Personal Narrative: An Interview With A Charge Nurse

It is clear that the nurses in the evening shift violated 1.5 under provision 1 of the ANA Code of Ethics, Relationships with colleagues and others. (Nursing World, 2012) All nurses should commit to the fair treatment of individuals with other colleagues as well as patients and their0020family members. It was clear that the patients were getting unfair treatment from the nurses in the evening versus the nurses during the day. All nurses should work together so that miscommunication does not affect the well being of the patient.

While at Trinity the supervisor gonna call the Activities that were witness today activities that were witness today consistent off the strategies to take me off then off short fast and I have reload a patient karenconsistent off the strategies to take me off then off short fast and I have reload a patients the morning started off within a report give in for all members of securitythe morning started off within a report give in for all this thing is and nurses. Aaron this meeting the unit supervisor very gave with some encouragement to the staff. During this meeting she also informed the nursing staff the clients that were at risk such as the ones with that are prone to bad all sirs the ones are high risk at Falls the ones on isolation precautions. At this meeting was also a clinical nurse educator. On a normal daily basis she is responsible for doing quality rounds and making

The situation happened during the author’s last day of orientation as a new medical-surgical nurse. The author was passing medications and administered aspirin to a patient as ordered. As the author approached the nurses’ station, she stopped in disbelief as the charge nurse started yelling at her, saying, “Why are you not checking your orders? Why did you give aspirin when there was an order for no anticoagulants? Do you know the patient is having a procedure tomorrow? New grads.” Several physicians and nurse practitioners, along with the author’s coworkers, witnessed

On Thursday 11/17/2016 around 2300 hours, I, Security Steven Evans was informed by Dispatch to make contact with 5 East Unit Charge Nurse Tonya Smith in regards of Code (34) Customer Service Assist. I arrived at 2302 hours and met with Charge Tonya Smith who explained to me that the Correction Officers for the prisoner in room # 504 had given her hard time few Months ago on the patient, Angel SantiagoGonzalez (Fin# 86424089) last visit. Nurse Smith further stated that she had a personal problems with one of the Officer and that she was informed by Lake Correctional Institution that this Officer would not be working at all on 5 East. She described the Officer as a Black female about 6 feet tall with braided hair. I walked over to the room and

Two hours until shift change and Sally Smith, RN was looking forward to going home and putting her aching legs up on the ottoman and drinking an ice cold Coke. She was thinking to herself that the patients were so needy all the time, she felt she gave them all she had and still all she had was not enough. All Sally heard was “get me this” and “get me that”…

        She murmured, “I know it’s been hard on all three of you kids. I've missed so many days of work that my boss has begun to treat me more like a temp than an employee. I know that, although I'm the most senior IC nursing supervisor at St. Ben’s, I'll soon be in danger of being laid off.

Patient A was assigned several nurses during her three days stay at the hospital. Everything went well until the second night at the hospital room. A new nurse was

I had my first two night shift this week on Sunday 9/13 and Wednesday 9/16. I am on 7 West at Sharp Memorial Hospital and the unit is PCU unit with tele monitoring. The unit had a high census this week, but proper staffing and no codes lead to the nights being relatively calm. I was working with Laura who is not my regular preceptor. She stepped in to work with me for this week while Elle, my regular preceptor, was on vacation. I had a wide variety of patients on my two shifts. The first shift I had a patient that was suffering from an exacerbation of COPD with a history of CHF and a patient that had polycystic kidney disease, which had progressed to end stage renal failure. The second shift I had four patients; one patient had been admitted to the hospital multiple times in the past month for GI bleeds, another patient with a history of diabetes and hypertension was admitted for fever and chills and was later diagnosed with sepsis, the next patient had a history of schizophrenia and was found on the ground in her home and was expected to have been there for over 24 hours resulting in deep tissue injury, and my final patient was suspected to have a history of alcoholism and presented to the hospital with shortness of breath and an oxygen saturation of 89%. The first clinical shift I was shadowing my nurse for a majority of the shift. I was being orientated to the unit and learning where to find supplies on the unit. The second shift I took a

I first want to thank you for the work you all do in keeping the units in the hospital staffed. I am hoping you can clarify and help me understand a situation that occurred Monday night with Raylene Colvin. Raylene, who is a CICU nurse and new off orientation this week was pulled to ED, and replaced in CICU with Christina Thomas, an ICU PRN nurse. When Raylene was a float, she was not ever orientated to ED and she states she had only functioned as a resource nurse twice while in the med/surg/tele float pool position. Raylene also states she took the role as resource on Monday night. Additionally, she was sent home in the middle of the night around 2 am, because ED no longer needed her while Christina worked in CICU. I am having a hard

Writer called Constance to find out if she has heard from the Visiting Nurse Association (VNA). Constance said yes and that they scheduled to meet on the 9th of this month. Constance said she will be seeing her pain managing doctor on the 8th. Also Constance said Medicaid approved for her to use long term care. Care manager was glad to hear that. Constance promised to update care manager after the

The nurse on fifth surgical west stayed very busy throughout the day. When she comes on shift her day consists of beside report. Where they are at the patient’s bedside giving report. It is to ensure everything that is said is accurate and nothing is left out. How she prioritizes her day depends on the patient’s needs. It is difficult to know what will happen that day because patient’s can be discharged and admitted. The nurse prioritizes her patients by looking at the reason they are being treated. If everyone is doing ok then she goes by what medications are due. This is to reduce the risk of late medications. She also is aware of the patient’s pain level. She mentioned if the patient is in pain or uncomfortable then

This week’s clinical day I had the opportunity of being a charge nurse and it was very different from having just my assigned patients to provide care. Being a charge nurse I quickly came to terms with the fact I had responsibility for all patients on the floor at a level that meets my scope of practice as a student and also responsibility for the students nurses. This required my familiarization with most of the patients so I am better able to be of assistance. Being a charge nurse requires patience, being knowledgeable of everything happening in the unit. Rounding in each and every room in the unit and also helping out with different patients I got to learn a lot and also help some students realize something they did not see before in the room and learn from my fellow students as well. In addition, it is very important to separate friendship from professional responsibilities and be adamant otherwise very little will be accomplished.

Although, I have not experienced a Charge Nurse position as a RN, only LVN, by obtaining my BSN I hope to pursue management one day. The experience and knowledge that I have gained as a staff nurse and through education will guide me into a strong leader. I remember being a new graduate nurse and not feeling the comfort of being able to ask anything to or express my concerns with my manager or my preceptor. It was not a good feeling at all and I keep that in mind and try to always remember how I felt when I come into the presence of any new nurse. There are key components such as compassion and support that could have been expressed not only to patients but to co-workers as well. Constructive criticism along with resources from other nurses

On Wednesday, October 18, 2017, I had the opportunity of following Kathy. The backup for Sarah ( permanent charge nurse for Day Surgery). Kathy did not only look ahead, or at the later end of the day (staffing wise), she also makes sure that staffs are getting to their breaks and lunches. One of several things that I learn was how she helps in facilitating and resolving discrepancies in the miscount of narcotics. I was able to observe the charge nurse order a special solution from the inpatient pharmacy for a pediatric patient per anesthesia. Besides, the charge nurse explain floor dynamics to staffs on orientation, as well as the pm staffs. It is also the duty of the am charge nurse to update the pm charge nurse on breaks, staffing and patients

As a new graduate nurse, I was hired as a floor nurse on the medical surgical unit. I had two months of orientation before I was on my own on the unit. It was a fighting experience for me because I had a full assignment with eight to ten patients during night shifts. My nursing director and colleagues were very supportive during my transition. I had a patient who was abusive to staff with past medical history of IVDU, GERD, Bipolar (untreated), and chronic pain. I felt outside my comfort zone because I was worried about my safety. The patient was labeled as a “difficult patient” on the unit and most nurses refused to have her. One evening, she was complaining of back cramping after a session of physical therapy and received morphine IVP with little effect.. Patient was impulsive, and abusive toward the staff that morning. When I was getting a report from the previous nurse, the patient was getting agitated and left the unit to smoke. The nurse felt that would calm her down and make her less belligerent toward the nursing staff. During my assessment, she reports being extremely nauseous which was not resolved with antiemetic. The patient continues to seem to be in distress, obtain normal vitals and 12-lead EKG. She appears less comfortable, agitated, and her EKG remain normal sinus rhythm. The doctor was at the bedside to evaluate but not concerned. He ordered for another dose of morphine IV with Zofran IV left the unit. He reported he would be back later to check on the patient with the primary team. In addition, he consulted pain services to better manage her chronic pain. The pain was not managed, she remains nauseous and sweating. I needed to approach her with an open mindset and look for an underlying cause of her discomfort. I notify the charge nurse on the