Is it me? What happened to nursing? - page 3

I am at "year 6" of nursing, and I can't help but notice that nursing jobs seem to be getting worse and worse as time goes by! When I first entered nursing, there was a big push for appropriate... Read More

  1. Visit  2BRN123} profile page
    0
    Quote from BlueDevil,DNP
    Whaaat?

    Not to say you disagree here but you do? I can't respond because I don't even know what that means.

    No disrespect intended, but I honestly cannot make heads or tails of your post.
    No disrespect taken, I was sleeping and typing poorly, lol. I meant to say: I dont want to sound like I'm disagreeing with the general idea of these posts, because I'm not disagreeing.

    I'm just pointing out that its not surprising why some people expect to be waited on.

    Quote from ohiostudent'RN
    So.... did YOU actually pay your WHOLE bill?
    My insurance paid $50,000 and dropped me. I've not been able to get individual insurance since. I was responsible for the rest. The hospital got their money. I took out a loan, emptied my savings and my mother mortgaged her home to pay the balance.

    Some people actually pay for what they get, be it through outrageous health insurance premiums or out of pocket. Its not right that our employers but the burdon of "customer service" on nurses but its certainly not necessarily the patients fault for wanting it.
    Last edit by 2BRN123 on Jul 1, '12
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  3. Visit  BlueDevil,DNP} profile page
    0
    OK, I get it now. I see your point. Yes, if one is spending enough to spend a week on the the QEII, I suppose they might hope for turn down service and be sorely disappointed and inimical when they don't get it. ;-)
  4. Visit  canesdukegirl} profile page
    2
    Here's a scenario that is thought provoking:

    Last year, I fell and injured my knee. Two consults and an MRI later, my bill was $5,00 AFTER insurance. My husband and I had to cut corners for this unexpected bill. We did fine, but we had that money earmarked for much needed repairs to our house, which now has to wait until next year.

    The other day, a pt was very late for his scheduled surgery-which was a complicated 9-10 hour procedure, requiring 3 surgeons and 4 staff members in the OR. I paged the surgeon to tell him that the pt still hadn't arrive to the hospital after we waited for an hour. About 30 minutes later, his resident informs me that the man was homeless, didn't come to his pre-op appointment and didn't come to his clinic appointment. He stated that he tried to contact the patient, but to no avail. None of the staff in the OR knew that the pt had missed his pre-op appt, and set the OR up beautifully in preparation for this long day. Reps were called in, biofeedback staff were scheduled to deliver care, expensive supplies were opened and the anesthesiologist drew up all the meds in preparation.

    Guess what? The pt never showed, and all of the resources and supplies were wasted. The procedure alone would cost around 70 grand, and the supplies were somewhere around 25 grand. Who pays for that?

    It is frustrating. Our healthcare system seems to be in shambles, and I honestly don't know when or how it can be repaired.

    I treat every single patient the same way-with respect, honesty and diligence. I don't care where they come from, who is paying the bill or who they know. I have a set of tasks to complete, a standard of care that I deliver consistently and a protocol to follow.

    I will be honest with you...when I run across a pt that is exceedingly demanding, my knee jerk reaction is to put them in their place. However, I can't imagine not knowing what tomorrow brings, if I will have a meal, if I get caught in a thunderstorm without shelter, if I have to stand at the intersection holding up a sign that reads, "Homeless and Desperate". I am trying not to judge those that are demanding. It is a challenge.

    Recently, a heat wave has affected the area that I live in. Lots of complaints have been voiced and many people are belly aching about the heat. A friend of mine called the other day, and of course I was the first one to complain about the heat. She didn't say anything for a beat or two, and I wondered if the call had been dropped. Then she said, "Canes, you might be uncomfortable with the heat for about 5 seconds while you walk from your house to the garage. Our sons have been in Afghanistan for months, in full uniform, carrying a 70 pound rucksack and trying to stay out of the line of fire in 102 degree heat. WHY are you complaining?"

    Uh....that kinda put things in perspective for me.

    Healthcare these days is very much like the above scenario. I continue to learn to humble myself.
    Fiona59 and TheCommuter like this.
  5. Visit  mrmedical} profile page
    2
    Here's a couple of things that someone posted a long time ago that hit home on why a lot of places are so messed up, and I'd have to agree with them:

    Hospitals with hunger for money over patient care.
    Patients that think they're at the Ritz and not the the hospital and the nursing staff are maids.
    Know it all family members.
    Administration who is out of touch with anything on the floor.
    Not to mention so many redundant administrative staff that gets paid monopoly money to essentially try to reinvent the wheel with useless protocols that make everything 10x more inefficient. Too many chiefs and not enough indians.
    Docs who turf patients to inappropriate units out of convenience.
    Lack of supplies but plenty of $$$ for administrative "fun" functions.
    Terribad nursing supervisors.
    Mandatory overtime cause always short staffed.
    Redundantly charting every think 10x on the computer in 10 different places.
    No lunch breaks.
    Keeping gomers alive because their family refuses to accept the inevitable.
    Patients are not patients, but rather customers and the customer is always right.
    wooh and Burlshoe114 like this.
  6. Visit  Burlshoe114} profile page
    4
    Quote from mrmedical
    Keeping gomers alive because their family refuses to accept the inevitable.
    Patients are not patients, but rather customers and the customer is always right.
    Exactly!!! There is my biggest frustration in medicine right now!!
    texasmum, Fiona59, anotherone, and 1 other like this.
  7. Visit  DoGoodThenGo} profile page
    7
    Quote from Burlshoe114
    Exactly!!! There is my biggest frustration in medicine right now!!
    Well you better do what you have to do in order to get over it because there is more coming.

    Under ObamaCare patient/customer rating information is going to weigh more heavily when it comes to rankings and reimbursement rates.

    You might want to brush up on bed making, pillow fluffing, and work on your happy/smiley face. Oh while your at it don't forget to leave a mint on the pillow after you make the bed.
    arl50, DizzyLizzyNurse, CinDRnyc, and 4 others like this.
  8. Visit  anotherone} profile page
    0
    Quote from ocnrn63
    you know, that's exactly how it's become: nurses are concierge servants who can do a little bit of medical treatment on the side.
    hahahaha. that is exactly how i would describe my job some days!
  9. Visit  Not_A_Hat_Person} profile page
    5
    Quote from canesdukegirl

    Recently, a heat wave has affected the area that I live in. Lots of complaints have been voiced and many people are belly aching about the heat. A friend of mine called the other day, and of course I was the first one to complain about the heat. She didn't say anything for a beat or two, and I wondered if the call had been dropped. Then she said, "Canes, you might be uncomfortable with the heat for about 5 seconds while you walk from your house to the garage. Our sons have been in Afghanistan for months, in full uniform, carrying a 70 pound rucksack and trying to stay out of the line of fire in 102 degree heat. WHY are you complaining?".
    I know this is off-topic, so call me a traitor if you want, but the soldiers carrying 70-lb. packs in full uniform in 102 degree heat in Afghanistan chose to be there. There's no draft going on, so when they voluntarily joined the military, they knew there was a good possibility they would end up carrying 70 lb. rucksacks and dodging gunfire in a very hot war zone.

    On the other hand, the 72-year-old widower with severe Parkinsons and no air conditioning in 102 degree heat, in a city that doesn't normally get that hot, did not choose to be there.
    JSeaRN, DCrux, SN, kcmylorn, and 2 others like this.
  10. Visit  wooh} profile page
    5
    Quote from BlueDevil,DNP
    OK, I get it now. I see your point. Yes, if one is spending enough to spend a week on the the QEII, I suppose they might hope for turn down service and be sorely disappointed and inimical when they don't get it. ;-)
    Well, perhaps instead one should instead spend their money on the QEII and see how well all those broken bones turn out.
  11. Visit  Fiona59} profile page
    0
    Quote from Not_A_Hat_Person
    I know this is off-topic, so call me a traitor if you want, but the soldiers carrying 70-lb. packs in full uniform in 102 degree heat in Afghanistan chose to be there. There's no draft going on, so when they voluntarily joined the military, they knew there was a good possibility they would end up carrying 70 lb. rucksacks and dodging gunfire in a very hot war zone.

    On the other hand, the 72-year-old widower with severe Parkinsons and no air conditioning in 102 degree heat, in a city that doesn't normally get that hot, did not choose to be there.
    I just want to point out that some people actually volunteer to go to A'stan. A good friend who is member of my country's national police force is over there teaching Afghans how to be police officers. And yes, he marches around villages and towns in full combat rig out.
  12. Visit  mindlor} profile page
    1
    I voted with my job today.

    I have semi given up on hospital nursing.....
    kcmylorn likes this.
  13. Visit  Fiona59} profile page
    3
    Quote from mindlor
    I voted with my job today.

    I have semi given up on hospital nursing.....
    But I thought with your years of management experience and excellent customer service skills you were going to revolutionize American nursing.
    DizzyLizzyNurse, Aurora77, and wooh like this.
  14. Visit  anotherone} profile page
    0
    Quote from mindlor
    I voted with my job today.

    I have semi given up on hospital nursing.....
    What do you mean by "voting with your job"?


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