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Joined Mar 14, '04 - from 'California, USA'. herring_RN is a retired registered nurse. She has '>40 years' year(s) of experience and specializes in 'Critical care, tele, Medical-Surgical'. Posts: 16,451 (72% Liked) Likes: 31,726

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  • Dec 26 '16

    Management thinks nurses are an expense.
    Fact is that patients are hospitalized because they need nursing care.
    As soon as they no longer need nursing care they are discharged.
    All other care is available as an outpatient.

    The "product" of a hospital is nursing care.

  • Dec 26 '16

    Quote from pmabraham
    For safe ratios, you need strong laws which are enforced rather than corruptible unions
    I hope we don't let OUR union be corrupted.
    Ratios were achieved by thousands nurses working with their union.

    Timeline of nurses achieving safe staffing ratios:
    www.nationalnursesunited.org/page/-/files/pdf/ratios/12yr-fight-0104.pdf

  • Dec 26 '16

    Quote from dnptobe20
    In many other countries physicians, pharmacists and other healthcare providers are unionized because there is more power in a unified voice than there is in 1. Of course the executive rank and file and management in many organizations have traditionally been anti union because it does't serve their bottom lines. In our country unions have been more associated with blue collar workers than white collar and many have used this to stigmatize any group that tries to unionize as unprofessional (to me this is nonsense, by the way) i rememver nursing professors not-too-subtly making this assertion in nursing school and discouraging unionization.

    Weeeell, i am an NNU member at my hospital..not terribly active in any way but happy to be one. We enjoy the higest wages in our area, union representation anytime our management wants to sanction us for anything, guaranteed 1:2 or 1:1 ratios in our icus with no exceptions, etc etc...when it comes ro scheduling and vacations each unit has some leeway in determining how it works and things are working out pretty well for us. Our union has fought for $10,000 a year towards education, guaranteed pay and seniority structure as well as annual raises etc etc. And you can't just be fired for any odd reason. Our union has fought for and brought back many nurses fired during a major snowstorm...these nurses were fired because they had kids at home they could not leave to come to work since the hospital did not provide transport. The union had them rehired and the hospital provided backpay for ALL the time they were unemployed!

    Needless to say, I am happy with our union and all the gains we have won for ourselves as nurses.
    With better staffing new nurses are more likely to stay until they have seniority.
    I'm so very glad your nurses got their jobs back. In 2010 when roads were closed and trains and buses don't run some nurses could not get to work.

    Did your hospital have a plan for staffing during this year's recent snow storms?

  • Dec 16 '16

    Nurses worldwide have a proud history of political activism in advocating for our patients, public health, and the welfare of all people.

    In the United States the ANA has accomplished a lot:
    http://www.nursingworld.org/Function...icalReview.pdf

    Nurses achieved state registration and licensing to protect people from uneducated and untrained people holding themselves out a nurses. Only those with an RN, LPN/LVN are nurses under the law.
    Nurses were instrumental leaders in women getting the vote, stopping child labor, and public health.
    I am certain nurses will continue to work for the health of us all.

    Some may be interested in an event happening in D.C. this coming Thursday:
    First Broad Post-Election Rally – Thursday, DC Sen. Bernie Sanders to Join Day of Action | Common Dreams | Breaking News & Views for the Progressive Community

  • Dec 12 '16

    I hope we discuss the causes, effects, and actions to take to promote a healthy rested nursing workforce?

    Fatigue in hospital nurses — ‘Supernurse’ culture is a barrier to addressing problems: A qualitative interview study
    Fatigue in hospital nurses is associated with decreased nurse satisfaction, increased turnover and negative patient outcomes.
    Addressing fatigue in nurses has been identified as a priority by many organizations worldwide in an effort to promote both a culture of patient safety and a healthy nursing workforce...

    ... All nurses in the current study experienced fatigue; yet they had varying perspectives on the importance of addressing fatigue in relation to other health systems challenges.
    A new construct related to nursing professional culture was identified and defined as “Supernurse”.
    Identified subthemes of Supernurse include: extraordinary powers used for good; cloak of invulnerability; no sidekick; Kryptonite, and an alterego.
    These values, beliefs, and behaviors define the specific aspects of nursing professional culture that can act as barriers to fatigue risk management programs and achieving safety culture in hospital organizations.
    Nurse fatigue and attributes of nurse professional culture also have implications for nurse satisfaction and retention.

    Conclusions
    Findings from this study further support the role of nursing professional culture as an important barrier to effectively addressing fatigue in nursing work systems. Future work is needed to identify and evaluate innovative culture change models and strategies to target these barriers...
    http://www.journalofnursingstudies.c...16)30227-9/pdf
    The ANA Position on Fatigue;
    Addressing Nurse Fatigue to Promote Safety and Health: Joint Responsibilities of Registered Nurses and Employers to Reduce Risks

  • Dec 11 '16

    I suggest consulting an attorney. Proving what happened with witness statements and such could be difficult.

    I would also suggest to him to keep a diary of every shift. He should write of any conflict with a patient, family member, hospital management, coworkers, and physicians. Just write the facts. Date, time, unit who said what with direct quotes, and what he did and said. Name all people.
    He probably won't need this, but it can be used in court if he is reported to the board of nursing or is sued.

  • Dec 9 '16

    Quote from RuRnurse?
    1964...you may be a bit young to remember the real heyday of advertising, you have to go back about 20 more years to find the real gems. I used to collect old cigarette ads, the ones that ran in popular magazines, some featured guys in white with stethoscopes around their necks...and my own mother was warned against quitting while pregnant lest she "gain too much weight". They knew it wasn't good for you, but judged the possible negative effects to be less of a risk compared to whatever it was they were treating you for, pregnancy weight gain, nerves, fatigue, etc.
    Actually, taking a good look through popular vintage magazines can be very entertaining, it's amazing what kind of stuff used to be sold for 'health' reasons.
    I'm old enough for Medicare.
    I just quoted an article regarding the fact that since 1964 cigarette packages have had warnings such as:
    SURGEON GENERAL'S WARNING: Smoking by Pregnant Women May Result in Fetal Injury, Premature Birth, and Low Birth Weight[FONT=Berkeley-Medium].
    When pregnant with my 41 year old daughter it was known that smoking could harm the baby.
    That was more than thirty years ago.
    My mother quit smoking when pregnant with me and my sisters. This was more than sixty years ago.
    Women may have been told this but it was definitely more than thirty years ago.

    I have been a nurse longer than that and we learned to encourage all people not to smoke.
    THAT is a FACT.

  • Dec 7 '16

    There are many opportunities for a nurse to do good as a volunteer.

    Remote Area Medical (RAM) is a great organization providing health and dental care to people in the United States and other countries too.
    I've volunteered with them several times when they came to my city.
    Generally the first day licensed nurses do the intake the first day. For people wanting dental care the nurse helps determine whether the person is healthy enough to have dental work done. RNs are encouraged to teach in the short time allotted.
    I have seen more people with a toothache in one morning at RAM than in my entire previous life.

    We discover untreated diabetes, hypertension, and other illness. A nurse can do a lot of good.

    Here is their site: Home - Remote Area Medical

  • Nov 19 '16

    I wish the ANA had included a goal of advocating for mandatory nurse-to-patient ratios for hospital and long term care (SNF) settings.
    this is from the ANA, but not included in the Strategic Plan:

    State staffing laws tend to fall into one of three general approaches:

    • The first is to require hospitals to have a nurse driven staffing committee which create staffing plans that reflect the needs of the patient population and match the skills and experience of the staff.
    • The second approach is for legislators to mandate specific nurse to patient ratios in legislation or regulation.
    • A third approach is requiring facilities to disclose staffing levels to the public and /or a regulatory body.

    The American Nurses Association (ANA) supports a legislative model in which nurses are empowered to create staffing plans specific to each unit. This approach aides in establishing staffing levels that are flexible and account for changes; including intensity of patient's needs, the number of admissions, discharges and transfers during a shift, level of experience of nursing staff, layout of the unit, and availability of resources (ancillary staff, technology etc.). Establishing minimum upwardly adjustable staffing levels is statute may also aide the committee in achieving safe and appropriate staffing plans.
    Nurse Staffing
    The ANA risks losing members because they are not focusing in safe staffing, which saves lives and prevents nurse burnout:
    New York, NY — October 26, 2012 — Nurses have voted by 91% to move forward and disaffiliate from the American Nurses Association.
    The nurses, members of the New York State Nurses Association, say they will focus on fighting for working nurses and their patients.
    Their number one focus is passing a New York law that would mandate safe nurse-to-patient ratios in hospitals.
    New York nurses vote 91% to move forward and leave the American Nurses Association - News & Events - Massachusetts Nurses Association

  • Nov 19 '16

    There are many opportunities for a nurse to do good as a volunteer.

    Remote Area Medical (RAM) is a great organization providing health and dental care to people in the United States and other countries too.
    I've volunteered with them several times when they came to my city.
    Generally the first day licensed nurses do the intake the first day. For people wanting dental care the nurse helps determine whether the person is healthy enough to have dental work done. RNs are encouraged to teach in the short time allotted.
    I have seen more people with a toothache in one morning at RAM than in my entire previous life.

    We discover untreated diabetes, hypertension, and other illness. A nurse can do a lot of good.

    Here is their site: Home - Remote Area Medical

  • Nov 19 '16

    There are many opportunities for a nurse to do good as a volunteer.

    Remote Area Medical (RAM) is a great organization providing health and dental care to people in the United States and other countries too.
    I've volunteered with them several times when they came to my city.
    Generally the first day licensed nurses do the intake the first day. For people wanting dental care the nurse helps determine whether the person is healthy enough to have dental work done. RNs are encouraged to teach in the short time allotted.
    I have seen more people with a toothache in one morning at RAM than in my entire previous life.

    We discover untreated diabetes, hypertension, and other illness. A nurse can do a lot of good.

    Here is their site: Home - Remote Area Medical

  • Nov 17 '16

    There are many opportunities for a nurse to do good as a volunteer.

    Remote Area Medical (RAM) is a great organization providing health and dental care to people in the United States and other countries too.
    I've volunteered with them several times when they came to my city.
    Generally the first day licensed nurses do the intake the first day. For people wanting dental care the nurse helps determine whether the person is healthy enough to have dental work done. RNs are encouraged to teach in the short time allotted.
    I have seen more people with a toothache in one morning at RAM than in my entire previous life.

    We discover untreated diabetes, hypertension, and other illness. A nurse can do a lot of good.

    Here is their site: Home - Remote Area Medical

  • Nov 14 '16

    Nurses worldwide have a proud history of political activism in advocating for our patients, public health, and the welfare of all people.

    In the United States the ANA has accomplished a lot:
    http://www.nursingworld.org/Function...icalReview.pdf

    Nurses achieved state registration and licensing to protect people from uneducated and untrained people holding themselves out a nurses. Only those with an RN, LPN/LVN are nurses under the law.
    Nurses were instrumental leaders in women getting the vote, stopping child labor, and public health.
    I am certain nurses will continue to work for the health of us all.

    Some may be interested in an event happening in D.C. this coming Thursday:
    First Broad Post-Election Rally – Thursday, DC Sen. Bernie Sanders to Join Day of Action | Common Dreams | Breaking News & Views for the Progressive Community

  • Nov 8 '16

    I wish the ANA had included a goal of advocating for mandatory nurse-to-patient ratios for hospital and long term care (SNF) settings.
    this is from the ANA, but not included in the Strategic Plan:

    State staffing laws tend to fall into one of three general approaches:

    • The first is to require hospitals to have a nurse driven staffing committee which create staffing plans that reflect the needs of the patient population and match the skills and experience of the staff.
    • The second approach is for legislators to mandate specific nurse to patient ratios in legislation or regulation.
    • A third approach is requiring facilities to disclose staffing levels to the public and /or a regulatory body.

    The American Nurses Association (ANA) supports a legislative model in which nurses are empowered to create staffing plans specific to each unit. This approach aides in establishing staffing levels that are flexible and account for changes; including intensity of patient's needs, the number of admissions, discharges and transfers during a shift, level of experience of nursing staff, layout of the unit, and availability of resources (ancillary staff, technology etc.). Establishing minimum upwardly adjustable staffing levels is statute may also aide the committee in achieving safe and appropriate staffing plans.
    Nurse Staffing
    The ANA risks losing members because they are not focusing in safe staffing, which saves lives and prevents nurse burnout:
    New York, NY — October 26, 2012 — Nurses have voted by 91% to move forward and disaffiliate from the American Nurses Association.
    The nurses, members of the New York State Nurses Association, say they will focus on fighting for working nurses and their patients.
    Their number one focus is passing a New York law that would mandate safe nurse-to-patient ratios in hospitals.
    New York nurses vote 91% to move forward and leave the American Nurses Association - News & Events - Massachusetts Nurses Association

  • Nov 8 '16

    I wish the ANA had included a goal of advocating for mandatory nurse-to-patient ratios for hospital and long term care (SNF) settings.
    this is from the ANA, but not included in the Strategic Plan:

    State staffing laws tend to fall into one of three general approaches:

    • The first is to require hospitals to have a nurse driven staffing committee which create staffing plans that reflect the needs of the patient population and match the skills and experience of the staff.
    • The second approach is for legislators to mandate specific nurse to patient ratios in legislation or regulation.
    • A third approach is requiring facilities to disclose staffing levels to the public and /or a regulatory body.

    The American Nurses Association (ANA) supports a legislative model in which nurses are empowered to create staffing plans specific to each unit. This approach aides in establishing staffing levels that are flexible and account for changes; including intensity of patient's needs, the number of admissions, discharges and transfers during a shift, level of experience of nursing staff, layout of the unit, and availability of resources (ancillary staff, technology etc.). Establishing minimum upwardly adjustable staffing levels is statute may also aide the committee in achieving safe and appropriate staffing plans.
    Nurse Staffing
    The ANA risks losing members because they are not focusing in safe staffing, which saves lives and prevents nurse burnout:
    New York, NY — October 26, 2012 — Nurses have voted by 91% to move forward and disaffiliate from the American Nurses Association.
    The nurses, members of the New York State Nurses Association, say they will focus on fighting for working nurses and their patients.
    Their number one focus is passing a New York law that would mandate safe nurse-to-patient ratios in hospitals.
    New York nurses vote 91% to move forward and leave the American Nurses Association - News & Events - Massachusetts Nurses Association


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