Originally posted by HotSpam:
When I was the Director of Nursing with a Home Health and Staffing Company I used to tell my nurses,"If you arive to do a shift if you feel it is an unsafe environment for the patients please call me immediately before you take report or take the assignment". </STRONG>
Would you please come be my DON??
At the hospital where I used to work, staffing was HORRIBLE. One night, around 3am, after a crash c-section left NO ONE to staff triage (9 beds--all full) because we were yet again short staffed, our CHIEF RESIDENT called our NM at home and INSISTED she come in. He said, 'you need to come in right now and get some extra staff in here. These nurses are drowning.' This was a totally unsolicited gesture...he was genuinely pissed that pts. weren't getting proper care because of short-staffing. Know what the NM did? She basically said 'deal with it,' and refused to come in. I left 3 months later, but not without a fight. I wrote a letter to the COO, CEO, and DON. I had a personal 90 min. meeting with the CEO himself. He blew a lot of sunshine up my a**, and basically wasted both our time. I gave mgt. 2 months to enact change, then put in my resignation. Those last 4 weeks working in that unit were HELL.
My wonderful little community hospital unit is now starting down that same path. The NM whom I thought was competent has her head so far up admin. a**es with 'cost containment' and paper pushing that she has all but killed morale. We used to be a great unit. Now we're crumbling, because our manager is totally unsupportive, unprofessional, and cares only about the bottom line. Even our DOCS hate her and talk about what a poor manager she is. Well, 2 weeks ago, she made a grave error. She blatantly violated my confidentiality, and when I confronted her about it, lied to my face (I took a leave of absence for deeply personal reasons, and she told another nurse why I'd taken leave...IN FRONT OF other staff). I am in the process of writing a letter now, where I will DEMAND a meeting with her, the DON, the director of women's services, my husband, and possibly legal counsel. She needs to be stopped, and it needs to happen NOW. I don't care about my job, but I DO care about my personal life remaining PERSONAL, and when I can't even trust my manager to keep confidential information confidential, it's time to take action.
I don't know what the solution to the problem is. The root obviously lies in management and managed care's stranglehold in a lot of facilities and units, as with my personal experiences. However, the problem also lies with nurses who are NOT in mgmt. and continue to ALLOW themselves to be treated so horribly. When I wrote that letter at my old hospital, the entire unit was seemingly behind me, all wanting to contribute to the letter, cheering my effort on. When it came down to the wire, and walking into that CEO's office, only ONE of my so-called 'supporters' had the spine to go with me. It's like a battered woman who keeps ending up in the ED with her face bashed in, and says she's going to 'finally' press charges every time, but never does when it comes down to signing the paper. He comes to her and pleads forgiveness and SWEARS this time things will be 'different.' So she tucks her tail between her legs and crawls back to the creep only to have the whole scenario play out again and again until she finally leaves the ED in a BODY BAG. As adults, we know that abuse, mistreatment, and being treated with disrespect can only happen when you ALLOW it to happen. Lying down and taking it is a big part of the problem, I think.
I'll end my tirade now. You really lit a fire under my butt today, HotSpam. Preach on, brother.