Quote from SuesquatchRN
From the admin to me, this morning, about staffing. My magic words were, "We're always short."
We have 120 beds. 38 are mine. 20 of those people are totals. Hoyers. We are supposed to have 17 aides on days, 6 on my unit. Total today 15, 2 called off, 13. 4 on mine. One leaving early, another who works as "the early girl*."
Ooookay. We are, on occasion, staffed at less-than-ideal levels. Now is it not an elephant in the living room?
* I cringe when they are referred to as "the girls."
Gee, are we in kindergarten here?? How condescending can your upper management be?
Honestly, I thought it was bad where I
work now. Of course, I'm only a lowly charge nurse, but I was hired "to provide some badly needed leadership on the floor". So then I find out that we charge nurses aren't allowed to take residents off alert (and the care managers will often 'forget' to take them off for two weeks or more, even when the only reason they're ON alert is for an increase in their Colace
). Nor are we allowed to use our nursing judgment to put an alarm on a SNF pt. (fractured hip) who keeps getting OOB without help and has already fallen twice because, in the admin's words, "alarms are undignified".
I'm all about patient dignity, but when I have to nurse with one hand tied behind my back and a blinder put over my one good eye, I fear for my license.
Sorry for your difficulties, Sue. I feel for you, I truly do.