Originally posted by susanmary:
Are hospitals aware that it is a NURSE'S MARKET -- it seems as if it is a HOSPITAL'S MARKET. I work on a specialized surgical telemetry unit -- charge nurse (no extra pay), preceptor (no extra pay), full patient assignment 1:6 D/E, BSN (just graduated last week after going part time for years! -- no differentials for BSN). My facility is offering bonuses if we refer an RN, yet we are offered no perks to stay. We've just reorganized -- which pretty much means more work for us. Without sounding too much like a martyr -- I come in early, rarely take a break/lunch, and always stay late to finish paperwork. The funny thing is -- I'm organized -- just trying to do 10 hours of work in an 8-hour shift. What IS keeping me at my facility is the extraordinary and kind staff -- although it seems as there has been an exodus off all med-surg floors (including mine) at my facility -- going to ICU or leaving altogether. I just finished my BSN, and am wondering what my next career step should be -- I'm burning out & there seems to be more and more asked of us on a daily basis. Do I love being a nurse: YES. Am I happy when I leave work: NO -- I feel as if there is so much more that I wanted to do for my patients. Yes, there is a nursing shortage (hospitals know why but don't admit it) -- we need better benefits, improved work environments. I just don't know what to do next.
That's easy - DON'T come in early, DON'T stay back late, DO take breaks you are entitled to, and DO document your actual working hours if you do overtime. We all stay late occasionally, but if it is your regular custom, hospital management will never realise how many extra hours you are putting in. This cycle only continues because of our "guilt" complex and "martyr" mindset. If you only work the hours you are rostered and paid for, it won't take long for someone to ask why things aren't getting done on time - then you have the power to say that you can only do so much in 8 hrs, and need more staff/equipment/resources in order to get it all done. ASK what your employers can offer as incentive to stay - it is not fair if only new staff get a bonus - maybe an allowance for extra credentials like yours? I know it is harder than it sounds, but too often we don't ask for what we need/want, so we don't get it. Communicate your frustrations to higher management. Good luck.
"Do the best you can, with what you have"