I just finished 12 hours from hell! I work ina busy, high acuity ICU/CCU. We have a minimum of 2 and often 3 patients each. A colleague went home sick at 11 pm so I picked up one of her vented patients and another nurse took her BiPap patient. That left 4 of us with 12 patients. One of my colleagues had a patient on Dopamine and Levophed which she was titrating and only had doppler BP's and got an admission that SHE had to take to CT scan because our Assistant Manager was too busy sitting on her a$$ in her office.
Myself and another colleague have approached our manager (who is new to her job and worthless) about the lack of support we get from the assistant managers. They do not have patient assignments so they can assist those of us who are drowning. Problem is none of them do help much anymore. Soem aren't clinically sound. We have relayed our problems to the VP of Nursing and he has done nothing but the typical administrative maneuver of turning it back on us. We have called the State DOH about our staffing and nothing ever gets cited probably because our VP of Nsg sits on an advisory board for the DOH.
The manager who was on last night only took the job because she wanted to be off most weekends and all holidays. The first thing she said she was going to do when she started the job was get caller ID so she would know not to answer the phone when the hospital called. I told her to please reconsider taking the position because she was taking it for the wrong reasons. Morale was bad enough then and as predicted, has only gotten worse.
I guess my question is how can we have a mutiny? How can we convey a no confidence vote in the managers we have? The assistants don't care and don't do their jobs, the nurse manager is just way out of her league and can't keep her head above water and the VP of nursing simply couldn't care less. We also have 2 physician directors who would rather not get involved. Any suggestions or should I just go get the gun???????
NOW you all know where I got my name from!!!! Too many nights like last night!!!!
Thanks for letting me vent!!!!