Monday, October 25, 2010

blither blather

Ok, so maybe "hate" is a strong word. I still feel pretty much the same way, though. Let's just start by saying that I'm an honest person, almost at times too honest. If one of my fellow co-workers asks me how I'm doing, how I'm liking it so far, what am I supposed to say? I'm doing great. My med passes are getting faster and faster with each pass, and I'm feeling more and more comfy caring for the residents and using my ounce of nursing judgment that I've gained over the past month or so.

That question is easy to answer. Well, so is the "How are you liking it?" if I just answer right off the cuff and honestly. I don't like it. It's not the patients, residents, whatever... It's the disorganized, utterly frustrating chaos (I live with a fair amount of chaos on a daily basis in my family life. That's not the problem.) Basic everyday chaos isn't anything I can't handle, but the kind that leaves a unit having had 16 different unit managers in 4 years, well that's a problem. There is no rhyme or reason to how forms are kept. Need a lab form? It's on the desk in a pile somewhere. Need an incident report? Try the cabinet.

The med room could be declared a local disaster area. The treatment carts? Ugh. There is no unit secretary, person in charge of supplies, wound nurse, etc.

Our job titles: "RN Charge Nurse" or "LPN Charge Nurse" and we are in charge of everything from admission to discharge. Everything. All the everything in between has little to no efficiency in the processes.


I've even responded to an in-house posting for a Discharge Planning Assistant. (That may seem contradictory to what I just said, about nurses being in charge of discharging, but there's a lot more to it than the paperwork involved from the unit's standpoint.) I wouldn't mind staying with the facility, but this is how desperate I am to get away from the UFH (unit from hell) and for that matter, night shift isn't all that I thought it would be.

Now I'm going to go find some cheese...