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Do You Have Computerized Charting?
I've been a nurse for almost 30 years.... I've learned various computer charting in the past, and it has NEVER been much of a problem... however, the McKesson system has been one of the most confusing and difficult one I've ever seen........ I had a one day class... the only class agency was offered.... and, from that moment on, was expected to know the system inside and out, without any questions...... when, staff were still having trouble, after using it for several months. Frankly, it has created a real problem for me to find work! I have asked if there is another class I could take, since my first class, left out so many details that would have made life much easier. But, I do know this... my handwritten notes, while detailed, did not take up as much time to complete, as this computer does. My patients need me... not the computer, however, it sure seems as if that's the only thing everyone focuses on...not the human being in the bed. In critical care, as I've been working, for my whole career, its vital that you actually can write something down quickly... having to turn on a computer , and get your ID and Password in, waiting for the screens to pop up, sure makes that impossible!!! I think nurses should have been consulted on the need for speed, and simplifying of the whole program. Computer nerd types need not apply, please!! We need quick access, and make it user friendly!!! I am totally frustrated in that I can't even work agency or take a travel assignment to keep my income going without knowing how to do multiple systems.... and, you just cannot learn it without using it for a while.... plus, they make changes for the individual hospitals, and if you aren't aware, then, you are just toast!!! Nobody has time to help you, and many are about as annoyed with the whole thing as the rest of us! I wish there was some cd or online examples for those of us who don't have the regular training that staff get.... I can't even get on staff many places if they think they will have to show you the computer charting... and I graduated in the top 5% of the country on my nursing boards....so, I am sure its not lack of ability to learn that is a problem! I'd love to have a CD if there's one available.... does anyone know if there is one?
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Railroaded at work
Being railroaded seems to be the new way to do people these days. I have been an RN since 1985..and was an LPN for 3 years prior to that. I was hired in February at a small specialty hospital, who advertised a 3000 dollar sign on bonus for RN's, by the interum CNO.. she wanted me to work in the SCU with the vent patients and also cross train to being a house supervisor. Unfortunately, this was overheard by a male nurse who doesn't know how to do the titrated drips required, when they do come up, and didn't even recognize V fib on his ACLS megacode. From the 3rd week of my "so-called" orientation...which was NOT any of an orientation at all...this guy would not come when I needed his help to turn my patients..which with a trach..were not to be turned without two healthcare workers present, for risk of decanulation. He got to blantantly taking longer and longer to come and I timed him at one hour one day...in the meantime..he looks as if he is always so busy, busy..yet he never would chart until his shift was over..to pad his paycheck.. I went to the new CNO when the monitor tech, who seems to have the hots for this guy, had a hissy fit on me one day...saying that this male nurse was 'doing everything".. I'd been orienting someone to the unit who barely spoke English, while trying to save a man who was bleeding out, rapidly..needing a transfusion prior to transport..the monitor tech hadn't told me that the blood bank had called to say the blood was available..but she kept coming in trying to boss me around, with the other nurse there as my witness. Well..the new CNO.. listened to me.. made it sound as if she would be taking care of this problem..after making it clear she was thinking this male nurse was intimidated by my experience being more than his.. and..who had appointed this monitor tech Queen of the unit?... I was not told anything about the resolvement..for a month..but was put out to work on the med surg units without ANY prior orientation to where things were kept or how the flow of the unit went..with total strangers, to work with, in addition... then.. about two weeks ago..I was called in for my evalution..4 days prior to my getting my first installment of my sign on bonus.. I was given an eval that made it clear I wasn't good enough to take out the trash...which is ludicrous...since I was told to orient some Cuban nationals this new CNO had hired, shortly after she came... turns out...she was their HEADHUNTER.... Gee...is this not a direct conflict of interest??? I thought so!.... Yes...this woman railroaded me out of MY job...and was sly enough to have the gutless unit manager write her name on the eval...even though I'd had very little interaction with the manager..She's terrified she's going to lose HER job if she stands up for what's right...in the meantime.. these nurses hired in are taking scab wages, can't speak English well..nor understand it...and patients are at risk... I am not sure they know ANYTHING about nursing...they had to be shown every little thing... there's something wrong with this picture.. This woman doesn't care about the patients obviously...she only is after her own interests..and CASH..... meanwhile... I am searching for a job in an economy that doesn't want to hire someone with experience as it costs more to have that wisdom and knowledge...but it keeps people ALIVE!!!...