Quote from gentlegiver
I have come to the conclusion that management is getting worse. IMO, it seems that they know there are thousands of new grads looking for work, so, they are taking the opportunity to raise the whip and demand the current staff to accept treatment that would have never been tried 5 yrs ago. We have no say in how our units are run and our input is at least disreguarded if not seen as contrary to policy. We are overworked and understaffed, made to be waittresses/waiters for patients and families, we now do housekeeping and maintanence jobs, get in trouble for staying over to complete documentation, and get in trouble if documentation is not as complete as they want (because we rushed to get out on time... like they want).
We are judged by survey results written by people who have no idea exactly what we do during a given shift, we are not supposed to use the restrooms, eat, sit down to document what we did, and heaven forbid if someone sees you on the phone (you may be talking to a DR, but you can be sure it will be reported that you were taking a personal call by a family member who's gingerale was not served fast enough). So, I am glad they are flooding the market with New Grads, at least the facilities will have nursing staff (abet inexperienced) when they burn out all the experienced staff.
As a RN student, you'd better believe that I am taking notes on all of the dissatisfaction and the weird kowtowing and non-nursing tasks that nurses are expected to do, with the full intention of graduating with some strategies for how buck it and create a more sensible and practical workplace.
Why, really, have the hospitals switched to catering to patients? I think it's past time to start implementing some standards for patient behavior and accountability, as in "This is our facility. You are a patient here, and as such, there are certain rules which you must adhere to: blah blah blah" "Anyone who hits, bites, strikes, kicks, or otherwise inappropriately assaults anyone else, including nurses, will be promptly evicted." "All patient care is prioritized according to needs and availability of staff and equipment; you may experience delays." "Stay off the call button as much as possible. You are not the only patient here. Don't bother the staff unless it's important. You're not in a hotel."
Seriously. Stop setting patients up to think that they rule the world. A hospital is not a hotel. Patients do not boss hospitals. Hospitals boss patients. Whenever I've been a patient in a hospital, I have not expected nor demanded to be waited on hand and foot. Hospitals made their own problems by not demanding that their patients show proper respect, imo.
I just sat through a training video in which some elderly female had annoyed the nurses & aides no end by leaning on her call button all the time, for trivia. She was still buzzing when a patient coded and the staff, of course, rushed to the code. After the emergency, somebody checked on Mrs. Whiner, and she's now spitting furious because she's soiled herself because nobody came fast enough to put her on the bed pan. "Hey, we're really sorry, Mrs. Whiner, but it'll wash off, and we'll get you a change of attire and bedding pronto now, and you'll be good as new. Sorry we had to bump you to a lesser priority, but a patient coded. Please use your call button more appropriately from here out, eh?" Nope, the nurse can't say that, ever, even if it needs to be said
The waiter /waitress chit has to stop. Right now. I don't know who thought it was such a bright idea to give the patients so much power, but it can't continue unless the staffing is increased. And I really don't expect that will ever happen. The USA just doesn't have the prosperity that it used to.
So, Admin, if you are not going to increase the staffing, then YOU start telling your almighty customers/patients to reduce their expectations because the old days are gone. The nurses should not always be stuck in the middle of this mess.