Am I Wrong To Think This? - page 2
I work midnight shift (7p-7a), weekend option at a hospital about 30 miles from my home. My floor is a stressful, busy med-surg floor, and a lot of times, I am the charge nurse. By the time my three... Read More
Nov 28, '08Unfortunately pay for performance (P4P)is not going away. Physicians in some areas are now getting reimbursed for P4P-this is based on patient satisfaction scores, infection control rates, etc,etc.
Nov 28, '08My hospital is starting a "practice run of "P4P" this year. Everyone is running scared thinking they won't get a raise. The raises are only arounfd 3% anyway--not much more unless you are exceeding expectations in every area of a very biased evaluation that is more of a popularity contest than anything else. No one can prove that they exceed expectations--it is ridiculous terminology and using press-ganey scores when you have an urban inner city clientele----no one pleases them. We bend over backwards and still get low scores- I think they do it on purpose.
Nov 29, '08We had accreditation recently, the Govt gave us three months notice that they were going to audit how we do things, from paperwork, training through to locking medication trollies and everything in between. As expected, our management people started making all sorts of things up to make the facility look better than it realy is. I found a notice on a wall stating that I was a ward resource person for OH&S as well as paperwork, on asking the unit manager what was this, (in addition to what drugs are you on?) she stated not to worry, if I found a problem with either area I was to let her know and she would sort it.
Long story short, on paper I am a ward resource, in practice I am just a good looking rooster with no extra responsibilities.
Nov 29, '08Our raises if we get any more in this financial climate are based on performance, meetings attended, committees involved in, education we do the list is endless. If it is any comfort one of the nurses on our floor does nothing but show up to work and the difference in her raise is nickles and dimes, by this I mean she only earns a very small percentage less than those who do it all
Nov 29, '08I greatly appreciate all of the responses so far! It helps to know what other hospitals require, and what other nurses think about it.
Heading to bed now.....
Nov 29, '08I believe that most of the committees are not functional, anyhow. They are more geared towards gatherings to talk trash and do nothing. It does sound like magnet goaled to me...at least being spoken about behind the scenes. We don't get paid based on performance, anyhow at my hospital because we have unions. In this case, the opposite usually happens...many people work at minimal standards, just enough to get by.
Nov 29, '08How about offering to do some individual work on a performance improvement project. Probably falls into the same category on you eval check sheet - without the drive.
RN, CFRN, EMT-P
Writing from the Ninth Circle