gypsy626

wow ed med if I could give you a gross of KUDO's I would hell ya what you said is all true and I was a nursing supervisor I worked a unit, supervised nurses and cnas no one hated me but the 7-3 unit manager why? because I had treated my staff like I was brought up to treat people with RESPECT what they didn't know I taught them I had rn's with bsn's who couldn't do a simple picc dressing I taught them so they could teach someone else and all the while behind my back was the unit manager running to the don making negative comments about me to the point of dirty looks from the don when I came to work, I had no idea how paranoid the UM was I had fun we worked hard we got back stabbed I said see ya have a nice day you paraniod mouse and moved on and I am so happy I did thank you for a great post!!!!!

in reply to you really? where are they I am going to take the high road on this and think you are really asking for the information not being sarcastic google violence against nurses and read them

bravo for posting this and whomever disagrees has never been hit, threatened, harmed or scared to be in nursing! if you read the stats on violence in the workplace for nurses you will see just how many nurses are killed, shot, beat up, and traumatized in the work place all medical facilities need security 24/7 we have drugs people want to begin with and they will hurt you to get to them, we deal with crazy families, crazy patients ( who have ALL the rights) and others who just wander in off the streets drunk drugged or just plain crazy. I just left a facility as I was hit by another staff member and no one did a thing nope it was ok to do lateral violence if we had security I could have called them and I was told not to call the cops as I wasn't really hurt doesn't matter if I was hurt it was potential harm to a medical professional! when are the medical boards going to force facilities to protect the staff? when 50% of nurses quit the field and schools can't fill the nursing classes? I know many who have quit nursing and have gone on to become lawyers, does that give you a hint of why things need to change?

jack at least you are honest in your specialty, what society has become, ah nursing..... some days it doesn't pay to chew through the leather restraints

most of the time we are not talking about the patient with a head injury, or dementia, we are talking about abusive people and/ or their families usually disfunctional ones , and then there are the just rude ones, this maybe generalizing however in 18 yrs of nursing this is the norm of what I have seen the wealthy are usually more demanding but not abusive they may demand more but are cooperative and say thank you the working class just want to get well and go home normally never any issues the generational welfare patient is verbally abusive the most demanding and least accepting of any patient education the hospitals never accepted abuse in any form md's and nurse managers would intervene or security would handle it in rehab, short and ltc the scene changes, the patient who is a/ox3 is told " what ever they want they can have" as they sign in does it happen of course not they want steak, they get hamburgers, they want pain med in seconds of asking there is one nurse caring for 20 to 41 patients the cnas are wonderful but their primary role is incontinet care , bed making and meals the off shifts are the ones who suffer having the least staff they also have the largest med pass, treatments, and the majority of the family issues with little or no support staff if a pt hits another pt they are sectioned to a psych hosp if a pt hits a staff member they call psyche services who come arrive in a few days and offer to up their medications and get a ua c& s no one really pays attention to some of the real issues why patients get angry loss of control, facility foods, not enough staff to meet their needs in a timely manner, changes in their habits no smoking, no etoh, no fatty sodium laden snacks, one to 3 room mates who may keep them awake, touch their belongings staff entering rooms for care, personal odors of others who have the right not to bathe or shower and then if for some reason they are not financially ready for ltc after their 100 paid days their finances drained and sometimes their family homes sold to pay for care and it's all understandable it's all reasonable anger it's the for profit homes who make staff more at risk for lateral violence, there is NO other course of action but to make it a police issue once assaulted by staff in a nursing home because administration doesn't want to correct the situation but bury it usually targeting the one assaulted and I have been told by more than one manager just remember at the end of the day we are just a business to keep a head in the bed in other words the only thing that matters in the census!

many states have or passing laws to help nurses some states limit the number of hrs you can work to 8 or 12 ( in one facility) you may have another job for more hrs it has proved to decrease med errors and possible harm all states should have this I know by the 15th hr I am not safe but forced to work an overnight shift one nurse 2 cnas and a heavy 6 am med pass ( no way to be in compliance) one the subj of nurse to nurse altercations as I have stated before HR dragged me through it after I was assaulted and I agree with one post that states HR is NOT your friend they are in place to protect the company. I did the right thing with chain of command and it made me the target of the don. I go back to the first thing I learned in nursing school, no change without change.

we all took an oath to do no harm very few upheld that not by harming a patient but by doing harm to others many nurses have left the staff nurse role secondary to the back biting violent behaviors of other nurses who have hit another nurse and nothing was done, violent patients or the mandatory ot to list just a few. I have been hit and went to the don who dragged me through HR process making it look like it was MY fault she hit me not one thing happened to her but I know karma will bite her what I should have done was filed a police report and taken her to court by the way apparently I was in her way looking for a chart when she hit me I have seen so much in nursing integrety is gone I have had patients families take things ( non meds) off a med cart and when told not to , reported that nurse to administration as unfriendly and administration only cares about customer service the fact that it is a board of nursing rule that no one else touch a cart that nurse has full responsibility for said cart and there you have families and others taking cups pens fluids etc off a med cart I would love to see then do that to an MD!!! never happen and about unsafe patient loads how about 20 patients to one nurse and sometimes 10 patients to a cna do you really think anyone cares? they only care when a patient falls and fractures and it is reportable to dph in the real world of nursing your rights as an american citizen and employee are violated daily until all nurses speak up as a group it'll continue administrators and owners will never change until there is a national white out until that day when the majority of cnas and nurses walk out stating hell no we aren't going to take it anymore it will continue to fall apart

dealing with HR is a waste of time in some places the one in place now deals with 7 facilities plus all those power lunches and outings with the owners geez she must work 12 hr days lol they are paid well and unless it is a racial or sexual issue she always sides with the facility there are many " are you kidding me" stories just from this group of facilities

change must begin in the facility before ruining any chance of working in that city/town because of speaking out in the public one must begin change when the bullying begins start with HR we are employees at will therefor can be let go for any inane reason and all hiring managers know this I have found that the day shift sticks together to bully the other shifts ( not all join in ) but I also found that speaking up to the DON makes a huge difference it's like a warning shot I know what's going on and it won't be tolerated kind of message it has worked so far

just adding........ I'm from Boston and sometimes it really does take a tea party to reform what's wrong with things

just a quick thought in any one particular facility non union what would the bullies and the ones who enable them do if there were " a white out" no nurses show up I agree it would be a hardship for one shift but no nurse can work over 16 hrs maybe a point would be made

couple of things here.... give a 2 weeks notice smile tell them how wonderful it's been blah blah blah or just see what they do Monday if they don't fire you start a journal names, dates times incidents it's a legal document if and when they do fire you you have concret evidence

interesting thought however why is the patient in the facility? just to be non compliant? noooooooooo to be healed so if they are a/o x3 and have any type of restriction and they demand fluids prior to surgery and are given it because of their RIGHTS and they die what then? are we protected to say we acted wise and prudent? no because giving in is doing the wrong thing they should be given an AMA form and told I am not giving in you are here for a reason my license is to do no harm and you are asking me to do harm comply or leave period people are hurting themselves with their lists of rights HCP's are becoming too powerful I had an hcp stop me from giving oral morphine to a dying patient stating I don't want her too be doped up forgive me for this but I had to stop and waste the drug and document for another half hr when did the hcp become a medical professional? I give up there is no winning there is no respect we have become waitresses with drugs

LTC is no longer just that with our facility it's short and long term re hab pre and post op and it's crazy long term dementia patients don't sleep well they ambulate in circles and talk hang onto the nurse grab at everything and are huge fall risks the staff runs all night 40 patients and 3 staff with a heavy med pass at midnight and 6 am on all 3 floors med pass is hell as unit managers put 75% of the am meds for 6 am no way can you be in compliance they must start meds by 4 am and leave blood sugars for 6 am one unit can have 18+ diabetics chronic care is worse g tubes IV's heavy med pass but patients tend to sleep better acute and rehab is a constant prn race and they like their meds and are told they can have anything at any time so they call for snacks meds and to move the kleenex box a half inch closer and then complain they waited 5 minutes for meds all floors do 24 hr checks write next appt consult paperwork and discharge paper work file and do the iv's meds insulins and treatments because if they didn't the 3 day nurses would not be able to chat at 7 am have breakfast at the desk and smooze with management unless you must work the night shift it is not the way to learn and it makes you wonder why you went into nursing I gave it up in favor of a saner shift

I would hope she pressed charges both in criminal and civil court are families getting crazier or am I just noticing it more?