Coming in here for a 3rd party OH-pinion re: the ER I work in (this will ramble, I apologize in advance):
Staff morale at all time low with:
(1) all time high mandation (we usually work 3-13hr shifts/wk, and for past 4 mos have been easily pulling 3-20hr shifts in 10 day period)---according to Nurse Manager 'will only get worse' and per union 'sure it's against contract but that's too bad';
(2)moving to brandy-new ER in one week with a million brandy-new policies/paperwork/ computer/monitors/you name it, without orientation/guidance/problem solving from Nurse Mgr 'it'll all work itself out' (we/staff have requested and received many many meetings on subject without any guidance/solutions to questions), one policy includes completely revamping triage and registration/insurance info secondary to COBRA violation (MSE by MD/PA/NP before insurance info);
(3) and hospital filled to capacity since last November (we've been holding at least 2-6 ADMITTED ICU/tele/med pt's per day--even had 2-3 ICU pt's rotting in ER for 3 days apiece--without assistance from ICU/tele/med RN's, floaters, or Travelers)--management (DON)refuses to help us out because 'the pt's are in the ER - you ER nurses take care of them' (including everything that comes in--esp when Level I center on diversion, P.S. we are not allowed to go on diversion).
Everyone has their last nerve exposed (if you know what I mean)...tension is VERY high. Many of us have tried humorous E-mail, funny scrub shirts, big red clown noses to get a laugh, even going out to the local bar and having a bi*&h session--not much is working any more. Management's answer to staff's pleading's for help is 'well, then ya'll can just quit, we don't need you THAT bad' (which of course has just PLUMMETED morale to an even lower plane as you can imagine).
I'm not sure what type of answer's I'm looking for...anything that will bring a smile to about 20 VERY tired, VERY overworked, and VERY low spirited RN's.....
I love my work, it's just the job that's causing my pom-poms to sag....