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britmansf18

britmansf18

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britmansf18's Latest Activity

  1. britmansf18

    Hostile work environment

    Ok, I have not been able to get any sleep over this situation. I just feel like maybe I could have done better. I am a nursing supervisor in a LTC setting. I am a new nurse and I have never held a supervisory position before. With that said, I haven't had to deal with staff issues. Here was the situation. I came into work expecting that I was going to have to do a med pass because we were short an LPN and no one was going to come in. I get there and another RN is on. I figured they brought her in in an LPN capacity. She comes over while I'm getting ready to get report and she says I was told I was charge today. Well, my name is on the schedule and I am full-time. It was my night to work, and no one told me they were moving me onto a hall (I think I should have at least been notified, but maybe I am crazy). She got really mad and got me and the other charge nurse alone and said we embarrassed her and made a scene. The only thing I said was I would have like to have been notified that I was coming in under a different role and that my name was on the schedule and I didn't want to end up being responsible for something because I allowed her to be charge that night. Meanwhile, I have another LPN that came in because she was called in. She said she wasn't feeling good and didn't want to be here. I was trying to accommodate her as much as possible even though she willingly came in on her own. I was sitting at the desk and I heard her screaming at an aide. She said, "This is the second effing time I've told you."I got up and said, "What's going on here? Are we being hostile toward one another?" The LPN said yes I am because I am tired of everyone telling me how to do my job. Just leave me the hell alone. I said, excuse me, but the language and the tone you are using is inappropriate and if you had a problem you should have come to me. I would have taken care of it. I went to talk to the two aides involved and they were visibly upset. I went back to the LPN and said I think we all need to sit down and talk or I am going to have to write you up for your behavior. The LPN didn't believe she did anything wrong and the aide changed her story when we all sat down to talk about the situation. She said she knew she was joking and she was fine with it. The other aide was not. She said the language was disrespectful and totally inappropriate. At that time, she was around the corner on her assigned hall. I was telling the LPN that she needed to apologize to both of them. The other one comes around the corner yelling at the top of her lungs that were talking about her (mind you its like 1am and the residents are sleeping). I asked her to lower her voice and she ignored me. Another aide comes down after hearing all the commotion saying we are disturbing her residents. The aide that was raising her voice told her to mind her business and go back down her hall because it didn't concern her. So the other one starts yelling. Now, they're both cursing at one anther. Finally, the one left and went back down her hall. I settled the situation with the first incident and then I went to go talk to the other aide. She said if the one yelling at her came back down the hall she wasn't going to be nice. I said if either of you start a fight in the middle of the hallway I will write you up. This is my warning to you. Everyone else already got one.... I just feel like maybe I should have. For the sake of being short staffed, I didn't want everyone to walk out. This place is a mess. People walk out all the time. I'm just beside myself that I am even being treated like this. I can't ask anyone if this or this was done without getting an attitude from them and they report me saying I'm being overzealous about their work. All I am trying to do is make sure their work is done. Can someone advise me on this situation? I think its getting out of hand and because of it my work is suffering. I cant think straight and I am afraid I am going to make a bad mistake.
  2. britmansf18

    New RN sup still orienting but full of questions

    I am in ltc but no I don think we receive orders ahead of time we have to call and notify the physician of the admission and they submit the order set ( I haven't done one yet so I could be wrong)
  3. Ok so I understand the role of an lpn and understand that they cannot be the primary assessment on a patient because they cannot practice independently .. But are they allowed to put their assessment in with an emergency as long as the RN does one ? 2. What is my obligation as RN supervisor on monitoring Foley catheters .. I know I can't possibly assess every resident in the building so do I not address it unless the lpn comes to me with an issue ? 3. Ok I know chest pain is a true emergency especially if it's a true heart attack , but I was told I have to call the DON to send a resident out unless it's a code .. So do I call for a resident with chest pain ?
  4. britmansf18

    Lpn or RN

    Good thinking
  5. britmansf18

    Lpn or RN

    I'm so used to being responsible for everything about a patient, like monitoring the status of a Foley catheter like whether it's patent or not and any issues with it but if I'm RN supervisor and not directly caring for it by either doing an assessment or emptying the bag who is monitoring it / documenting on it ? Where do my responsibilities lie with things like this ? I know I can't do an assessment on every resident in the building
  6. britmansf18

    Suctioning and O2

    That makes sense Ty !
  7. britmansf18

    New RN sup still orienting but full of questions

    So if it's 8 pm and there's an admission will the doc submit a diet order relatively quickly then ?
  8. britmansf18

    Suctioning and O2

    I just wasnt sure which equipment to Use for supplemental oxygen while suctioning .. Do you use a mask then ? Do u want to deliver 100% oxygen ? What about someone with copd?
  9. britmansf18

    New RN sup still orienting but full of questions

    Ok there must be somewhere to put the meds in then . The assessment will be the easiest part of the admission.. I planned on asking I just thought maybe I could get a general idea
  10. Ok mainly i wanted to know.. It sounds stupid but what do you call and tell the MD when there's an admission ? Just that they have arrived ? How do you do med reconciliation ? Does the hospital provide a list of meds and then u read them off to see which meds he wants to continue?
  11. Ok mainly i wanted to know.. It sounds stupid but what do you call and tell the MD when there's an admission ? Just that they have arrived ? How do you do med reconciliation ? Does the hospital provide a list of meds and then u read them off to see which meds he wants to continue?
  12. britmansf18

    still having trouble.

    I thought this was supposed to be a site for advice not to belittle people !
  13. britmansf18

    still having trouble.

    Well, I am honest with myself and I dont feel it was completely my fault. So say whatever you want to say. Ill give you the story..no need to search. I was hired there right out of school and was part of the brand new nurse residency program. Started on the floor in late July. I was doing well (At least I thought so) I had no negative feedback from my preceptor either. My supervisor though took me aside one day and said I looked like I was in distress all the time and she wanted to know if I was ok. She wanted to know how they could intervene before things got bad for me. I told them that I started having anxiety attacks a few weeks before I graduated and not that I felt anxious but I guess I looked anxious to them and possibly others. I agreed to counseling through the hospital and medication regimens in order to stay working. I did not feel as if the counseling was helping at all and the meds they gave me helped somewhat, but none of which I could take at work. Work was the reason for my anxiety, not home. They kept pulling me in and out of work, and because of that I didnt finish my orientation. They could no longer offer me a position based on that fact. However, my supervisor had a meeting with HR who came down and spoke with myself and my supervisor. Her exact words were that I would be eligible for rehire providing I gained experience and came back. She wanted to give me a chance somewhere else in the network and told me I had 30 days to apply. She would set me up with a recruiter (which she never did) and we would go through jobs and apply for ones I most qualify for. I called her for a month straight while on this unpaid leave with no response. On exactly day 30 or so ...maybe even past..she called me to tell me she terminated my position and that I was supposed to apply on my own. No one was gonna do it for me. How's that for a mixed message? So, I was told by my supervisor that it was ok to say I was terminated because there were no positions to offer me with my current qualifications at this time or to say it just wasnt a good fit for both parties. The other piece is many new grads that completed orientation even were given temporary positions, not even guranteed to stay .. because they overhired and had no room for new nurses coming in. You tell me what you would say! ??? Im dying to know. I know I am not the first one. I know I did my best. I will not let anyone tell me any different and I will find another job
  14. britmansf18

    still having trouble.

    i need at least 1 year of acute care experience
  15. britmansf18

    still having trouble.

    Hou Tx, I was told my HR themselves prior to terminating me that if I left and gained some experience, I would most certainly be eligible for rehire. There were some issues related to my anxiety, but I followed their protocols, went to counseling, and started medications. Things just didnt get better. However, they were pulling me out of work and not allowing it to remain consistent to evaluate me and then I was told to go on a leave and devise a plan to come back and finish orientation successfully. I did just that and I got ignored for a month and a half before I got called and said I was terminated. There was alot of garbage that was involved with this job. I honestly wish I never got hired. I understand about the application part, and I do realize that its ground for termination if they find out about a previously concealed employment.
  16. britmansf18

    still having trouble.

    I have previously posted about losing my first nursing position after only 2 months and some change. This was back in October 2013. I graduated May of 2013. Since then, and because of being terminated, I have lost my confidence that I will find a position in nursing and have even run through scenarios of leaving the profession for good. This is heartbreaking to me! Everyone tells me that new nurses have bad transitions, I am smart, and that I am definitely meant to be a nurse. Ive tried explaining this situation to prospective employers and each time ive been without a job. I was offered by HR before they terminated me to apply for other positions in the network. I did just that. I got terminated and then got a call for an interview on behavioral health, something I was passionate about. This was an internal application, but I had to tell them at my interview that I had been terminated. My reason being was that there were not enough full-time positions to be had by new RNs, which was true in a way because some of the new RNs were being hired into temporary positions for people who were on leave since the network overhired. My real question is can I legally leave this job off of my history/resume? What are my options? However, then I have to explain that I did not seek employment for 9 months??? I am currently 5 months pregnant and I took a job as a caregiver at a home health agency because I wasnt finding work as an RN fast enough and my fiance needed help paying the bills...that looks worse than trying to form some kind of positive out of this bad first experience. Please help! I am really passionate about behavioral health and believe I would excel. What I learned from my first experience in the hospital was that the pace was not good for me. I think I would also do well in a long-term care facility because the pace may have to be pretty quick, but patients do not change as often and the patient conditions often are similar from door to door. I would be able to focus on time management and getting to know my meds.