Fired for expressing concerns about patient safety and care! - page 2

I need help please. Just not sure what to do now. Getting right to the particulars. I was working in a So Cal Hospital in a Psychiatric unit. I was assigned a set schedule. 1) I was suddenly... Read More

  1. Visit  hkrntobe profile page
    2
    No, because Wednesday - Saturday is one week and Sunday- Wednesday is a second week it's not technically considered overtime. Highly manipulative and Unsafe but as its not over 40 hrs for each week, they don't have to pay overtime.
    anotherone and elprup like this.
  2. Visit  Mulan profile page
    8
    It sounds like you are better off out of there.

    I can't imagine being expected to work 8 days in a row.
    elprup, acbrn88, AngelfireRN, and 5 others like this.
  3. Visit  nursingpower profile page
    22
    Quote from hkrntobe
    I guess with all of the Medicare Medical and Oboma care, we've reached a point where it's acceptable to forgo Patient Care?! Seem questionable to me.
    Quote from hkrntobe
    Thank you colleenrn2b. I did. I'm not quite sure were you got that I'm blaming the president though? The reference was intended to point out that Hospitals seem to place more importance on reimbursement concerns than patient care. I did mention Medicare and Medical as well.
    I looked a little side eye at this too. The correct spelling of the President's name is Obama. Also the correct term for it is The Patient Protection and Affordable Care Act. "Obama care" was originally a slur made by Republicans who opposed the President's healthcare law. So that may be how you inadvertently introduced politics into this conversation. I am certainly not taking sides. Republican/Democrats both have great ideas. The hard part is compromising for the greater good of the majority. Even that's hard because the majority may not even know what's best for themselves..lol.

    Either way I think you should educate yourself with with the Affordable Care Act and the American Nursing Associations role in supporting this Act. Nurse.com

    I know some subjects are sensitive but you certainly don't want to offend people by speaking of things you may not know much about. Maybe you have to be a nurse for a while to understand some of the struggles in regards to patient care/needs.
  4. Visit  hkrntobe profile page
    3
    "The reference was intended to point out that Hospitals seem to place more importance on reimbursement concerns than patient care. I did mention Medicare and Medical as well."
    Last edit by hkrntobe on Sep 24, '12
  5. Visit  Wet Noodle profile page
    2
    This pdf file from the Kaiser Family Foundation is also a good summary of the ACA:

    www.kff.org/healthreform/upload/8061.pdf

    Quote from hkrntobe
    The reference was intended to point out that Hospitals seem to place more importance on reimbursement concerns than patient care. I did mention Medicare and Medical as well.
    Understood.

    It sounds like you were dealt a lousy hand. I hope you find a new (and much better) job soon.
    Last edit by Wet Noodle on Sep 24, '12
    elprup and hkrntobe like this.
  6. Visit  hkrntobe profile page
    0
    Quote from Wet Noodle
    This pdf file from the Kaiser Family Foundation is also a good summary of the ACA:www.kff.org/healthreform/upload/8061.pdfThank You. Understood.It sounds like you were dealt a lousy hand. I hope you find a new (and much better) job soon.
    Thank you
  7. Visit  nursingpower profile page
    1
    I don't even like working 3 days in a row...lol. I know a Nurse Practitioner who will work 6-7 days in a row just to have more consecutive days off in which she does in conjunction with her vacation requests.

    So assuming its a 40hr work week. Five 8 hr days. Week is from Sunday to Saturday. Working every other weekend.
    1st week: Sunff Monff Tue:8hrs Wed:8hrs Thur:8hrs Fri:8hrs Sat:8hrs
    2nd week: Sun:8hrs Mon:8hrs Tue:8hrs Wed:8hrs Thur:8hrs Friff Satff
    3rd week: Sunff Monff Tue:8hrs Wed:8hrs Thur:8hrs Fri:8hrs Sat:8hr

    This schedule allows the 40 hrs and two days off per week. At the same time they get 4 consecutive days off. Now some people don't want to work that many days in a row and especially not every week. So I can understand that.

    I currently do two 8's and two 12's day/evening rotation e/o wknd. I just switched back to this after doing three 12's day/nights e/o wknd. 8hr days are nothing to me. I don't like doing 3 12's but will do them to get them out of the way.
    hkrntobe likes this.
  8. Visit  lorilulu profile page
    8
    Oh no!! We can't criticize Dear Leader!! Off with your head! I will remind you that Obamacare was passed against the will of the people and will destroy the quality of our health care system.
  9. Visit  nursingpower profile page
    3
    LOl. I typed the "off" next to the colon Mon: off and it made smileys
  10. Visit  nursingpower profile page
    5
    Quote from lorilulu
    Oh no!! We can't criticize Dear Leader!! Off with your head! I will remind you that Obamacare was passed against the will of the people and will destroy the quality of our health care system.
    SMH & LOL
  11. Visit  samadams8 profile page
    8
    Quote from nursingpower

    Fly under the radar, keep your mouth closed, avoid attention, PRETEND TO BE GRATEFUL, don't complain or irritate management??? Sounds like SLAVERY to me. Nursing is too good of an occupation to even be compared to something like slavery. So so sad if anyone believes that that is what nursing is about.

    Sadly, that is often the game a nurse must play on orientation--almost to the letter, actually. It's like being under arrest. "Anything you do or say can be used against you." If a nurse comes in and has an intelligent perspective that may be in the pt's best interest, within reasonable perspectives of safety, people can go the extreme and turn what the nurse was saying into something far from what she or he meant. Next thing you know, they are buzzing all kinds of stuff about the nurse to other nurses and mgt. Mgt decides to listen to these people and their misrepresentations, and then they send the nurse out the door.

    So, it may not be what nursing is supposed to be about, but it's the game you have to play until you are in the system for a while. Unfortunately there are those that aren't rooting for the nurse coming in to the new environment many times. There are many insecure people that will weed as soon as they can because they feel threatened by the new nurse for some reason--usually if the nurse that is new to the area is a female or someone that is a threat somehow.

    If you notice, the nurses that are newer to the place that are men are usually NOT weeded out. There have been some exceptions. But then there are nurses that are men that start playing the same game the "mean" girls (translation, sadly insecure females) play. I've seen some do that, b/c it gives them the edge in moving up within the group. OTOH, there are the guys that are cool, and they rise above it all, b/c it's just how they roll. Same thing with the females that are like this. It's all about people stepping on others in order to fit in or have influence versus those that don't step on others and have some integrity. The more of the staff that are like the latter, the better and more healthier the work environment.

    If you advocated for you patients, you have your integrity, and although it doesn't pay the bills, you can't be bought by fear, influence, or anything else. In that respect, you will probably always be a strong nurse advocate, and you will have gotten even stronger b/c of such experiences. These things test your true integrity in my view.

    Listen, here's the thing that some folks just don't get. Good and even great nurses are fired more than anyone really knows. They are simply weeded out b/c of politics or someone feeling threatened somehow.

    Especially in your case, it's better to find somewhere else to work. Yes, I know it sucks b/c you have bills to pay. This is why I tell people to always have another job in nursing as a back-up--specifically b/c this kind of thing happens so much more than is told.

    Having more than one position is about job security. I mean the unions can be good or bad--it really depends. But are kidding themselves it they think that aren't people within them that can be bought off? People have to open there eyes to the real world.

    Just know that you held your integrity and maintained true advocacy.

    At the very least, pick up a per diem position ASAP while you are looking for something FT, then, hold on to the per diem or PT job and keep hours and known at the place. This is one sound way to fight against a questionable reference, and yes, some places do want you name all relevant places. You may be able to drop a few off your resume, but it can get tricky.

    Nurses have to protect their practice and mitigate their losses (or potential losses) by planning in advance. I wish it wasn't like this, but it really is. It has to do primarily with always being able to work as a nurse if you need or want to do so. When you at the mercy of one environment, you can get screwed--you are more vulnerable.

    Many of my nurse colleagues that have been in nursing for a long time have more than one position, even if the other is per diem or agency. The thing is, you have to put the time in the other position on a regular basis.

    You have to work to protect yourself, your resume, and your ability to work and keep working. This is the best protection you can have in this field--I think better than a union, b/c a union could turn sour.
    Last edit by samadams8 on Sep 25, '12
    catlvr, sharpeimom, neverbethesame, and 5 others like this.
  12. Visit  bstullis profile page
    6
    Quote from ColleenRN2B
    Really? You're going to bring politics into this and blame the President?
    Call it what you want (ACA or Obama Care), healthcare is in more turmoil than has been seen in 20+ years. With the Supreme Court upholding the "tax" argument, the government (I don't blame this only on Mr.Obama, but Congress as well) has taken steps that have made every health care facility and insurance company put it's spending practices under a microscope and encouraged shortcuts that strain everyone (short staffing that allows a company to show a profit this quarter only to hire many new staff the next bouncing off those "profits").

    Also, I think you mean "advice" instead of "advise" in the two places you've used it so far.
    Yes, spelling is very important when you are upset/frustrated and calling out for help.
    Last edit by bstullis on Sep 25, '12
  13. Visit  chevyv profile page
    3
    Sadly, flying low and under the radar is the way to go especially during orientation. That is my opinion. I too work Psych and have seen staff assaulted as well as pt on pt assaults. It can be very dangerous. Working within an ever tightening budget means that safety can be quite lacking.

    I wouldn't voice any concerns until I knew I was off of probation, period. As you found out, they can get rid of you for anything. I may not feel it's fair but it is the way that it is. Even after 2yrs on the job, when I voice a negative, I try to have a solution or I question something 'fairly'. I've seen staff with 20 yrs in get walked out for little 'things' that added up.

    Employers don't care to hear about what's wrong. Most psychiatric facilities hold safety meetings daily so management knows exactly what's going on.

    I'm sorry this happened to you and wish you the best. Good luck,

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