new job

Dave

Well-Known Member
here ya go Les. as promised.

ok. about May-ish, i was out in triage and missed how sick a patient was. they looked sick, but i misjudged how sick. they ended up waiting for about 5 hours before being brought into the ER and waited another hour before a nurse saw them. by then they were really really sick. i honestly do not remember if i told my charge nurse about this patient or not.(the triage nurse tells the charge about the really sick ones that need to get in sooner) it was one of those horrendously busy days. there was a 6 hour wait that night. i think i triaged about 50-60 people in an 8 hour shift. give or take a dozen.
i got called into the office and reprimanded for my actions, or inactions as the case my be. when i saw the triage sheet, i had absolutly no idea how or why that patient waited so long. needless to say, it seriously shook my confidence. i decided then to move on someplace else. maybe get out of the ER entirely.
not a week after that, i was called into the office to be verbally reprimanded for an error another nurse made. i had signed the patient off to the other nurse and she didnt give a medication. the med order was given after i signed off to the next nurse and i got a portion of the blame for it. i have no idea why other than my name was on the chart.
that was when i was ready to quit. had the notice all written up. one of my friends there made an excellent suggestion that i get my head back in the game before moving on.
over the next 6 months, things got pretty decent at work. i got my head back into the game. didnt make any errors. was doing a good job overall. except i'd get called into the office once or twice a month. it was all for paperwork. i didnt write something in the right spot. forgot to put a weight on the chart. didnt do a clothing list. minor stuff like that. the boss would inevitably ask how the job hunting is going because she would hate to see something happen to me while i was there.
i tried to get into the psych floor there twice. it didnt happen twice so i went out and found another job. hoping to get some per diem time on the psych floor for the experience. may want to do that full time at some point but for now i'm switching ER's.
the one i'm going to is literally half the size. the current place has 34 beds. the new one has 17. the hours are the same. its a bit more money. benefits are similar. i met a few of my soon to be co-workers at a seminar last week and 2 of them knew me from a previous job. there are a couple of current co-workers who work at the new place per diem too so it wont be a completely alien crew. about a week after i accepted their offer, i found out they are offering a $10k signing bonus for ER and ICU nurses. i have to remember to ask them about that this week. someone else mentioned they saw it in the paper about a week and a half after i accepted the job. i am so eager to get out of the current place, i'm not all that worried about them not giving the bonus to me.
i have recieved an enormous amount of support from everyone i work with. fellow RN's, the doctors, registration, lab, radiology, interpreters. all have said they will miss working with me and they are sorry to see me go. some of my fellow RN's have said some very nice things over the past few weeks. its been very heartening to know i have earned their friendship and respect. the people i worked with are all top notch. i will miss them, but i wont miss the hospital itself.

thats my story and i'm sticking to it.

phew. that takes a lot less time to say than actually type out.
 
Good God about the first part...

the rest...seems all rather fated. Nice fit. Same-ish job, but hopefully a little more relaxed and positive for you. I hope you're happier there.
 
I'm wondering how it's possible for a smaller hospital to be able to pay its ER nurses more. are you moving from a for-profit to a non-profit?
 
the one i'm moving too is affiliated with one of the major hospitals in Boston. i dont know if they are for or non profit. the one i'm leaving is non-profit.
most of the smaller hospitals have affiliated themselves with one of the larger hospitals in Boston. saves them money on supplies and equiptment. they buy stuff at the bulk prices the larger hospital pays. they end up with fewer specialists as far as doctors go and lesser need for expensive diagnostic equiptment. the really sick, complicated cases go in town. the rest stay in the 'burbs.
 
same. about 20-30 minutes depending on traffic. ride home should be a lot quicker.
new job is geographically closer, but heavier traffic and more lights.
 
I would have been all up in arms for being reprimanded for drug orders posted after your time with the patient was over. Thats BS. I would've gone through union channels to pitch a bitch.
 
i did. it was a moot point since it was only a verbal reprimand. nothing the union could do about it.
 
Contrats on the new gig!!

Anything that relieves the stress of daily life is a good thing...the money is just icing on the cake.
 
Congrats on the new job! :toast:

You do wildly important work. I can only wish to contribute that much to society before I die. :cool:
 
Dude, nice job! I'm sorry the Psych ward didn't work out. Once the winter is over, maybe you could do some related volunteer work to boost a bit of your experience in that department. I'm assuming the new place has a Psych ward, what's it like?

I remember winters in the ER, and it's bound to be bad no matter where you go but it sounds like a great fit for you. The new one is about the size of my old ER and although it got bad at times, it was nothing compared to the bigger boys and the trauma centers. Is it a trauma center, btw? Is the hospital "known" for anything?

I'm really happy for you, I remember how unsure you felt about what was going on. Sounds like good things are coming for you. :)
 
thanks everyone.

the new place isnt "known" for anything. its a small community type hospital. they only have 1 trauma room where the almost-old job has 3. the only psych ward they have at the new place is geri-psych. not my cup 'o tea. alzheimer's patients are the toughest to work with. i like the plain old psychotics, paranoids and schitzos.

got one shift left on thursday. one of my co-workers is making me a cake. :D
friday there is a combo multiple birthday (there are 3 or 4 january birthdays) and going away party at another co-workers house.
i have the weekend to recuperate from the anticipated hangover, then off to Vegas for a week before starting the new job.
i'm looking forward to it. havent looked forward to going to work in too long.
 
Congrats! I hope that this change will make you happier. You have such a demanding and stressful job. There are a lot of RNs that come to my school (Vet Tech School) looking to switch over because they can't handle the stress or the people. Somehow they think that working with animals and thier owners will be eaiser. I think not.
 
Congratulations on your new gig, Dave. It takes a hell of a strong person to work in that field. You have my respect.
 
had a really nice last day. worked with one of my favorite physician assistants. one of my now ex-coworkers made me a nice carrot cake. got a couple of nice going away gifts. hugged more people in 12 hours today than i have in the past 5 years.
was an unusual day patient-wise too. quite a few very attractive 24-30 year old women in today. if only i were unattached and unconcerned about professional ethics....
 
Spot said:
had a really nice last day. worked with one of my favorite physician assistants. one of my now ex-coworkers made me a nice carrot cake. got a couple of nice going away gifts. hugged more people in 12 hours today than i have in the past 5 years.
was an unusual day patient-wise too. quite a few very attractive 24-30 year old women in today. if only i were unattached and unconcerned about professional ethics....

Well, if things ever get bad again - no matter how crap it seems, just be glad you don't work here (Chris Hani Baragwanath hospital in Soweto JHB)

Chris Hani Baragwanath Hospital, the largest hospital in the world, is situated to the south west of Johannesburg, on the southern border of Soweto. The Hospital grounds cover and area of 173 acres.

Bara is one of 40 provincial hospitals in the Gauteng Province, which is financed and run by the Gauteng provincial health authorities.

When it was opened in 1948, as a civilian hospital, it had 480 beds. The Hospital has since grown to 3 200 beds. At present (1999) though, due to financial constraints, only 2 600 beds are used.

The Hospital has a total staff establishment of 6 760, and serves a Soweto community of approximately 3,5 million people.

Click here for more information on Soweto.
Being a specialist hospital, referrals for specialist treatment are received from all over the country, as well as surrounding African States.

Baragwanath is a training hospital for nurses, with a nurses training college on the premises. It is also considered the largest teaching hospital associated with the Medical School of the University of the Witwatersrand. The Hospital and the university jointly offer undergraduate and postgraduate medical training.

In patient admissions:
General 70 736
Paediatrics 17 373
Maternity 50 997
Other 5 941
Total 145 046

Outpatients:
General 342 289
Paediatrics 83 134
Maternity 53 577
Other 62 190
Total 541 290

These figs are from 2001 I think...can't be bothered to look for newer ones (I'm such a lazy git). I know the burn unit there is one of the best in the world...a bit of a remnant of the 'old regime' - with the faction fighting etc in the '80's and early '90's they used to do what we call 'necklacing' (the people from different factions, i.e. IFP / ANC (mainly) would catch someone from the opposing faction, put a tyre around his / her neck and soak the person petrol before setting them alight - causing the tyre to basically melt into their bodies - obviously very painful to deal with should the person survive). Obviously the housing problem also plays a role because a lot of the people living in shacks use parrafin etc, which if left unattended can wreak havoc (just about half of the Cape province recently burnt to bits because of a parrafin lamp or stove being left unnatended).

So yeah, I can't remember why exactly I felt the need to post all of this...oh yeah - to cheer you up in case things get bleak..... :hmm: ....did it work? ;)
 
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