Quote from SiennaGreen
Gosh, I'm feeling this right now. We've had a really rough few weeks. Morale is very low. Multiple experianced RN's have left over the past few months, leaving our 30 bed unit with an uneven mix of new grads, new hires, and a handful of RN's with 1+ yr exp on the floor. Many foks are unhappy with the new day charge. I work nights and most of those folks feel overlooked because as someone else said patients "sleep" at night. (Yes, except when we're running chemo, blood, platelets, sundowning brain mets, falling, ammonia levels are climbing from liver failure, or their lungs are quietly filling with fluid from a malignent effusion.) Our staffing is 5/1 days and 6/1 nights with a tech ratio of 6/1 days amd 8/1 nights. It sounds manageable on paper, but it never feels that way. I'm actually grateful for our inpatient chemo patients, because they're usually the healthiest! I'm trying to grab a hold of some inspiration, some higher calling; but we're all down. Gotta admit, the calm of a nice general surgical unit sounds appealing in comparison.
Oh man, I can empathize! Our floor is also losing a lot of staff, and most of the ones leaving are the experienced ones. Our unit just has a bad reputation of being chaotic and crazy (there is some truth to that) so the only people willing to fill in job openings are new grads. I would say about 1/3 of our staff have under 2 years of experience, including me. It's scary, considering we have very sick onco patients on our floor, getting chemo and such! I mean, they're starting to look at me as an "experienced" nurse. I can give chemo and all, but if something goes wrong, I'd be lost!
It also sucks because it takes time to get people trained to administer chemo, so there are only a few nurses left who are certified. As a result, there may be only one or two nurses on the floor who are chemo certified and if there are a lot of patients getting chemo on that day, the chemo nurse(s) get hit hard. I once heard of a day where there were only 2 chemo nurses working and one had 2 patients getting chemo and the other had 3! It sounds so unsafe. It's no wonder people are leaving.
I myself am starting to polish up my resume to send out as soon as winter starts thawing out (I definitely don't want to move in the winter; too cold and too snowy!). I wanted to stay a while longer for the experience but I'm scared of everything I described above.