RNs overworked/underpaid/unsafe staffing

Specialties Emergency

Published

Response to general topic are RNs being overworked and underpaid. For all the heath care adjustments that are abeing made and the added responsibilities RNs are assigned which used to be done by ancillary staff, darn tootin we are underpaid AND overworked. Yesterday I worked an ER where, due to short staffing, we tried to close down four beds because we had no nurse to care for the area. As the morning progressed and the ambulances kept rolling in and the patients kept coming in, it became impossible, We were starting IVs, drawing blood and placing patients on cardiac monitors in the halls all the while still being responsible for four other patients in the regular "bays". Our ER attending felt the situation was "dangerous" and requested to go on ambulance diversion but was overruled by administration - they said "no". I had one patient with numerous medications waiting for a tele bed on q 1 hour accuchecks (which maybe got done q 2 hours), an overdoes on a hall cart who I had to remember to stimulate to make sure she was still breathing, and in the "bays" I had an 80 year old female with the dizzies and frequent bedpan needs, a young woman with a pneumonthorax needing chest tubes, two others I can't recall their needs, an asthmatic in the hall in a wheelchair was getting nebulizers on a portable O2 tank and cared for the by the "charge nurse" who was trying to flow the rooms. What flow? We were log jammed and the people kept coming in. All this and the poor staff nurses get paid about $16 an hour. As a registery nurse, I get $26. This won't make anyone rich but maybe famous if we get involved in lawsuits because someone has a poor outcome because they didn't get "proper" care in the ER. Sometimes nursing sucks - yesterday did - and the patients who were there got cheated. This is in a hospital that couldn't get enough support to unionize a few months ago -- gee -- wonder why????

Specializes in ER.
Wow. I will never complain about my job again.

I can count on one hand the times I have had more than 4 patients. I get my meal break every shift. If you're in the "Trauma Zone", you'll have 2-3 patients the entire shift. If you get a Resus/Cath Alert/Stroke Alert/Trauma, you're 1:1 until that patient is out of the ED. The other nurses take up the slack. The Charge Nurse decides when to to on divert. We rarely board, and *never* ICU patients, only stable med/surg/obs types, and even then we get a float nurse to come and care for the boarded patients. I make a living wage. I'm lucky enough to make working part time what most people in my community make working full time. I have health insurance and PTO.

Even so, I know with every fiber of my being that I am earning every single penny. Even so, it's easy to get demoralized at times.

I simply cannot imagine working under the conditions you guys describe. I probably wouldn't even last a day. It is criminal.

This is it. We can't be friends. EVER. lol :coollook:

My last job, we had a "team nursing approach" which left me and another RN splitting up 14-16 patients. If there were three ICU holds, one of us took those and the other took all of the other patients. My record is 11 ER patients and at another time, 18 urgent care patients. Needless to say, I voted with my feet and left for the regional trauma center.

Ironically, feel like i can handle a lot after starting in the little country hospital with a ridiculous patient load and oh! of course, they were forever adding increasing "magnet like" garbage like more supervisors and more forms to fill out and documentation. UGH!

Am thinking of departing for ICU so that I can have 2. Period. End of story.

Ugh, well maybe I spoke too soon. Yesterday was just awful. Can't wait to see what today holds...

Where I come from, we call that "Tuesdays" LOL

Specializes in ED.

Toots what you describe in terms of Pt loads and through put is what our ED is like pretty much every single day. It's completely nuts and unsafe and aggravating to everyone. However I feel I am paid well and I always get a lunch break.

RN-1 you said "Nursing middle managers have been a huge disappointment to me. There is so much they could do to facilitate a smoother workday for their staff, but they just don't care! Anybody agree?"

I am a new nurse in the ED - can you describe to me some of the things middle managers (would that equate to the unit's nurse manager or the unit's asst. nurse managers?) could do to facilitate a smoother workday. I am just naive enough to bring up suggestions at a meeting!!:cool:

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