Last weekend at work...ugh, it was not one of my better times. I felt overwhelmed. Not by nursing, but by all of the non-nursing things we are expected to handle. I had a Baker Act (someone on a 72 hour psych hold) that was to be transferred to a psych facility when medically stable. Well, the MD signed the discharge...even though she wasn't medically stable. So the psych facility refuses to take her but tells me "I" need to get the order to cancel the transfer. Why? Why do "I" need to get that order? I have 9023480932 other things to do. Seems like it should have been something case management could handle, but nope. Repeated phone calls to the nurse practitioner on call who refuses to give that order & insists the order is "psych facility refuses patient." Uhhh, that's not an order. After spending nearly an hour of my time getting this "order", I gave up & deferred it to my charge nurse who had to get the nursing supervisor involved. The order never was written either...sigh.
The next night I still had this Baker Act & then got another Baker Act...this one was a crackhead. I'm not exaggerating. He smokes crack, doesn't take his much needed medication, comes to the hospital complaining of chest pain, weakness & acid reflux. He does this about twice a week...for the last 3 years straight. I'm not kidding. At some point, a hospital should be able to say "sorry buddy, no more...you aren't allowed here for this same condition any more." Only I guess hospitals aren't allowed to do that. So I got the pleasure of dealing with this crackhead coming down off a high, his throat burning as though it were on fire & his attitude that I am there to SERVE him. Uhhhhhhh, check that attitude at the door. I have no sympathy for someone in his condition. He puts himself there. You don't want a bad case of acid reflux? Then don't smoke crack cause it breaks down the lining in your esophagus. And don't tell me you're nauseous as you finish off your 10th bowl of cereal in 4 hours, your four ice creams, your 15 fruit juices and ask me for a pepsi & chicken noodle soup inbetween complaining of nausea. I'm not buying it, nor do I feel bad for you. And I sympathize even less when you refuse to allow me or my staff to do anything...refused vital signs, refused heart monitor, refused lab draw. Time for you to go buddy. This is a hospital, not a hotel. Not to mention he got all up in my charge nurse's face for absolutely no reason. She was brave (maybe stupid), but I wasn't about to challenge someone coming down off a high with an unstable psych history who wasn't taking his meds. Nope, my life is too important to me.
And my third night....my youngest patient was 87. I felt like I was caring for triplets. As soon as I'd get one settled and quiet, the other two would act up. It just reminded me as to how much I miss having techs on the floor. Life would be a better place if we'd get techs back.
Which leads me to question if this is the place I want to stay. I feel like I'm getting burnt out. I'm getting frustrated. Not so much by all the intense hands on patient care (which is tiring & my back aches), but by how micromanaged our hospital now is by administration. We are having a mandatory seminar on how to round on a patient. And if that's not enough, we have to get checked off also. Soooooooooo stupidddddddddddd!!!!! And now they are criticizing us if our patients use the call light more than once a shift.....because that makes them think that we are ignoring our patients if they actually have to use the call light. Isn't the call light there so they can call us when they need us?
And I don't think it reflects badly if they use the call light. I had one patient that wasn't steady on his feet. So I asked that he call me before getting up to use the bathroom. And each time, he sure enough remembered to call me. That is the purpose of the call light. Not for me to pop in every 10 minutes & ask if he has to go to the bathroom (as if I even have the time to do that). Or watch him while he's sleeping...just in case he should wake & need to use the bathroom. It is ridiculous. And the scripting....I should be an actress. It is like they are trying to turn us into Stepford Nurses & make us all generic & interchangeable. Ummmm, we're human!
Sorry, I'm kinda moody today...in case you haven't noticed...lol. I do have some thoughts of going back to the last hospital I was at...but I have hesitation about that because I do remember it sucked there (but at least we had techs) & they are connected to the same hospital I'm currently at. So if things are changing, it will probably trickle down eventually to the small hospital I left. I don't really want to change to another hospital chain as I have 8 years invested where I am. Soooooooooooo....I'm just thinking for now. Maybe I just need a nice tropical vacation. :)
I have started doing the Jillian Michaels workout dvd's for exercise & to release some of this stress. I am sore everywhere. I'll keep going though...on Sunday. Gotta give my body a little time to rest.
Still seeing the guy, but due to my moodiness, I'm kinda irritated with him too. I love him though...so it shall pass.
Hope everyone had a Happy New Year!