Now I understand why there is a nursing shortage - page 4
I am a new nurse and I am on orientation now for almost 4 weeks at the hospital. I work on a med surge floor. I am given 8 patients to give medications, assessments, etc etc. The work is... Read More
Jan 6, '08Quote from TheCommuterIt is time to get the rest of the 49 states' butts in gear.California is the only state with ratio laws for nurses who are employed in acute care facilities. The remaining 49 states of the union do not have any ratio laws whatsoever. Relocating is easier said than done, especially when an individual is settled in life.
Jan 6, '08What you are experincing is not the norm everywhere. I ave worked at three different hospitals on Med/Surg units and never was assigned more than 5 patients. Also had a charge nurse with no patients, one aide for every 7-10 patients and a unit secretary.
Keep looking at other hospitals, they do exist. If you need to stay at your current hospital, become involves in nursing committees/teams, practice council, unit councils and shared governance to support change in nursing practice and staffing to improve and support patient outcomes and safety.
As professionals, Nurses need to identify issues and than become active in seeking solutions. We ARE responsible for our profession and need to fiecerely be the advocates for our patients. Nurses don't give up they become part of the solution.
Some things to look at are looking at appraoch to practice, what other support do you need ie. More advanced equipment, location of supplies and equipment, Admisssion units, Discharge units, improved computer programs, easier access to MDs? More RNs may be the obivous answer but sometimes is the one most resisted by Adminsitration. Does you hospital particpate in NDNQI. a survey system that tracks outcomes of nursing actions?
Good Luck! Don't give up....Get involved!
Jan 6, '08Quote from TheCommuterI think therein lies the problem y'all. It's not that NS didn't properly inform us. My own only let us have 2-3 pts max on a 4-6 hour shift only 2 days a week. That is NOT enough training when all we were responsible was PCT work and passing meds along w/ a RN or our instructor.California is the only state with ratio laws for nurses who are employed in acute care facilities. The remaining 49 states of the union do not have any ratio laws whatsoever. Relocating is easier said than done, especially when an individual is settled in life.
Yes, if your NS was like mine, the technical skills were overlooked for more critical thinking skills and assessments and gearing you to go into advanced nursing and research. But then there is the even bigger issue of safe ratios. And where does this stem from? Budgets! And who is in charge of budgets?
The fact that CA was able to enact laws that allow for safe nurse/pt safety ratios is HUGE!! Why are the rest of our states not hopping on that bandwagon? We all need to get politically motivated and involved. This is something that is in the news almost nightly. And it's election year !!!
Hopping down off my soapbox now. :spbox:
(I'm not sure I could have handled 8 pts either. I was going crazy with 5...Way to Go !! )
Jan 6, '08I think that our colleagues will agree that BOTH working on a MED-SURG unit and the transition from novice to expert in bedside nursing are difficult.
But your situation is HORRENDOUS.
There's no legitmaite excuse for unfair nurse-to-patient ratios and abusive treatment from senior nurse co-workers---especially if your health is declining as a result of it.
GET OUT OF THERE!
Look for other facilities or specialities that could fulfill you. The Nursing profession has too much more to offer you---DON'T BAIL OUT NOW.
As far as Nursing Schools being responsible for training students in real-life nurse-patient ratios...under whose license?
The ONLY problem I have with the above scenario is that the unlicensed nursing students should attain a RN license (maybe a temporoarary license) before practicing at this level--- something similar but not the same as the training of INTERNS and RESIDENTS in Medical school.
I do agree that the education of RN-sttudents would be greatly enhanced with real-life situations but as a faculty member, NOT ON MY LICENSE! I'd be more than willing to supervise newly-attained licensed RNs in real-life situations.
I wish you much success in your strive for happiness, health and wealth in the nursing profession.
Uh-hmmmm. Just for the record, I did start my practice on a MED-SURG unit with hopes of becomimg a MED-SURG Instructor but burnout caused that dream to fade and another to blossom in PSYCH NURSING. And again, for the record, I practice full-time as a Psych Nurse on an Adult Unit and per-diem faculty in college universiites.
Just FYI...I hate things to get twisted.:spin:
Jan 7, '08after all the demands and every thing else, one nurse came up to me and accused and blamed me for not telling her the chest tube was leaking after giving report the day before. I had done my assessment in the morning and there was no leak i was aware of but who knows... maybe it started leaking later... maybe not but i was accused of not telling her.
I am just learning about a chest tube now as it is the first time since i have ever realy seen one in real life and not book work plus i was running around all day long how the hell can i keep track of every body all at once .
i am getting ready to quit and try some where else.
i felt like telling that nurse off but oh nooooo i have to be professional. so i held my cool and tried to ignore it.
Jan 7, '08Med/Surg ratio's in the UK are more like 14:1. 12:1 if you're lucky!
Edit: Nightshift last week was 28:1 plus 2 hcsw/aides!!!
Jan 7, '08Get out of there, Kendel, before this unit sucks the life out of you and totally burns you out on nursing. There are better work environments - you just have to look hard to find them.
Jan 7, '08Talking about ratios I have had 7:1. This last place sometimes you had an aid and sometimes you didn't. That made is difficult.
From reading all the responces there seem to be some great places to work at, where you don't have to deal with all of the other BS...
Jan 7, '08Quote from VickyRNGet out of there, Kendel, before this unit sucks the life out of you and totally burns you out on nursing. There are better work environments - you just have to look hard to find them.
thanks for the support.
I called today and told them i am not coming back.
Jan 7, '08i was sad every time i had to look forward to work and today i told them i quit
I am relieved ,.....actually not even an ounce of regret.
i did not like that job
i am not sure why but i did not get a good vibe there.
Jan 7, '08Quote from KendelProbably the right decision. What are your plans now?i was sad every time i had to look forward to work and today i told them i quit
Jan 7, '08There are tolerable places to work as a nurse, but these places are few and far between, and hard to find.
A lot of nurses work many crappy jobs, for a number of years before they find something decent.