Jessy_RN 24,985 Views
Joined: Sep 11, '04;
Posts: 13,429 (3% Liked)
; Likes: 1,367
This problem won't be solved the way you are coming at it.
In what other every-day relationship in life can we successfully treat people as a means to an end or a subject to be controlled? None. We wouldn't succeed by treating a spouse/partner that way, nor raising a child, nor maintaining a friendship. Human beings do not work that way. We either care about the people we want to have an ongoing relationship with, or we don't. If we don't care, we won't have an ongoing relationship. Some may say this is different because it's business. Well, I think it holds true, I think I'm right, and the proof is right there for anyone who wants to look at it.
The thing that some people don't understand is that nurses have always worked in situations where we didn't have endless resources to perform our duties. Nothing new there. The thing that has changed is the idea that all of this is somehow our fault. There have been endless times in my career where patients keep coming in the doors, multiple things are needed at once, patient conditions change rapidly, and we are ROAO the entire shift - but it used to be that someone eventually said, "well done," and "take the best care of the patient that you can and we'll worry about the rest later." There was such an incredible sense of teamwork, belonging, and accomplishment in successfully handling these situations! But I think I would fall over dead if I heard either one of these two things in our current environment. In other words, there was moral support for our efforts. Moral support has currently left the building and been thoroughtly replaced with shame and blame.
No professional is going to put up with that for very long. Nor should we. Working one less Christmas or floating two less times per year (after 15 years of service???) is not going to endear people to the idea of being repeatedly scapegoated and treated like a thorn in everyone's side.
If a business can't afford to speak with, treat, and consider adult human beings in a manner consistent with the idea of maintaining an ongoing, mutually-beneficial relationship, then one won't be had. It's that simple.
As a matter of fact, I believe they very well know this already, which is why they have plans in place knowing they will churn through employees. I personally could not be happier that their careful calculations and accommodations for treating people like sh*t aren't panning out.
Over time, you cannot pay (most) people enough or throw enough half-hearted "rewards" their way to have them agree to be treated poorly every day, day in, day out. That only works for a time and then you'll simply again be faced with your refusal to have a real relationship.
ETA: This is the same reason why the "patient satisfaction" game won't be won. There is a difference between treating people well because you care about them and doing things to try to make them feel like you care as a means to an end.
Everyone has good input but as an outsider, if I was new to your unit/facility and you have 'incentives' such as no floating or holidays after 10-15 years I would look at it like punishment. More like I know I am going to be royaly screwed for the next 10-15 years if I stay! No thanks
We don't get any COL raises but every 5 years or so and then it's only pennies. Merit raises do happen but only to the brown nosers and management's pets. The rest of the loyal, hardworking folks always get a meet expectations evaluation and not exceeds as to not qualify. It's part of healthcare politics. We are an expense and not valued or valuable in their eyes no-matter-what-they-tell-you. They lie between their teeth
The alternative is simple and very in your (my) face. If you want to continue being gainfully employed and feed your family, you just do the best you can with what you have and don't rock the boat. Otherwise, you're going to be labeled a trouble maker and at the end still no change. These days, I just want to go to work, do the best I can, stay safe, keep my patients safe and make sure they're pink when I leave. I disconnect as soon I swipe my badge at the time clock and live my life as normal as possible. That is my alternative. The rest of you have my kuddos, high five in doing whatever it is you do to "make a difference". I am tired, beat and life is too short for misery.
I will cheer you on, on the side lines while staying sane at work.
What is the alternative? Do you just go to work every day like its a job and hope nothing bad happens? Do you move to another state? What is the ANA chapter in your state like? Are they active? A small donation to the Political Action fund for the ANA or your local ANA would go a long way to making a difference if we all did it. Let's say we all donate $5. Every nurse. That's 3 million nurses. That's 15 million dollars to go towards lobbying. Please don't give up. We need your voice.
This is the American dream. You worked your way out of poverty. The country song think about getting married right out of high school and divorced is a personal choice though unfortunately. Studies show the having BSN prepared students leads to better outcomes. Which is why my hospital system (in the top 5 in the country) requires a BSN within 5 years of employment
I don't mind commuting; however, keep in mind as PRN you're the first one to be cancelled or asked to stay home, only to be called back and expected to be there in 30 mins. Happened to me. I would be called as I was halfway into my commute and told I was being low censused but not completely off the hook. They would then call me in when admissions were rolling in the door and expected to be there in 20-30. I had to leave that job and ultimately later moved to that town.
They have patient specific barcodes with their pt info. They're also locked and kept inside the pt's room not in a bin in a med room.
No shortcuts here. I use a checklist and go through it with each patient. I also take the extra time with difficult or 'special' patients/situations to ensure safety.
I am am a circulating nurse. Consents are a responsibility of everyone. The circulator must ensure the consents have been signed and witnessed appropriately . The patient does NOT sign surgical consent until the surgeon has explained the risks and benefits and you are only signing as a witness to their signatures. You must ensure patient understands consent as well. The second consent is for anesthesia and the same rules apply. The timeout in the OR is done off the signed consent and that is your last chance to ensure the correct procedure, on the correct patient and laterality are addressed as well as signatures etc.
I think there has been plenty of talk, venting, concerns being brought up continuously for at least the past decade and nothing but continues to happen. I live in a right to work state and can honestly say I am tired of it. Poor staffing, non-union, right to work states are the perfect recipe for disaster, high turn overs and poor nursing morale. I am tired of talking and advocating! I have seen no positive change.
Thankfully there is no nurse's station where I work in the OR. I am far too busy running my operating room that I have no interest or time to gossip. Huge difference from when I worked the floor. It's magnificent actually.
I work in the OR. We have a shortage of IVF's and urged to be frugal with LR. Sterile Saline 1L bottles are also obsolete and were using about four 250mL mini bottles to equate. We also have a huge shortage on mesh for hernias, suture, Argon gas, SCD sleeves, the inner part of the suction canisters, sterile water bags and so on. Every day is a struggle. It's BAD!
Personally, I don't just hit like on a post if I agree with the poster. I'd like whatever well thought out post is interesting to me. For example, I will like a posting that is not necessarily something I agree with, but it is something that is well thought out. I appreciate and enjoy reading everyone's opinions and input on the matter whether I like it or not. To me, I don't have to agree with you but it doesn't mean I don't like or don't appreciate exploring the other side of what I made particularly believe in.
So, in a nutshell, if I like your post it doesn't necessarily mean I agree with you.
Yes it is. Can only keep wishing this would finally happen and not just be a conversation ya nurses keep having.
Congratulations! You're going to love the OR. I made the change after 10 years. It's crazy, busy, fun and the best part is ONE patient to focus on at a time.
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