stranded on a 35 square mile island

Sunday, July 26, 2009 by Nurses in Action
I enjoy the drama that is played out on T.V. and at times picture my self working in a grand hospital. Then I snap back to reallity, I work in a 35 bed hosptial where the experience is limited and I am slowly loosing all my skills. Sometime I say "I'm leaving" but I just can't its my home and we are already loosing all of our nurses to big countries like the U.S. and the U.K. Here I am a jack of all trades master of none. I am going to try give you a picture of this place. It's one long ward, it's separated in cubicles male and female. There is no medical or surgical wards ect. everyone is in one big pot. On the female side there's paeds. and matty. Even thou the place is small you go home mentally drained. On a average day I have at the max 16 pts. with limited staff one RN, one RN midwife, one nursing assistant. when the midwife get a woman in labour its the one RN and assistant to manage the 16 pts. Out of the 16, 4 are critical needing ICU care. I would have all medication to serve and still monitor the critical pts as ordered. Then there is still doctors rounds, with all appearing at the same time and all wanting their orders carried out STAT. Now there is still feeding of patients, turing of the medical bed patients, the surgical ones that have dressings to be done. ( lets not forget the midwife who is now deliverying a baby by herself another disaster waiting to happen.Yes the OBGYN doesn't deliver babies here, all they do are the CS). There is never an orderly around so all the heavy lifting is mine. I work whole shifts without a break because there is never enough staff to relief me. To make a long story short even thou the place is small it is stressfull having to think medical, surgical, peads, ICU and all that comes with illness in one shift. On top of the work load the treatment of the nurses by other staff and the public is one I would not wish on my worst enemy. Many days I cry before I go to work and I cry when I finish. I am thinking about leaving the profession but I love being a Nurse.

Name: Carol

Comments for stranded on a 35 square mile island

Monday, August 17, 2009 by Della:
You are only looking at the glamor....My father was in one of these "grand hospital" in Colorado and to my dismay had not had anything for pain in 24hrs.....When I spoke to his RN she said that we dont offer we empower the Pt with their care!!!!My dad did not even know he had to ask or even had pain meds ordered....You may ask why I would tell you this story...You are in an environment that requires you to use a nursing skill that is obviously dying....critical thinking.....I am sure due to the variety of Pts you have you must stay on top of their needs as well as changing health....this is an art that is slowly being lost...I have been a nurse for over 20 yrs and worked in small hospitals and rural....Yes in the rural hospital I was treated worse by staff, management and patients....but for the patients I look at their fear factor, being in a small place you have no option and the educational level does make a difference...I have wanted to leave nursing for the last 10yrs, but God has not given me a different path to follow...I just think of the few smiles I have given some patients...keep in mind you are not there for the staff but the patients...I just keep in mind the patient I had about 2 yrs ago and due to me bothering the DR the patients life was saved...But before her life was saved by the surgeon I had to endure the Dr. and administration yelling at me...Yelling does not matter The person who does thanks me too this day

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