Quote from alphabetsoup
Some of this sounds like the same routine from my old days romping in LTC. Except for the higher acuity. Very true though, hospitals are under pressure to discharge patients and those patients enter rehab/LTC in not the best of health.
Other than supplies/organization (you can be the solution in those cases) and staffing (not within your control), would you ever stay? At least 2 of those issues are easily correctable.
The only way I would stay is if they increased the CNAs or hired other staff (i.e. servers for the dining room). I am not asking for them to give us more nurses. I understand that can get to be expensive. But I am sure that they can hire some other positions so I can actually do MY job.
As for the supplies and organization, during my meeting with my DON I asked if I could come in for about 4 hours and reorganize and try to develop a better system that would increase productivity and patient care. She said "That is what unit managers are for".
They worry about the cost of EVERYTHING. My previous career was in management, so I know all about that. However, I am upset because a lot of our patients are private pay. Not that I care for them any different, but they expect things to be better if they do not use medicare. I heard one family get upset last week when they found out that there were medicare beds (I guess they were not even told they had that option).
I also heard that a unit manager (salary) sent home a nurse (hourly) so they could decrease their labor expense for a bonus.
So, no, I will probably not stay much longer. I thought I finally found a company that cared more about providing care than money, but I was wrong. I feel so bad for my patients and their families.