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KalipsoRed21

KalipsoRed21 BSN

Currently: Home Health
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KalipsoRed21 has 13 years experience as a BSN and specializes in Currently: Home Health.

Cardiac Step Down, Telemetry, Travel, ER, Intake Coordinator for Home Infusion, Home Care

KalipsoRed21's Latest Activity

  1. KalipsoRed21

    Burnout - How long do I have?

    I have a really good home life, and when I am not at work or having to think about work, I’m fishing or at home with my husband and kid. Really, it is truly nursing that I don’t like. It is a maddening market of how we can barely care for people and staff and maximize profits. It is not that I want hospitals to not be successful businesses, I just know they can be successful without raping our patients of dignity, choice, and care and us of time, integrity, and a decent paced work environment. Before shareholders, profits were given back to employees and reinvested in the company. Does a CEO really need to make 300-900% more than the lowest paid employee to maximize their power and life? I would say the 100-150% more that they made in 1960s was a better balance for everyone.
  2. KalipsoRed21

    Burnout - How long do I have?

    I recently quit a terrible job without a back up plan. It wasn’t the kind of job I could hang on to until something else came up. I’ve been off for a week and it is glorious. There is nothing better than spending time with my husband and child. But I am the breadwinner so I must go back. And to be honest, looking for a job terrifies me. In 13 years I’ve never been able to find something that fits. I’ve found a couple of decent facilities, but I grow so weary of the emotional burned of nursing. I’m tired of being afraid of letting my daughter be near water (because of the 2 year old that drowned), or my heart be in my chest when any kid is playing in a driveway (because of the mother who accidentally killed her baby because she didn’t see her when she was backing up). When I was pregnant I would cry because what if I got cancer a month after the baby was born? Or threw a clot 3 days after she was born? What if my husband has a heart attack?...he was complaining of epigastric pain earlier today, and that 47 year old died the same way. See what I mean? My mind does this at least 3-4 days a week. It isn’t just when I have to much time to think, it is just there in the background always now. I can’t watch any TV with sad storylines...I just feel them like they are real. And I’ve seen a lot of real pain....like most nurses. It is better when I am off work for a while, because death isn’t in my face as much when I’m off. Again the reason so much anxiety about having to go back to work. I am not very religious. I admire those with religion because the religion seems to give them a reason for the senselessness of tragic deaths (the father of 3 that got hit because someone missed a stop sign, the 3 kids and 1 grandparent that died due to a reckless driver...so many more). But I don’t see god in these things. I see a society that is moving to fast to be careful, that is polluting itself to death for profit of a few. No reasonable actions, no community, no way to slow down because bills have to be paid. And really after 13 years in the field, I don’t see the good in what we do. Mostly because we are rushed, so we rush the patients and their families, we all try to give quality, but often the system prevents us from doing so and then we get blamed because no one wants to admit the system is terrible and broken. I wish I had taken a different path, because there is no balance in this career, I’ve been looking for it for 13 years. Even in less emergent care there is still so much pain to see. The 80 year old using her gas stove to keep warm in her home while her son is out trying to pick up some work. She is not safe at home alone but she never worked so she doesn’t get SSI benefits. Her husband never had steady work. The 13 year old at home with cancer, she had been in remission for 4 years but it is back. The family is out of money so they are doing some fund raising. The couple that have kids but no one wants to take care of them, but the kids are discouraging their parents from selling the house to move into assisted living. I can say that nursing has brought me such prospective on how good my life has been, and that I appreciate. But my nursing experience has also had this dark cloud effect on how I experience my life now seeing all that I have. I just frequently feel anxious and afraid of losing everything. I wish there was something else I could do to support my family.
  3. KalipsoRed21

    When To Just Not Go Back For The Next Shift...

    I can promise you that there are ICU jobs that AREN’T like this. I hope you can find a job in a place with integrity.
  4. KalipsoRed21

    When To Just Not Go Back For The Next Shift...

    No, the ratio at CHI Brazosport was 1:6 BUT just like you said, it was more like 6 step down patients instead of medicine/surgical patients. A lot of scary things are getting missed. But when I told an NP working on the floor how the ratio was to high for the type of patients we were caring for, she’s the one who told me, “No, they coddle you guys up here. I worked a med Surg unit in Alabama that had ratios of 10-13:1 with bipaps, drips, etc. So you shouldn’t be complaining.” I wished I had thought of it at the time to say that just because she was tortured doesn’t make it right and that there is no way she was giving good care to those 13 people....which in my opinion is unacceptable.
  5. KalipsoRed21

    When To Just Not Go Back For The Next Shift...

    Thanks for the responses. Other things that would clue in a new nurse on a job you should just run from. No two weeks notice needed. Just finish your shift and email your notice to the supervisor, save a copy, ensure that you put that your last day will be end of shift on whatever day you are turning it in. 1) Your director does not know the mission statement of the facility when asked about it by you during the interview process. 2) When you ask the supervisor and the director what they like most about working at the institution you are interviewing for the best answer they can come up with is, “It’s close to home.” 3) Other more senior staff who are orienting you tell you to not clean up your patients or do any ‘CNA’ work because “that’s their job.” 4) Your director acknowledges that the assignments are frequently heavy and actually tells you “sometimes it is so busy all you can do is put in a note about the shift at the end of the shift instead of doing all the charting.” 5) Anyone regularly doing questionable actions to get through the shift. For example at this CHI St. Luke’s Brazosport, there were several times that there were not enough working computers. So some nurses would take scanners off working computers, put them on computers at the desk, and scan patient labels and their medications this way after passing all their meds. Totally defeats the purpose of using a scanner to pass meds. And when you bring up the issue 1-10 times, it falls on deaf ears. Don’t tolerate unethical behavior from your employer or your co-workers. That is how Derek Chauvin was able to murder George Lucas surrounded by witnesses and NO ONE did anything. Speak up, speak out, and do not be silent when this happens to you. It is unacceptable. I don’t care if there was a time when someone could safely take care of 13-15 med Surg patients....that is not today’s world and saying no to stupid is how lives are saved.
  6. So my career in nursing is very piecemealed. If I liked an institution I would end up having to quit for personal reasons (I.e one job was 65 miles from my husband, another could/would not accommodate the time I needed to go do fertility treatments....it is rather last minute when you know you have to leave so I get it, but a life without a child would have just been worthless for me.) And the other half of the time I quit because the job was asking to much from my life (Salaried but working 60 hours a week to do a good job, home care was great except for the non-ending nature of it.) Only one time in the last 13 years have I quit a position because I just couldn’t go back to even complete a two week notice due an unsafe work environment. I believe I am there again. I started this job 8 weeks ago and I’ve had 3 serious near miss incidents. No this place is so crappy that they wouldn’t even care if I didn’t fill out the IRIS report, but I do because that is the kind of person I am. I have given notice, but I’m not sure I can go another shift. I need the money until I find another position, but I could just throw up thinking about having to go to work tomorrow. I know that there really isn’t anything more to say (yes I have reported this place to state) but just knowing I’m not alone in this experience is helpful. Everyone at this job has been working this way so long that they don’t even see the danger in what they are doing anymore. It makes it very hard on the person doing the right thing when most of the responses from supervisor roles are, “I’ve worked way worse situations than this, and with less an orientation you’ve had.” (Which I highly doubt because I didn’t get an orientation but even so, just because one gets put in a situation that provides crappy care doesn’t mean that’s the standard we should be aiming for right? So for any of those that are young in nursing, here is my advice for knowing when you should quit a facility regardless of your lack of experience: 1) The orientation is hard to follow, lacks direction, and organization. 2) You are not even close to being out of your orientation period and the place tries to give you a team of your own (even if it is only 1-3 patients) due to short staffing. 3) People are angry with you for being slow and behind and asking how to do something you have been shown. The average adult learns and RETAINS 5 new things a day. There is no way you aren’t going to need to be shown things more than once....for at least a year. 4) Your orientation does not have a checklist of skills you need to demonstrate proficiency in with your preceptor. Or there is a list but no one takes the time to sign it, or ensure that the times were reviewed. 5) There is a sign on bonus. Take it, but don’t spend it so you can give it back if it isn’t safe. 6) Finally, if they are using contract nurses and none of them are renewing their contract, that is a big tale about how bad the culture there. Especially if 50% of their staff is contracted. Good luck! Hope everyone has a better experience than I have had at this CHI St.Luke’s at Brazosport in Lake Jackson, TX. Don’t go there if you are traveling. Super scary. I had hired on as regular staff and moved for this position, just an unsafe and scary disaster waiting to happen there.
  7. KalipsoRed21

    Unsafe loads

    Yes. I have decided to report this facility to State. I had two near misses in one shift last week. I turned in my resignation due to that. The hospital is not willing to believe that their acuity is to high, just looking at the nurses to be responsible for the unsafe situations.
  8. KalipsoRed21

    Unsafe loads

    So, got a new job 8 weeks ago. Was told there was a Tele floor and a med-surg unit and I would be floating between the two. Not a problem, I am comfortable with both. 6 to 1 ratio. Again pretty standard. However here is my last assignment. 1) Guy who was just stepped down from ICU. Came to the med Surg unit with a triple lumen femoral catheter and two peripheral lines. On continuous bipap and tele. Anytime I take him off the bipap to feed him and put him on hiflow at 12lpm it takes about 3 bites before he is in the low 80s. Getting bags of potassium and albumin due to electrolytes still off. Uroseptic and diabetic. Ax0x4. 2) 48 year old with metastatic cancer. Ambulatory and axox4 but having diarrhea. Also on electrolyte replacement. 3) A lady who is demented. Complete care. Has a family paid sitter at bedside who just charts everything I do but does not assist. Bilateral leg wounds with daily dressing changes, coccyx wound, incontinent, urinates but has residual ad us the cathed every 8 hours because family does not want Foley. 4) malnourished man with G-Tube boils feedings and Trach in for Gram + pneumonia. Copious sputum needing suction every 2-4 have hours. Many I V atbx and electrolyte replacement. Axox4 5) New admit from ER of pneumonia after falling a week ago and breaking a rib. Axox4, ambulates. 6) In with CHF and Afib with RVR 160s. Overload is so bad that he is frequently requesting to be placed back on bipap due to SOB on 4-6 liters. MD ordering IV push digoxin. AXOx 4 can’t ambulate due to poor endurance. So I really feel that 1,4 and 6 do not belong on a med-surg unit. That their conditions warrant a 4 to 1 ratio and closer monitoring. Trying to decide if I am going to be able to cut it in led Surg if this kind of patient load is the norm. Yes I had an aid, but she had 15 patients so I was pretty much 1 to 1 except for vitals. I feel like running but I’ve tried all sorts of nursing, there is no where to go.
  9. KalipsoRed21

    How do you guys do it for so long?

    Frankly, I’ve changed positions dozens of times since 2008 when I graduated. I still hate the demands and stupid politics we play with people’s lives. The way nurses are treated as a catch all then dumped on for not keeping up with it, just effing stupid....and abusive. Don’t think yourself crazy to be disillusioned by this career. I found it best to stick with 12 hour shifts because I need lots of rest in between. I do not EVER pick up. Now that you have one year experience it might be good to go do some traveling. Making a lot more money helps. But basically I stay because I have to pay my bills.
  10. KalipsoRed21

    They think I’m an ‘Undercover Boss’

    Started a new job and moved to a new state. Blessed to be in Texas quasi near the coast where my husband wants to live. Blessed to have my mom let us stay with her until we can find a place. But guys, healthcare in the US is just crap. Like I’ve never known a doctor or nurse wanting to give crap care, but the ‘business side’ of this system is just crap. My husband says I always complain about nursing. I think if there is a nurse or physician today satisfied with the crappy care we are doling out, that would be the healthcare provider I would trust the least. Or, by some falling star, once in a lifetime chance, they actually have a facility that cares and I want to know where it is. My new job is probably the worst I’ve seen yet. They had the first two weeks of orientation without ANYONE to provide instructions or guidance to the 11 new hires they have. 😳😳😳 NEVER have I seen that before. I had to, without computer instruction or guidance of a class like setting or from assistance from an HR person, figure out how to sign up for benefits and automatic deposit on my own. After the first week of this unstructured craziness I decided to give myself a tour of the facility and find my manager so I could as about when I would be starting the floor. I found her and she didn’t even greet me. She barely looked up from what she was doing and said “I thought you were suppose to start a month from now. You’ll have to ask HR what you are doing.” 😳😳😳 I gave up a life I built in an area in Illinois over 15 years to take this job.....soooooo yeah. Turns out they are about to have 50 RNs from the Philippines that they have had contracted for the last 3 years leave (because none of them want to renew). They also have travelers who have quit 2 weeks in due to lack of safety. So I’ve been pretty verbal about my dissatisfaction with their culture...in person and in writing... to my manager, my director, the CNO, and the President. Also have to write up a Safe Harbor sheet last shift because the ratio is 6:1. There was 1 new grad, me, and one nurse with 2 years experience on the floor and they assigned the regular a full team and me and the new grad 3 a piece. I was okay with that but the poor new grad has only been a nurse for 3 weeks. They were like “the other nurse can help her out”. And the other nurse was like “then that means I’ll technically have 9 patients!” But she didn’t want to fill out a safe harbor form because she was afraid of the repercussions. 😳😳😳😳 And I’m like, “sisters, things ain’t changing if we don’t grow a pair.” They finally signed with me. Frankly I’m just laughing at this point. I’m not leaving because I gave up EVERYTHING to get down here. So I guess I’m working on getting fired.😂😂😂😂😂 I guess I’m the first aggressive nurse they’ve had in a while. One of the CNAs came up to and for real was asking if I was part of that show ‘Undercover Boss’. So dang sad!!
  11. KalipsoRed21

    Why did we accept this patient?

    So the patient that was having seizures had never been on seizure meds or evaluated by a neurologist. We were unable to get her seizures under control and when she finally was seizing every 5 to 10 minutes we FINALLY transferred her. As COVID was not peaked in my area or the nearest city with a large hospital, I do not feel that was the justification for not transferring her. Unfortunately Hannah, while I agree that there is probably something in my nurse act to justify such action, there are no other job opportunities in this area and as I am the breadwinner for my family I cannot loose my job. There is always the argument that I or other staff I work with could loose our license for not doing best for the patient. But honestly what I have to say to that is nurses are the scapegoat either way. You stand up for the patient you will be fired and blackballed in your area, you choose to continue to work under crappy policy and practice and something happens, the very first thing they do is blame the nurse, fire him/her and then the board takes away your license for poor practice. Does upper management and CEOs ever suffer consequence for the poor policy and impossible situations they create? Nope. They just have to resign early. Boo,***ing, hoo. I’m done trying to change the world for the better. I’m just going to support my family and hope for the best for everyone else.
  12. KalipsoRed21

    Why did we accept this patient?

    So I love the little hospital I’m working at. It is a 25 bed hospital. They are a tertiary outreach facility. So no Trauma certification. They do GI surgeries and orthopedic surgery. They do not have a hospitalist at night, so RNs are left to asses and recommend action to an on call MD who does not come to the facility....if the patient deteriorated very bad one may go get the ER physician for an immediate in person assessment. Now where I’m kinda perplexed and saddened is that I think they frequently do a poor job of evaluating patients for admission and often do not transfer people out who should be. Example: 28 year old comes to ER with seizures. These are new. She had her first one a year ago after giving birth. No other seizures until she came in the ER, had 3 in the ER, was admitted to the floor, had 3 more during the night....we don’t have a neurologist on staff but we do have a telehealth neurologist, but we also do not have the equipment to do further stuff like an EEG. The most we can do is an MRI. So why the hell did they feel she was an appropriate admission? I’ll tell you why. Because we can bill her insurance and as they are asking our NPs and physicians to take a pay cuts along with other reductions in funding, they can’t afford to surpass any revenue. So sad because if we could make the money needed off the more basic patients we do have, this would be a great little community hospital and a valuable resource to a rural community. They are a great resource to a rural community....but due to finances I feel they often take patients they are not well equipped to care for. Another example would be a patient who came through the ER in respiratory distress, was on the verge of needing to be intubated but they were able to stabilize her on bipap...for the moment. Many comorbidities including COPD and a current smoker. Full code, patient did not want to be a DNI. They tried to admit her to the floor. My charge fought hard to say no. We ended up getting out of it because we didn’t accept the patient’s insurance.....but not because we don’t have an ICU? Just very crazy stuff. I have worked there 4 months and there are at least 7 patients I can evaluate like this and go why did we do this? Of course management is like “Well we do have the resources required via telehealth and if they need testing we don’t provide her we will set up appointments where they can get the testing they need then bring them back here. And the respiratory patient was on a bipap, we can take care of bipap patients.” 😳🤪😳🤪 In the back of my mind I’m like “ Well if by care you mean let die, then sure.” Medicine is sooooooooo messed up.
  13. KalipsoRed21

    Night Shift is a Carcinogen

    I guess my question would be: Is $3, or the extra $1.75 I get paid to do it, worth it? I feel like the current shift differentials are pretty much cover the life inconvenience of sleeping while everyone else is working, not a compensation for the hazard of a cancer risk.
  14. KalipsoRed21

    Night Shift is a Carcinogen

    Recently started back on nights at a med/surg unit. Was looking up about how to handle transitioning back and forth so I can still see my family and found out that shift work and night shifts are considered a Carcinogen by the World Health Organization as of 2007. A lifetime amount of rotating shifts and/or working nights is suggested at no greater than 5 years. Apparently there is a significant increase of breast and lung cancer working these shifts. Any comments? https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3813313/ https://www.thelancet.com/journals/lanonc/article/PIIS1470-2045(19)30578-9/fulltext
  15. Nurse x 12 years here. Has anyone else just seen to much to keep going? The mom who had IVF several times before becoming pregnant only to die 3 days later of a stroke. The 24 year old mom of 3 who came in the ER to find she had stage IV cancer. The 55 year old father of a 4 year old dying of cancer. The 36 year old father of 3 who died in a motorcycle accident. The 12 year old boy who wanted a slumber party with his siblings before he died. The 2 year old that died at the family reunion because they lost track of her and she drowned. The toddler that the mom accidentally killed after backing over him because she thought he was with the dad and the dad thought vice versa. And so many, many more. The ‘good’ deaths with the children and grandchildren at the bedside are almost non existent. No, I have not seen “many miracles” in my career, and the few I have just scared me more because they were perfectly treatable things that had been missed to start with. I know, like most in our field, how short our time is with those we love. I don’t think I can spend anymore of it caring for strangers, people I hope the best for but don’t matter to me. Along with the conflict of having an ever increasing amount of work; work that just satisfies the over regulated, over redundant, micromanaged needs of hospitals and insurance companies to disburse or reimburse for the minimal care we can provide in between. I want out of this field so bad. I have looked, I have tried many different positions...one every 1-2 years. I can’t think of anything worse than years of mind numbing paperwork or watching more super tragic deaths. I know we all have to die, I think we should all give to those who leave this world before they have had a long good life, I’m just not sure I can anymore. I don’t really want responses. I am looking into every avenue I can to get out of this hell I have trapped myself into. But, like many, I am the sole supporter of my family and I surely can’t left them down. I just want others to know that if you feel this down about nursing, the career you chose, the debt you incurred for a job that kills your soul and barely keeps the bills paid on your frugal life, you are not alone.
  16. KalipsoRed21

    Overworked

    Nope, that sounds terrible. I get paid hourly and I sure as poo wouldn’t have stayed 2.5 years if I did this for a salary. I get paid 30.81/hour. I deserve more but what I want is to live my life. And there is no way a SOC should be the same weight as a visit.