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... Read More

  1. by   paradiseboundRN
    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!
  2. by   Esme12
    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?
  3. by   GLORIAmunchkin72
    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.
  4. by   CapeCodMermaid
    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.
  5. by   joanna73
    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?
  6. by   nurseywifeymommy1
    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."
  7. by   Oldernursedugup
    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.
  8. by   Oldernursedugup
    What attracted you to LTC nurseywifeymommy? I'd appreciate hearing your feedback-I KNOW this matters to you a LOT...I'm so sorry-but, the fact is...the patients need you even more now...
  9. by   nurseywifeymommy1
    Oldernursedugup I am attracted to LTC for selfish reasons only. I didnt hv grandparents involved in my life. I like hearing about their lives growing up, what they were b4 turning 80. So much has changed in their lifetime. We hv a lady turning 102 today- that's exciting to me. She dresses herself, a bit confused and takes minimal meds. She has awesome genes! Now I hv an entire facility of them. 2nd, no one seems to care for them and I'm always for the underdog. Lastly I've never wanted to work in a hospital. I've spent enough time in them with sick relatives.
  10. by   nursebeanie
    As an ADNS I assure you at my facility we do not ever try and work short! However ... no one has work ethic to show up to work! The turnover in LTC is outrageous! Nurses and especially CNAS are so hard to find! Seems its just too easy any more for people to call in sick ! Everyday I have 2-3 call ins! We are working mandatory overtime right now do to the fact its so hard for people to come to work! Sometimes its easy to blame the DNS and ADNS for working short by saying its all about the money.... but trust me we work our butt of to try and have proper staffing!
  11. by   Natkat
    We have this problem in dialysis as well. We have some really terrible nurses. It's to the point that I think some nurses wind up in dialysis because they've been chased away from everything else. They have no qualms about calling off. And almost every day the call nurse calls off and management has to go begging to get someone to cover call. They can't really take any disciplinary action for the call offs because we're so desperate for nurses that they keep getting away with it. Along with call offs are horrible attitudes, negativity, people riding the clock, prima donnas who cherry pick their assignments. I would say that out of 10 nurses on my team I can only think of 3 that I would want taking care of me. I love acutes because I mostly work alone and don't have to deal with their attitudes and ego trips.
  12. by   nursebeanie
    I totally agree with what you have said here! Same attitudes and problems at my LTC facility...

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