Quote from mabel u.k
I think you have completely misinterperated my thread, I have been nursing for a long time and contrary to your belief I do realise that nursing in the NHS is not all rosy. However with the constant battering the NHS and it staff get from bad publicity and poor morale I do believe that it is important to recognise and highlight good practice. It is very easy to get into a vicious circle, you complain about your workload your colleague does the same morale declines and very soon all that is left is poor morale and complaining staff. It is vital that we recognise and praise good practice, and support each other only then can we try to make things better.
I have already mentioned this in one of the posts, I do not like everything that goes on in the NHS but from the very start of my nursing carreer if I didn't like what was happening I got evidence and presented it to my managers to help promote change. I doesn't always work but there are times like my recent project that it does and it is these times that we need to recognise and shout about. As far as one qualified to 18 patients if this happened in my area I would be filling incident forms, putting together evidence and information to support an increase in staff numbers - clinical risk will get you alot you just need to know how to collect and present evidence to those with the purse strings. If I get staff asking me for authorisation for bank and agency I ask them to prove that they need it, I don't think this is an unreasonable request I need to justify the additional spend. As far as calling you a realist - you are a student nurse, I think you need far more experience of good practice in the NHS before you have a more comprehensive reality of the NHS.
My philosophy in nursing is if you don't like what is going on then make moves to change it, if you are not in a position to do that wait and plan to be in a position to influence change. If we all sit and complain but make no active effort to change our work environment then the NHS truly is doomed. however I do believe and have sufficient experience of excellent and motivated nurses who do want to change practice for the better and this allows me to maintain my passion for nursing in the NHS.
Don't become dispondent and miserable become a change agent and make things better.
i agree with OG ive done my bit for the NHS too.
last year my ward had a crisis, we moved from a smaller ward, with 12 specialist renal care beds, which we shared with a surgical ward, onto a larger ward as our hospital were having a shuffle around to try to reduce mrsa infections, the theory was that keeping surgical away from medical would help achieve this.
the ward we moved to was a 28 bedded area, but usually we only have 12 patients, so there were two bays that were empty, no prizes for guessing what happened as soon as our manager went on holiday!?!
i came into work one night to find an arguement going on management, unison, clinical site manager all there wanting to fill the two bays with patients i refused stating that it wouldnt be safe as they couldnt find me any more staff to look after these patients, tough luck said management the patients are coming, at which point two were wheeled into one of the bays. i tried to reason with them, i tried to present 'evidence' to them ie if you do this someone may die, but i might as well have been talking chinese for all that they listened to me. i can honestly say i have never felt so worthless in all my life that and subsequent nights where there were 23-28 patients with only 3 staff.
this went on for about 2 months, the hospital did pay for agency staff to help but to be honest the staffing levels were never right, the final straw for me was being punched in the face by a confused patient who loosened my front tooth, this was the same shift where a patient was found in the carpark having escaped from our ward, confused, no one even noticed he had gone as we were all too busy fighting the 2 aggresive patients in the same bay.
that night someone from the ward contacted our local paper and told them about the situation, within 24 hours the extra beds were closed, only because the local health authority got involved
may times the evidence was presented in an attempt to change things i.e the staff patient ratios, but we were ignored.
the newspaper article was what stopped this happening, so basically threats worked, presenting the evidence didnt! the day after that article the extra beds disappeared.
i used to love my job but that experiance finished off any expectations i have for working in the NHS