Mandatory Meeting With CNO - page 2

by mindlor

4,963 Views | 25 Comments

So all of us have to go to this mandatory meeting. She wants to find out why my floor cannot keep nurses. I guess she cannot figure out on her own what working constantly short and without techs does to a nurse. I am... Read More


  1. 3
    Quote from TXRN2
    i work in a 450 bed hospital, & am fortunate to work on the "dream" floor- L&D/postpartum. we get lots on nurses who come to us from different floors- med-surg, ICU- & they all tell us how poorly those floors are staffed & how overworked, overloaded they were- on a routine basis. it all sounds distressing for the nurses- & scary for the patients who are actually being poorly cared for as a result. given the # of nurses i have heard this from, i tend to believe them. have heard the same thing from nurses that come from med surg floors of different facilities. i personally spent a couple of years working one of these floors thinking i needed a change of scenery- & found it all very true. why can management not see these things? the floor i worked on- they were told flat out what was wrong- they just didn't care- had no compassion whatsoever.
    Med-surg floors are staffed horribly, they don't bring in any money.

    Take an elective surgery floor, that brings in a lot of money, that floor is very well staffed.
    twinkletoes53, TXRN2, and anotherone like this.
  2. 3
    The hospital CEOs are not certain about what Obama-care will bring so they are ensuring that they accumulate their acorns and get their money out before the changes are put into place.

    Wall Street doesn't like uncertainty. Neither does any entrenched culture.

    Everybody in the entire US healthcare industry is just waiting now to see what happens.

    In the meantime, it won't be easy for the nurses.
  3. 7
    these meetings are usually just lip service and a waste of time.
    nursel56, Esme12, jrwest, and 4 others like this.
  4. 1
    Quote from twinkletoes53
    .
    During an appointment with my Internal Medicine doctor 6 months ago, he stated that he no longer sends patients to our hospital. In his words "________hospital's reputation is in the toilet." It just breaks my heart.
    This is probably where the pressure can be applied. If doctors refuse to send patients there they can not get reimbursements. Eventually they will become only able to fill beds from ER. So many of these admits have no insurance and will be treated for little return...

    The other thing that may make a difference is to get word to the board that the CEO is responsible and should not get any incentive pay or perks. If there is enough noise perhaps it will be heard.

    Union in CA got mandatory staffing levels. In right to work states you are up the creek without the paddle.
    twinkletoes53 likes this.
  5. 4
    Sigh. So sad that this seems to be the norm.

    There are over 700,000 all nurses members. I would think we could change the world if we stood together! Yep, I am still an optimist and still seeking a decent job where I do not feel like I have to sell my soul .
    nursel56, Esme12, noyesno, and 1 other like this.
  6. 2
    Quote from aknottedyarn

    Union in CA got mandatory staffing levels. In right to work states you are up the creek without the paddle.
    Yeah and we initially lost our CNA's and Ward Clerks. It was unsafe staffing.

    They've brought back one CNA who doubles as a Ward Clerk but only for certain hours. We've lost so many nurses and have traveling nurses, which costs much more than hiring a CNA and a Ward Clerk. This has been happening off and on - we hire brand new nurses, they burn out, we bring back the traveling nurses . . . . .

    California is not Utopia.
    anotherone and Esme12 like this.
  7. 3
    We all know that CA has issues. As least there nurses tried to support each other and have some say. In a right to work state it is worse, believe me.
    Sisyphus, multi10, and wooh like this.
  8. 1
    Quote from lub dub
    So, would you rather the CNO try to fix your floor's retention problem without speaking to the staff nurses? The tone of your post makes me think that you have a bit of a negative attitude towards the CNO & her efforts to make meaningful change on your floor. Maybe the staff's attitude has something to do with the retention issue?
    Well it sounds like its pretty obvious and self evident that the high turnover is related to poor working conditions, short staffing. This happens many times when hospitals try to cut staffing hoping to save money, but then come to the conclusion after many people suffer and quit that it was a bad idea and then restore staffing levels albeit relunctantly. I know places that have done this, not sure if it was simply to save money or if it was a plan to drive out the senior staff and than replace them with cheaper new grads or maybe both!
    twinkletoes53 likes this.
  9. 5
    Whatever happened to staffing by acuity? There are 'tools' out there to better document how many nursing hours per day your clients need; this provides hard data for the suits to justify hiring more staff.

    Joint Commission really out to evaluate facilities on staffing ratios. Goodness knows there's enough "evidence" based research out there to support the concept that correct staffing solves a LOT of outcome issues.

    Nobody asked me, that's jmo.
  10. 1
    I still think we need unions if not an outright federal staffing ratio law to improve working conditions across the country, but I don't think there is much support for a staffing ratio law in Congress because of medicare and medicaid. They do not want to interfere with the hospitals if it will cost more money for govt programs like the above. People always say if you're not happy quit, and go where if just about every other hospital has the same staffing problems? Your basically gambling that things won't be worse at the next place. Wouldn't it be better to stay and improve things if only we had the power to do that! Shared governance is not the answer because it always comes down to money and management doesn't want to spend more money to improve staffing even when better staffing has been proven to improve patient outcomes!
    Ayvah likes this.


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