[mcknis]

This thread is great. Finally something may be done about more staff at the bedside...how it should be!

[BrokenRNheart]

I have an email sent to ANA about the concerns. We will see what they say.

[Fan of 4 points]

Haha,
Sounds like you work at my hospital. They are strongly encouraging scripting(cuz we all love to hear someone scripting when we call our banks or gas companies, maybe we should all adopt an Indian accent when we script to our pts). They even went so far as to send us to a conference that informed us that our pts were our boss and anything they wanted we need to provide them with. The slogan? "give them the pickle"(you can watch the quack video on youtube). So that means your pt who came in with hyperglycemic crisis who just got off the insulin gtt can certainly have 3 cups of reg ice cream. Why not?!?!?! Ditto to everything you said, especially the falls.

[BrokenRNheart]

Originally Posted by Fan of 4 points

Haha,
Sounds like you work at my hospital. They are strongly encouraging scripting(cuz we all love to hear someone scripting when we call our banks or gas companies, maybe we should all adopt an Indian accent when we script to our pts). They even went so far as to send us to a conference that informed us that our pts were our boss and anything they wanted we need to provide them with. The slogan? "give them the pickle"(you can watch the quack video on youtube). So that means your pt who came in with hyperglycemic crisis who just got off the insulin gtt can certainly have 3 cups of reg ice cream. Why not?!?!?! Ditto to everything you said, especially the falls.

Reading this made my stomach quiver again. Any hospital topics make me SICK.

It is out of control. There is another topic out there about ativan (anxiety). The nurse that started it and all the nursing assessment topics are 100% right about our training but the hospital is too wishy washy and we can't be nurses in hospitals. It is no longer nursing it is customer service with a 3 ring circus approach to try to balance what is right medically to what is right to keep the customer happy and not get in trouble. Keeping the customer happy and not getting in trouble is the priority unless something goes wrong. Then, per the hospital, you are just WRONG. You couldn't prioritize? You couldn't make a professional decision.

This makes me

[forrester]

Originally Posted by BrokenRNheart

Reading this made my stomach quiver again. Any hospital topics make me SICK.

It is out of control. There is another topic out there about ativan (anxiety). The nurse that started it and all the nursing assessment topics are 100% right about our training but the hospital is too wishy washy and we can't be nurses in hospitals. It is no longer nursing it is customer service with a 3 ring circus approach to try to balance what is right medically to what is right to keep the customer happy and not get in trouble. Keeping the customer happy and not getting in trouble is the priority unless something goes wrong. Then, per the hospital, you are just WRONG. You couldn't prioritize? You couldn't make a professional decision.

This makes me

I think they are trying to create theme parks. You come into the private room at the "marriott" hospital, where you are catered and sedated, and medicated to your complete satisfaction , regardless of the medical consequences, given a pill to take, and sent back to your unhealthy and glutinous existence.

Hmmm, too much?

We want marriott healthcare on a motel six budget.
We want to be passive recipients instead of active participants.

Somethings gotta give.

[marie-francoise]

Originally Posted by forrester

Somethings gotta give.

It looks as though something is giving, and has been giving - i.e., the nursing shortage. No home-grown nurse wants to stay at the bedside, for good reason.

Not only are hospitals not hiring enough nurses, but home-grown nurses are fleeing the bedside (again, for good reason).

[forrester]

Originally Posted by marie-francoise

It looks as though something is giving, and has been giving - i.e., the nursing shortage. No home-grown nurse wants to stay at the bedside, for good reason.

Not only are hospitals not hiring enough nurses, but home-grown nurses are fleeing the bedside (again, for good reason).

Something is going to break, the healthcare system.
The politicianms have it wrong. The problem isn't with the payment system, insurance works pretty well (for them that got it).
I don't think any employer would mind paying $50 with a matching $50 from the employee. Nor would most self employed people mind paying $50 to $100 bucks for good coverage.

The problem is we have a healthcare system designed in the 1940's trying to deal with 21st century issues.

We need to open up primary care services in the communities at times convenient to people who work.
We need to use hospitals for intense care for intense patients, with intensivist practitioenrs.
We need to unleash nurse practitioenrs.
We need to abolish Medicare Part B.
We need a non-profit system so the money stays in the community.
We need a nursing run healthcare system.

At the same time, we need to protect what we do really well. Trauma and surgical services are incredible in many facilities.
If you are in a head on crash, there is no other country in the woprld you want to be in. If you need long term care, or palliative home care, this is not the country to be in.

I personally recommend the "public utility" model for healthcare, but the politicians are so locked into this "free market" vs "government run )or financed at least" argument that they refuse to even discuss other possibilities.

I'm afraid neither of the Democratic candidates can offer real solutions, and I like them both.

[vamedic4]

Finally sounds as if something's being done or that some people's voices are being heard. But I wonder...as I perused my subscribed threads I came upon the one about how the Mass. Nurse's Association opposes the whole idea behind "Magnet Recognition"...and guess who's behind the whole Magnet movement? That's right, your friends at the American Nurse's Credentialing Center - the for profit subsidiary of the ANA.

Call me a skeptic. One wonders how, if they're so concerned about safe staffing and nurse/patient ratios, deplorable conditions could exist for so long?

I don't know. I do, however, hope some good comes of this movement and that all nurses experience some positive outcomes from this campaign.

[forrester]

Originally Posted by vamedic4

Finally sounds as if something's being done or that some people's voices are being heard. But I wonder...as I perused my subscribed threads I came upon the one about how the Mass. Nurse's Association opposes the whole idea behind "Magnet Recognition"...and guess who's behind the whole Magnet movement? That's right, your friends at the American Nurse's Credentialing Center - the for profit subsidiary of the ANA.

Call me a skeptic. One wonders how, if they're so concerned about safe staffing and nurse/patient ratios, deplorable conditions could exist for so long?

I don't know. I do, however, hope some good comes of this movement and that all nurses experience some positive outcomes from this campaign.

They've been able to get away with it because the vague terminology allows facilities to interpret the word "safe" as they see fit.
With no real representation at the administrative level, including most CNO's (remember the AONE folks), bedside nurses have taken it .........

We finally have a nursing organizaiton speaking "our" language.
If we fail to support them (c'mon, what's $30), then we deserve what we get.

They are now at 85,000+, and growing. At 200,000, we can start really influencing national health policy, and not just in reference to staffing raitos.

Maybe the last 40 years of nursing research won't be wasted after all.

[Miss_Chybil]

Done.