snfnurse

Ttt- short answer is that I was 11p-7a and doctors and NP dont really prefer to be called during those hours when they can be called during the day. For acute things, sure. Other issues go in the MD book to address AND the supervisory report so they can be followed up.

I am still upset. Day after day I would add concerns to my supervisory report and no one addressed them. Twice I wrote about a patient who was taking meds for hypotension and hypertension at the same time. I never got any feedback on what I wrote. One resident had calcium Oxalate crystals in his urine and he never received an xray to check if he has stones though he screams in pain. He got Norco 5/325 which seemed to help him some but thats just a bandaid. One resident just died from a heal wound that wasnt debrided. It was a deep tissue injury that was closed and she became septic. It needed to be opened and drained. I was just mostly appalled that someone was allowed to cuss a supervisor. Maybe my discoveries were getting me on the bad list. I will say this after m my time at working in nursing...if you get the feeling you are in the wrong place...you are. Always protect your career and get out asap. It wont get better. Darn, I was so happy not to travel. I loved the staff on my shift. Of course I loved the residents. I am sad at how this profession treats each other.

Thanks for the support. I was raised not to quit jobs and to give adequate notice and I know from experience how health care workers DO run into each other again, so I agonized about the decision to the point that I was having stomach pain and couldn't eat. My Dr. wanted to do an upper GI series to make sure I don't have an ulcer. That little 20 something LPN told me I have a "****** attitude" just because I didn't agree with her assessment of the CNA situation!!! I'm not the one coming in 45 minutes late in the morning! She told me I had to make my night shift CNA stay past 7am to help get people up. Um, no. If Administration is going to put one CNA on a hall at night where most people are two person assist for transfers, it's not my CNA's problem. My CNA doesn't want to risk her license transferring someone alone that is two person assist much less risk injuring a patient. She is a skinny 60 some year old woman!! She is free to go at the end of her shift UNLESS she prefers to stay. It would have gone a long way with her if someone had asked her nicely. Frankly, I thought my CNA was terrific. No one ever had a low blood sugar because she kept a close eye on them and made sure they had a snack. My dementia patients that take off their nasal cannula during the night were never at risk of low O2Sats while she was on duty. My dementia patients who can get out of bed never fell while she was the CNA-she kept an ear out for those patients. She would tell me when someone was restless and not sleeping. She told me immediately when my cancer patients wanted pain medication. I was always relieved when she was on duty vs one of the younger cna's. I'm so relieved I am out of there. I asked if I could have the day before Thanksgiving off or the day after and never even got an answer.

Were you hired as the DON? Did you give a notice? I've seen this place doing underhanded things, no way was I going to risk having them do that in retaliation while I worked a notice.

Oh my, I just had to quit a new job (I was within my 90 days as a new employee) and I'm still reeling from it! Maybe you can help me process this. For starters, I was not informed of all job requirements when interviewed. I didn't know I would be on call and work 70 hour work weeks. I got to the point that I was so exhausted I was taking prednisone so I could keep on going. I was hired as a nursing supervisor and the place was short staffed every night. It was insane One CNA for 35 residents, one nurse per 50 residents. I am an experienced LTC nurse so I could keep up with my duties but the residents were so short-changed. It was sad. I saw sacral areas with eschar on them and skin assessment paperwork done that didn't even mention the pressure ulcer. Since there was no acknowledgement, there was no treatment either. That was nuts. I could go on and on but the last straw for me was when a first shift nurse and I were discussing CNA disagreements between the shifts and she started cussing at me and telling me to "do my job" as a supervisor and that I "wasn't a team player." I wrote her up for cussing at me (I'm a supervisor/RN and she is an LPN) and doing so in front of staff and residents. Administration did not present it to her. They didn't see an issue either with her being 45 minutes late on a Monday morning once after I had worked the weekend and just wanted to go home and die. Seriously? Lucky for me, I had stayed prn at my old job and they welcomed me back. My old job is a 5 star facility but I got tired of the traveling time. I will gladly go back and love my travel time and 36 hour a week schedule!!! I am still in shock over that place. I quit with no notice when no one cared about my concerns. I felt like my license was at risk every night. What would you have done?