llg, BSN, MSN, PhD,
Thank you so much for your informative responses. I do appreciate your explanation and advise. I think you hit the nail on the head, I do not think that the DON is being clear about the system for the staffing. We are a unique unit which is half the problem. I do believe that the DON, Nurse SUpervisor and MAnager each use a different system.
We have requested meetings which go no where. We do come prepared with an agenda and solutions but are are preceived as "Whiners". So we have stepped back and are trying very hard not to "complain".
It is a concern of ours that 'babies" are not being considered a patient when their assessment and charting are twice as much than their mothers'.
I understand the financial portion and you are right. Our manager will have us discharge patients from our census who are going home but are not ready to leave to justify RN
atient ratio--which is a huge concern of ours. Our patients have issues and many discharges have been cancelled because their blood pressures or other issues.
Your right, we are now all facing to leave what we love and have a passion for or stay and jeopardize our patients' safety and our license. We are all aware that the hospital will not back us up if something were to happen. We will be the first to be thrown under the bus, so we all have started documenting and emailing any unsafe staffing associated with acuity on our unit. These emails always go unanswered but at least we have a paper trail.
Thanks again for your advise!