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LibraNurse27

LibraNurse27 BSN, RN

Community Health, Med/Surg, ICU Stepdown
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LibraNurse27 has 8 years experience as a BSN, RN and specializes in Community Health, Med/Surg, ICU Stepdown.

LibraNurse27's Latest Activity

  1. LibraNurse27

    I don't want to be Charge!

    LOL! Some days I feel I'd rather wash windows than work on the floor. My former manager told me I'd never be charge, because I'm a little too "spicy" with my communication if I need to advocate. I think she was afraid I would push back on upper management when they tried to dump on us, because of some strongly worded letters I sent regarding unsafe staffing causing falls. I sleep better knowing I did the right thing for my patients than knowing I made my manager happy by keeping my mouth shut. When I left I offered to stay per diem but my manager seems to have lost the paperwork. Although I was a good nurse, well liked by MDs and patients, never made a significant error, and was the only nurse on the floor that spoke Spanish, it wasn't enough. I learned not to do a job in search of praise from management or recognition from your organization. Everyone is replaceable. So if you find a better job, take it and run! You don't owe anything to a hospital that likely doesn't appreciate you.
  2. LibraNurse27

    I don't want to be Charge!

    I commend you for having the courage to talk to admin about the issues. I worked on a unit with no CNAs and heavy patients (immobile, incontinent, confused, violent), but our charge never had patients. There were, however, days when we had no charge. Those were days when they had only enough nurses for everyone to have a maxed assignment and no one left for charge. House supervisor had to help with all administrative work. Is it possible you can ask for no charge if no one wants to do it? If everyone refuses they can't force you. You can say the workload is too much and detracts from pt care. Just be careful if you think they may discipline you for being insubordinate =/ They threatened us but we have a strong union plus if they fired anyone they literally wouldn't have enough staff! Do you have a clerk or you also have to answer phone calls? We had no clerk so we had to do our own calls to the doctor. Having a charge with patients ALSO handle everyone's calls sounds impossible. I really feel for you; I know how it feels to need to page a doc but also a high fall risk pt needs help to the bathroom and 3 others are incontinent and need 4 people to clean them... it feels horrible and overwhelming. I hope things improve soon or you can change jobs...
  3. I think overall covid IS getting better, so that is encouraging. Also, it is totally your choice whether or not to get the vaccine. These are just our opinions. If you don't get it and you keep doing what you're doing in terms of protecting yourself and wear PPE at work, I don't think you're a huge risk to your patients. If you were going to the bar without a mask that would be a different story. If you're just at home, not as big of a risk. There is always the chance of getting it at work and then spreading it, but if the residents are all vaccinated it's not as high of a chance of them getting severely ill (although elderly are still higher risk). If you want to work and the facility doesn't require you to get the vaccine, just stay responsible. Wear your N95 except at lunch, and to be super safe you could eat in your car or outside away from others. We definitely need nurses who want to work LTC!
  4. Same! I was nervous because I got it early since I worked on a covid unit, and the fact that it only had emergency approval and no way to know of long term side effects was scary, but getting severe covid or "long haul covid" from a minor infection is scarier. Most vaccines don't have long term side effects and if they do it's in a tiny population. Nothing is 100% risk free, but based on my research the chance of getting covid is higher than the chance of having a long term side effect from the vaccine.
  5. LibraNurse27

    I don't want to be Charge!

    I agree with JKL, if you are put in an impossible situation with too many tasks for any one person, prioritize patient care. Focus on your assignment and on helping other nurses when needed/you have time. Paperwork last. It sounds like your manager understands that she is asking too much of you but doesn't really have other options, so I hope you wouldn't get in trouble if the paperwork/audits don't get done. I worked on a floor like this, and honestly our charge never even made the assignments. The PM shift would just come in early and fight it out. Not good, but there was literally no time. I hope your unit is able to hire and retain some experienced staff and a full time charge (who doesn't have to take patients!), but if not you may have to join the exodus for your own sanity. Are you in Med/Surg? We called a lot of rapid responses because we were all new and didn't know what to do when pts went toward ICU status. Not good, but it did show admin that the unit wasn't safe... =/
  6. LibraNurse27

    The traveler's I've seen... (add yours)

    Our travelers put us to shame! Many come to Bay Area because the pay is high, and most of our travelers come from the South; Arkansas, Alabama, Louisiana, Tennessee, and Mississippi. I'm obsessed with their accents and southern charm. They are used to crazy ratios so 3:1 in step-down is nothing for them. We complain about staffing and they look at us like we're crazy. One woman deep cleaned her covid pt's rooms because the hospital was limiting housekeeping entering rooms. I walked by and saw her mopping the floor and singing (where did she get a mop?!). I love seeing our former travelers on social media buying houses with the money they earned. I had not previously interacted with anyone from the south or midwest and had a lot of preconceived notions about them being racist, homophobic, ignorant, etc. I have learned not to make generalizations and not to pre-judge anyone based on where they came from. As for some of the travelers listed above... yikes!
  7. LibraNurse27

    More pay or better ratios?

    LOL! Some men are VERY popular on OnlyFans, don't worry! All about the marketing and finding your target audience 😂 I have seen some nurses who made so much money on OnlyFans they quit nursing and do it full time. Not sure about the longevity though LOL
  8. LibraNurse27

    Is it selfish?

    Hi all, although I just posted about getting some positivity around nursing, I am not currently feeling positive = ( Yesterday I gave Norco to a post op pt and I didn't see she had already gotten IV Tylenol 90 mins ago in pre-op. Our order set has oxycodone and Norco but says don't give Norco if pt got IV Tylenol. pt was allergic to oxycodone. No one thought it was a big deal but I hate making mistakes and always ruminate on them even if no harm to pt. It's the second minor med error I've mad at this new job within 7 months. I only made 2 errors ever in my 5 yrs at the hospital, one was a double dose of vitamin B and once an "underdone" of PO morphine (obviously easily fixed LOL) This job is non union and seems easy to get fired. My boss actually said don't report minor stuff because he has to put it in your file. I see other nurses only report big stuff like falls, needle sticks, significant med or procedure errors. I still submitted an incident report. I have a terrible guilty thought that I wouldn't mind getting fired and doing something else, although it would be embarrassing and distressing. I am the primary income and provide health insurance for my partner. I feel if I were single I'd quit and do a lower paying job and downsize while I figure things out. If I can't even handle this low stress outpatient job, I don't think I should be a nurse. Is it selfish to ask my partner for us to live somewhere cheaper for a bit so I can figure out what to do next?
  9. LibraNurse27

    Anyone here who loves bedside nursing?

    Hi all, I see a LOT of posts here along the lines of hating bedside, not wanting to be a nurse, regretting becoming a nurse, burnout, etc. I also burned out at the bedside for many of the reasons discussed at length here. I'm wondering if there are any nurses who actually love bedside, and if so, what do you like? There were aspects that I truly loved, but in the end the cons outweighed the pros. If you love it, what type of work environment do you have and what is your specialty? I'd love some positive and encouraging posts about bedside for new grads to read, but sadly I'm not the one to write them! I will say it can be rewarding and a huge learning experience.
  10. LibraNurse27

    Medication Error During A Code

    The bigger problem to me sounds like the SVT in the 180s for an hour with nothing done...?
  11. LibraNurse27

    The Cost of the Health Care Workforce

    Good article! With so many people leaving the bedside or avoiding it all together, and nursing school enrollment down, I actually worry about how hospitals will be staffed in the future. Maybe if an administrator who doesn't care about ratio is cared for by a nurse with 12 other patients one day in the far future when there is not enough staff to give anyone VIP treatment, they'll realize it's not a good setup. I've always thought hospitals could save money by treating staff a little better rather than training and losing new nurses every 6 months. Paying a few extra nurses each shift is probably cheaper than paying 3-6 months of orientation to someone not counted in the staffing only to have them quit 6 months later. Hey, maybe I should become an executive and share my brilliant ideas 😂 JK
  12. LibraNurse27

    More pay or better ratios?

    I would take better ratios over more pay. Insane ratios lead to burnout and injuries. I saw nurses where I used to work quit or retire early due to mental and physical health issues, and others take unpaid leaves or go on disability for months, which doesn't pay your full salary. I'd only take the bad ratios/good pay option if I had a bionic body impermeable to injuries and perfect mental health. But I do NOT want to be having rotator cuff surgery, knee replacement, back injections, etc due to hurting myself working in bad conditions, or end up severely depressed. Not worth the money.
  13. LibraNurse27

    Have you ever left a nursing job due to a patient/family member?

    I stayed in my hospital job for 5 years and the last 2 years I was constantly looking for other jobs but then not applying or accepting because of fear of the unknown. It was a hard job but the coworkers were like family. I was scared after reading about toxic work environments. But in my new job I'm SO much less stressed and once again work with a wonderful group. They are not as close as the hospital coworkers; we don't frequently hang out outside of work, but friendly and helpful. Your coworkers don't have to be your BFFs. Many of my previous coworkers were young or if older divorced. Many of my new coworkers have partners and children, hence the fewer after work hang outs. Don't let fear of the unknown stop you from finding a better job! There ARE less stressful nursing jobs out there, and it's possible to find one that also has nice coworkers.
  14. LibraNurse27

    Florence Nightingale's Revolution from Home

    I haven't heard of Mary Seacole. I will look her up. Thanks for sharing!
  15. LibraNurse27

    Florence Nightingale's Revolution from Home

    Very interesting! I also did not know how long she was homebound. Impressive that she was still so influential. Great article. I think continuing to praise Florence Nightingale can be a "yes, and" situation. Yes, she did a lot for nursing and infectious disease, and deserves recognition. And, many women of color also did a lot for nursing and are only recently being recognized. Harriet Tubman and Sojourner Truth were both nurses. The podcast Good Nurse Bad Nurse featured black nurses in its "good nurse" segment for all of 2020... that's 52 influential black nurses! Highly recommend.
  16. LibraNurse27

    Setting my orientee up for failure?

    This sounds really tough. Somehow I have (luckily) ended up orienting only extremely competent new grads, sometimes to the point I joked they were orienting me! I would be uncomfortable in your position. Your orientee is lucky to have such a kind and patient preceptor. I've seen preceptors become frustrated with new grads and mistreat them, belittle them, etc. Or not give feedback and then blindside them as described in other threads. It sounds like you've done everything you can. You have notified manager and educator early and kept the orientee in the loop. All that remains is to see how she does the next few weeks, decide whether you think she's ready or if you think it makes sense to advocate for extending her orientation. It should probably be a group decision between you, night preceptor, educator, and manage. If the worst happens and she is let go (or hopefully transferred within the system!) I'm sure you will be compassionate, gentle, and encouraging. Even if it sucks at the time to be told you're not ready, I think it's worse to be allowed to perform a job you're not competent at that may allow you to harm patients and/or destroy your mental health.