It's that time of the fiscal year where administration is trying to look good and maximize their bonuses, and it's hell on us floor nurses and PCAs. Don't get me wrong, they're always trying to squeeze more blood from stones, but it's been especially bad lately with all sorts of threats about termination.
-Our hospital is at full census, mostly very very sick people. The last few weeks I have had 7 patients, which is a normal LTAC load. Usually we have enough walkie-talkie cellulitis or long term antibiotic patients to ease up the load, but last week I had 7 accuchecks, 2 tube feeds, 6 total care, 2 who were constantly trying to get out of bed, etc. They're taking anyone who has some form of payment, and probably a few who don't as tax charity writeoffs.
-If we do not clock out by 7 at the end of the shift, we have to fill out a form explaining why. Now they are enforcing them and threatening to terminate us if we get more than a certain amount. We staff nurses know that with our increased patient loads and paperwork, it's not possible. Some clock out and finish their paperwork, others just shrug, tell the rest of us that it's illegal and that they have to pay us, and say that this happens several times a year. Come to think of it, they just hired a bunch of new grads from the August graduation that they're training, so they might just be able to let some of us go.
Is anyone else experiencing similar?