After 22 years of RN experience, I am once again faced with hating the reality of nursing practice and seeking the ideal. I do not understand how a nurse can provide only the care that she must sign for, if that much, and ignore basic care. Through this orientation, I have not seen one nurse perform basic care to include hygiene and repositioning. I know that I am going to have a tough time getting out of there on time when I am done orienting. The nurses talk about how short-staffed they are and not enough CNA's, but I have been places where we did more with less. I don't know how they can go home and sleep after leaving patients in the same position all shift...if I had not done it, they would not have moved the entire shift. How can they rationalize this level of care? At the same time, I find it very frustrating to be so overwhelmed doing it alone. I have been an agency nurse and know what it is like to manage six M/S patients with four of them belonging in ICU, but eight is just not manageable. I have considered returning to ICU, but those nurses are complaining that three patients is the norm rather than two. I think once the orientation is over, I will be better off so that I don't have to observe what others don't do...
Any suggestions would be appreciated. I realize it is all about one's perception and standards...I simply won't lower mine.