ladyjedimaster 1,535 Views
Joined: Jun 24, '11;
Posts: 9 (44% Liked)
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My uncle died after 9 weeks in CCU and several ups and downs. My mom was a wreck losing her brother, especially since it was the same way their dad had died and in the same hospital. I took the day off (I'd been up till 3 a.m. waiting for the call because I knew they were taking him off the vent and d/c his pacemaker) because I was worn out and my mom was in shock and her house had been volunteered for food dropoffs and I helped her at home. I went to work the next day but had to leave 15 minutes early to be at the funeral home for the viewing, then took the next day off for the funeral. My doc I worked for apparently asked the manager why I needed two days off when it was just an uncle. My family is very close and he was another father figure. When it was time for us to review our time sheets I had to beg to use PTO for those two days. Manager gave me one day PTO because it wasn't immediate family, so I wouldn't get bereavement pay, and it wasn't an excused absence. Never mind that PTO is Paid Time Off and is supposed to be used for more than just sick with a doctor's note.
What I *don't* miss about the hospital are the "flavor of the week" patient relation initiatives. I remember once we were told we needed to sit on the edge of the bed, hold the pt's hand and have a "caring conversation" once a shift.
Say what you will about LTC, but at
least we don't have to put up with any of that nonsense.
I am lucky to be working for(for 10 years now) a hopsital that doesn't much do this stuff. If we ask for supplies, it is the time it takes to get it delivered that we wait. The PTO is pretty straight forward. You get your breaks if you want them and there is no flack for call ins(other than weather related...I'll get to that) and if staffing is short, the boss works or is understanding.
Two years ago, during the iced over 4 days, it was a Wednesday night that I was scheduled. The ice came in very early Tuesday mornng(3am or so) and on Wednesday morning, the ICU manager was calling my house..about 7am. She left a message and I called her immediately back. She asked me if I would make it to work that night(12 hours from that time...from 45 miles out, on a dead end gravel road that goes up and down and around hill and dale to get even to a farm to market road.) I told her "not unless it thaws today", she said that it wasn't expected to thaw today, so was I calling in? (At 7am when SHE called ME?) I said I guessed that I was, since there was no way to get there. She tells me that weather should have been anticipated, I should have come to the hospital and stayed through the duration in order to work my shift. I ask, well, are we still not allowed to bring our kids?(Single mom, 4 kids, very rural where power was out multiple times during this, water and heat depend on power, water lines freeze and have to be thawed via a small camp fire in the well house...etc) She says of course you can't bring your kids, this is a HOSPITAL. I tell her, well, then, I guess I am calling in. She says that weather will no longer be considered an acceptable reason for call ins, each weather related call in will be counted as 2 call ins for the quarter. I ask, what am I supposed to do? I have kids. She says "Well, I have dogs, and I had to leave them in the garage with food, and I wasn't happy about that".
I still have the original message saved.
Based on the thank you card thread, what's the most bizarre thing said to you by management or administration? I can think of a few that will always stand out in my mind.
When discussing our patient satisfaction surveys, our manager told me in a staff meeting, "Monkeybug, a patient would much rather have a nice nurse than a smart one. They don't care how smart you are, it doesn't matter. The "little things" are what matter! In fact, a family probably wouldn't care if you killed a patient if you were a really sweet nurse." My reply was rather colorful, and culminated with me saying, "give me the smart ***** any day if I'm the patient."
I had a negative survey once because the patient had rolling veins. The patient's comment was that I should have kept this from happening. I asked manager how I was to do this, for future reference. "Well, of course, you can't control rolling veins. But I'm sure if you just apologized enough, you wouldn't get these negative comments!" (my only negative that quarter, but enough of an issue to get called to the office)
"Don't punchout later that you are scheduled !" ,and this is in an extremely busy ER . Oh, just one more . "Please dont use the foam cups for yourselves ,they are for the pts-budget cuts !" hospital has estimated $2.77 billion in cash.
I was the clinical coordinator in a "premiere" LTC facility which had households. I was expected to cover the floor in my household, continue to get my MDS's and care plans completed, attend numerous meetings and also cover the rehab household which was having severe staffing issues. After working 50 to 60 hours a week in my own household I was told I was going to have to cover staffing in the rehab household and did so. It finally became too much and I had an argument with the DON because I told her I just couldn't function this way, working 10+ hours in my own unit and then expected to come back at 10 PM at night and cover the sub-acute rehab household. She was hateful to me and I didn't know where to turn so I phoned the administrator and asked him " what do you expect from me" to which he replied, " you will do whatever it 'effing' takes", 'effing was not the word he used but my delicate sensibilities prevent me from typing the actual word. Long story short, I ended up working 21 days straight between my own household and the other household. These were not 21 eight hour shifts either, and were day shift, night shift, evening shift, weekends. My reward, I got counseled for working 21 days without a day off. Go figure.
I had an employee health nurse tell my group in a updated educational session " There is no such thing as a violent ER Patient". Her statement was met with a round of laughter and jeers yelling " you have obviously never been in the ER!"
I was out on a Family medical leave as my father was in ICU with complications with surgery due to cancer. We weren't sure he was going to make it through the night. My nurse manager called me and asked me why I was missing so much work, she then followed with the comment "I thought it was just prostate cancer" Needless to say my father has since passed away from a rare aggressive form of prostate cancer. (Gleason 9, metastatic cancer that spread very fast through his entire body) I nearly lost my faith in healthcare and was looking for other career paths to take. I no longer work on that unit.
"Wow. Nurses need more respect and support. I go to seek it for them from on high."
Well, did you mean actually?????
Three things come to mind:
First, ALL of our meetings are on payday at 1:30P. If the meeting is described as "Mandatory" all nursing staff are required to attend, including 3rd shift staff. As a third shift nurse I have had to frequently work both the night before and the night of these meetings and drag myself into these meetings losing precious sleep time. At one meeting it was said by our DON, "I don't know why 3rd shift nurses can't make it to our meetings." Really? How about we start having meetings at 1:30A and see how many 1st shift nurses and management attend?
Second, I had the privilege of being "called out" at a meeting, though not by name, because a resident at my LTCF crawled out of bed and hit their head. Picture this for me. This resident had full padded side rails. They proceeded to to crawl out of bed at the foot of said bed. They were a max 2 assist d/t weakness and inability to bear full weight. There was a clearance of 4 feet btn the foot of the bed and the wall. The wall is what they hit their head on, evidenced by blood smear. This same resident had already fell at our facility the day of admission. They had a PA and where on 15 min checks. During one of our "Mandatory" meetings my DON said that there should have been a floor mat placed "by" the Res bed. Yep, a floor mat would have prevented that fall! Right...
Third, again at a meeting the discussion of staff calling in sick was brought up by our DON. She said, "Are you all washing your hands? I just don't know where all this sickness is coming from. We don't have any sick residents. You must not be washing your hands enough." To put this in context, less than two weeks prior to this meeting, one wing of our LTCF was quarantined d/t vomiting and nausea.
That's crazy! However, it happens to SO many of us nurses!
Where I work, we HAVE to clock out for our 30 min MANDATORY lunch breaks. However, we work through them -- and if we clock in ONE MINUTE early - we get written up! My 30 min breaks usually consist of me clocking out, setting an alarm on my phone, gulping something down WHILE working, then clocking back in. How much sense does THAT make?
We're not ALLOWED to EVER write "No Lunch." Because then, they have to PAY us for that time - also, if we DO take our lunch, and get interrupted, we have to do a time-adjustment sheet, and take ANOTHER 30 minute break! Thus-if we end up taking another 30 minute break, we are behind an HOUR...and there IS no such thing as "allowed overtime."
I think management needs to look long & hard at the rules they make & expect us to follow, the amount of work we're expected to complete, and how ridiculous they are making it on us!!!
I would LOVE to have a lunch break -- a break away from the noise, complaints, etc. Just time to leave the building, sit in my car if I must, some ME time, to de-stress, actually EAT something instead of inhaling it, and to mentally REcharge!!!
There HAS to be a solution -- but I don't think HR has an answer. They aren't the ones who hold their bladders, get blamed for God-knows-what, has time-sensitive medication passes to complete, staff conflicts to deal with, all while doing our best to give our patients the time THEY need & deserve!!!
My MGR. told me to stop cleaning so much in ICU !! Then after 6 months and an acinetobacter outbreak, she came to me and asked if I would help clean up the unit.
I was working Home Health and my manager asked me why I didn't spend much time in the office doing paperwork, making phone calls, etc. I told her that I do my assigned visits, finish paperwork during the visit, in the car or while grabbing lunch and just stop by to get supplies and leave paperwork. I explained a typical day, what I actually do on visits, etc. She said "You spend entirely too much time with your patients." I asked her "Why is that a problem, as long as the work gets done. I've never refused an extra visit or admit." She said, "That attitude and behavior will not cut it at this agency." So a thorough, caring, team player who enjoys visiting with her patients is NOT who you want working there?
When most of the residents in the LTC
we were told that when the residents or their families complain about the things not getting done due to short staffing (minimal scheduled plus a call in) that we were to smile and tell them "We are doing things a different way today"
One of the things that I've noticed in my life is that when some people rise to the supervisory ranks, they acquire the attitude that your job is to solve their problems. Some of them just take this delegating responsibility thing over the edge.
So many choices..... one that sticks out in my mind: Every year there was an employee picnic. One year the powers that be hired some buses to transport the nurses who were working that day out to the fields (about a 5 minute bus ride) on their (nonexistent) lunch breaks so they could frolic in the open air too. Who was supposed to be watching the patients? Never enough staff to run to the cafeteria, let alone do something like that. It was a real slap in the face to see how very little management knew about our actual working conditions. I think 2 or 3 nurses did get on the bus, but I'm sure they were supervisory quality so free to be playful.
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