I never want to hear those words from you again

  1. 21 Heh.

    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."
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  3. Visit  SuesquatchRN} profile page

    About SuesquatchRN

    From 'empty'; 61 Years Old; Joined Jan '06; Posts: 13,169; Likes: 17,895.

    32 Comments so far...

  4. Visit  ktwlpn} profile page
    12
    do you kiss your family with that dirty mouth of yours? How dare you use that nasty language. I love how admin assumes that all of the residents are so cognitively challenged that they won't figure it out for themselves-especially when they see you showering other residents.... And the "my girls" or "the girls" thing makes my skin crawl,too.Let's just infantisize everyone-residents and staff...
    dthfytr, debRN0417, VivaLasViejas, and 9 others like this.
  5. Visit  Moogie} profile page
    8
    I guess I didn't pick up on the sexual implications of the term "the girls" as much as I did the way it demeans women (and excludes men!) involved in direct patient/resident/client care. I just think it's condescending to refer to a female over high school age as a "girl". I used to cringe when I worked LTC and would overhear another nurse refer to the CNAs as "the girls".

    Short-staffing is never cool, regardless of whether workers are referred to as "CNAs", "nurses" or "the girls".
    dthfytr, debRN0417, StNeotser, and 5 others like this.
  6. Visit  JB2007} profile page
    10
    I feel your pain. At least one person calls in per shift everyday. There are 30 residents on my hall alone and 60 total on the entire unit. 3 aides on my hall and 3 aides on the hall right next to me. I would say at least half of my residents are hoyers. I would say there are only about 2 residents that you just remind them to wash up and take out linens and the rest are totals. If I do not have a good team that wants to work it is a really bad day.

    I really can not blame the aides when they call off because there are times when you just get tired of being worked to death. However, it does make it that much harder on the rest of us that do show up.

    Yep upper management would prefer that I just shut my mouth most of the time too. I will not give them the pleasure of me keeping my mouth shut.
    RNMLIS, IowaKaren, MissPiggy, and 7 others like this.
  7. Visit  SuesquatchRN} profile page
    13
    I'm just pi$$ed. I said it to her privately. However, I had my rear handed to me last week in the daily meeting when I (and another RN manager) raised the issue. Not the right time or place. So what is the point of these meetings? You take 1/2 hour - 45 minutes out of every morning, we are your managers, and we are not permitted to raise the issues we're having?
    IowaKaren, MissPiggy, Mollypita, and 10 others like this.
  8. Visit  JenniferSews} profile page
    10
    Gotta love LTC. If we don't say it aloud or admit to it, it's not a problem!
  9. Visit  JB2007} profile page
    16
    Quote from JenniferSews
    Gotta love LTC. If we don't say it aloud or admit to it, it's not a problem!
    LOL
    How about until state says it is a problem, it's not a problem!
    dorrybnursing, IowaKaren, prinsessa, and 13 others like this.
  10. Visit  jnrsmommy} profile page
    7
    Quote from JB2007
    LOL
    How about until state says it is a problem, it's not a problem!
    I don't believe truer words have ever been spoken.
  11. Visit  StNeotser} profile page
    13
    I wish state with all their rules and regulations would sit down and figure out how three aides to forty residents can do all they are meant to without breaking the rules.

    It's a game.
  12. Visit  JB2007} profile page
    15
    Quote from SuesquatchRN
    I'm just pi$$ed. I said it to her privately. However, I had my rear handed to me last week in the daily meeting when I (and another RN manager) raised the issue. Not the right time or place. So what is the point of these meetings? You take 1/2 hour - 45 minutes out of every morning, we are your managers, and we are not permitted to raise the issues we're having?
    Oh the wonderful joys of meetings. The point of the meetings are to tell you all the things that you and your fellow nurses on the floor are doing wrong. Oh and to tell you how you are going to make an impossible situation possible. It most certainly is not so that you can raise a valid point that they may need to fix an ongoing problem.

    You think 1/2 hour - 45 mins is bad. One of the managers where I work told me the other day that she is forced to attend so many meetings that she is only on the floor for approx. 2 hours a day. That tells me they are paying a whole lot of people to sit around and talk about how they are going to fix problems, rather than going out and fixing the problems.
    Bella'sMyBaby, IowaKaren, prinsessa, and 12 others like this.
  13. Visit  Leelee2} profile page
    7
    "I don't want to hear those words from you again..."

    okay, first of all the sentence is demeaning, and has a scolding feel to it...Staffing is the Biggest issue in LTC! I don't blame the staff that call in when they are really sick..we work with ill people, and people do tend to get sick. I do blame facility management/admin. for understaffing. Got total validation this year though! When state came for yearly visit, they were sited for staffing! Not adequate to meet pt needs! Ahhhh, validation. Though I am sure the slight fine is way less than it would cost to provide that adequate staffing on a daily basis. I can't even believe that the admin. spoke to you like that, disrespectable, and obviously has head tucked deeply in the sand.
    I feel for you, you are in a pretty tough spot dealing with that kind of admin.
  14. Visit  debRN0417} profile page
    4
    The reason the state won't mandate staffing ratios, in my opinion, is because most of the staff work their tails off to make sure that the residents are well taken care of...even when they are short. No outcome...no problem....
    Poi Dog, Bella'sMyBaby, JB2007, and 1 other like this.
  15. Visit  VivaLasViejas} profile page
    7
    Quote from SuesquatchRN
    Heh.

    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.
    Bella'sMyBaby, IowaKaren, prinsessa, and 4 others like this.


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