Med-Surg floor sucks, and nursing unions

Specialties Med-Surg

Published

I went back to a Med-Surg floor after a long time, I had previously worked on a med-surg unit once years ago and dont remember it being this bad. There are no unions in this part of the country and I would like to hear from some union nurses to see if things are better. I work night **** 7p-7a and we have usually 6 nurses at night and take 6 and rarely 7 pts. each. Except for newer nurses, RN's take turns being charge nurse and do added chores such as staffing and paperwork and still take 6 pts. We are regularly slammed from the ER with admissions, some coming up before we even get report on new patients and got 9 admissions the other night and no one got any breaks or lunch because they were to busy, every left about 10am next morning. The nurses dont really help each other out because they are all to busy. We do not have a ward clerk to answer phones and put in orders except one who may stay until 11pm or the house clerk who is pulled to all floors to put in orders and leaves at 5am. Nurses are pulled to every floor in the hospital except ER and ICU, labor laws state you are to have breaks and lunch, no one seems to care. For all our trouble this system pays new RN's 18.00-19.00hr, nurses with experience 23.00-24.00 hr. and 3.45 night premium (which is only reason I work nights). We have many new grads in ER and ICU. There are only 2 hospital systems here and they are both about the same, what is it like working for union hospitals? Why are nurses worked like dogs now and paid so little? I have done home heath, OR, geriatrics, med-surg and OR was the best, every place else worked you like dogs, I would like to go to Calif., any info on unions would be helpful.

Specializes in Going to Peds!.

I live in a right to work state. No union. With 6 years of experience, PALS & night shift diff, I make $24.45/hr.

Specializes in Critical-care RN.

... thats what I am talking about :yes:

Specializes in Going to Peds!.
... thats what I am talking about :yes:

I know. It sucks. I have family moving to the Seattle area in 2 months. I'm seriously considering saying "screw you" to the Deep South & following suit.

Specializes in ICU.
I live in a right to work state. No union. With 6 years of experience PALS & night shift diff, I make $24.45/hr.[/quote']

I'm in the same boat:/. Well 4 yrs exp but still.

Good luck in a Right To Work state...:sarcastic:

Thanks! (even with sarcasm) :) I figure if you do what you love and bills get paid- who cares what you make as long as you're happy.... I don't have kids though so I don't know how much of someone's income would go towards all that... I hear it's pricey. And I know I would never fit into any other state, especially like California (maybe I could in Lincoln, Ca). I hate to poke fun of my own state, but I like the slow country living, and the country folks. And my bf has a condition (hemidystonia secondary to cerebral avm) and all my family is here- he has a lot of appointments so it's nice to have people to help out. Maybe one day I'll make more money than I need, but for now, $22/hr is sufficient.

Specializes in Going to Peds!.

I'm not speaking of California.

I live in idyllic, mountain surroundings in the PNW, a moderate-sized community, very low utility costs, and where median home prices (for nicer ones) start in the $180-$200K range.

Starting hourly wages for new brand new RN's with no experience are well into mid to upper $20's. Those of us with 12 or more years are in the mid $30's-$40's.

Again, $17.00/hr anywhere in this country, are stagnant wages for RN's, dating back to 1995 even in the historically lowest paid states (Wyoming, Texas, Montana).

Take a look at some data and nursing is not the only middle income group to utterly stagnate over the last twenty years. Middle income gains in that time have practically come to a standstill.

Where do you live/work, guttercat?

I ask because I have family moving to Seattle Washington soon. I know housing is kind of pricy there.

I don't think 6 patients on the night shift is bad. Seems about normal to me. On my unit the nurses have 6 patients and if staffing happens to be exceptionally bad they can get up to 8 but that is rare. I agree your pay is very low. As far as the breaks go, I'm sure upper management would say its up to you to take your break. Its not like they come in and say hey you are too busy you better not take a break. I always get a break, even when I'm super busy. I say if everyone is stable, I don't care how much tasky stuff needs to be done, I'm taking a break. I think you guys need to adapt that also, you deserve a break, and YES, things can wait. Plus, you may find you accomplish more if you take a break because you have a minute to sit down and get a fresh look at things.

I dont know what type of pts you get but my 6 on med surg are getting blood, q 30mim meds occasionay, q 1 enemas, insulin drips , turns/ repos, super obese that take the whole staff 30mins to turn and change. 1:1s all the time so rarely aides to help. fresh pod0 comming from pacu at 00:00 with q2 vitals . oh now my pod3 has a distended abd and nausea.... guess who needs a ng ordered stat. now another one with temp of 103.5 and now stat blood cx, more frequent monitoring etc. our pts are frequently borderline step down pts. , now someone else's pt is rrt, intubated at bedside and sent to icu. in less that 30mims that nurse gets an admission. on and on and on.

Specializes in Critical-care RN.

Keep Dreaming ...

Specializes in Critical-care RN.
Thanks! (even with sarcasm) :) I figure if you do what you love and bills get paid- who cares what you make as long as you're happy.... I don't have kids though so I don't know how much of someone's income would go towards all that... I hear it's pricey. And I know I would never fit into any other state, especially like California (maybe I could in Lincoln, Ca). I hate to poke fun of my own state, but I like the slow country living, and the country folks. And my bf has a condition (hemidystonia secondary to cerebral avm) and all my family is here- he has a lot of appointments so it's nice to have people to help out. Maybe one day I'll make more money than I need, but for now, $22/hr is sufficient.
Keep Dreaming Darling
Specializes in Rehab corrections med-surg.
Last SNF job LPN, 2004: $27/hour. That has dropped a whopping TEN bucks an hour, since then. I also see RNs TODAY making...$20? The system has failed us, and grabbed us by the, well, you know. And yet we all fall for it, going back to school, get more degrees, etc... as the pay falls, and falls...and the jobs go bye-bye. I'm scared, people.[/quote']

So true. More degrees and specialty certs required to make less than a few years ago

Specializes in Critical-care RN.

When you have to many nurses,prices will fall... Thank You Johnson & Johnson for the call in 2004 :sneaky:s

Specializes in IV Team, ED, Med/Surg, Ortho.

Sheesh. And I thought $30 was low...

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