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I Quit!



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No. 20
from TigerGalLE
Old Jul 27, 2008, 05:25 PM

Default Re: I Quit!
wow.. I thought staffing on my floor was bad.... I can't even imagine. How would it even be possible for 1 RN and 1 LPN to care to 28 med surg patients? I cannot even imagine the chaos. No one would get their meds. Wow

Tiger
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No. 21
Old Jul 27, 2008, 05:25 PM

Default Re: I Quit!
As a student working to be an RN, it's nice to hear stories about nurses around standing up and refusing to work in these kind of situations. And it's also nice to hear that not all hospitals are like this. Give us future nurses something to look forward to and someone to look up to.

Thanks for sharing this story.
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No. 22
from oramar
Old Jul 27, 2008, 05:36 PM

Default Re: I Quit!
Originally Posted by Super Nurse JoshuA View Post
I quit my job yesterday. They were going to try and staff my acute med/surg floor with me (1 rn), 1 lpn and 2 aids for 28. I told the floor no thank you, I quit, and I left the building. (I had not clocked in or took report). For several months 2 nurses (R/L or R/R) has been becoming the normal staffing pattern for my floor regardless of the number or acuity of the patients.( I believe the increase of code blues, rapid responses, and overall failure to rescue rate would speak to the complications the patients are experiencing from this).



Any support, advice, or critics?
You did the right thing getting out of there. Staffing has been cut on purpose to cut cost. They tell you it can't be helped but it is deliberate. I used to fall for the bull and work like a donkey because I wanted to be a team player. "Team player" is managment talk for "SUCKER".
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No. 23
from SFRN
Old Jul 27, 2008, 05:38 PM

Default Re: I Quit!
Originally Posted by Michigan RN View Post
I don't think you can be charged with abandonment since you didn't clock in and take report.

I agree. You must first accept report AND responsibility for the pt.or pt's (a relationship so to speak) before abandonment. You may take report and realize that you are not qualified to take care of a pt. if you verbalize this to the charge RN, this is not abandonment. Also, in CA. there is the assignment despite objection forms, when you feel an assignment is not safe---Thankfully I have never had to fill one out!
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No. 24
from Kashia
Old Jul 27, 2008, 06:29 PM

Default Re: I Quit!
RIGHT ON!

So 28 patients divided by 2 if you work with competent LPN would be
14 patients each with barely any assist CNA coverage
if this is acute care I would say criminal.-

I refuse to work long term facilities that give ratio 1:34 with aids
I work through agency.


I would say you are an awesome nurse- in the highest sense- for caring about the outcomes of your patients.

I know it took so much strength but you absolutely did the right thing.

Hard to believe this is legal
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No. 25
from grammyr
Old Jul 27, 2008, 08:40 PM

Default Re: I Quit!
Good for you!!!!! That took a lot of guts to go through with. There is no way that 2 licensed people can care for 28 patients in an acute care setting. The what if's are horrendous.
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No. 26
Old Jul 27, 2008, 09:13 PM

Default Re: I Quit!
I would like to thank everyone that has responded so far!

I was honestly wondering if other nurses were going to view my behavior may is being unprofessional or out of line. I have heard that my Unit Manager is telling others she plans to take this "higher" , to which I assume the Arkansas State Board of Nursing. My state board puts out a nearly bimonthly "Update" that recently addressed the quest of abandonment:
Inquiries have been received by the Board regarding which actions by a nurse constitute patient abandonment and thus may lead to discipline against a nurse’s license.
For patient abandonment to occur, the nurse must have:
Accepted the patient assignment, thus establishing a nurse-patient relationship.
• Severed that nurse-patient relationship without giving reasonable notice to the appropriate person (e.g., supervisor, patient) so that arrangements could be made for continuation of nursing care by others.
Once the nurse has accepted responsibility for the nursing care of a patient, severing the nurse-patient relationship without giving reasonable notice to the appropriate person may lead to discipline for unprofessional conduct pursuant to ASBN rules Chapter 7, Section XV.A.6.i

Refusal to accept an assignment is not considered patient abandonment nor is refusal to work additional hours or shifts. It should be noted that the Board has no jurisdiction over employment and contract issues. While nurses who may refuse certain assignments may not be violating the Nurse Practice Act, While nurses who refuse to accept certain patient assignments may not be violating the Nurse Practice Act, the nurse must be willing to accept the consequences of such a decision on the employer/employee relationship.
I do believe this should cover it. I did not clock in, I did not take report, and I refused to accept any patients or responisbility for the floor.
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No. 27
from rn2bn07
Old Jul 27, 2008, 10:26 PM

Default Re: I Quit!
This almost reminds me of a hospital I once left before I even got report when I was pulled to a floor where codes happen daily, all the nurses leave the floor for a smoke break, literally, and I would be responsible for the entire 32 patients! Please! You did the right thing and they shouldn't be able to push abandonment on you because you hadn't received report yet. As the other post mentioned, there are other better places to work for who will appreciate you. Good Luck
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No. 28
from annmariern
Old Jul 27, 2008, 10:31 PM

Default Re: I Quit!
Wow, I am impressed. If I showed up at work and that was the deal, yes, I would have walked too. You can be sure, had you stayed and sucked it up, as so many of us do for the sake of the pts, you would be a) letting management know this was ok to do, b) putting your licence at real risk, c) putting the lives of every pt on that floor at risk. That amount of staff vs number of pts and no bad outcomes that day? A lot of finger crossing. Patients deserve a heck of a lot more of that when they check into a hospital believing they will be taken care of. A nurse deserves more than that when they come to work willing and able to provide that care. I wish you luck, just know better things are ahead, and that you can really be proud of yourself for taking a stand for yourself and every other nurse at that hell hole! You know, I bet when the director had to actually deal with that mess, they pulled staff out of the air, they always seem to when it their butts on the line. Had I been your colleague or pt, I would still feel the same.
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No. 29
from Dolce
Old Jul 27, 2008, 11:15 PM

Default Re: I Quit!
Originally Posted by Super Nurse JoshuA View Post
I do believe this should cover it. I did not clock in, I did not take report, and I refused to accept any patients or responisbility for the floor.
You were really smart to not clock in. I always clock in at the start of shift, prior to receiving an assignment. I believe you made absolutely the right decision that day, both for the patients, the staff and yourself. Organizations need to have a little "reality check" occasionally to alert them of need for change. That hospital needs huge change, from the top down.
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