Ioreth ADN, RN

Ortho-Neuro

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All Content by Ioreth

  1. I had an interview for a hospital RN job today and I'm just so confounded and anxious about it that I can't sleep, so here I am on AllNurses to get it out of my system. I tend to be longwinded when I write; apologies in advance. ((TLDR: Team intervie...
  2. Ioreth

    Hiding Discharges

    I'm trying to process a situation I was in recently and would appreciate feedback. Sorry for the book. TLDR: Floor RNs hiding from Charge that patients discharged. Poor patient flow ensues, Charge is reprimanded for holding up PACU. Bullying or...
  3. Ioreth

    Hiding Discharges

    I think it is more of an issue that a warm body on the floor is better than a vacant job opening. We are so severely short-staffed. I feel like I've got one foot out the door already. I've posted plenty about some of the issues in this job and t...
  4. Ioreth

    Hiding Discharges

    I wish I had said that to the nurse that left her phone at the desk. I told her she wasn't to do it again. Patient abandonment was certainly at the forefront of my mind. It is fairly common practice to walk a patient to the front door without ha...
  5. Ioreth

    Hiding Discharges

    I know both of them know how to do this, because that is how I trained them. Unfortunately, it isn't policy at my hospital. Charge can get in trouble for not clearing the room after a discharge in a timely matter, but the primary nurse isn't held acc...
  6. Ioreth

    Bedside Report

    I have a love/hate relationship with bedside shift report. Positives: Patient is involved in their care plan and its a good way to involve them in their goals for the day. They can also answer positively on the HCAPS questions about beside shift...
  7. Ioreth

    Hiding Discharges

    I think there are two facets here. As LovingLife stated, there's likely a misunderstanding of hospital flow and these nurses chose to protect themselves from getting admits by hiding their discharges. I am usually a floor nurse, not charge, and it wo...
  8. Ioreth

    Feeling Overwhelmed as a Charge Nurse

    I have had a similar experience being charge. I wrote about my ambivalence with being charge for the first time here: I don't want to be Charge! Being charge with a 1/2 patient load or no patients at all isn't too bad. It can be intimidating to...
  9. Ioreth

    Going from 3 12s to M-F 5 8s

    I LOVE working 12s. Sometimes I toy with the idea of working a clinic or public health job that would have me working 8s. I just don't think I would like doing it since I would much rather work my 3 12s and be done. If you find the 8s to be trou...
  10. Ioreth

    Reasons nurses get fired

    Things I've seen firings for: Not rounding on patients. CNA falsifying vital signs. Altered mental status while working then leaving hospital campus midshift without notifying anyone. Sitter CNA yelling at patient when patient was...
  11. Ioreth

    "Discrepancies" In Epic Documentation

    Wow. Thank you all for the excellent advice, especially on not using the scan overrides. I'm already a bit leary of pulling meds at all on an override since that one big case this year with an RN charged with negligent homicide after pulling a wrong ...
  12. Ioreth

    Hiding Discharges

    I wanted to add a few things that didn't really fit above. I also found the other noncommunicative nurse's phone at the charge station when I came back after discharging my patient. She had gone on lunch break, left her phone, but didn't tell m...
  13. Ioreth

    Hope for bullying?

    I came here to write about what I think is a nurse bullying incident I'm facing on my own unit, which I will shortly. I'm also an older in age but newish nurse. It has come and go on my unit, and most of the time I don't recognize it as bullying unti...
  14. I think I just felt the straw that broke the camel's back. This is going to take some time to unpack. TLDR version is: I'm frustrated with my hospital's continued disregard for nurse and patient safety and want to leave this hospital system for ...
  15. Thank you for the info about reporting to JCHO. It will be helpful as I figure out how to report this. We just finished our monthly staff meeting and I brought up my concerns yet again. "We've got a focus group looking at how to comply with this...
  16. Ioreth

    Is there anything you wished your work bag had?

    Since I have a locker, my bag is just a large, simple purse. There's a zippered pocket for my keys and wallet. Everything else goes in the middle: lunch, drink, extra mask, pens. I really don't carry much since I have a locker at work and everyt...
  17. Thank you all for the responses. It helps to know that I'm not the only one that finds this situation alarming. I don't know why I hadn't thought about reporting it to the state. I will be looking into that. In my hospital though, I have frequen...
  18. I'm glad your hospital is giving you a good incentive to pick up extra shifts. My hospital tried something similar, but it was so convoluted and poorly written that few people take advantage of it. Basically, the employee has to commit to working ext...
  19. Part II: What to do next? I have posted many times about being dissatisfied with this job. I'm still a fairly new nurse, so I've stuck it out, the devil you know and all that. I am so close to being fully vested in my 401K, which will be this A...
  20. Ioreth

    Burnout and what to do that really helps

    My hospital is not doing much. We get the usual EAP and free counseling up to a certain number of sessions. There's also a feel-good section in our weekly newsletter, but I find that often the tone of that section doesn't take into account the realit...
  21. Regardless of or perhaps despite CDC guidance, my hospital is recommending direct patient care employees return to work even while Covid positive "as long as they feel well enough". That is irrespective of whether they have a fever, how long it has b...
  22. The title says it all, but I'll unpack. I've worked at my first job in nursing for just shy of 2 years, 1 year nights and most of the past year days. It has been a ROUGH past year, as I'm seeing everyone is experiencing. I made it through my fir...
  23. Ioreth

    Share Policies That Have Not Saved One Life

    Fall Risk Screening and Skin Breakdown Screening (I forget the actual name of the tools at the moment) that have to be done every 12 hours I assess their fall risk by assessing their strength, compliancy, and how they move; not this stupid tool ...
  24. Ioreth

    Natural Immunity

    I've had covid twice, likely different variants. The vaccine is stronger protection for multiple variants. I'm not going to risk a 3rd time. I got the vaccine and will take any booster I can get.
  25. Ioreth

    men in printed scrubs

    Rock those prints! An awesome coworker of mine would wear turtles every chance he got.