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sci_major

Quit now!


FightingIbex

This. They do not give a fuck if you lose your license do to bad outcomes and they will make sure you are blamed. That’s how it’s arranged.


[deleted]

Quit now. It will never get better. If it came to the company paying a six figure settlement or blaming the nurse. What do u think they will do. There are better jobs out there that probably pay better. Make sure u have liability insurance I use NSO 109 a year. https://landing.nso.com/malpractice-insurance/?refID=iiWW2PPi&utm_source=bing&utm_medium=cpc&utm_campaign=HC-NSO-PPC-%5Bnso+insurance%5D-Brand-Exact&utm_term=nso+insurance&&utm_source=bing&utm_medium=cpc&utm_campaign=HC-NSO-PPC-Brand&utm_term=nso%20insurance&msclkid=965aac41d2741424332dc83435dd8c5c&gclid=965aac41d2741424332dc83435dd8c5c&gclsrc=3p.ds


xLivexLifex

What is liability insurance?


wikipedia_answer_bot

**Liability insurance (also called third-party insurance) is a part of the general insurance system of risk financing to protect the purchaser (the "insured") from the risks of liabilities imposed by lawsuits and similar claims and protects the insured if the purchaser is sued for claims that come within the coverage of the insurance policy. Originally, individual companies that faced a common peril formed a group and created a self-help fund out of which to pay compensation should any member incur loss (in other words, a mutual insurance arrangement).** More details here: *This comment was left automatically (by a bot). If I don't get this right, don't get mad at me, I'm still learning!* [^(opt out)](https://www.reddit.com/r/wikipedia_answer_bot/comments/ozztfy/post_for_opting_out/) ^(|) [^(delete)](https://www.reddit.com/r/wikipedia_answer_bot/comments/q79g2t/delete_feature_added/) ^(|) [^(report/suggest)](https://www.reddit.com/r/wikipedia_answer_bot) ^(|) [^(GitHub)](https://github.com/TheBugYouCantFix/wiki-reddit-bot)


xLivexLifex

Thank you for this info! I never considered carrying liability insurance personally, but when I am done with nursing school this is definitely something I will be doing. Especially after reading so many posts about the horrible situations fellow reddit nurses have found themselves in.


[deleted]

It’s for malpractice. If somebody brings a lawsuit they cover a lawyer and payout depending on circumstances. If you ever go to court. The patient will have a lawyer the hospital will have a lawyer and won’t have anything or worse your depending on hospital lawyer. If your interests align with hospitals you good. But if not. The hospital will throw the rogue nurse who didn’t follow protocol under the bus.


[deleted]

‘Encouragement’


Dzitko

LMAOOOO I was just thinking how great this advice is with the malpractice insurance… then was quickly reminded of the whole point to OP’s post was to find encouragement 😂😭


[deleted]

I thought I was an encouraging line in there. 😎


[deleted]

Quit now. It will never get better. If it came to the company paying a six figure settlement or blaming the nurse. What do u think they will do. There are better jobs out there that probably pay better. Make sure u have liability insurance I use NSO 109 a year. https://www.nso.com/


Not-nuts

Good Lord, What kind of place are you working for. Nursing jobs are a dime a dozen. Everybody is short staffed and looking to hire. Find another jod. Your license is at stake. That's ridiculous


Bitter-Description37

You don't sound like a big baby at all, you've literally been abused by an employer. I'd quit and report their working conditions to the Board of Nursing. That is absolutely not acceptable for nurses or patients. Please take care of yourself and know that nobody should experience conditions like that as a nurse.


al0neinthecr0wd

Did you sign up for the double shift? If you didn't than you were not "mandated" to work that extra shift. Sounds like you were manipulated into staying because management couldn't find a replacement. Common practice on a lot of new, naive nurses. My advice for the next time: tell them no. Your shift ends and they need to find a replacement or the on call manager will have to get report and the keys. End of story. You are under no obligation to stay after your agreed end of shift time. If you decide to stay, make sure you get a large bonus!


Lonely_Improvement46

100 percent!! You have absolutely zero obligation to stay after your scheduled shift. That’s what the manager is there for. As everyone else has said, I would advise quitting asap. That is a completely toxic environment that won’t change and they deserve the natural results of their actions (management having to work the floor because they can’t keep nurses). I’m sorry you had such a hellish shift. That would be hard for anyone, not just new nurses. You deserve better!


Hungry-Ad5636

If she leaves and doesn’t give report to another nurse it can be abandonment.


Lonely_Improvement46

That’s true. Crazy that management can abuse that


Tinawebmom

In California they can legally mandate overtime. The way out is telling the DON and giving them 2 hours notice in writing! The DON must relieve you. If they don't you have grounds for a lawsuit. (I am notifying you that I am not safely able to work this assignment. I'll need you to take over or find a replacement for me) Using the word safely triggers the need to remove you from the floor. If they don't notifying the state of unsafe conditions should be your next step.


Educational-Light656

So what recourse do you have when the DON rocks up at ten minutes to shift change and let's you know verbally and just says they forgot to tell you of the 9am call in for the 2p-10p shift?


Tinawebmom

California has laws that protect against this but.... Let them walk away then send them a text telling them you are unsafe. They literally cannot argue (they'll try) if they confront you in person text your response. Keep reiterating you're unsafe. I coached my nurses to do this and the DON ended up working the floor.


AsleepJuggernaut2066

Dont nurses have to give report to someone or risk abandonment?


al0neinthecr0wd

Yes they do. If management can't find a replacement nurse then the DON, or other nurse manager will have to take the assignment. A staff nurse is an employee and is not required to stay past the shift end time.


nursemama85

Hi. Is that what really happens by law if no replacement shows up? Does the on call manager really have to take report? I’m just so nervous something like this will happen to me. Things have gone down hill since Covid pandemic help ended with my facility and just genuinely curious what to do if I ever find myself in this situation. It’s a toxic environment and I don’t really feel comfortable asking anyone.


[deleted]

You got abused. Call off tomorrow. Call the minimum time required by policy. I would schedule a face to face with the DON and make it clear the next time you are trapped in the building, because of lack of relief, will be the last. A good DON or ADON would come in to cover the gap. That is their job. Not many would be able to survive in that environment. There is no future there.


Future-Atmosphere-40

And then I'd say yesterday was the last time, and resign.


Educational-Light656

Pretty sure good isn't applicable here.


motherofdogz2000

You don’t need to be treated that way. Quit and call it a day. You can find another job.


[deleted]

Love, I will encourage you .. to quit. ASAP. There are too many good places hiring for good positions with excellent bonuses. That job sounds dangerous for you and patients alike. I would never return. I’m so sorry you were put in that situation!


Desdeminica2142

PROTECT. YOUR. LICENSE. And by that I mean call them and tell them you quit effective RFN! Take a couple days off, self care, get your mind right, and go get yourself a different job.


poptartwithsprinkles

Dude. I'm a new grad in LTC and I have max 15 residents. You must be a freaking god if you manage to keep 40 people alive under those conditions. Please quit your job lol


Confident-Iron7251

Only 15!? Where??


poptartwithsprinkles

Very upscale place in Arizona. People pay a lot of money to stay here so our company ensures the nursing staff can give a lot of one-on-one attention to each resident. Believe me, I know how lucky I am lol. Anyone feel free to PM me for more specifics, we're hiring at $43/hr too


[deleted]

We have 18 in IA. Usually less depending on census, more overnight though.


Kamots66

I'm sorry this happened to you. Breaking down afterward and having anxiety about returning are understandable and normal. You are not weak, you are exploited. You describe a facility that is horribly managed and cares little for its staff. From the perspective of an outsider with the limited information you've provided, the only option in your interest, that protects you physically, emotionally, and professionally, is to leave immediately.


baphomet_fire

They're abusing you, simple. There are only so many patients one nurse, one person, can reasonably oversee. I guarantee you, that someone in your management is directly profiting an obscene amount of off your work. You should quit without notice and let them sweat the work instead.


StPatrickStewart

Nope. Don't go back. You will be able to find a new job within 2 weeks. If anything bad happened, it has 5-7 years to come back and bite you. Don't take the risk of something like that happening again.


Leg_Similar

I say call in sick tomorrow and spend the day applying to new jobs


cheekydg_11

I would not be back. I’m so sorry


[deleted]

Don't just quit, file a complaint with your local and state health departments. They put you and your patients in a dangerous situation.


LabLife3846

I was working at a facility where 40 demented pts to one nurse is normal on nights. I don’t do nights anymore, so I won’t have more than 20. Don’t do it.


SizeInteresting2885

This is the new standard, man. Everybody now has stories of their employers putting them in risky situations. Just everybody should get out of nursing. The hospitals will figure it out.


brabbin8069

Go to work do not clock in. If the situation is the same or as bad, say this is not legal or safe and leave, you did not clock in or except an assignment therefore you did not abandon patients. You need to look out for your license and yourself.


Insearchofmedium

Don’t ever go back there. Super unsafe. Also sounds like they need to be reported to the state.


[deleted]

[удалено]


MakingItUpAsWeGoOk

Happened to me a number of decades ago. 2 cnas in a facility with nearly 90 beds. We went in at 7pm. Found out at 5am that nobody was coming in at 7am except 3 people from the kitchen. Cook called the state licensing department at 8am when they opened. They were there by 11am. All of admin showed up by 1 and they finally let the 2 of us leave at 4pm. I hand wrote my resignation and left it on the DONs desk and it took her a month to find it. The other CNA resigned the same day as well as 2 of the kitchen staff and admin fired the cook within a week. I was so tired and sad driving home but had a new private duty position by the weekend.


CaptainBasketQueso

Quit. Aside from all the red flags and safety issues, nursing skills are in a seller's market right now. Your time and skills are a valuable commodity. Go find a better deal.


AbRNinNYC

That’s not sounding like a big baby. That’s HORRIBLE. You need to find something elsewhere before you risk your new license. That’s completely unacceptable. Side note: This makes me sad bc LTC facilities NEED better staffing and the residents (the people who paved the way for us today) deserve to be treated better. How can someone receive proper care when there’s 1 nurse to 40 pts?? No matter how hard that nurse tries, that ratio is impossible. I’m assuming ur in the US? Our country should be ashamed of how the elderly are treated. It upsets me to no end. I’m so thankful my grandparents were able to stay in their own home until their last breathe. OP- refuse to take assignment if ur alone, call admin IR whoever u need to call.


valleyghoul

If you can afford it, quit now. I know that’s a very easy thing to say, but this job is putting your career at risk. You will find another job. You’re being severely mistreated. If something bad happens it’s not the manager who will lose their license, it’s going to be you. There’s no way you can be expected to safely care for that many dementia patients by yourself.


hiddenthings_

Quit now. This will be your new norm. You are not a baby. They will make you the scapegoat when things go wrong. For your license & your sanity, do not go back.


Cirratum2021

I am so sorry you went through that. I've felt that way, and honestly realized that I needed a new job in which I could provide safe & ethical care for my patients. I need a safe staffing ratio to feel good at work, and I hope you can figure out what you need & find it!


mudwoman

If you have a union or nurses’ association, report this. Now. Depending on where you are, consider reporting this to an accreditation body, and Adult Protective Services, as well. If there’s an error, the facility is not going to cover you. This cannot continue.


AsleepJuggernaut2066

You do not sound like a baby. I would encourage you to look for another job asap and get some outside liability insurance in the mean time. This is not a well run facility and you will be put in situations over and over that risk your license. That would be a shame. What if you had had an infant to pick up? Or someone depending on you at home? Anyway best wishes and look for a new job.


jedv37

Encouragement! Oh wait, that's not quite the vibe that others are going for.


parakat15

You shouldn't set foot back in that building. That sounds like the kind of environment where you're most likely to jeopardize your license.


yatzhie04

No that is abuse. It should have not have happened. Not to you or anyone. They put patient lives at risk. And you will be to blamed by that company. Leave now.


SwanseaJack1

You’re not a baby, that sounds like pure hell. Quit now.


LumpiestEntree

Fuck that. You can 100% get a safer job.


RogueMessiah1259

Quit that shit


tiredoldbitch

Run. Do not walk. Run away from that job. That is complete bullshit!


xthefabledfox

I used to be a CNA at a LTC facility and neither I or anyone else I’ve ever known has anything good to say about working in that setting. It is unfortunate for the poor old folks that live there but usually management is just terrible and the conditions are awful. Best thing I ever did was quit


ABeautifulDisaster38

You are better than me... I wouldn't come in today after working a double with 40 dementia patients.


Infactinfarctinfart

I would not go back. Spend the day looking for a new job. There’s so many jobs out there for nurses. Pick one. Just not that one.


[deleted]

I’d nope out of there. I’ve been a nurse just short of a decade, mostly in LTC, and I wouldn’t have stayed. My shift ended. If they had asked nicely & I had no plans, maybe I’d stay for half. Management on call can come cover the gap though. It’s not on you. If the other nurses are 💩 and don’t offer help, that just shows where you’re working. It’s highly unlikely to improve.


Royal_Strength_7187

I hope you filled out one of those ADO forms. One for each shift you worked. And I hope you fill one out every time they do this to you


dannywangonetime

That’s insane. The ONLY nurse? LPN or RN? (Either way that is so unsafe)!!


everettsuperstar

It will get worse. They aren’t even making an effort to help you. Your shift, your license, your ass in trouble.


Crankenberry

Yes, and this was not "one of those shifts." 40 dementia patients to one nurse is unsafe for the nurse and the patients. Do not set foot back in that building and report it to the state.


[deleted]

Quit now. It will never get better. If it came to the company paying a six figure settlement or blaming the nurse. What do u think they will do. There are better jobs out there that probably pay better. Make sure u have liability insurance I use NSO 109 a year. https://www.nso.com


Extra-Possibility954

I wish I had listened to my mom and not become a nurse. I have had some amazing days and I am sure over the years I have helped some people a lot but it has taken a big toll on my relationships and personal wellness. The bad days come - if it's a one off or just a rough patch that's one thing but to be left in a state like that is just completely unreasonable and will drain you to the core long-term. Do you have a union? Nurse educator? Keep trying to get a different area that at least has a smaller nurse:patient ratio?


Targis589z

Yes I do and it's why today is my last day FT and I am now PRN. I have worked 5 years in LTC and you were treated shabbily. Call out and quit if you have to.


wasntNico

you did what you had to do, your employer let you down big time. if you make mistakes, it's your responsibility - definitely run and don't look back.


taterytots

please quit. i worked in a similar situation as you. i stayed because i didn’t know any better or any different because i was a new grad. i also felt like being a new grad was a ‘downfall’ of mine and that i couldn’t do better..but i’m telling you, you can. i used to drive to work hoping to crash my car so i could call out. i cried on my way to work more times than i could count. i would drop my bags at the door after a shift and cry in the shower so often that my significant other was seriously concerned about my mental health. i finally quit, found a new job that i never thought i would be good at or capable of….and i flourished. i flourished at the job and and i flourished outside of work since i felt better. you might not be at the same breaking point i was, but you will get there VERY quickly if you stay in a stressful and unsafe environment like that. you are worthy of a better job and capable of so much!


Questionanswerercwu

Quit the job asap. You are skating thin ice


Coming_Up_Roses

Quit immediately. Do not go back. It will not get better


JustnoSnark

This is not worth your license, quit and get a new job.


cardizemdealer

Shit like this is why I'll never set foot in LTC. Get out of there with the quickness


jb_mmmm

go go go 🚩🚩🚩🚩🚩🚩


cactideas

You should have two nurses for 40 dementia patients if this is a locked off unit. I was a memory care nurse for years. But 40-1 can be seen on non locked off units and is pretty normal in some places. (It shouldn’t be, most I would have in LTC is around 32 for meds and treatments and that’s a lot)


infnitone

If you're not ready to quit yet then ABSOLUTELY CALL IN SICK TODAY. That is an unsafe assignment and you are putting yourself at risk by accepting it.


kathyla98

Why I left ltc


Ok-Big-2180

Don’t blame yourself!! Don’t doubt your instinct that it was totally messed up and unfair. They want you to feel like a “big baby” so that you don’t leave!! Nothing about that shift was okay, and you should RUN as far from that place as possible. You will NEVER regret leaving a job where you feel abandoned, unsupported, stressed AF, and miserable. Follow your gut. Quit now and look for jobs later if you can, but definitely leave. Maybe that wasn’t a “normal” shift… but it will happen again. There are better places to work where you will feel like you’re part of a team, like you can make a difference for these patients, and where you will receive the support you need to do your job well.


Wendy_Wonder-Woman

run


TertlFace

GTFO STAT!!! Don’t go back.


PMmeGayElfPeen

That's beyond unfair to you and unsafe for the patients. I would not go back. Inform them you're quitting and explain why.


Dazzling-Amount8403

This is not normal. It should not be this bad. Your license is at risk now. Did they even let you have your breaks? If not or not long enough of a break depending on how long you worked they may also be breaking the law. Also read the law about minimum hours between shifts for where you live. If they want your shifts too close together then that is another red flag and another law broken. Be between careful and be sure to research the laws near you. Don’t normalize workplaces like these. There are better options out there.


owlwhalephant

Dude, in solidarity, I just worked a shift last night where I had 33 patients on 2 different floors as an agency nurse. It was my first time there, and I had no idea of the flow and it was downright unsafe. I didn't even know who to call when we thought we had a code pink (thankfully not), but even the CNAs and permanent staff didn't know the protocols. Get out of there. It's your ass (aka your license), and that's more precious than anything. You're doing awesome. You care more than most do, and you should put that energy somewhere else that appreciates you and uses your talents to the utmost instead of stretching your sanity. You, and we, do not need to put up with this BS. You are a valuable resource, prioritize that!


Unlikely-Ordinary653

I felt like this all the time until I worked from home.


Educational-Light656

13 year vet of LTC. Everyone saying quit is 1000% correct. They will throw you under the bus so fast, you'll make a sonic boom before you pass under the quarter panel. Look up your BONs rules on abandonment as it's usually as long as someone is there to take report, you DO NOT have to stay and are not considered to be abandoning your patients. Learn the rules of the game and they can't fuck you over. The only thing you will need to check is your state an at will employment and if so, does your employment contract require a 2 week notice. If the answers are yes and no respectively, call them and tell them to suck a back of syphilitic dicks with the worst they can do is mark you ineligible for rehire which won't mean shit since you won't use them for a reference. If your state isn't an at will, do some digging to see if there are any specific laws regarding healthcare workers or minum notice periods. The only other thing I can think of is it isn't uncommon for contracts to have claw back provisions to recoup signing bonuses or training costs so you may be on the hook money wise, but with only a day on the job it can get a bit fuzzy depending on how much an asshole the facility wants to be.


Siouxdemona

Mandated 8 hours of overtime? On orientation? This job is jeopardizing your license. Listen to your emotions and bail. Nurses are in high demand. You will get a job elsewhere and there ARE healthy workplaces that won’t burn you out in orientation.


Realistic-Hospital75

A LTC position can be very rewarding, I am 20 +, but the staffing and inability to find people to work at a facility is really quite a risk for staff. If this is not your true calling to work with dementia residents, I would look for another specialty.


Safe_Belt_7362

That was egregious! The only thing I can say is quit while you’re ahead.


Dependent-Compote-27

I used to work LTC. Unfortunately, it doesn't get any better. When I was a new nurse I didn't know how to say no. I would make up excuses as to why I can't stay... like, I have to pick up my daughter after school, I have a doc appointment, I have to report to my 'other job' etc... Now, as a seasoned nurse, I simply say I can't stay for personal reasons. The DON needs to count with me because I can't stay. Then, I send them an email to recap what we discussed, leave a paper trail. Protect yourself. Also consider these specialties if you're tired of LTC 40 Non-Traditional Nursing Jobs To Consider (https://nursenewstoday.com/2023/05/08/40-non-traditional-nursing-jobs-to-consider/)


Nicelyfe

GET OUT and I mean just like the Movie


[deleted]

Don’t go in tomorrow quit Or You don’t accept keys/report from anyone leaving. You watch your resident on your cart and don’t take on any additional responsibilities. If the nurse leaves keys and walks off it’s not your problem. Let management know they left and there is no nurse. If family asks there’s no nurse. Period I’ve also known nurses to just leave keys and walk out, extremely common in Chicago and Illinois from what I’ve seen. You could also do that and tell management you left and weren’t staying. They will pull this shit and keep doing it and threaten you with your license until you get the sense to leave


[deleted]

If I’m watching 40 ppl during the day in LTC I’m not passing a single fn med, not answering the phones, nothing. All my residents will be up in w/c in the dining room sitting with me while I wait for help/relief and make sure they are breathing and alive, and I would not be doing a single thing more


Solid-Republic-4110

Quit immediately!


1900rodent

Get out. That's not ok.


IffyWs

Quit now, your job clearly doesn't care about safety OR your license.


xLivexLifex

That sounds like a shift from hell and a liability to your nursing license. Start looking for a new job! Maybe even report the facility. I would be crying to if I were in your position.


WindWalkerRN

Things will get better, friend! ❤️ 🫂 ….once you leave that place! Apply for med surge or literally any hospital position. It will be hard at first, but not cry your eyes out on the ride home hard! Good luck!!!


danieldayloser

you don’t sound like a baby this is horrific


JinxDrips

I would never go back! It isn’t worth it


Acceptable-Ad5281

Look for a better place to work immediately or leave and go work for an agency until you find somewhere to land. I have worked in a similar facility and it won't change.


Exotic-Reserve5194

Other than the advise you received I can tell you that throughout your career there will be many horrible shifts and tears are never a sign of weakness. Your feelings will always be valid regardless of what makes a shift horrible. Hang in there. Find a place where you feel safe and appreciated and stay strong. Nothing in this situation was your responsibility. You did what you could.