Would You Be Willing to do This?

Nurses Safety

Published

I work for one of the "Big Two" dialysis companies as an acute inpatient dialysis nurse. For those of you not familiar with this, my job is to provide dialysis treatments to patients who are acutely ill and hospitalized.

The problem I am having, is that I and the other nurses that I work with are expected to work extremely long hours on a regular basis. A few days ago I worked 17 hours straight doing back to back dialysis treatments, and then I was still on call for the remaining seven hours of that 24 hr. period, meaning that if the hospital had an emergency treatment and I got called, I could have conceivably worked almost 24 hours straight. It's scary, because by the end of that 17 hours, I was so tired that I was blurry-eyed and fuzzy-headed. This is not the exception, because I have not had anything less than a 14 hour day in weeks.

Needless to say, our acutes department has a real problem hiring and keeping nurses, and I hate this job because of the ridiculous hours. The only reason I am still there is because I have only been with the company for about 15 months and I hate to be a job hopper, because I was only at my previous job for about that same length of time and I'm afraid that no one will hire me if I quit another job after 15 months. However, I really do not feel like this is safe, and definitely not in the best interest of the patients.

My question is, would you be willing to work hours like this? Everyone I talk to thinks it's ridiculous, but if I or any of my co-workers complain to management, we are made to feel like we are being crybabies and whiners. I have applied for a few jobs, but I just don't know if I will look like too much of a job hopper to a potential employer. At this point, I am really getting concerned about my license, but I have to work and carry benefits for my family.

Wow I can't believe they are doing that to you. :( And no I'm not willing to do that.  You're still human, not a robot dear.

I wish you good health and more sleep.  Take care! :)

Specializes in Psych, Corrections, Med-Surg, Ambulatory.

"Why do you want to change jobs?" "Because the relentless 15 hr days are a danger to the safety of my patients and myself."

Most employers understand wanting to get out of a genuinely bad situation. Would I work those hours? I would rather dumpster-dive. Good luck with your interviews. I'm keeping my fingers crossed for you.

"Why do you want to change jobs?" "Because the relentless 15 hr days are a danger to the safety of my patients and myself."

Most employers understand wanting to get out of a genuinely bad situation. Would I work those hours? I would rather dumpster-dive. Good luck with your interviews. I'm keeping my fingers crossed for you.

That response would surely lose her the position.

Interviewing is a chess game, never make a negative statement about the current employer.

The question of "why are you leaving your current position" is simply answered with...

" I am seeking new opportunities for growth , this position will fulfill that because"... xyz.. tailored to the job applying for.

Specializes in SICU, trauma, neuro.

No, no I would not. I am not willing to be a danger to myself and others--on the job or on the road. They are solving staffing problems at your AND the pts' expense.

Specializes in Med/Surg, Tele, Dialysis, Hospice.

I checked with my state BON and there are no laws governing how many hours a nurse can work within a set period of time, which I think is nuts. They are extremely picky about truck drivers not working more than a certain amount of hours within a 24 hr. period, and I realize that a fatigued truck driver can kill someone if he falls asleep, but a fatigued nurse can also kill someone, it doesn't take much. The lady at the BON told me that it is a nurse's responsibility to decide when he/she has worked too long to practice safely, and then he/she is supposed to tell his/her manager when he/she hits that point. Big deal, that would go over like a lead balloon.

I've applied at a few more jobs. I talked to our regional manager, and while she is supposedly sympathetic to our plight, she also isn't much help, as she has a huge territory to be responsible for, including FOUR large cities. God forbid this company would hire enough management, much less enough staff nurses. For those of you who suggested telling them that I will not work more than 12 hours, it's a noble goal, but they just blow us off and tell us that this is what the job entails, deal with it or quit, but then they beg us not to quit.

What a big mess! I can't wait to get out!

Specializes in Dialysis.

I have been in your shoes as an acute dialysis nurse, I started in chronic and stayed for 10 years. I was offered an acute position making a LOT more money, but it almost killed me! I had HBP and I swear it brought on early menopause!

I now work in a very stable chronic unit owned by the hospital system, I would have to be living out of my car to go back to acutes!

It always pains me when I hear of some body wanting to leave dialysis, because I love this specialty so much. Have you thought about chronics owned by small companies or hospitals?

I don't blame you for wanting to leave, I found a better way, I hope you will too!

Specializes in Med/Surg, Tele, Dialysis, Hospice.

Oops, double post.

Specializes in Med/Surg, Tele, Dialysis, Hospice.

I've worked chronics too, for this same company. Maybe the culture is different in the Big Two, but I got tired of being held responsible when some of my patients had crappy adequacy numbers because they would only come to treatments once or twice a week. Their noncompliance, but my responsibility. Never again.

There are a couple of large hospitals in my area that have their own units, but honestly, at this point, I never want to see another dialysis machine once I escape this madness. It just isn't for me. Way too much responsibility for the working conditions, and IMHO, an accident waiting to happen. Right now we are being expected to run two patients per nurse in rooms that were never meant for dialysis and where you cannot see both patients at the same time. How dangerous is that?

Specializes in Dialysis.

I feel ya. Sounds like you're done, I don't blame you a bit. Save yourself and get out now. Good luck with the hospice interviews! Sending good thoughts your way!

Specializes in critical care, ER,ICU, CVSURG, CCU.

you know you have critical care experience now, and probably could be hired in the ICU, you now work best of luck and wishes for you...

Specializes in Med/Surg, Tele, Dialysis, Hospice.

I'm not sure if inpatient dialysis counts as critical care experience, but at this point, I don't want to do any type of hospital nursing. I have two hospice case manager job interviews this week, and my goal is to get back into hospice nursing, so it's looking good. I love hospice because it is not very technically complicated, basically keeping the patient comfortable and treating their symptoms, and it involves a lot of people skills and giving emotional support and empathy.

After being a dialysis nurse and hooking patients up to a machine that does something as critical as literally circulating all of their blood outside of their body-- after I have been on duty for 15+ hours--I need something much less technical and potentially life threatening. I am just thankful that I have never caused injury to a patient yet by being so fatigued, and I don't want to ever take that kind of chance again.

hell naw. My husband will never allow me to work that long. Life is too good to be spent clocked in.

+ Add a Comment