murkier and murkier
| murkier and murkier Well, the picture becomes more and more murky. The new manager is Nurse Micromanager, apparently, a total control freak. The first dictum handed down is that all travelers will hand their timesheets to her and she will scrutinize and sign them.and word is that she wants the *exact* minute we clock in and out, not the rounding to the nearest quarter hour the companies want. Okay, well and good.but the first time my timesheet’s not in by 10 a.m. on Monday and I don’t get paid that week will be the last time I do it! I’ve already notified my recruiter and will send her the manager’s phone number so they can call her instead of me when the timesheet doesn’t get there. Next thing is that there are *compulsory* unit meetings this next week, all at times which are grossly inconvenient for me, either 6 or 10 a.m. I’m not going to be very amused at having to get up at what is MY middle of the night to drag my butt in for a meeting that promises to create more problems than it solves. Oh, and the schedule! Well, the schedule is still a mess. I had asked not to be scheduled 4 in a row with the fourth night being Christmas Eve, and even given her several possible alternatives, but she chose to ignore my request. I have signed up to be put on call, but somehow I doubt that will happen, even if, as in previous years, they close the unit. Not to mention I got taken out of my weekend rotation this coming week. And then there’s the fact that on a number of nights there are 4 nurses scheduled, which sounds to me like we’re being used as back-door float pool.kinda like the National Guard getting used as a back door draft. (You do NOT want to get me started on that!) Is it any wonder I’m seriously thinking of settling down in a permanent, non-bedside job? Color me fed up. |
| Higher Scientific Officer Cancer Research UK and EPSRC Cancer Imaging Centre at The Institute of Cancer Research and The Royal Marsden NHS Foundation Trust - Institute of Cancer Research / Date of entry: 03/02/10 
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| Post-doctoral Training Fellow Cancer Research UK Centre for Cell and Molecular Biology - Institute of Cancer Research / Date of entry: 03/02/10 
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| the weekend, part 2: out of 5 I meant to finish last weekend off earlier, but here it is time for this one and I haven’t yet! So this will be a quick post. Sunday night can best be summed up as “x out of 5″.as in: 3 out of 5 of my patients were DNR; 2 of 5 even knew who or where they were; 4 out of 5 were incontinent of poop, and that’s where my night went. The patient admitted toward the end of the shift Saturday morning was still lingering, now on comfort measures only, with family sitting quietly in the room. I watched, fascinated, as her O2 saturation dipped to 71% and then 64%, though there wasn’t much change in her other vital signs. Surely she couldn’t last the night with that.but she was still there when I left. My lady from the nursing home Friday night was doing pretty well, responding to antibiotics, confused but pleasantly so, and thus no trouble at all. Then there was the other DNR, confused beyond belief, well-known to be a wanderer, and massively and odoriferously incontinent.multiple times. Compared to him, the dialysis patient next door, also incontinent, was nothing, because at least she didn’t holler and fight you when you were cleaning her up. And the guy who wanted his pain meds? Nothing to it, except that the docs were supposed to have changed him to oral meds so they could send him home Monday. (Guys? He can’t go home on IV Dilaudid for this problem!) So that was my night.mass (mess?) confusion and cleanup. It could best be summed up by the occurrence at the end of it all when I was totally punchy. I was in with the aide cleaning up Mr. Stinky yet again. I was holding him rolled over towards me when he ripped a huge one. “That does it!” said the aide. “Next time I have to fart, I’m coming in HERE and doing it!” I couldn’t help it. I lost it completely and we finished up both giggling like idiots. |