MrsJt

Thank you!

So...I will give a quick background of what has been going on to whomever hasn't been following my previous posts. About a month ago I accepted a position with my employer as an Infusion nurse. Every 4th holidays and weekend. Gave my notice to my manager, everything was set...or so I thought. About 4 days after I accepted the position, the nursing recruiter informs me that they are no longer hiring and my offer is being revoked. Well, this really crushed my spirit. I am married with 2 kids. Have been on night shift for almost 2 yrs, opposite schedule of my husbands, dealing with depression, and then that news was just icing on the cake to ignite my depression even more. Well, since then I have made an appointment with a counselor...have not seen yet and as of today, I accepted a day position at a rehabilitation facility. Still every other weekend and holiday, but I will be working 3 12's 6-630pm. Cannot complain about the schedule bc I will be home nightly with my family, making more money, AND being a normal human again:) Just wondering for those that work rehab, how do you like it??? I will have 7-8 pts ( which is what I have on nights, sometimes with an aide), lpn's and aides to help. Pts are gone for 3 hrs a day for therapy. Doesn't seen too bad, but just looking for advice.

Unfortunately in my area, there aren't a lot of case management and day turn positions available. I have heard a lot of mixed reviews on home care. Long hrs, driving a lot, going to homes in not such good areas, and not having as many resources available to you if you need help. I just do not know if I am ready to get into that type of work.

I am really trying hard to believe that. It is hard though, bc this would have been great for me and my family. I am just so burnt out from working my floor and nightshift. It has taken a toll on my home life, as well as my marriage. I just dont know how much more I can take at this point. Trying to stay positive.

So just when I thought things were finally looking up. I get a dose of reality. If you read my previous post, I was offered a job in an outpatient infusion center and accepted it. Would have been a great fit for my family life and I was super excited to finally be apart of something I was interested in and would enjoy going to work. Well, today they decided to revoke the job offer because they are no longer hiring for the center. I am just so heart broken and feel crushed. I don't know what to do now, I am lost. I have been suffering with depression, mostly from working nights. I had a glimmer of hope and now I feel like just giving up.

Thank you! I was offered the position and I am so excited and nervous! But this will be a great opportunity for me and the women I will work with are wonderful and so helpful! I will be sure to look into those resources! Thank you for the info, I had no idea those resources existed!

Luckily, I am familiar with a lot of central lines, as well as ports. We get a lot of patients that are getting chemo and patients that just cannot keep peripheral sites, due to the condition of their veins. I do have some experience with those, not a completely "new" nurse.

Thank you for your reply and encouragment! I am ready for a change. Just being off of nightshift I think will make a world of difference for me. I did not end up seeking counseling, but I have been confiding in a nursing buddy (someone I've known for yrs that I do not work with). I am extremely proud of myself for sticking it out. I have learned a lot on my unit, but I am just burnt out. My husband is being suppoortive in my choice to leave my unit. It is less hrs, so I am surprised by his encouragment. At this point, I think he just wants me to be happy and knows that this kind of opportunity doesn't come a long everyday. Keepimg ky fingers crossed everything goes well when I shadow next week!

Hello everyone! I am a newer nurse, just a little over 1 year of med/surg nursing. I recently interviewed for a position with my hospital as an outpatient Infusion RN. I was invited back to shadow an RN, which I haven't done yet but is coming up soon. I am extremely nervous, because I am still newer. I know I haven't seen everything. I feel comfortable with starting IV's, medications, and administering blood products. They do not do Chemo therapy, other than for bladder ca (which I have not done). I am just really nervous. Feel like a new grad again! This would be a great opportunity for me and my family, I do not want to pass it up bc I am nervous. Just looking for some advice and encouragment. Orientation is just 4wks, enough to get used to the unit. Thanks in advance!

Hello everyone, I had posted to the site a month or so ago about not loving my job and just feeling depressed and burnt out. I'll give you a little background first. Been a nurse for a little over 1 year. Been working nightshift (4 8hr shifts) on a busy ortho/medsurg unit. Problem I am having is 1) working nightshift, itself. I am always tired, however I cannot work afternoons d/t my school aged children and day turn is not available at this time. 2.) My unit is thought of as the "bottom of the barrel". They take from us to fill other units that are short staffed. Leaving us either short or mandating the previous shift to stay. So on an average night we can have 7-8 patients, lucky to have 1 aide, and we do primary care. It is extremely frustrating. Managment does not seem to care. They are aware of the issue, but they are not there on nights, so it does not affect them. The issues I am having at work are lapping over into my personal life now and my husband is less than supportive. He just doesn't get it. So I have come to the conclussion that I need to talk to someone, either a counselor or psychiatrist. I am just afraid that my work will get wind and I can face repercussion. I am not happy, very depressed. All I can think of is work. I have applied to other units and other facilities, but with no luck. I feel helpless and trapped.

Thank you for your encouraging words amd not making me feel like a horrible person. I am just taking it one day at a time. Had a small emotional break down yesterday before work. I am really struggling with nursing and the stress and demand it puts on us. I am afraid to talk to my manager and others at my facility. I fear I will lose my job, be judged, and not receive the support I need.

I get that we cannot control everything. Death is nothing new to me, unfortunately. I have also been on the other side. I lost my mom and grandmother in 2012 and my step-dad in 2014. I have been involved in codes previously, just not as the Nurse of that patient. Just looking for some release. I have had 1 hospice patient pass under my care, this was my first full code that passed under my care. It is just not a good feeling. Another issue is that after the code was over I felt alone in what I needed to do next. I had no assistance from my charge nurse. had to call the coroner, lifebanc, didn't know how to print the death packet because they just changed how we do things in EPIC. Plus help deal with the family. I know this was my patient and situation to deal with, but as a new nurse it was a lot to handle. It was just overwhelming with 5 other patients to care for and what didnt help was this all happened 2hrs before shift change and dealing with the thoughts running through my mind of "Did I do everything right"? And I hate to say it, but my daughter had volleyball practice that morning and I didnt want to let her down by being late. I just felt like I was being pulled in all directions. Please don't take anything I say as being insensitive. I have thought about this everyday simce it has happened.

That I am not sure of. The patient was not very old, but had a lot of health issues. Patient came to me from ED about 2330 and the PCP is out of the country, so it was a physician covering for him that wasnt familiar with the patient. Regardless, I dont think the family would have changed the code status.

Yea, to an extent. My manager said I did really well. Which coming from her, is a huge compliment. I do have someone that I talk to, but I keep a lot inside. I don't like to bother others with my burdens. I try to confide im my husband what I am feeling, but he isn't a nurse. He is a steel worker and has the "suck it up" mentality.

Hi all! Let me start by giving you a little background about myself. I am a new nurse, off of orientation for 6 months now on a busy ortho-surgical floor. I had my first code last night, which the patient did not make it. I am having a hard time dealing with this. The patient was older, with a laundry list of co-morbidities. Family was grief stricken, but were not completely caught off guard because the patient had been sick for awhile and only getting worse. Death was ruled cardiac arrest and found to be natural causes. I am just having a hard time with this. Is there something I missed? I just feel that something needs to change in nursing. How are we to notice of a decline, with 4-5, sometimes 6 other patients to care for? We are a non-monitored unit. I work night shift, so sometimes the slightest changes are hard to notice when someone is sleeping. Vitals, bs, and labs were normal. H&H was a little low, but doctor was not concerned. I have been struggling with nursing in general (patient ratios, amount of pain meds given, short staffed, etc) and now this makes me never want to return:(

Thank you for your reply. My husband is a difficult creature. We do make time for each other and we are best friends. However, he has a no nonsense kind of attitude. I always make sure I ask him how his day is. It is just hard, because my work stress is polar opposite from his work stress. Unless you are in nursing, you just dont get it. He is a steel worker. So he is a little rough around the edges to begin with, lol

Thank you everyone for replying, it is really nice to be able to vent to others that can relate. I am really trying my best to hang in there for a full year.

Thank you for your response❤

Hello everyone. I am just looking to vent. I am a newer nurse. Been on my job for 8 months and off of orientation for 5 months. I work on a very busy ortho/surgical floor. We tend to get a lot of nursing home patients, as well. So, some of these patients tend to be admitted for placement, multiple wounds, infections, etc. I am getting a little worn down with the assignments that I have been getting lately. My unit does not do well with assigning per acuity. Rather they assign by grouping the rooms together. So I tend to get a lot of the isolation patients. The other night I had 6 patients, 3 in contact iso, 2 had telesitters, a CBI, and a hip fracture. Of those 6 patients, 4 were complete care patients and my floor only had 1 aide for 32 patients. This tends to be the norm. I have talked to my manager, she said it is unfair and she will look into it. However, this has been an ongoing issue on my unit that never gets resolved. The other issue I am having is that 1) I work nights 2)I am a mother of 2 kids 3) I am becoming depressed, tired all the time, and am regretting becoming a nurse. The worst part of all is I try to vent to my husband and he just doesnt get it. He has no idea. He tells me, "Well, you only work4 days a week." Or he explains how much harder his job is than mine. My unit is always short nurses. They tend to float nurses from my floor to transfer to other units to cover their shortage. Therfore, leaving us short and at least once or twice a week I am told I may get mandated to work the day shift. I am just tired and frustrated. I am tired of working for an organization where it feels that they do not care about their nurses. It seems like management is always looking for ways to get the nurses in trouble for something and God forbid you ask a queation about something. We are a Magnet hospital, I thought they were supposed to be nursing oriented. Man was I wrong.

It is not the school I went to. We were taught to question orders. It was an incident at work. I was just wondering if anyone else encountered this issue with management or supervisors.

You didn't bore me, lol. Thank you for your input. Yhe pt was an admit from home d/t a fall. Our nursing supervisors are basically on for staffing purposes, placing admissions, and if a pt is going for a surgical procedure the next day, and to be present during codes. Other than that, they really aren't involved much more with the pt. They do rounds on each floor on nights and afternoons. They do not physically see the pts. They are also supposed to be resources for us on nights if we have questions and concerns. The 1 supervisor is great, but this 1 not so much. We don't officially have a charge nurse at night, so I thought the best thing to do before calling to wake a doc up in the middle of the night, was to seek her advice when she rounded. Apparently, she didnt agree.

I work nights. This incident was with mu nursing supervisor, whom we are told is our resource to go to with questions and concerns since we don't have the resources days do. We have one very extremely helpful supervisor, he will help with difficult IV's, any questions we have and he will sit down and talk to us like normal human veings. In regards to the supervisor regarding this situation, I know now not to seek advice from in the future.

Yes, I just dont want to be too specific. This is something that warranted the pt to be in iso previously when admitted 2 months ago and this pt is a frequent flyer and is known to have this frequently when admitted.

Wasnt a uti, it was something that warranted isolation precautions. Just dont want to be too specific on here.

That is why I am so confused by this. No diagnostic testing was done to prove this pt wasn't infected. That why I asked her, bc there was no infectious disease doctor on and no stated reason for discontinuing the iso order. The order just stated, "D/C Iso". All of the dayturn nurses were questioning it in report, I wanted to be able to give them an answer, not just" because the doctor said"