Substandard Healthcare d/t high Patient to nurse ratios - page 3

To whom it may concern: I am writing this letter because I have most recently encountered the most horrid, eye opening experience of my entire 10 year career as a registered nurse. Throughout my... Read More

  1. by   steelcityrn
    Shandy84....First off let me start by saying how much I respect you for trying to make a positive change. You did not fail, because someone there had to be inspired by your efforts. Now, let me share my feelings on what I feel is now one of the most serious problems in healthcare...under-qualified or under staffed units. Right now as I write this I am thinking of the thousands of nurses trying to do a job which to me is the most important job in the world...SAVING LIVES. Do we make millions of dollars a year?? no, we do not make movies, we make real life. Its incredible how people really do not care or are interested in this topic, but one day they will be.They will one day be in need of hospitalization, and they will see for themselves how humble it is to be in need of a nurse, who has not a extra second in her shift to sit down a minute and talk with you. How else could you posibly know what their needs are. Or maybe you may need a kind word, or support, or a diagnosis explained to you. One day, we will all need a nurse, lets hope they are still there.
  2. by   shandy84
    Quote from fallon_rn
    I find this story hard to believe. All of the admits in such a short time and all crumping in a small hospital. I don't believe it for one minute. How big is your facilty (beds) and how many of those are ICU? No ER would constantly keep dumping patients on you like that. And since when does a surgeon come assess a new admit without being consulted first? I find it hard to believe paramedics would dump a crumping patient on you on the floor without going through the ER first. All of this seems greatly exaggerated or completely fabricated. If you have nurses on the floors having 10 patients a piece it is not management's fault it is the nurses fault for accepting the assignments.
    Excuse me for saying, but if you think this is not happening your crazy or perhaps spoiled to good working conditions. This is an acutual truth and the facility was 170 beds 24 of them shut down, the surgeon was consulted.... when I called the primary physician he asked me to call the surgeon who immediatley came to see the patient. and we had 12 admits that day on the floor in a period of about 5 hours..... and yes when the nurse told the er nurse they couldn't except this unstable the patient the nurse from the er sent the patient with the paramedics with out a nurse to nurse report. Now if you would have read my posting more carefully then you would have understood that.

    If you are a nurse you must be management , perhaps a DON or something... It is not the nurses fault if they are refusing and they keep on dumping patients on you.....Maybe your a nursing student who doesn't know about the real world!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! !!!!!!!!!!!!!!!!!!!!!!

    It was not a fabrication, and it is actually happening.... I forwarded this to the ANA and recieved a phone call from their attorney.... So if they thought it was fabricated they wouldn't be investigating it... They are very aware that it is happening all over the country.... not just at the small hospital in arkansas.

    And furthermore, I read in the paper that the unstable man I was speaking of died thursday.... He was 51. and it totally did not have to happen.

    Dont accuse people of fabricating unless you no that they are fabricating....
    You'll get your experience one day and it will be eyeopening. :angryfire
  3. by   begalli
    Shandy, don't let that one post get to you.

    I don't think there's anyone here who doesn't believe EVERY SINGLE WORD you've said.

    When reading posts on these awesome boards, look at them like nursing looks at trends. Take each one for what it's worth in the big picture.
  4. by   RE Agent
    The truth, nothing is going to happen to fix the problem. Why? The powers that could fix the problem will never receive substandard care, nor will their families. The truth is, we little people who vote for the powerful scum could care less about us.
  5. by   live4today
    Quote from shandy84
    to whom it may concern:
    .................................................. .................................................. .
    .................................................. .................................................. .
    how disheartening to know that this happens all the time at various institutions around america. how sad it makes me to see that hospitals are more concerned with their census and how much revenue they can generate than to provide quality care to patients and a safe work environment to their staff............................................. ..................................................
    .................................................. .................................................. .
    now, i have had to quit a job without notice. it may seem like i have no work ethic but instead i think otherwise. i have a lot of ethic. i have an obligation to provide safe care. i am accountable for my own actions. if the environment i work in is unsafe then i have to say " no ! i will not participate in such substandard care". "i will only provide care if i have safe work conditions, so that i can provide good quality careto my patients."
    .................................................. ................................
    patient ratios. hospitals do not staff by acuity. they staff by numbers......
    the government has to do something about this. it cannot wait...........it is time for nurses to get up, speak out and make a stand! it may be unprofessional to quit a job with out notice but i feel it is more unprofessional to provide substandard care. it is not about a paycheck, it is about lives being saved.

    please help all of the nurses make health care safer!

    sincerely,
    just one concerned nurse wanting to make a difference,
    :hatparty: thank you :flowersfofor your courage to take a stand even in the midst of all that you had to deal with! i applaud you tenfold for caring enough to say "enough!" to those admins.... who obviously aren't listening enough to care and act! i would gladly work with anyone who has a heart as big as yours anyday!

    you are singing to a massive choir of nurses who totally get what you are preaching about, and we thank you for printing your truth about the world of hospital nursing today! :kiss
  6. by   SmilingBluEyes
    Don't let that post get to you. Matter of fact, IGNORE it. Do what you planned to before. Don't let naysayers and people who have no clue what you are going thru stop or stymie you. I BELIEVE YOU.
  7. by   live4today
    Quote from medsurgnurse
    ..................................how nice of the administrator to tell you to keep admitting while he was on a all expense paid vacation (oops, i mean meeting), no doubt.
    speak that truth medsurgnurse! speak it!!!
  8. by   live4today
    Quote from fallon_rn
    i find this story hard to believe. all of the admits in such a short time and all crumping in a small hospital. i don't believe it for one minute. how big is your facilty (beds) and how many of those are icu? no er would constantly keep dumping patients on you like that. and since when does a surgeon come assess a new admit without being consulted first? i find it hard to believe paramedics would dump a crumping patient on you on the floor without going through the er first. all of this seems greatly exaggerated or completely fabricated. if you have nurses on the floors having 10 patients a piece it is not management's fault it is the nurses fault for accepting the assignments.
    uhhhhhhh....are you sure you are a "rn" yourself?????

    let's suppose -- for your sake -- the story is "hard to believe" (as you put it). it's a pretty dang good interpretation of the gospel truth if ever i saw the truth! and...i am a rn who has worked in conditions like that....not to that degree...but yes, absolute hell holes! :stone
  9. by   78BugRN
    Quote from fallon_rn
    I find this story hard to believe. All of the admits in such a short time and all crumping in a small hospital. I don't believe it for one minute. How big is your facilty (beds) and how many of those are ICU? No ER would constantly keep dumping patients on you like that. And since when does a surgeon come assess a new admit without being consulted first? I find it hard to believe paramedics would dump a crumping patient on you on the floor without going through the ER first. All of this seems greatly exaggerated or completely fabricated. If you have nurses on the floors having 10 patients a piece it is not management's fault it is the nurses fault for accepting the assignments.
    I work in a fairly small ER and even we have some REALLY bad nights. Two nurses short and the techs have only worked for three months... 6 ambulances show up in ten minutes with - 1 respiratory distress, 1 v-tach, 2 traumas, a pedi code, and an assault. And all this with 1 doc and 1 PA still on duty with 25 people in the waiting room. Since when can we as nurses refuse to care for patients? I seem to recall learning that this is called abandonment. Paramedics dump "crumping" patients all the time, it's their job. They transport and then get back out to the station to be available for the next call. ER's and floors have to deal with that. We put pt's on hallway beds, put them in the waiting rm, move pt's to chairs so more critical things can go in rooms. Having seen some rough days, I'm not shocked that this happened, only horrified that it was so poorly handled by the hospital management. There is a process to divert new patients to other hospitals and it should have been implemented. I applaud the nurses for sticking it out and doing the very best they know how to do. There is a great deal of courage in simply stepping up and saying "I'll try." The danger is that no one person (or even two or three) could be expected to handle everything that happened. I congratulate you for sticking to your guns and your ethics. There is no way you could have continued with your job there and felt confident about care provided or your license. I wish you all the best in the future and I will be sending the original post to my congressman.
  10. by   FutureNrse
    Quote from shandy84
    I have sent this same letter to the ANA, and various Senators and House Reps across the U.S. I even sent it to the speaker of the house!!!!!!!!!! Something has to be done.
    Good for you! I am a firm believer in getting the word out. Thanks to a favorite professor of mine who was an avid letter writer and activist. Make copies of that post and send it to every political figure you can find in any area. Flood them with copies. Have every nurse you know make copies, and send send send!
    Every nurse on this board should copy it and send it. Send it in to your local newspaper, most have websites and an e-mail address to send it to. Make a great big nasty messy stink so that someone, somewhere will have to take notice.
    I'm not a nurse, but at any time I could end up a patient, so I'll be sending a copy of the post to my local paper, and anyone else I can find.

    Don't feel bad for quitting. They left you no choice. Hopefully, it put them in a rough enough spot that some of the people responsible had to explain themselves. You did the right thing.
  11. by   NurseFirst
    Quote from fallon_rn
    I find this story hard to believe. All of the admits in such a short time and all crumping in a small hospital. I don't believe it for one minute. How big is your facilty (beds) and how many of those are ICU? No ER would constantly keep dumping patients on you like that. And since when does a surgeon come assess a new admit without being consulted first? I find it hard to believe paramedics would dump a crumping patient on you on the floor without going through the ER first. All of this seems greatly exaggerated or completely fabricated. If you have nurses on the floors having 10 patients a piece it is not management's fault it is the nurses fault for accepting the assignments.
    When I was working as a paramedic, and fairly new, I brought a patient in to the hospital to be admitted on the floor. My assessment of the patient was that someone needed to pay attention to him once I got him to the hospital, his vital signs and how he looked just weren't that good. Had I known the patient would get the reception ("just put him in the room, we'll get to him"--and then walking away) he got when I brought him to the floor, I would have taken him to the ER instead of to the floor. This was, ah, 27-28 years ago, so critical care units were not nearly as common as they are now. I've often wondered what happened to that poor man. Those of us who have been responsible for the lives of other people--some of those people haunt us over the years.


    NurseFirst
    Last edit by NurseFirst on Feb 28, '05
  12. by   LPN1974
    Well, this is just really bad.
    I live in Arkansas, also. I know it can't be my town's hospital, because I think I read that you said it was a 170 beds.
    It has to be in one of the larger cities in Arkansas, it must be in Little Rock, or Pine Bluff, or Fort Smith maybe, or even Hot Springs.
    I think you should send your letter to the Arkansas Democrat/Gazzette, and have it published, for the public to see, but I wouldn't want you to get in trouble.
    I have never read anything so bad. I'm so sorry you had that to go thru.
    Sure glad I don't live where that hospital is.
  13. by   SmilingBluEyes
    Quote from NurseFirst
    I'm confoosed. Who using dual accounts?

    NurseFirst
    I would report suspected trolls rather than tackling them publicly here. If someone is holding dual accounts, please report it so the mods can address the issue.

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