Tuesday, September 20, 2011

Is this real life?

For any of you who have not seen David after Dentist: A. go watch in on youtube. It is halarious! and B. Just be careful, youtube can be a very dangerous thing and take up hours of your day until you are watching The Little Mermaid with no sound and just You're Beautiful playing.
I feel much like David after 3 12 hour shifts in a row. The most concerning is when you realize you are driving or wait I cannot find any of my animals, did I leave a door open all day or something? 12 hour shifts are taxing. I am sure I am preaching to the choir though.
I had my first 3 days off orientation. Apparently that mandatory meeting that I skipped because I am new, I should have went to. They are "trialing" RNs having 5 patients and increasing CNAs. Now, may I remind you that the RN is responsible for doing all blood sugars and vitals which are q2, 4, or 8. And on the weekend I must do all of the dressing changes. These patients at the old hospital would at the very least be a 3, probably more like a 4 and one 5 with that acuity system. Last time I checked my shift wasn't 20-21 hours to fit it all in. I still love the job and wouldn't change the patients or facility or the management (big one!!! Well, except to decrease the pt load!) but it is exhausting. It was quite disheartening the lack of help there is to help these patients. Finding 3-4 people for transferring is like trying to find 3-4 million dollars. All the patients make me so sad and it is painful (literally for them and psychologically for me) to watch them in pain or uncomfortable and I cannot do anything about it because I don't have the help. A lot of patients that have or are vented have also had or have pretty bad ICU delerium, so a lot of the people are very conservatively medicated. Except for insulin, becuase it is so hard to "control blood glucoses in the chronically, critically ill" I am covering blood sugars in the 130s or sometimes lower!
All in all, I made it and so did my patients. As they are at the old job, a good CNA is worth their weight in gold and it makes all the difference to have a good with 6 patients when 5 of them are mine.

No comments:

Post a Comment