Lnfranklin410

During my clinical rotation, we had twin brothers who were "frequent fliers" due to SS. Their names were orangejello and lemonjello. Seriously.

I graduated with my ADN in May 2013 after working 4 years as an LPN in LTC. Since I graduated with my ADN, I have been working at a large chain hospital (this particular one has nearly 700 beds Along with micu, nicu, sicu, and ccu). I work FT nights on the oncology unit. Generally we have 5-6 pt. We usually have 2 techs and 1 unit secretary for the entire floor so the nurses end up with TPCs. Although I work on a cancer based unit, we get all the SSC and abdominal pain pts. It seems like all I do at night is cater to these pt who want dilaudid and phenergan every 2 hrs ATC. It's very frustrating when I have a newly diagnosed AML pt who is terrified and doesn't know what's going on when they're stuck on neutropenic precautions and getting multiple units of blood and platelets daily but I have no time to teach since I'm constantly running for my pain pts. This is just the tip of the iceberg On top of very demanding pts, my night shift crew is very clickish and anyone who is not on the click is pretty much SOL if you need help. There is 4 in particular who stay together all night and these are the 4 that get rotated out for charge nurse. If they don't like the assignments the day charge nurse gives, they change the assignments. If we have an admit coming with a doctor that's notorious for being a creep or the pt has too much going on, they will assign it to someone else regardless who's turn it is to get an admit. They seriously made a friend of mine take an admit when she had 5 pts already (one who needed a lot of care) and they had 3 noncritical pts each. Yesterday I was on-call and I came in to help as a favor to one of my coworkers. They called me in late and i live an hour away so I didn't get to work til after 8. I had nothing done for me. The other nurses I was working with (the click) hadn't even stepped into my pt room to tell them what was going on. Plus we had a new admit that came at 6pm but no one even got the pts vital signs or stepped into her room. I was the first nurse she had saw since she was sent to the floor and that was 2 hours after the fact! I also had a pt who was getting blood and the pump had been beeping forever the pt said when I got there and rounded. It's so bad I dread coming to work and am generally upset when I get off work in the mornings. I want to quit but no other hospital or facility closer to where I live is hiring. - anyone else have problems with clicks at work? How do you handle this when management turns a blind eye?