I hate what's happening to nursing... - page 22

by nyteshade

34,126 Views | 217 Comments

Eight years. That is how long I’ve been in nursing. Just eight years. I haven’t been on AN in a while. I used to frequent the site a lot to vent with others, and help others with advice. Well, today is a ranting kind of day,... Read More


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    It's fookin' Medicare. They won't pay the facilities what it costs to provide care unless patients are Happy with their service. So you can imagine what it is like in the ED when we don't give narcotics to the seekers. DOWN go the satisfaction scores. So nurses are let go. Now there are fewer (and more burnt out) nurses to try and keep the same pts happy.

    Vicious circle.
    jrwest likes this.
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    Quote from jlyn77nurse
    RNAM1965, OBVIOUSLY you are a manager or administrator or something of the like.... Otherwise who else would take your stance.....? LOL

    The bottom line here is that we have so many hoops to jump through these days it is absurd, exhausting, and incredibly stressful to the point where the expectation of nurses is NOT EVEN REALISTIC!!!!! I enjoy being a nurse and taking care of patients, but it should not cost me MY JOB if I don't page the MD at 2am and get a verbal order for Metoprolol because ONE of the SIX to SEVEN patients I'm taking care of was diagnosed with a 59% Ejection Fraction 24-5 years ago, and the MD may or may not have forgotten to order a beta--blocker!!!!!!!!!!!!!!!!!!!!!!!
    This is just ONE of the seemingly hundreds of demands placed upon us. If you look at all of the Core Measure Requirements and then multiply that times the # of patients you have on any given 12-hour shift, in addition to all of the other things we are required to do to KEEP OUR JOBS and that does not upset you, then obviously you are not out here on the battlefield with the rest of us under fire, you are sitting in your high-horse a mile away from possible harm telling the rest of us "minions and peasants" what to do--MANAGEMENT!!!

    OMG Jlyn77nurse! This is brilliantly stated, I could not have said it better and . . . you have articulated EXACTLY how I feel almost ALL THE TIME these days! I probably say at least once a week "they just keep raising the bar, higher and higher and giving us more and more hoops to jump through". I'm beginning to seriously think we're part of some kind of experiment to see how much stress and pressure we can take before we blow?
    lactationgurlRN and Lovely_RN like this.
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    Short and to the point: I remember the term going postal, and thought to myself they have no idea! Some tx us like circus animals jumping through hoops,walking on wires without a net below,and swinging on ropes,oh yea and jumping over beds. Give us peanuts and then we return to our cages.......TO make the Ringmaster look good and make more $$$$$$
    Last edit by dnnc52 on Jun 3, '12 : Reason: to add
    lactationgurlRN and Chiggysmom like this.
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    This scripting is just being introduced to my place of employment. After 30 yrs of nursing and 35 yrs. of being in the medical profession, I find this is very demeaning and controlling. If I wanted to be an actress, and learn scripts, I would have done so. But I have chosen to
    be compassionate, caring and intuitive and this spells NURSE! We have learned to take cues and react and speak according to our pt's. needs and not by a script that someone in management who hasn't handled a bed pan in 20 yrs has orchestrated for us.

    Even the phrase "It is my Pleasure" is getting old at Chick fil A, but I can see it as a tool for students and nonprof. people who have not attended college to use. What did we take Speech, Ethics, etc. for in school if we have to now use a script to to talk to our pt.

    I ALSO REFUSE to lie to my pt. and tell that I will be back in 5 mins exactly when i know that when I go outside that room I will be bombarded with 10 other things that take higher priority and it will probably take 10 minutes before I will be able to do it.
    PMFB-RN likes this.
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    Quote from Djnurse30yrs
    This scripting is just being introduced to my place of employment.

    *** JUST NOW! Scripting was a huge fad that quickly went by the way side years ago. Your hospital is both a SLOW adopter and disregards EBP. The worst of both worlds. I have seen it sucsessfully done away with if you can get all your nurses on board to simply refuse to do it.
    I feel sorry for you.
  6. 0
    Scripting has been introduced at my place of employment. We implemented hourly rounding awhile ago but it's all scripted. Saying things like "I have the time" (but really I don't...), "it would be my pleasure to do so" "it is our goal to give you the best experience possible...." um, that H stands for Hospital, not Hilton!!! I'm sick of all HCHAPS and all of this customer service crap and I really haven't been a nurse for that long. I think it belittles our profession and also doesn't allow me to use my professional nursing judgement. "Oh, pt in room 1 is somnolent? well if there pain medicine is due, you give it to them!" (true story). Forget about patient safety because all of the higher ups care about now is "customer" satisfaction.
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    OK I feel a need to comment on another non-nursing duty that was enforced at the CMH when I was working a busy med/chemo unit. On our down time we were told to call patients who were discharged for follow up. Now this gets a bit ironic, while we had to try and pull the word Excellent from them when we spoke to them on the phone R/T the level of care they had while in our unit. Great,Best Wonderful did not count it had to be Excellent",otherwise we would not meet our quota?. Now, whenever you really spoke to folks who were in the hospitals the main complaint I really heard was"the nurses hardly ever talked to you or spent time" So while we were on the phone working on a PR recovery,we really should have been off the phones and in the rooms talking and spending one to one face time. Instead of trying to play catch-up on the telephone later after the patient was discharged.... Wow!
    Last edit by dnnc52 on Dec 8, '12 : Reason: typo
    Hygiene Queen likes this.
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    Quote from turnforthenurseRN
    Scripting has been introduced at my place of employment. We implemented hourly rounding awhile ago but it's all scripted. Saying things like "I have the time" (but really I don't...), "it would be my pleasure to do so" "it is our goal to give you the best experience possible...." um, that H stands for Hospital, not Hilton!!! I'm sick of all HCHAPS and all of this customer service crap and I really haven't been a nurse for that long. I think it belittles our profession and also doesn't allow me to use my professional nursing judgement. "Oh, pt in room 1 is somnolent? well if there pain medicine is due, you give it to them!" (true story). Forget about patient safety because all of the higher ups care about now is "customer" satisfaction.
    *** The only defence aginst such crazy mandaes from on high is for nurses to simply refuse to do it. It works. When he hospital I worked at (Magnet of course) tried it they were me with mass mutiny from he nurses. All it took was a couple of senior and respected nurses to refuse to inspire the rest to also refuse. Of course it won't work if you are the only one refusing. Another effective stragy is to ask the patients to mention how annoying the scripting is in their satisfaction surveys.
    Hygiene Queen likes this.


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