why does medsurg nursing have to be like this? - page 3

by pale_pilsen 8,165 Views | 27 Comments

i got off work today 2 hours past my clock out time to chart. I am so burned out. I was literally on my feet the whole entire 12 hour shift. Doing this doing that. call lights here call light there. Family complains, md... Read More


  1. 3
    Quote from jrwest
    oh goodlord what i wouldnt give now to have my old manufacturing job back. im finding ill be a cripple either way, but at least i dont need a license to make parts.

    i do wonder if op is having the same problem as i do in that the "company" is pushing the customer service thing. as previous poster said about making priorities- well of course that is the "right " way to do things. but since there is so much focus on the customer is right, etc, teh customer doesnt want to hear rthey have to " take a number" see what i mean? thats where it adds even more stress to the job.with this job climate, do i really want to be wrote up for providing bad customer service, and possibly lose my job over that, or do i want to lose my license,m and therefore my job, because i missed something really important because i was too busy with customner service bullhockey.
    dude- i totally see where you are coming from. to those who wonder why theres charting to be done 2 hrs after shift- well its because untill you are off the clock is the only time you will not be bothered for customer service requests and can actually physically press any keys on a keyboard or write in a chart.
    that"s how much out of control this customer service stuff has gotten!!!!!
    i've been around a while (lol), but did have to deal with the customer service crap beginning in the late 90s (when it really took hold where i was working).... and this post made it more cohesive in terms of the whole problem (thank you- jrwest!)

    the comment about "take a number" is so very much a part of the whole customer mind set- i'd completely forgotten about it ( the take a number part- nobody can forget the whole customer service cram-down-your-throat bs...)!! you are so right about the customer service angle to healthcare....where it is so inappropriate, and actually dangerous.

    this might be a way to go about getting some changes. maybe. not gonna be fixed today- but it's a place to start.

    if there is some way to educate the public about the dangers of looking at healthcare as some sort of concierge service, and that their expectations of having a "pleasant customer experience" (gag) are not only unrealistic, but a detriment to good care, there may be a way to put a dent in the whole press-ganey-is-our-god mentality (whether or not lay people know what that is).

    yes- we all want happy patients and families, but not at the expense of someone getting the best possible physical outcome of their hospitalization/ltc stay. the whole pg thing is demoralizing and reduces nursing (and other departments, but we all know that nursing gets at least their share of the grief over it) to gerbils on a wheel. :spin:

    something people can do - anonymously- is write letters about this to the media, the ceos, nms, state nursing associations, etc. but do it under the radar. and often. make someone notice because of the sheer volume of statements. if you can safely get petitions, do them (but the media is the key, imo).

    the middle management folks (nms, dons, etc- depending on the type of facility) are often times stuck as much as the folks on the floor- they still have the bean counters dictating to the ceo/coos- so the middle folks aren't the real "targets"... aim for those who can actually do something.... the "customer". if they know what is being compromised by their inane requests for another sugar for their 14th cup of coffee that shift, it'd be a start.

    back in the dinosaur days, (and this may be a big part of the division- perceived or otherwise- between the old ducks like myself, and the newer nurses), patients and families were focused on getting uncle boo boo healthy and home... now it's about looking deep and wide where uncle boo boo might have a lawsuit, and "could you send my laundry out" type nonsense. pg is ruining healthcare (along with the lawsuit-happy mentality....every time someone sues over something that is on the informed consent or side effect list, your salary freezes, your new equipment order is cancelled; obviously gross negligence needs to be dealt with).

    i learned something today (even if just putting things i knew into a different light), so it that is always a good thing :heartbeat
    anotherone, jrwest, and ~*Stargazer*~ like this.
  2. 0
    i think you should continue doing nursing job even if there is economy boom.I like nursing job.
  3. 5
    Quote from hecallsmeDuchess
    @Stargazer, I'm not the OP but at my place of work, the person that gets attended to first is the person who is most likely to raise a stink and give the hospital bad PR. And the people who do this are usually not critical, they need blankets, water, ice, pillows fluffed, etc, and they always need this when another pt in another room is tanking.
    No accredited healthcare institution can make this a policy. They can pressure you to think this way, they can try to create a culture of "customer service", but it cannot be enforced.

    Can you imagine the kind of PR the place would get if they fired a nurse because Mrs. Jones complained that it took too long to get her iced tea, because the nurse was in with Mrs. Smith, who was getting ready to code? There's no way they'd be stupid enough to fire you for something like that. If they did, they'd have a whistle blower on their hands (at least, I would certainly hope so!).

    But you can sure as heck bet that if you failed to rescue Mrs. Smith because you were too busy fluffing Mrs. Jones' pillows so she wouldn't raise a stink, your employer would leave you hanging out to dry.

    No matter what kind of culture they are promoting, you do what you know is right. Don't even bother replying that I just don't understand, it's not that simple, because yes, it is that simple.

    They cannot force you to buy into the customer service BS. Yes, be nice to your patients and their loved ones. Do what you can to make them comfortable. But ultimately, patient safety is the first priority, no matter what the "customer service police" want you to think.
    Last edit by ~*Stargazer*~ on Sep 6, '11
    Adri_RN, rward12, nyrn5125, and 2 others like this.
  4. 0
    I really, really hope you have the guts to leave nursing and are not just venting. I work with too many nurses like you, who hate their work, who are always complaining about the patient, the family, the mean doctor, the aide who isn't helping enough or not right there so you have to get off your own behind, of the other nurses/shifts who leave you stuff to do. Your whiny type makes for a long and frustrating day. I'm betting many of your coworkers look at who is on that day and are depressed from seeing your name, especially if you're down the same hall. Please- find another job, or go work an office for some doctor. Acute care needs better people, people who don't reminisce about their GPA. Wow actual work is more than reading Beowulf, who knew.
  5. 3
    Quote from ~*Stargazer*~
    Okay, I don't mean to be nitpicky, but yes, this is about prioritization. Take this scenario:

    Rm. 101 is puking everywhere and needs something for nausea.
    Rm. 102 is requesting pain medication.
    Rm. 103 just pooped the bed.
    Rm. 104 is climbing out of bed.

    In the meantime, you're behind on your med pass, have 2 patients on TPN and insulin gtts, haven't done a lick of charting, and you need to call the MD for a change in patient condition (the LOL in Rm. 105 is satting 85% on RA and c/o sharp chest pain). Your bladder is about to burst, and you feel like you're about to pass out from hypoglycemia. A family member is hovering in the doorway glaring at you with their arms folded. Your CNA just went on break. The family members in 106 just brought some damn french fries onto the unit and the smell is driving you nuts!
    Are you sure you weren't on my floor last thursday watching me drown in this scenario>>>
    anotherone, ~*Stargazer*~, and xtxrn like this.
  6. 6
    Quote from mikesinger
    I really, really hope you have the guts to leave nursing and are not just venting. I work with too many nurses like you, who hate their work, who are always complaining about the patient, the family, the mean doctor, the aide who isn't helping enough or not right there so you have to get off your own behind, of the other nurses/shifts who leave you stuff to do. Your whiny type makes for a long and frustrating day. I'm betting many of your coworkers look at who is on that day and are depressed from seeing your name, especially if you're down the same hall. Please- find another job, or go work an office for some doctor. Acute care needs better people, people who don't reminisce about their GPA. Wow actual work is more than reading Beowulf, who knew.

    Mike, pretty sure you are not a nurse. You'd have to do some pretty fast convincing for me to believe you were.
    I♥Dexter, anotherone, 1feistymama, and 3 others like this.
  7. 2
    Quote from mikesinger
    I really, really hope you have the guts to leave nursing and are not just venting. I work with too many nurses like you, who hate their work, who are always complaining about the patient, the family, the mean doctor, the aide who isn't helping enough or not right there so you have to get off your own behind, of the other nurses/shifts who leave you stuff to do. Your whiny type makes for a long and frustrating day. I'm betting many of your coworkers look at who is on that day and are depressed from seeing your name, especially if you're down the same hall. Please- find another job, or go work an office for some doctor. Acute care needs better people, people who don't reminisce about their GPA. Wow actual work is more than reading Beowulf, who knew.
    ***** are you in the op's shoes? I doubt it, mR holier than thou. There is no where in the op's post stating he/she sits on their butt all day. Why dont you tell us all about your current work culture- omg it must be soooo awesome to work with you...
    netglow and anotherone like this.
  8. 4
    OP, i feel for you. I go through this on a daily basis. I know how to prioritize. But I still HATE when visitors and patients think I am a bad nurse because I took too long to get someone a coke.That is the type of feedback managment will get back. Not that I picked up on a slight change in another patient's assessment that led to a transfer to ICU and stat gen surg consult, which if ignored could have had a disasterous outcome. YES I was sitting at the desk, paging a doctor about something more concerning, or stat paging rt to the floor.... I guess at the end of the day you have to know that you did the right thing. You have to prioritize and the public is too ignorant to understand that.
    netglow, Adri_RN, ~*Stargazer*~, and 1 other like this.


Top