withorwithoutyou

Thanks man. I'm not going to drag anyone into why I resign. I'm just so scared to talk to my manager about it after she yell at me before and other nurses. I finally build the courage up today to finally call them to let them know. My recruiter told me to talk to my manager and my preceptor. My heart was just pounding and a friend finally told me to take some deep breaths and call. I called but it went to voicemail. I don't know what to do. I know I have to give a two week notice. However, I'm afraid the manager would make a big scene out of it and I will be humiliated or embarrass. I talked to my friend and she try to comfort me. I felt as if I was having a panic attack when I was about to call her. I feel like a total let down and failure for not trying to toughen it out for a year.

I had a talk with my coworkers. They told me to try to stick it out for at least 6 months. I just went to see a chiropractor today because my back was hurting so bad. I basically walk like an old lady hump over 4 days after getting out of the hospital. I never felt as much pain as tonight. It felt like muscle spasms or some sort. When he put a little pressure on it I felt like the pain spread and pull the muscle in almost as if it was a glove pulling my right side back in. I want to try to stick it out but the pain is just too much. I have to bend over when I'm sitting from a chair. Hopefully it feels a little better in a few days.

How do I go about quitting though? I know a 2 week notice resignation letter is the professional way. However, this is the first time at the hospital. Do I turn it in to the director of nursing or my nurse manager? My first job I turn it in to the DON at my rehab. I'm just intimidated and scare of this nurse manager. Do I write an email first notifying them? Then bring the letter in on Monday? I don't think they work on the weekends.

I want to be proactive but this manager is just so intimidating. I remember my third week of orientation when I pull a brand new insulin pen out. It is a pixys system so it was totally new to me about pulling meds out. I didn't know that another nurse has already pull an insulin pen out and put it in the bin. It wasn't gray out so I just pull another pin out. A few days later the pharmacy person came up and told her that. She basically raise her voice as almost screaming asking me and my first preceptor did I pull another insulin pen out within 4 hours. I didn't give the person insulin again within 4 hours. Every one at the nursing station turned to me and my preceptor. I was so embarrassed. Then a few hours later she saw my preceptor and I back at the nursing station and she asked really loudly again "have you guys found out what happen to the pen." The thing was I actually did return the new pen to the bin. I took a patient label out and put it on the pen and my preceptor and I remember me returning it. I think another nurse might of took the pen out again and not put it back in the bin. To make the story short another nurse happen to pull another new pen out so it wasn't just me. The thing is I don't know why they switch me to a new preceptor after a month of orientation with the first one. I felt as if the first one was much more nice and helpful. She has been working there for over 15 years. This new preceptor is about a year in a half. When she and I went down to pharmacy to return a narcatic because it was over 30 minutes before I return it she try to just pull me under the bus by telling the pharmacist that I was so careless and that I should of told her so she could return it within 30 minutes. Turns out the pharmacist told my preceptor that she needs to stop cancelling her meds all the time and the pyxis couldn't pick it up once the person clicks cancel all the time because it doesn't know if the person returns a med or taking it out. Then later on my preceptor gets in trouble again for sending labs down to the laboratory without the proper tube. Laboratory called up but I told them it was change of shift report. Laboratory people came right up and talked to my preceptor about the problem. When we were changing the patient central line she didn't put on a mask. The patient made a hand signal to put a mask on but my preceptor didn't know what he was doing until he finally ask her where was her masked. She said that is for the patient only and if the nurse happen to be coughing and that everyone has their own way of doing it. The patient said he don't know about that because other nurses usually put a mask on when they are changing his PICC line dressing. I happen to just take a central line removal class the previous day and the instructor at the hospital stated that a nurse must put a mask on and that the patient must put a mask on if they couldn't turn their head of if they happen to be sneezing or coughing, but it is safer to just put on a mask unless they refuse it. This all happen in one night. I feel as though my preceptor after 1 1/2 doesn't get the policy or proper procedures either and that they should of put me with a more experience nurse such as my first preceptor. Im afraid that I might do something or ask something and this preceptor might give me the wrong information. I already decided to quit. I want a job that I can actually rest after work. This job has left my heart pounding every morning after I get home and usually sleep for only 5 hours then repeat again.

I was working at a long term care/rehab place while I was an ADN. I was in school at the same time and now I have a BSN. You know the whole time I was at the long-term care facility I wanted to get into the hospital. The reason was that almost everyone said "that is the way to go" so I could later on go into other fields. It was a major mistake man. I know that there are other people who love the hospital setting, but it wasn't for me. The stress, the holding to use the restroom, the short breaks (I prefer not to get a break to finish all of the tasks) however my preceptor insisted that I take a break. I still think about work when I go home. The constant charting. It is a huge mess. I'm quitting before my orientation is over which is one more week. I already know that the stress level will be too much. I already deal with enough stress early in my life so I want to have less stress as much as possible. Some people might not consider you as a real nurse if you don't work in the hospital but who cares as long as you are happy. I made the mistake.

I will try to stick it out. The thing is my preceptor had a talk with the manager. She wanted me to come in an extra day next week. I already was schedule for 4 days next week. Coming in an extra day will make it 5 days on 12 hour shifts. (She feel that I need more time) 2 days straight with one day off then 3 days straight again. I'm already tire as is walking on my feet for 14 hours a day. I stay about 30 minutes from the hospital without traffic. Then I don't sleep right away as I get home either. I don't know if I'm will able to do that many days in a week. She already talked to the manager about it and the manager said its ok. I will have to call the manager to ask her to extend the week instead of trying to fit it in one week.

Thank guys I will give it another try. I mean I went through BSN program to get a job at the hospital. It would be a waste if I quit so early.

I understand that. for example, a patient coming in for acute exacerbation asthma. I check their breath sounds, respiratory pattern. If I leave dorsalis pedis pulse out she ask me why I left it out. I tried my best to do the radial pulse, but if you want me to do dorsalis pedis pulse I would have to check the patients feet. A patient coming in for acute alter mental status focus assessments should be on neuro checks and such. However, if the patient has an IV line then I must check to see if dressing is clean, dry and intact or any signs of phlebitis. In order to do that I must take a closer look at the patient IV. There were a nurse just last week that didn't check the patient fully. Turns out the next day the morning nurse found out the patient has a pressure ulcer. I just don't want to falsify any charting or leave something out and then someone else finds it. I heard the hospital must eat up the treatment if the pressure ulcer occurs while the patient is at the hospital.

I have job line up at a new LTAC/SNF with my old ADON. She said there is a spot and she is willing to hire me. However, I probably know if I quit this hospital job than I would probably not get another job in the hospital setting ever again.

The probationary period ends after orientation right? I have a week left of orientation but my preceptor said she might need to talk to the nurse manager to extend it another 2 weeks. My gut feeling is that I probably wouldn't be happy here. I mean your own preceptor talks about you. Its not only me either it happens to the other orientee as well. I was just so mad when she told me you haven't finish your charting at a certain time when she knows that I was on my feet the whole time. Even the other nurses felt sorry for me at the end of the shift and keep telling me go home to get some sleep. The other day one nurse told my preceptor he has a class you should let him go to his class. I just don't know .

Hey guys, This is actually my second year as a nurse. I was working at a LTC/SNF for a year. The whole time I dreamed and pray of a job at the hospital figuring I need that 1 year of med-surgical experience. I finally got called for a job in a big hospital here. I felt really excited at first. However, I finally know now why they say nurses eat their young. I got a really awesome preceptor during day shift. However, I was schedule for night shift so I had to get a preceptor at night. this preceptor is fairly young around my age and has been a nurse the same amount of years as I. However, she has been working in the hospital the whole time. I really feel stress out and overwhelmed. My old job was a lot of physical work but less mental stress. This job is a little less physical work but 2x the mental stress. My preceptor told me that my charting is falling behind. She told me that I should be done charting around 10pm and that each assessment should only take around 5 to 10 minutes. Last night I had 6 patients. I literally was on my feet from 7pm (beginning shift) to 2 am passing meds. Then I got a small break ( I didn't want to because I wanted to get everything done but she insisted I have one. She told me that orientees should get 30 minute break so the hospital wouldn't have to pay). Anyways she said I should only focus assessing on the reason why the patient came to the hospital. In my head I figure how can you assess a person in 5 minutes without taking your stethoscope out and listening to their heart, breath sounds, and bowel sounds. You should check them from head to toe. There is no way she could assess those patients in 5 minutes. I never see here pulling her stethoscope out or even checking the patient feet. She told me I miss two medications for a male patient so she pulled the medication out. I was so tired that I didn't even check the name on the box. Luckily the computer caught it and pop up a warning sign saying this medications wasn't in the patient MAR. I went back and told my preceptor. She made me look like a total fool. She said well first of all its the wrong name. Well she should of looked at it before pulling it out and at least tell me it was for the right patient. Most of the nurses at night pulls their computer to the nursing station to talk to each other and chart. I mean how could you possibly chart on the patient if you are not using the bed side computer. Then they drink their coffee and sleep. I literally saw one nurse slept throughout the whole shift. I was basically on my feet from 7pm to 2 am. Then got a 30 minute break and walked around till 9 am (Stayed over almost 2 hours to get things done). I had to hold my pee in until I got most of the medication and charting done at 2 am. I also heard my preceptor telling other nurses at the nursing station that I'm not up to par. I walk really fast and quiet so they don't know I'm coming up and I could hear them. Then they get quiet. I also talked to other 2 orientees and they also heard their preceptor talking about them. One of the orientees told me he overheard a preceptor for another orientee stating, "Oh gee, I have this person today (not mentioning any names), I'm going to be here till 9 at least." My friend heard his preceptor telling other nurses (Man this guy is too slow). Luckily the charge nurse is very cool and nice. I just don't know how they find that much time to sit down and chatter while I'm on my feet giving meds. I do my assessment while giving medications and at the patient bedside. I don't think I'm meant to work in this environment. The turnover rate is extremely high. The longest one orientee work there was for 2 years. I'm just really stress out basically walking from beginning to end of shift and still hearing from my preceptor how I miss this and that. She basically sits and text on her phone then call me on the hospital phone to come check on a patient pump or that she need me to do something. The sitters and CNA gather in one room and use the patient bedside computer. I had to chart and scan a patient. However, I was new and I didn't want to bother them so I just pull my computer in and even have to navigate through them to scan the patient and medication and do my charting while they look up houses and see if they could look up their background online. I'm ready to quit. Its almost 2 months, and I don't think if I will be happy in the long run. I was happy at my old job and love my patients and want to go work. However, this new job almost made me cry and I'm a guy. I'm just afraid that I will lose my license at this job. I don't know if it would affect me finding another job. i was able to go to school fulltime and worked at my old job. I got my BSN this December. My old manager is also at a new LTC facility and told me to come work for her so I will probably do that. Any advice guys? Sorry for the grammar and mispelling. I have been up for 15 hours.

I don't know Levitas. I read another thread on here where someone mention on here to not mention any procedures so I just want to be safe. You are right Levitas. It is better to be safe than sorry so it is good to ask if I'm not sure of something.

My preceptor was the one that actually caught it rinskin. She is a great preceptor. I had to get a different preceptor for night time because they have a new nurse and my previous preceptor has to start with him. My new preceptor is very good as well. Yeah after that incident, I have pay much more close attention to the vital sign

I know NPO means nothing by mouth Ms. Rose. I said I was pretty sure I can still give IV meds if the patient is NPO. HOwever, I'm a new hospital working in the hospital setting. I just wanted to make sure that is why I asked my preceptor before giving it, and asking for advice on here.

Hello guys, I have a question to ask. I had a patient that was going to have a procedure done (I'm not going to name the procedure to avoid hippa). Anyways it not a surgery or anything just scanning. The physician gave order for NPO. However, this patient has elevated WBC and had IV antibiotics order. I checked with my preceptor prior to see if it is ok to give it. I am pretty sure you can still give IV meds when the patient is NPO. My preceptor told me the same. I gave the patient her IVPB antibiotics, and her methylprednisolone IV push. THe question is you can still give IV meds if the order is to be NPO?