Unsafe working conditions - (Graphic)

Nurses General Nursing

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Hi all--

I was in the chat room last nite and talked to a few people and got some pretty good advice but was trying to still process what would be the best thing for me to do. I am a new grad since May of last year. I began working at a hospital in Sept and they just recently began training me for a Team Leader position, since they do team nursing there. Well, it's been a complete disaster. Their turnover is tremendous, they understaff all the time. They only gave me a two week orientation! Most of my friends are getting 6-12 weeks at their hospitals. Well, on my last nite of orientation something happened and I don't know if I could even go back to work there. I was trying to wait until my six mos and transfer to a hospital within the same system. And if I didn't do that, I wanted to give a two week notice to cover my references. People are telling me that nursing jobs are so abundant that it shouldn't be a big deal but I don't want to burn any bridges. Okay, here's what happened in a nutshell---WARNING! It may contain some graphic material but I may not be able to explain it and the depth of it without going into detail. Sorry if I offend anyone. Okay, I work on a med-surg, post surgical unit. We had a lady come from the ER who was in the process of a miscarriage. She was 17 weeks and her US showed that the baby was in her pelvic/lady partsl area. She came to the ER stating that she felt the "baby was coming out". Okay, so I admit this woman - I'm still on orientation supposedly. First of all, she shouldn't have even been on our floor and second, I should have had someone help me through this mess. Well, I get her admitted, she's comfortable, and then the doc shows up. My preceptor or whatever you want to call her, sends me in with the doc and disappears! At this point, the doc is asking for some gloves and lubrication. And before I know it, she's pulling out this fetus. Oh my gosh, I didn't know what to do. The patient was basically in shock. Then the doc says she needs a clamp and sterile scissors which we don't carry on our floor because we are not an OB floor. We had to call the OB floor, and the house supervisor. In the meantime the doc is waiting like 20 mins to cut the cord....then she asks me for a blanket to wrap the baby in. Hands the baby to me!!! I didn't know what to do. And the patient is right there. She tells me to put the baby in the STORAGE ROOM until the mother decides if she wants to hold, have a burial,.....etc. In the meantime, OB comes down, weighs it, takes footprints, and explains all this stuff we need to do, the forms, etc. the grieving materials for the mom....and that we need to take some polaroids of it. I had a new grad nurse with me who was very brave, thank god. Well, then we were told that if the mother decided to "dispose" of the baby that we would have to put it in saline water. So they gave us the things we needed and left. I know that I may have to deal with things such as this in my career but I feel it was totally wrong for me to be left alone. Now I feel like I'm suffering from PTSD or grief or something like that. I am ready to just leave this place but I want a good reference....or at this point I don't know if I care. I was going to call on Monday and tell them I can't work under these conditions any more, that my license is on the line. Someone here mentioned to me to go get a doc's note saying I can't return to work but then others are saying that may look incompetent when I go to the next place. I need some serious advice before Monday when I have to go back to this place. I don't feel safe here. I have only had two weeks of training and they are throwing me to the wolves.....

Please help!

Specializes in ER.

That situation was insane, you should never have been in it by yourself, or without a discussion of what your preceptor was going to do at what point.

I agree with you that the hospital you are currently in is absolutely horrible, but would encourage you to finish your 6 months, just to think that they didn't drive you out. And the final days will be easier knowing you only have __ days left.

I sincerely think you need counselling if even for a short time. That was a terrible experience, it was unexpected, and I bet you felt trapped and helpless. You would be odd if you didn't feel repercussions, after all you witnessed a death and a grieving mother, and you were supposed to be the one with all the answers. Don't worry- none of us have the answers, but your preceptor was supposed to help you through the feeling of not knowing and yet staying with the patient and giving her whatever support you could.

There is a reason why everyone is leaving that hospital....it has nothing to do with your competency.

I like the idea of writing your senator a letter asking if he wanted his loved one in that situation, but you do whatever you feel OK with. Hang in there.

A big hug for you Amy---I would have been shaky too if I was handed a freshly aborted fetus and I've been an RN for 25 years! I've never encountered this in med surg or ICU. I think you are only human here and shouldn't be so hard on yourself. Sounds like you handled the situation best you could and that's often times the best any of us can do.

I still get emotional today in tough situations and that caring aspect is important...sometimes I do cry with family and don't believe it's wrong to do so. You are a new grad and need a nurturing environment to put your new skills into practice, and learn to balance your professional duties with your caring. If one is sensitive in nature, we need to learn not to internalize. We learn in time how to do this, it doesn't just happen overnight. I'm sorry the senior nurses abandoned you, I would never do this to a new grad but today's wild and crazy hospitals seem perpetually overstretched and understaffed, and it happens. (Not that it's right.)

There's a good reason your hospital has high turnover, sweetie, and you should look for a facility with a new grad internship program or consider working with your friends as it sounds like they have the better environment of practice. Nurses need to take care of themselves first, something we are not always good at!

Is there a nursing instructor you bonded with? Someone you trust who can sit down and hash this out with you? Use a few sick days if you can and decide what you need to do. The nice thing about nursing is there is LOTS of options out there!

If you need to, please see your doctor---PTSD happens to nurses and we need help sometimes too. A psych nurse on another board had a patient commit suicide on her watch and she had flashbacks and nightmares for awhile, but did eventually work through it. Don't be afraid to ask for help! Vent here anytime :)

I'm sorry this occured.

I do find it inappropriate.

You work on a med/surgical unit and received a patient miscarriaging. I find that totally inappropriate. There are different areas geared for each patient...those units have been appropriately orientated for THEIR field.

In our instituation we follow a rule that all O.B. patients go to O.B. floors. Ortho patients to ortho floors. Cardiac to cardiac floors. Whatever the patients "Main" diagnosis is. (e.g. I work a cardiac stepdown--Thus if a ortho patient goes into SVT or VT we'd take that patient until the cardiac problem resolves...once resolved the patient goes to ortho because at that point "ortho" problem will be their main problem again)

We've had "admitting" wanting to book us inappropriate patients. E.G. a patient that cardiac arrested 5 minutes before report was given; another example a 8 month pregnant lady in pre-clampsia. We spoke to admitting and explained the "criteria" of our unit and admitting apologized and put the patient in the "appropriate" unit.

We've never had problem's with admissions....going to "appropriate" units except a couple time's on a med. surg stepdown unit I worked on. They closed one of the I.C.U. and the Dr. would have an unstable patient....and want a unit bed but none was available so the Dr. would request our unit. We'd go through supervisor explain the situation. They'd find the most stable ICU patient and the more unstable would stay on the unit. And we'd get extra staff on the step-down.

If there were no more beds available in O.B. or the woman's ward....I'd asked for an O.B. nurse to be available for questions at all times. I'd get the O.B. nurses phone number and I'd be calling her with questions. If you have any troubles call the supervisor right away.

You always have resources. Anesthesia, supervisors, ICU nurses, pharmacist, teaching hospitals house interns. I love all my resources.....I'm always calling them....we're all a team.

I hope if you stay at this hospital....the other unit you work on has better orientation and experience. I work in a big hospital there's good and bad units. What I've done is asked fellow nurses what units they like working. E.G. a pool nurse comes to our floor I'd ask her what floors she likes working on....about staffing....supervisors etc.

Good luck!!

Specializes in Oncology, Med-Surgical.

Well, I do think that I'm suffering from some form of PTSD. Especially with all my symptoms. So, in that case, this place is definitely not worth it. I would gladly start fresh somewhere else. I have left my "manager" a voice mail stating I can no longer work under these conditions, explaining what happened and how I should have not been left alone like that. Who knows if it will matter or not. I"m not going back there to be subjected to that. These nurses turned their backs on me. I feel like on this shift I have noone to ask a question to and I'm new. I am not going to know everything right away....these nurses are burnt out, and alot of them are out to get the new kids on the block. Yes, I need to be somewhere more supportive. Maybe I should go into home health or to a doc's office? Right now I feel like I need a long break and I've only just begun. How depressing.

Thanks for all the advice. And BROWN---That's basically what I will be doing is walking off the job. Without a notice. Will that look bad on my future references? Or is there such a nursing shortage it won't matter. Will I be considered as abandoning patients? Oh yeah....and by the way, this ratty place called and left a message for me to come in today. What a joke. I've left the voice mail for my manager....and hopefully she will get back to me on Monday. I am going to try to get some peace and quiet over the weekend and stop worrying about the "right" thing to do. After being treated this way, I really don't care at this point.

Thanks again!!!

Specializes in Oncology, Med-Surgical.

PS: Should I also follow up with a letter to HR and the manager, stating exactly what happened to cover my butt when I put them down as a reference or can I get by without even using them as a reference???? How important is it for today's nurses to follow through with the two week notice anyway?

Specializes in Psych, hospice, family practice.

Good for you Amy - it sounds like you are developing a plan. Please take care of yourself.

Mary

Specializes in Psych, hospice, family practice.

I won't offer you advice about working out your notice. You have to do what you feel is best.

Personally, I handed in my resignation at my job yesterday. I would love never to have to set foot in the place again. But my stressors are completely different from yours, and I feel professionally obligated to work out my notice.

I don't even have a real job yet to walk into, but have tentatively set things up to go back to work part time at a hospital where I previously worked. That's where it pays not to have burned any bridges, I think.

But again, my situation is not the some as yours.

I plan to be in the chat room tonight, I have become somewhat of a regular there, but just crashed out early last night due to all this past weeks' stress. Would love to talk more to you, anytime.

Mary

Specializes in Oncology, Med-Surgical.

Mary...

I would love to chat with you tonite. I will try to meet up with you later. What time do you usually go in there. I think I was in there around 10pm last nite.

Look forward to seeing you.

Anyone else want to join in later tonite to give me advice just let me know....

Thanks so much.

Specializes in Everything except surgery.

Dear Amy

Don't worry about a thing gurlfriend! Just take care of YOURSELF! Have you ever heard of SPA DAY? This is where you get a family member or friend to take care of your children...for the WHOLE DAY...and if your're married/involved....the WHOLE NIGHT! You get out the credit card...blow the dust off...and you and your best friend...whoever that is...go out and have a day at the SPA! And if you're married/involved......you come home and the two of you act like newlyweds! Gurl that should at least take a couple of the kinks out..:)

No babysitter available?

Get hubby/SO to take the kids to a movie...put some scented candles in the bathroom...play your fav music...pop some bubbly send out for your fav take-out.....and then go into the chat room...and let yourself vent away! When hubby/SO comes home...let him get the kids ready for bed....and you two play some indoor games...:).

That should hold you until you can get some professional assistance....hopefully on Monday. " Take good care of yourself"

:cool:

Specializes in Psych, hospice, family practice.

Amy - I usually go and check in about 8 to see if anyone's around. I may be there anytime between the hours of 8 to 11 or so. I think there's an hours time difference from my location to yours. Hope to talk with you later.

PS - just to share with you a somewhat traumatizing experience I had as a brand new nurse - try searching this BB for a thread I started a while back. I can't remember the exact title now - but was something about "what was your scariest moment". If interested, maybe you can find it. The easiest way may be to click on my name, which will take you to my profile, and there will show the threads I have posted to. Totally different from your experience mind you - but just something to share about situations and feelings new nurses go through. I've been a nurse for 12 years now, and will never forget that experience. It truly helped mold me into the person (and nurse) that I am today.

Specializes in Psych, hospice, family practice.

Marvelous suggestion Brownie. Amy listen to her. Gotta 'work out the kinks'.

I have followed this thread all day and I would like to hear from some OB/GYN nurses as to what the practice is for a woman who miscarried. Is what amy is describing "somewhat normal?" practice? What should have happened?

Did the doc schedule a D&C afterward? Did she need one? It seems to me if the doc went to do a pelvic check, found the child in the canal and removed it. I doubt that your preceptor or anyone else expected that to happen.

For you Amy It is too bad that you are so young to the profession and you are being treated so poorly. In such a situation as you described above you and the patient needed alot of support.

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