Sunday, October 13, 2013
I'm supposed to work 7AM to 3:30 pm with 1/2 hour lunch Fri Sat and Sunday. Friday I had no lunch, no breaks and got off 20 minutes late. Saturday I had no lunch no breaks and got off 1 hour late. Sunday, I had no lunch, no breaks, and I got off 1 1/2 hours late. By the time I got off today my mouth was so dry from not drinking anything from 7 AM to 5 pm. Nursing management would say they encourage us to take our lunch and breaks but you can't get it all done now with no time off! Today one of my patients needed neuro checks every 2 hours. One of my patients needed 1 unit of blood, 1 unit of platelets and numerous Iv antibiotics and also had a very difficult personality. He kept swearing at me because I didn't have time to take him out to smoke. One of my patients had a broken leg, and required help to get to the commode, bed and the chair. She was also diabetic, needed pain pills and was tearful and depressed. I felt bad for her, she said I was kind to her but I felt like I didn't have enough time for her. Then my other patient was waiting for discharge orders all day, Dr didn't write them until 2:30. I didn't see those orders right away because my admission came at 1:45 pm. He was a 87 year old who fell at home and wasn't found until morning. He was in ER from 8:30 am until he got to my floor in the afternoon. He arrived when I was doing the first 15 minutes of a blood transfusion, when you do vitals every 5 minutes. this was also while this patient was yelling and swearing at me about everything he didn't like about his stay. I was being called for the admission, lab wanted me on the phone, my nurse tech was pulled to stay with a 1 to 1 so she couldn't help. My patient with neuro checks was due for another at 2 PM. My diabetic patient wanted a pain pill. I wanted to cry especially since the patient I was starting blood on was yelling at me. There wasn't any time to cry so I continued to take one thing at at a time. I reported to the next shift at 3:30. It took that long to get done enough to talk to anyone. I then spent the rest of the time charting what I had done, hoping I didn't forget anything. I had a cheese stick and a pop on my way home. It was the first food and drink I had since my breakfast at 5 AM and the coffee I drank on the way to work.
I usually enjoy my job but this weekend we needed more staff. I wear my fitbit to work. I had 11,000 steps on my fitbit when I left work today even though I never left my floor.