You are part of the problem with healthcare today if...

elizabeth321 · Mar 28, 2010

You have your opinion and I have mine

SharonH, RN · Mar 29, 2010

Dude you are seriously burned out. I would recommend you work in another area of healthcare but then you'd be part of the problem. Good luck.

SharonH, RN · Mar 29, 2010

if there weren't a good bit of truth in it, i don't think the management types would get so bent out of shape about a vent that was meant to be humorous.

or, or......maybe we're a little bent out of shape because even though we don't wear scrubs, we still work hard, still miss lunch sometimes, still work the occasional 12 hour shift because there is work that has to be done that may be invisible to the direct care nurse. last week, i missed lunch 2 days and ate half a turkey sandwich at my desk while on a conference call another day while working on a project that some would have surely said was pointless but cms requires it for the organization. now i learn that i'm a problem. op is welcome to vent (he sounds seriously burned out to me) but i can respond and it's not because there's a grain of truth in it either. that's garbage.

pennyaline · Mar 29, 2010

the fact the so many of them have posted here during times that indicate "work day" surfing of the internet, speaks for itself.

no it doesn't, actually, when you stop to consider that not all of the members of this forum live in your time zone.

firstyearstudent · Mar 29, 2010

Nurse managers are being paid by administration to squeeze the bedside RN until she screams. It's their job to torture the bedside nurse and if they don't do it, they get fired. Managers are so terrified of having to go back to the nightmare that is bedside nursing that they'll do whatever they're told. They don't give a crap about bedside nurses or about the patients. All they care about is themselves. If they did care, they'd quit in protest! Heh heh.

allnurses Guide · Mar 29, 2010

QUOTE=360joules;4205055]. . .Don't worry. After a few more mandatory meetings and PowerPoint presentations (each containing 60 pages of multiple one-word bullet points) it will all make sense.

OK at the risk of offending 70% of the responders here (I really don't mean to) That is hilarious! :lol2: shhh Stockholm Syndrome There are a few nurses who cheerlead for "Studer Group" type stuff. Saying that, for example- they like the gold star charts because they get a Starbucks Gift Card for every 25 stars, or making comments sounding frighteningly like rah-rah corporate talking points, and I begin to feel like the last few wives in Stepford who haven't been "altered".

I'm curious about the link between the Studer Group principles and higher Medicare reimbursements. I suppose I could venture to their website to find out, but I may be subjected to subliminal messaging not sure if it's worth the risk. However, if I start a thread extolling the virtues of the 5 pillars of Studer-dom, send for help. My children will thank you.

rph3664 · Mar 29, 2010

No it doesn't, actually, when you stop to consider that not all of the members of this forum live in your time zone.

Or they work evenings or nights, or have a day off during the week because they worked the previous weekend, or whatever.

360joules · Mar 29, 2010

or they work evenings or nights, or have a day off during the week because they worked the previous weekend, or whatever.

except the original comment was about "business casual" nurses, who in my experience don't work evenings or nights or [god forbid!] a weekend.

one nurse, at the start of this thread, chastised me and explained she was on her lunch hour (vs. my 30 minutes - or at all).

watching the timestamps on the messages, her back-and-forth postings covered the next 3.5 hours. that speaks for itself.

the floor nurses where i work don't have web access (blocked by websense to almost everything), yet i have walked in on my manager more than once on ebay or facebook. (i won't even go into what the physicians look at on their workstations.)

the point of the thing was that these middle managers that claim to "have been there", seem to quickly develop really faulty memories, or were never exposed to the amount of "chicken excrement" workload and tedious rules we now work under with their 20 years of experience. (and on the rare occasion they've worked a floor shift, some of those folks seemed to have "one year" of experience twenty times over.)

management gives zero concern towards workplace rn satisfaction, and when the inevitable disasters occur, they quickly throw the individual nurse under the bus rather than examine the system that is creating these sweat shop conditions.

with the aging of the staff, and the ever increasing numbers of new grads who flee the field a few years later, a tsunami is building that will decimate the profession. too bad the bean counters don't see this, and instead keep handing out trinkets, baubles, and platitudes about "teamwork". (toss everything at me.)

and yes, to those who say i'm bitter and burned out -- i am. end of may my pension vests, and color me "gone".

rngreenhorn · Mar 30, 2010

Joules, you seem stressed. Would you like to talk about it? “I have the time…” Oh wait, hold that that thought, I need to pass meds to my other 5 patients. Also I need to toilet them, take care of their ADL’s, and feed them, because our administrators have determined that 1 CNA to 20 patients with 1 RN to 6 patients is an adequate ratio. I’m sure this ratio was in some study somewhere “evidence based,” no doubt, because they go on and on about this magical “evidence base.” I think my manager spent a week at a conference on the subject: “Evidenced Based Emerging Effective change for Administration Dimensions of Nursing Practice via Power Point” or some such thing. Also, I need to take care of that STAT order. But first, I guess I should check on my dizzy little blue man with a BP of 60/30, HR of 30 and SAT of 70%. NANDA wrote all about “dizzy little blue men,” so we can all get the “taxonomy” right. “Failure to maintain vertical pose” (I think would be his nursing diagnosis)… Of course, he seems to be at “risk for retaining existence”… But, thank goodness we got the terminology right…

Also, I have to read the 50 daily emails sent to me, because the administrators have determined that mass emails and flyers on the break room wall are an effective communication technique. I think this communication technique might be a learning objective in one of the 20 mandatory education modules I am suppose to finish via Healthstream (during my free time, of course.) But, I’m sure it is ‘evidenced based.” Then, I need to attend that “mandatory” meeting that was scheduled in the middle of my shift. Oops--- train wreck of an ER admit coming my way. “What?” the charge nurse asks, “you’re discharging 2 patients. That only leaves you with 5.” That’s one less than the “magic” staffing matrix declares is appropriate. I’m so thankful that this “magic” matrix was “evidence based” somewhere… probably came from a Press-Ganey score… All hail Press Ganey, ruler of the universe...

BTW--- I totally enjoyed this “lively” thread and the OP. Which of course means it will soon be locked. Lord Press Ganey hates me.

Cheers---

allnurses Guide · Mar 30, 2010

Though the OP had some exaggeration in her post, and the barbs hit some unintended targets, it was an attempt at gallows humor of a sort. It's when people feel frustrated and powerless and aren't laughing any more when the real problems start.

Better to exit like you are joules, hey :idea: maybe you could start the Joules Group as a sane counterpoint to the Studer Group. The market hates a monopoly! :up:

Zookeeper3 · Mar 30, 2010

This thread is so classically sad it's unspeakable.. that so many keep speaking and not listening and hearing. This is what goes on every day at work, and here we are at home repeating it.

Instead of focusing on patient care, this age old argument continues.... I'm busier than you, I'm more valuable, you have never walked in my shoes...

VOMIT...until these two groups that exist for the same purpose of patient care can co-exist for the common good of excellent patient care... we're all wasting bandwith here. How easy it's been to complain one against the other group, spending hours reading this thread and no one is willing to offer common ground, solutions or point out how our patients suffer due to these mentalities that DO negatively affect our care for the patient.

The post was an excellent one that could have invoked excellent conversation and resolutions, even though it was rash...staff nurses need to know that their managers are following directives from above due to cost reimbursement, joint commission and regulatory standards. Managers in return need to remember that the staff nurses are THEIR patients and make sure all these rules and regulations are passed on with as little as documentation and time constraints passed on them as possible and be positive and supportive leaders.

Geeze, why is this so hard?

360joules · Mar 30, 2010

but first, i guess i should check on my dizzy little blue man with a bp of 60/30, hr of 30 and sat of 70%. nanda wrote all about "dizzy little blue men," so we can all get the "taxonomy" right. "failure to maintain vertical pose" (i think would be his nursing diagnosis)... of course, he seems to be at "risk for retaining existence"... but, thank goodness we got the terminology right...

don't forget to complete the appropriate "blue man" and mandatory "md notification after business hours" checklists.

if you don't remember which ones to complete, there is another checklist that will help you figure it out... i think you can find it on screen 17 of the "cpr in progress" computer-based (paperless) nurse charting system.

yes, we now have checklists for the checklists where i work.

and that's no joke.