Short nursing staff - page 2

I get so angry when we are short a nurse or 2. The pts suffer and so does the nursing staff. I know our LTC wants to keep costs down, but the pts don't get proper care and nurses get burned out and quit or miss important... Read More

  1. 1
    Probably some of the meds are redundant. At 90, a Calcium pill is not going to be very effective. But the large med passes are the same in Canada also.
    multi10 likes this.

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  2. 0
    Why doesn't anyone call the State Health Dept.? You can do it anonymously and pretend you're a family member with real concern of injury for your loved one. The same thing happens in hospitals, especially the Med/Surg floors and ER. Always not enough staff. Why do they do this? Is it because we are nurses and they really don't care about us and we are a dine a dozen? I'm sure they have more than enough money with all the new wings they're adding and new hospitals they're building. It's strikes me as funny how doctors are treated with the up-most respect, while nurses get the ****** end of the stick. Oh well, why complain, it's our job.
  3. 0
    I agree. I have to admit, and I know this was wrong but sometimes I did not administer a calcium pill when I had 50 plus residents to pass meds for. It was circled and documented.
    On another note: I have worked at a nursing home that was really nice. 1:20 was the ratio, each aide had 5-6 residents, and it paid decent.
    I'm trying to go back there PRN, it was lovely.
  4. 0
    The working short problem is not only with LTC or hospital, its in home care too. The intake dept has only 1 nurse instead of 3, so the patients home care orders (from the hospital) don't get to the scheduler. Then, when the scheduler finally gets the orders, she prioritizes which new patients are going to be seen that day (not enough nurses to see everybody) and many are bumped to the next day or the day after. These patients are fresh out of hospital, and probably discharged too soon. They have a bunch of new meds that they don't know how to take. Some of the meds are duplicates of the ones they have at home, but they don't know that so they take both! Or their CHF or pneumonia has gotten worse not better, but no nurse to notice that. By the time the nurse gets out there, she has to send them back to the hospital. And around and around it goes!
  5. 5
    If you want to take action Join your professional organizations. See who is supporting/bringing safe staffing and max ratios to the state legislature. Write letters, speak up...take action. The sad part is you can report your facility but they are most likely within "the letter"of the law.

    It is so sad to see what nurses, like me, fought for in safe staffing, primary care, modular nursing all "proven" to provide the patient with the very best care. We fought hard for the raises in salaries that nurses receive now and clawed our way to be respected in the medical field as an educated peer instead of the doctors handmaiden.

    Where is it going now?
    Natkat, mso819, sallyrnrrt, and 2 others like this.
  6. 0
    If it happens once in a while you can deal with it but if it happens a lot it's a different story. Everybody is trying to keep their head above water and your ability to help is limited because you cannot jeopardize your own job to help another, especially when they cannot reciprocate. Not sure what the answer is.
  7. 2
    If all y'all would tell me where I can find competent nurses, I'd love to hire a few more. The ones who've applied lately are not anyone I'd want taking care of my residents.
    Natkat and joanna73 like this.
  8. 0
    When I used to interview for the stores I managed, then later hotels, it used to amaze me how unprepared and uninterested some people are/ were for their interviews. Why bother showing up?
  9. 0
    I think you guys are right. They have recently fired RNs and 3 hv quit. The one replacement doesn't look like she will make it. It's too bad you can't tell how much a nurse will care b4 they are hired or how much they are "into being a good nurse."
  10. 0
    Yes...too many drugs taking away valuable nursing care duties...Medication technicians are used in some facilities-so the nurse can concentrate on wound care, notes, and updating files. We need more medication techs-WITH their OWN malpractice coverage-but, of course we are still responsible...

    WE ARE DOING THE BEST WE CAN DO-its a shallow sentiment, but nevertheless, a TRUE one.

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