lovnrsg

I love my patients and would love to stay in LTC/skilled. You grow so fond of them and become like a family member. When I come back from my days off they never fail to tell me how they missed me. If they have a bad day, a little TLC goes a long way and you can set them off to a better night. I have been frustrated and felt I wanted to quit but to get over it if I take the time to go visit one of my favorites and let them remind my of why I am there :)

I checked that I did not agree and left my statement. Here is a story..... Out of nowhere RN gets 2 warnings Visits work off hours to talk to the DON about warnings and finds the DON is quiting. Story is from the DON that the ADON is replacing her Nurse goes home and gets on facility site and sees the position is up Nurse remembers telling ADON one day "as soon as I gain some experience I would like to try a DON position" Well nurse wouldn't get a DON position with two warnings right

I received my evaluation on the 3rd. Good evaluation. One week later I was called into meeting on what a third party said and signed a paper stating this was not so. One week later.....I received a letter stating I needed to sign some papers in an envelope waiting for me in the med room and low and behold it was two warning papers stating a new aligation from a third party and another one (dated before my evaluation) stating a med error that a third party said I made back before my evaluation (never heard of it before and do not have a way of proving it wrong) and not completing an assessment on computer the night before. Two warning in one day! I had to work through the night worrying I was being set up for failure. I could not concentrate and had to tripple check everything due to fright I was going to get fired. What are the proceedures for warnings and being fired? How can they take what a third party said and how can you protect yourself from another person making false statements? I Check my schedule and seen who followed me on the next shift both days these aligations were made and it is a nurse who is a friend of the ADON. I feel pinned.

Once again we need to focus on this patient here. Are they unresponsive because they are on too much morphine? That was my issue. My patient was put on hospice to help control cancer pain. He was NOT told "once I give you this morphine you no longer will be able to speak to anyone or say you do not want to be put under totally." He was in pain and agreed to pain med but I am sure he never thought (and neither did I)that that moment of taking his first morphine dose that was it. He was awake and visiting family when I left and the next day I went in and he was with pinpoint pupil, vomiting, and grabbing at the air. The nurse was saying give him more he is suffering and you should have gave it to him as soon as you seen him stir. To me...that is not right. He was pushing me away and not wanting the med but I was told to give it. I have been sick every since.Maybe he would have wanted to suppress as much pain as possible but still stay aware some of the time. Is it right to decide that? I know if I ever sign up with hospice, I will say goodbye to everyone right before my first dose of morphine because that is lights out were I work.

Clinicals are different then LTC/SN. They do not prepare you for the work load but stick to it and it will get better. It will take multiple times of calling doc...finding where things are..learning to talk to family...following schedule and computer documentation. Ask others for help in organization (most fellow workers would rather you ask than make a mistake. Remember they have been there before). Watch the more experienced nurses and see if they have a system you could use. Our facility has 34 pt with 1 RN and 2 1/2 aides. Many time she has to travel to the other wing because there is only an LPN. It can be very hectic and a schedule may need to be modified 6 out of 7 days! It just takes experience... (and the ability to not eat for 12 hrs haha)

You are not trying to be mean?

I doubt if it is because they do not want to work...............most do not have enough time in a day to do things the way they should. I have seen some pretty scary short cuts going on like stacking cups of meds.....that is what scares me...