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rnccf2007 3,893 Views

Joined Jan 10, '11. Posts: 208 (51% Liked) Likes: 308

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  • Feb 10

    Somehow, I don't think unnecessary tasks will increase the profit margin but improving nurse patient ratios will increase patient safety. Never say that you will never be a patient!

  • Nov 6 '16

    Wow! Whatever happened to compassion to other nurses?

  • Nov 6 '16

    Neezy, I feel compelled to respond. My advice is to get out of nursing, take baby steps and find something you love and figure out how to make it a reality. I've been a nurse twice as long as you and I can relate to your struggle. In all honesty, I wish I hadn't made the decision to become a nurse. Don't get me wrong, some parts of my career have been extremely fulfilling, but yes I regretted becoming a nurse almost from the very start. I do my job very well, but I am as burnt out as a crispy critter. This profession has chewed me up and spit me out too many times to count. Sometimes I look at the 'business people' and the 'bean counters' and become jealous. Although I feel honored to take care of my patients, I look at the 'other side' and wish I didn't have the overwhelming stress of people's lives in my hands and that my job didn't feel so...I don't know the word for it. But I am encumbered, I have so many loved ones that are counting on my paycheck and insurance, I can't leave nursing. I don't think I'll ever be able to leave at this stage in my life and I'll be in this profession until I die or retire (whichever comes first). So again my advise is to get out now, before you marry and before you have children that depend solely on you. Although I feel privileged to have met and cared for so many lovely people and that I have had so many unique experiences, I do wish to work without the particular stress, pressure, and BS that comes with the nursing profession.

  • Nov 6 '16

    Although I agree with sour lemons "imaginary chains" statement I belive there is a time and place for everything. This obviously was not a place to voice my feelings. In a den of nurses and for that I do regret. Based on the responses in a mere matter of minutes I do not take back what I say. Goodnight or good day

  • Nov 6 '16

    I love how you guys prove me to be right! I'm not sucking you in I'm asking how every one feels and I get " ur miserable and full of drama" proves my point not one valid answer I don't ask for sympathy and your opinions although your are entitled to them are not anything I care for. Obviously you "nurses" care so much I absolutely love your attitudes " hand claps" you've done well Florence nightingale would be so proud

  • Oct 27 '16

    Quote from Lil Nel
    I strongly disagree with those posts that keep insisting that "floor nursing" isn't the issue. Yes, it is. I have been in this person's situation. No, I didn't go through nursing school with rose-colored glasses.

    But when I graduated, I besides knowing that I enjoyed psych and the NICU, I didn't have a strong sense of my place in nursing. Fortunately, there is a nursing shortage. So, if a new graduate nurses doesn't like his/her first job, there is NO REASON to be filled with anxiety and misery to stick it out. Quit! As I said before, using it as a learning experience. What did you learn are your strengths and weaknesses? I learned that I don't want to work with cardiac patients who can be fine one minute, and then decline in a matter of seconds. My psych patients may be on suicide watch, but I am much more confident in my ability to handle that situation. The latter plays to my strengths as a nurse, the former to my weaknesses.
    You are wrong. In most markets of the US, there is no nursing shortage. It is irresponsible to continue to perpetuate this falsehood. This mindset is behind many new grads feeling so disillusioned and gob-smacked upon finding out that the nursing job of their dreams is not available to them immediately upon graduation.

    Another aspect of this post: Do nursing schools no longer educate their students that graduating from school and passing NCLEX is only roughly the first half of their education? I remember it being made perfectly clear that my first 1-5 years working as an RN would serve as the rest of my education. The thought that one could, as a new grad, go into home health, school nursing, case management or any other independently functioning position was ridiculous. Personally, I do not ever want a new grad coming into my home to independently care for me or my loved one, nor would I want them making care management decisions on my case without ever having experienced real-life medical care.

    The abundance of new grads here who are unwilling or unable to tolerate floor nursing is a direct result, in my opinion, of the above issues: the nursing shortage myth that won't die, and the failure of nursing schools to properly prepare their students for the real world.

  • Oct 26 '16

    Having been in the nursing field for over 25 years, I have seen it change drastically, and not for the better. However, I can say that nurses have always been at the bottom of the "s*** roles downhill" positions. It seems that anything that goes wrong, whether a toilet overflows or a med is missing because pharmacy screwed up or a patient falls out of the bed or a physician f***s up an order or the computers freeze up, the nurse is the one who has to fix it. That's how it has ALWAYS been, so it's not a new thing.

    Having said that, there are so many worthless things that the government has piled onto healthcare---like the smoking cessation stuff. That is a HUGE WASTE OF TIME. In this day and age of televisions, computers, cell phones, etc., anyone that smokes is well aware of the health dangers of smoking and if they decide to continue smoking, that's their own fault. There are smoking cessation programs everywhere---all you have to do is ask. The documentation has become so heavy that it takes up more time than actual patient care does. Back in the pre-computer days, I remember everyone saying that when computers come into healthcare, it will make pen & paper charting obsolete and much easier. HA! Now, nurses have to do pen & paper charting as well as entering the stuff into the computer because "What if the system fails and we lose all the information in the computer system?" Well, get rid of the computers and keep doing the pen & paper charting then!!! It is our illustrious government that mandated electronic medical records.

    Nurses have become glorified servers, especially on med-surg/tele units. In the ICU or ER or OR, nurses have a more specialized role and aren't relied upon to deliver a hot cup of coffee to an already demanding patient. But, I do not envy the med-surg/tele nurses at all. They're overloaded with work, can't give patients the attention they deserve, are treated like dirt, take the blame for poor Press Ganey surveys, get "spoken to" by management if they come back from their meal break 5 minutes late, and have to tolerate the B.S. they get if they are not absolutely perfect. It's not worth it.

    Hospitals make me laugh. They act as though hiring nurses is like hiring C-level, Fortune 500 people----they make nurses go through 2 or 3 interviews, ask questions in interviews that are completely irrelevant, they want to know exactly how much experience you have & what you're able to handle, etc. My first job 25+ years ago was at a private major metropolitan medical center in NYC---I got hired over the phone by the nursing office in May of my senior year in college. I had a telephone interview, they asked me what unit I'd like to work on, and they told me what day to show up for my employee physical & what was my starting day. I had a great orientation and stayed there for quite a while. I had no experience whatsoever, and you know what? They taught me how to be a nurse. Now, nurses need certifications for everything (I recently saw a job listing that required nurses have EpiPen certification----*****?) like IV, PICC lines, etc. (You can either start an IV or you can't---why do you need to be "certified"? Hospitals don't want to teach new nurses----they want nurses with "recent" hospital experience so they don't have to spend any money or time training them. And then we hear about how hospitals are short staffed "because there are no nurses out there". It's all a farce, which is representative of the entire healthcare system we have now. Healthcare used to be run by people with clinical experience----physicians, nurses, etc. When the MBA's in their tailored suit & shiny leather shoes are on the scene, it was the beginning of the end. They'll do whatever they have to do to ensure their own salaries & bonuses, and to hell with the nurses. Hospitals want the public to believe that their hiring practices are "better" than other places, that they only hire the "best & brightest" of the nurses---this is a product of the "Magnet" program. I can tell you what the root problem is in all of this---instead of focusing on the REAL issues in nursing, which is mainly related to too many patients per nurse & short staffing issues, lots of smoke & mirrors were instituted to hide the real truth. Hospitals don't need this "Magnet" B.S. All hospitals need is to hire enough nurses to give QUALITY care to patients, with enough per diems and float nurses to cover the sick calls & holes in the schedules. That's how it used to be done, and it worked great. But, as with all things, they take something that worked fine & change it up so it becomes a disaster. Instead of hiring per diems & float nurses, hospitals expect nurses to stay another 4 or 8 hours after their shift is over to cover the holes in the schedule----yeah, that's real safe. And then if something goes wrong, they'll the the first one to throw the nurse under the bus, change staffing schedules if they get sued to make it look like more nurses were working than there actually was, and blackball the nurse. Nurses have NO SUPPORT. (I've done legal nurse consulting where I have personally seen hospitals actually change the master staffing schedules to make it look like there were more nurses on duty than there actually were. The truth comes out when the nurses are deposed, it makes the managers & administrators look like complete idiots and then many years later, the hospital settles the lawsuit because it was their fault that there were 2 nurses taking care of 45 patients.)

    I don't blame you for wanting to leave. The reason employees don't leave Costco is because they're treated well, Costco is loyal (they don't all of a sudden have a huge layoff of employees), they pay their employees well & give them good benefits----they appreciate their employees. That's where the difference lies between Costco and hospitals. Costco is a very well run business overall----they have excellent buyers, their prices are great, they run every store the same. You don't see 15 year old kids working there, pulling their cell phones out every 3 minutes to check their text messages & Facebook accounts. People that are shopping in Costco are generally happy and the banter between employees & shoppers is generally happy (except at the return desk----but Costco has such a great return policy that most people don't get mad). You won't go home upset or worried. Maybe healthcare should take a few pointers from Costco.

  • Oct 26 '16

    Funny how there is always money to remodel the lobbies and offices ("fluff") but never money for more staff - they always say "it's out of a different account." So move the money to where it will REALLY make a difference!

  • Oct 26 '16

    I agree Bama - hospitals and schools teach us through their education programs to practice a certain way or we may be reported to risk management. But then we are subjected to a nursing environment that pretty much sets us up to fail. Ex. "delegate to your teammates if you are in the weeds". They are too busy doing their work. We are responsible for CNA work but half of the time they are not there to call upon. I had so many interruptions via phone calls, transport (stop to take care of paperwork, vitals for them or they leave in 5 min), patients need to pee, family member demands to talk, physician wants an answer..... These can happen all at once. I can't remember one day when I was able to stop and take a break except for lunch (mandated). I was so burned out from the bells and calls and documenting... I had to ask myself why I was there. I didn't go to nursing school for that. Admin just places more on the RN via calculated risks.... if something goes wrong, it must be the nurses fault. It's abusive. Yet, the hospital builds more buildings and clinics at the same time they short staff. Now you know who pays for the new buildings.

  • Oct 26 '16

    Quote from MadruGada

    As long as new, naive nurses cause hospital positions to be coveted and drive past all the other open vacancies (LTC is merely one of many) on their way to submit their resumes they will continue to be physicians' doormats. Enough with the fake status rubbish, no it's not cool to work in a hospital.

    Have fun at CostCo. May you make "employee of the month."
    umm , hospital positions are "coveted " because simply, they pay more, at least in my area. LTC does not pay more, and why on earth would one want to work in that setting-yeah, I really want to be responsible for 60 pts( for less pay)

    Besides , the hospital jobs are also coveted, as most new grads intend to move up quickly to NP or CRNA. You need time in acute care, not LTC.

    If one is unlucky enough to stay in the hospital setting for a few years( with out intentions of moving on) they get burned out from the pt abuse and management abuse. Nothing like getting it from both sides.

    If you're old like me, there's no more school to be had. So that might be why someone would want a costco job. At least there's no license to lose over that.

  • Oct 26 '16

    Couldn't have said it better, I am glad I am in last decade of my working years for same reasons and it will get worse as more reimbursement is tied to satisfaction. Now, along with every new regulation, policy etc...comes less staffing in the trenches as all the 'work' involves people tracking the minutae of everything we document, last I checked I do not have the God-given power to render everyone happy, happy, happy all of the time.

  • Oct 26 '16

    Been there with ya! I'm no longer working due to disability but that was my biggest complaint also; we at there to care for our patients (not"clients"as some hospitals want to name them) and we cannot give the care they deserve if we're having to be responsible for,in addition to caregiver, dietary, inputting orders, checking the doctor's documentation, fixing the printer, computer, fax, etc. Our facility did not have staff at night covering dietary so if a patient wasn't able to eat at supper or didn't return from a procedure or admitted after supper time,either they get no food or we had to go to other floors (or calling) to see if anyone else had a food box or left over food from dinner trays available for my hungry patient to eat. If I had no unit secretary and got a patient back from surgery I was responsible for entering their post op orders and ensuring nothing was missed or duplicated; this in addition to my other 8 or more patients and heaven forbid they came back close to bedtime when I'm trying to get bedtime care (snacks,glucose checks and meds) done on my other patients; then either they are late on their care or this patient is neglected while it's done. Forget trying to do a Backrub on a patient with back pain or preventive care for bedsores:that used to be standard for ALL patients at night but now it's very few and far between. Also trying to find time to sit with a patient who just needs to talk about their medical issues or a problem at home (which might be affecting their recovery or preventing their home care ) again there's no time unless you steal that time from other duties and make them late. No easy answers but management either doesn't hear us or doesn't care unless it affects their bottom line-profits

  • Oct 25 '16

    Agree with so many of the comments--after 20 years I have learned that you can only care so much. Do your best at work and then leave it there. Find time away from work to care for YOU. The administration is all about money.

  • Oct 25 '16

    As much as I love my NICU babies, when I am off work I do not think about anybody or thing. My days off are for me to enjoy. When I go back to work I give my best to my patients. Nursing is caring profession and sometimes you have to stand back or you will be a basket case. There has to be balance. I know its very difficult but you must find that middle ground.

  • Oct 25 '16

    Whether I care too much or not enough about a patient does not negate the fact that we are hit with so many responsibilities that shouldn't be ours, then we can not provide the patient care that is needed for our patients. My point is the patient care aspect of nursing is fading and almost non-existent. It is all about pleasing the physicians. On top of taking many roles in addition to nurse, we seem to care more for our patients than the docs do. Whether a patient truly touches my heart or if I can't wait to get rid of them, I'm still going to provide optimal care as best I can. I am not trying to be Supernurse, I don't want to be. They don't pay me enough. But my plan is to go to work everyday and provide care. I don't plan on getting close to my patients, but there is one or two every so often that I check on after I have passed them on. That's just how we do on our unit. Every unit is not like the unit I work on. There are some patients we keep tabs on. I understand that is extra. If my getting too attached to all of my patients were a problem, trust me I wouldn't have lasted six years. But over these six years, I'm doing less for my patients and providing more for the docs and the institution. That's why I'm ready to call it quits.