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 acuity of patients, constructive... Read More

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    Even if the cost is $250,000 a minute. why is that nursings fault.(must be our huge salaries -then decrease them by hiring more new grads - this will decrease ratios too. pay us all minimum wage! better not let a big ceo onto this idea lol). Everything is nursing's fault, from drs not putting in orders after they told pt they would, to meals not being good, to housekeeping not cleaning rooms. all of it. i smile and recite scripts and bring in drinks for visitors, "if i have the time" if not well too bad. also had a visitor become grumpy and rude because our FREE TO THE VISITOR, coffee wasn't good enough, well i can become just as snarky back or completely IGNORE the comment. then to top this all off we are mandated AND GET TO WORK SHORT another 4 hours.......................... yay! one time a new grad told the pt we were short staffed and she was "talked to " by one manager and walked out of the office in tears when I asked her what was wrong she told me she was told we are not allowed to tell pts we are short staffed. ( i understand the idea but this lets pts think it is the individiual nurses fault things aren't fast enough not the hospitals). hmmmm.
    Szasz_is_Right, wooh, and Wise Woman RN like this.

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    I try very hard to not say short staffed to patients, but we have a white board that is supposed to be kept updated q shift, which lists how many staff are in duty.And i do NOT hesitate to let each of my patients know that i have other parients.
    wooh, Fiona59, and anotherone like this.
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    I think this is *most* jobs, honestly. This is an employers market. You have RN's considering CNA work just to find a job. It's crazy out here and probably won't get any better. Still in nursing school, so I have no experience with these difficult patients- but when I waitressed I had customers handing me snot tissues asking if I could throw them away. Apparently getting up and walking to the bathroom is too much. When I worked retail, it was the same.

    Sadly enough, annoying people need to go to the hospital too.. so I can only imagine what is to come when I graduate. It is what it is, what can you do?

    But then again, sometimes I think it comes down to the facility you work. Some people are lucky enough to find a place that values their employees.
    anotherone and 2BRN123 like this.
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    Quote from vivalasviejas
    wish i could "like" this post at least 100 times---you have nailed it, wise woman!!

    i love my job and plan to stay until i retire (or wind up on disability due to the stress levels), but i'd drop it like a hot potato if i had the option. i am so, so tired of families with nothing but complaints to offer and being harangued about issues i have nothing to do with: residents' laundry. missed beauty-shop appointments. billing errors. meal service. cold soup. beds not made. activities calendar not done for the day. i want to yell, "excuse me, but do i look like a (insert term of choice here) concierge?!" :icon_roll

    but i just keep smiling and referring these nincompoops to the correct people, because that's what i went to nursing school for, right?
    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.
    Aurora77, Szasz_is_Right, wooh, and 4 others like this.
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    Quote from peepnbiscuitsrn
    sometimes i think patients and their families are subliminally trained to be thankless and ungrateful. i think the welcome packets they get on admission, the posters in the room and the public access channels in the hospital all sort of drill into their heads this idea of entitlement, and that no matter what, they are the only person the hospital revolves around. they're not the patient, they're the guest. this is a hospi-tel you know...there's housekeeping, there's the "dining service" dressed in their little bowties and suits that come around and take the patient's order, and then we come and take their trays away and listen to then bi*** about how horrible the food was. gee, sorry, i'll get right into that kitchen and make you a new one...oh you don't like that one either, well, how about we make you something else? that's icky too? wow, if you were my kids i'd have told you after the second course that this is dinner, take it or leave it! oh, sorry i forgot to fluff your pillow...can't have our precious heads resting on anything short of a pristinely fluffed pillow. should i tuck you in and kiss you nighnight too?
    when you look at this ghastly age we live in, such behaviour has pretty much become the new normal for so many in society. as the song goes from the musical "chicago" whatever happened to class?

    it seems good manners and breeding regardless of social status has nearly vanished. indeed a recent survey published awhile ago noted that even in that bastion of good manners and civility the american south, people are becoming more and more rude.

    everything is about "me" and "mine's". just look around the next time you go out to dinner, shopping, to the park with the children/grandchildren or the most shining example fly on an airplane. people think the world revolves around one person, themselves and you'd better recognise.

    maybe healthcare workers should start wearing "wwjd" badges on their uniforms to remind persons to think about how they treat others.
    Szasz_is_Right and Fiona59 like this.
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    Quote from Leo*
    And what about all the people that dump thousands and thousands of dollars into health insurance whose payment STILL isn't guaranteed. Not to say I disagree here because I do, but its not hard to see why some people expect to be treated like royalty, they're paying as if they are.

    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.
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    Quote from BlueDevil,DNP

    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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    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. ;-)
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    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.
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    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.

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