takeiteasynyc

we use ED techs. there's 1:3 nurses supposedly but they get pulled out to watch observation/ psych pts/ 1:1, transport, cover breaks so half the time theyre not easily available. Wanted to add that I brought up my issue several weeks ago to a union rep to see what my alternatives were despite not being unionized and he asked if I wanted to transfer out. I said yes and found out recently that he went to the director of nursing, who went to my ED nurse director who now wants to meet with me Tuesday early in the am. I've made minor mistakes like not document an ulcer or creating a med discrepancy by returning an extra percocet when I took an extra one out by accident. They wrote me up. I'm almost certain that theyre not recommending a transfer on my part and it's more termination. So Tuesday, I'm supposed to meet the ED director and it's been a pain/ a week in limbo trying to set that up. At the beginning of the week I was told by my manager to go to my charge nurse to schedule myself for the coming week- the week of my evaluation. Exact words were " you have to, or you wouldnt be on the payroll schedule". The charge gets back to me this Thursday and tells me she'll definitely have me on a schedule by Friday. Fri I hear nothing, only word from the union rep that my director was looking for me so I set up a meeting through email with the ED director. She tells me tuesday at 9am, doesn't respond to me in terms of location and Im left hanging again. I'm pretty proactive but honesty don't want to be proactive in my own firing..lol... I want badly to resign on good standing but at this point with how unprofessional they've been/ stringing me along I just want to email my resignation and I am really scared that they wouldn't give me the option to resign.....the professionalism I've seem so far makes that option questionable.

how do i resign on good standing while on orientation. Usually I give a month of notice, sometimes more if they seem seriously understaffed but I'm not sure how to do that on orientation.... and should i come in person with a letter, do I explain it as a family emergency-my resignation or no excuses

my hospital excluded me for ebola training also. I'm not likely to triage but really???

yup its for esi 1,2,3 and a big NO to 60/hr its both with lack of morale-- i'm told i lack enthusiasm and don't want to seem like I want to rush into traumas. That was initially now. now im just tired of proving myself for something I don't really want- this particular ED but I'm not sure how to salvage my resume. how do i explain leaving after less than 1/2 yr. i'm told not to bad mouth your old work place but how else can I explain it... I'm also wondering is it better to resign at this point or wait for the axe to fall

those ratios are normal in nyc...my last place was like that but we didn't do break coverage that way, where you take on your partner's load. they did tell me 10-13 but not about break coverage

Im still on orientation and am going to be evaluated soon at my new ED position. (i have yr+ of prior experience in an different ED) There's a chance I might be let go due to minor non-life threatening mistakes i've made and lack of morale. There are parts of the ED i love and am completely amazed by---continuous learning, being around strong and capable co-wrkers, always having the MD present and there are parts I hate. The hustling, the continuous under staffing issue. The shift I'm slotted to go into, nights has a 1:10 ratio, and becomes 1:20 when you cover breaks on top of being called to the trauma room when a notification arrives. This leaves the rest of my pts uncared for for however long I am in the trauma. If my team is strong and not busy taking care of their load they can watch my board. If not, I have to clean up when I'm done. The trauma room in my last ER job wasn't staffed in such a way. we had designated trauma nurses and MDs there the whole shift. Some of the nurses here just make it work..I have no clue how..it's not safe in my eyes. it's not ideal but people do it...I'm amazed and feel a little bad about myself In anycase, I'm not sure what to do or say when my evaluation comes up. I want to hold onto my benefits (100% tuition, medical, pension, union), increase in salary and try to transfer into another dept ASAP but I'll have to stay in this ED for a bit and push through till I'm unionized or after a yr. Or the alternative, let it go, do agency work and start my search all over. Defer graduate school another semester which I did since starting the job :/ ..I'm drained, there are knots in my back and am very ambivalent about the ED esp. nyc EDs..

I was upset because my attendence seem to the issue that everyone focused on irrespective of how fair/unfair my current situation is. I should have mentioned in the original post I know and feel a lot of guilt about calling out. It reflects poorly on my work ethics and skills :/ I just want to push and stay SANE* by either laying low and staying quiet (no request, staying out of their way..etc) or doing as emergent suggested asking about the kids, liking the fb status..maybe bring in holiday treats

wow, before anyone threatens to kick me out of their imaginary shop, prior to the mistake I caught which was filled out as an occurrence report I've done nothing but give a 110, and never felt support from management. Indifference at best. when I asked for the occasional training in trauma before the incident, which was encouraged by senior nurses in my facility, management would brush me off. NO ONE in management gave me any feedback regarding my performance or their decision. They just ignored me. It was only after the lab incident when I brought up not being considered that they said I was unconfident. when asked for specifics they couldn't give me any (time management, bad follow through, lack of prioritization- nothing). I am confident in the main ED or at least confident enough to know what I can and can't do, and to know to reach out to my resources when needed (pca, doctor, senior nurses etc). In the resus room Ive lost all confidence since this happened and can't stop thinking about it. I'm not spiteful. Just tired, and am well aware that calling out is a vicious destructive cycle. I just want to lay low at this point and push through the best I can. I screwed up with the attendance but with the labs I caught it before it was sent. I understand some sort of counseling was needed but after giving me a verbal one, why threaten me with an written one 3 weeks later. Why intimidate me with the same occurrence in response to my request instead of saying we feel you're not there yet, we are still continuing to evaluate your performance..not first you need to get written up then we'll develop a time frame....its intimidation.

ive been in my current ED for 8 months and have stepped on my charge nurses toes. she's a bully and i spoke back to her once. a couple of weeks after that i made a lab draw error (drew wrong bloods but never sent it out after catching it). they gave me a verbal warning but when I approached them about being rotated to other areas of the ED like trauma a couple of weeks after, my ed is level 1, they threaten to bring it to a written warning. i was told something like " first we need to have counseling, likely written then we'll set up a time frame for you to work in trauma". They never got back to me. it's been 2 months and I'm not going to push the issue bc it sounds like if I do, they will. I've seen plenty of new nurses go to trauma after orientation, even nurses who made worse mistakes after my incident get rotated to trauma. It's important to get exposure, and honestly depressing to see other new nurses get the proper training and exposure to other areas (trauma, fast track, observation) and me stuck in the same area-- main ed. ive been told by other nurses my work is good. no complaints from doctors and patients and frankly find it depressing that im being treated this way. ive been calling out more within the allotted allowance, and just plain not giving as much as i used too and just want to move on....actually called out today.. can i find work with less than a yrs experience, of course while still working here? if not, how do i deal with these people/management/working here..