bxh5164

I have been on my unit for 8 months. I have been at the hospital for almost 2 years, as I worked as an aide prior to getting my RN. I love my job and my patients. I love my boss. My only problem is I am stressed out. Even if my night goes well, I second guess myself, all the time. I am always questioning if I do the wrong thing. I go home and I can't sleep because I am so stressed out. I am so paranoid. Unfortunately, everyone knows it. I have often reflected back on clinical situations and called in to discuss it with my supervisor to make sure I did the right thing. Never have I ever got called into the office for doing something wrong or for making a mistake. Every time I have ever questioned myself, the senior nurses have agreed with my judgement. It is affecting my personal life. All I do is think about work, all the time. I worked last night and I want to make sure that my patients did ok through the day today. I saw an article on compassion fatigue and I feel that it may be something I am suffering from. I have only been licensed for 8 months. These intense feelings have developed more severely over the last month. I am looking for some input. I don't want to change jobs. However, I think it might be necessary as I think I am experiencing burnout. Two months ago I posted how I was burnout, but now I feel that I am just paranoid and just want all of my patients to do well.

Both. They are tired and burn out themselves so they just try to avoid them. I was medicating someone and watched an aide sit at the nurses station while a bell was going off

Hello everyone. I would appreciate your advice. I was a new grad in May. I worked at a hospital for a year and a half before I graduated as an aide and got a job promised to me in April. I started working immediately after passing my boards. I chose to do med surg because that's where I worked as an aide, although my real interest was critical care. I figured I would do my time, learn some skills, and then move on. My floor is BUSY and understaffed. Lots and lots of new nurses, about 10 to be exact. Most of the time I get report from people who have even less experience than me and spend most of my shift correcting their mistakes. The other day they left me and one other nurse, two weeks off orientation, on the floor and one aide. I spent my night finding errors in orders and dumping foleys that hadn't been dumped all day. Find that no blood sugar checks were done on a diabetic who is npo. Bottomed out. Admission after admission and eventually they called in help for us. It's stressful. I work with a doctor who doesn't return phone calls, doesn't like me, and never listens to my concerns. It's scary. I have no one to turn to for help because everyone else is new too. I am feeling burn out already. I feel myself complaining all the time and that's not me. I get report from people straight off orientation and everything is a disaster and I just get frustrated right at the beginning of my shift. The aides won't answer call bells and take people to the bathroom so not only do I have 6 patients but I am also providing primary care for a lot of them. Advice please. I go into work 40 minutes early to get started and read about my patients and I leave about an hour late, sometimes more because I am charting.

The patient wasn't expected to pass so suddenly. It was a change in status. She was alert and talking earlier in the shift. Something should have been done way earlier in the night when she realized things were headed that way

Last night I worked night shift on my medsurg/stroke/oncology floor. A nurse came out to the nurse's station and asked if any of the senior nurses were around. I said no, why? She said I think my patient is dying. I said is she a DNR? Is she comfort care? She's like she's a DNR and they were kind of expecting her but not so soon. I said oh and we ran back to the room. I walked in and she was unresponsive agonal breathing HR in 30s and I asked do you want a RRT? I knew nothing about the patient besides she was a DNR? The nurse looked at me and then she said ya. I called a RRT and when they showed up she had already passed. The nurse had sat on her for over an hour "while she was on her way out." As she called it. The RRT team was like why would you call a RRT on a DNR?? It was a change in patient status and her RN told me to. The RN blamed me. And said I called it. I told my manager about the situation. Just because she's a DNR doesn't mean you don't do anything. Did I do something wrong??? The nurse is notable for not being competent i knew nothing but the patient was all but passed when I walked in.