to sue the facility.

All of my night shifts in the past few years have been BRUTAL. I have no downtime. It is like working a day shift. Dressing changes, PICC line care, respiratory care, finishing paperwork for new admits etc. etc. With the continued cutting of staff to save money in most facilities they expect the most they can get out of you. I barely have time to pee and many times no meal. This is not ok and is harmful to your health. I am looking for day work but do not expect that to be easy either. This is one of the reason for the nursing shortage, how long can nurses be expected to work on such conditions?? No wonder so many people leave.

I believe the US should implement socialized medicine as soon as possible for the health and well being of all US citizens. I have noticed that the old defense that in Canada people have to wait too long to see physicians is used far too often. I always have to wait up to 3 month or longer to see a physician or a dentist. The HMO's deny any and all treatment they think they can get away with. People are crossing into Mexico to buy their medications because the co-pays with insurance is outrageous and without insurance the medication is out-of sight. Also US citizens are going to Mexico, Cental America and India for medical and dental that they cannot afford here in the US. WOW!! Please let us join the rest of the civilized coutries and start doing the right thing for Americans.

The United States should join the rest of the civilized world and put universal health into place ASAP.

I think before you quit go both to the DON and the Administrator. Next I would go to the owners or heads of the corporation. I would explain the situation in a calm manner. I believe this may help you see some changes. I think all nurses have to try at least to change the the toxic work climates that have emerge over the past 8 yrs or so. I am presently looking for a different type of nursing due to the negative climates I have been exposed to. I love nursing but so dislike what is happening to nursing over the past 8+ years. We all need to try to save the nursing profession!!! Stop the abusive work places.

I have read with great interest the information on HH Nursing. I am more than ready to to leave the negative working climate of the hospitals and nursing homes. I have been an R.N. for over 20 years with the most significant concentration in Psychiatric Nursing. Psychiatric Nursing has always been my first love in nursing. I also have experience in case management and recently have worked as a supervisor in a nursing home. I very much want to be a Psychiatric HH nurse. I have observed that there are not many requests for Psychiatric HH nurses and I am not sure if this is related to lower Medicare reimbursements ?? If anyone knows about this please let me know. I am not sure of the accuracy of this statement as Medicare keeps changing. I would appreciate ANY and ALL information that can be given about becoming a Psychiatric HH nurse. I will be very happy to receive your thoughts, idea's or suggestions. I have never worked in HH but more than ready to make the transition. Thanks so much..............Tuesday4 :wink2::nuke: