Re: Nursing: The 10 Hardest Jobs To Fill In America
anoro, Your post almost brought tears to my eyes. The back rub issue? I am lucky to be able to remember those days---in fact, the father of my sister-in-law's sister's husband (got that? LOL), Bless his heart because he is no longer with us, used to ALWAYS say at holiday family gatherings that he will never forget me because I always used to give him the best backrubs when he was in the hospital before he went to sleep, and that my backrubs were the only thing that helped him relax and get to sleep while being cooped up in a bed all day and all night. I remember teaching patients how to care for their fresh ostomies (now, they get sent home and a visiting nurse comes to the house when they get a chance) and not discharging them until they could show me they knew what to do, not to mention sitting with them and wiping away their tears when they first discovered the plastic bag attached to their abdomen after surgery. I remember teaching patients how to give themselves insulin and to test their blood sugar. I remember walking my patients around the unit after their surgery, stopping so they could rest and catch a breath and continue on. I remember when mothers used to stay in the hospital for several days after childbirth, and nurses taught them how to change a diaper, how to swaddle their newborn, how to breastfeed, even how to hold their new baby. Now, women have to be out in 36 hours----hell, some women are in labor for more than 36 hours!!!
Nurses no longer have the time to do any of these things anymore. Things like this aren't even taught in nursing school anymore. Things have definitely become more complicated and involved, and people are sicker. You would seem to think in light of this, MORE nurses would be needed, not less. You would seem to think that instead of figuring how to run a hospital on as FEW nurses as possible, that a hospital would want to put as many nurses as they could to provide that individual and personalized care that we would all want if we were patients. Hell no. Hire fewer nurses, hire more administrators and admit more patients and get them out as fast as you possibly can!! QUANTITY, QUANTITY, QUANTITY!!
I firmly stand behind my "theory" about the subsidy money and the cry from places about the "nursing shortage", and the monies being spent on things that are completely unrelated to nursing----like valet parking!!! That is one thing that always makes me shake my head---valet parking. The thing is though, many hospitals have "expanded" and "built-on" to their existing buildings that they have invaded the parking lots that used to be within walking distance to the entrance----but now you have to park your car in the next county!!
And, yes---I realize that if you open your mouth and "protest", then you have sent ripples through the hospital sea and many times, retaliation is imminent-----so most nurses take it, swallow it and ***** and moan to each other. The simple fact that you are retaliated against for your concern about patient safety is disgraceful, but that also goes with my statements about the administrators being MBA's and not having one single iota of experience with actual patient care----just because they successfuly ran a Fortune 500 company DOES NOT mean they can successfuly run a hospital!! But for some reason, hospitals find it necessary to put on the front page of the newspaper the fact that they just hired someone who successfully managed a Fortune 500 company and made them a fortune. But---at what price? I am sure they are taking money away from the nursing budget to pay this person, because God knows they wouldn't work for a "normal" salary. So, who suffers? Nurses suffer in their pocketbooks, and patients are the ultimate sufferers. Dude, you may have an MBA from Wharton, and you may wear custom designed suits and Italian loafers, but do you have any idea what it means to listen to heart sounds and decifer between a lub and a dub? Have you ever turned and positioned someone every hour because their sacrum is red? Have you ever experienced the joy of a new mother when she finally pushes that child out of her womb, or the sorrow of being there when a baby is born still? Have you ever had to question a physician's orders and have them lash out at you because they can hardly believe, in their infinte wisdom and perfection, that they made a MISTAKE??? I would put down everything I owned on the fact that they hadn't. But they sure know how to perform some financial analyzation on the "waste" that they think is happening in the place.
And the bottom line is that, as nurses, we HAVE to accept it, or we don't have a job. "Trouble-makers" and "thorns" are quickly weeded out, and presented with false reasons that they aren't a "good fit".
The bean counters and money crunchers seem to have all the answers, and they have managed to deceive everyone into believing that there is a "shortage of nurses" by their endless ads in newspapers, trade journals and internet postings. The public eats it up and then forgives the hospitals for the mediocre care that they received during their admission because "they are so short staffed". The reason hospitals are short-staffed is because they have chosen to run their facility like that---it has nothing to do with any "shortage" or lack of nurses. There's plenty of nurses, trust me.
Nursing News