Our nurse manager is anything but supportive of the PACU staff. She herself was an OR nurse at one point, has never worked PACU. She is the nurse manager for the OR, PACU, ASU, and ENDO. She acquired ASU only in the past year, and seems to be bending over backward to make them happy. She takes one to three PACU nurses daily and sends them to ASU to help them out - she disguised it by saying "we are going to cross train everyone". The only cross training being done is PACU is being shorted. We asked her "How do you think ASU has gotten by ALL THESE YEARS without PACU helping them?" Her response is "We are all one unit now". BULL DROPPINGS!
One day she took all PACU staff out and left me there alone, she looked at the OR schedule and said "It looks like all the GYN cases will bypass PACU, so you should be okay in here by yourself" I said "That's not necessairly true, sometimes those cases end up as big Mac's or Generals, and they do come in here, I would feel better if you left me at least one nurse" "You'll be fine" she says.
GUESS WHAT HAPPENED? ALL the GYN surgeries came to PACU, as well as the other cases. I was getting two to three patients at a time, by myself
I ended up calling ASU and asking for at least one PACU nurse back to give me a hand.
My last weened that I was on call, Friday eve through Monday at 0700, I worked 30 hours, 20 of them straight through. That's just unsafe. I could hardly think straight by the time the 20 hour marathon was over (between the 10 hour marathon and 20 hour marathon, I got only a 2 hour nap). We have a second call, the second call is an ASU staff person, they do not do 1st call, they only come in while we are there to "help". So, I had no one I could call and say "Hey, could you cover my call for 6 hours so I could go get some sleep?" Administration gets around this by saying, "Well, you could have clocked out and took an hours nap between cases?" BITE ME
I end up helping the OR between cases, running specimens and blood to the lab, picking up blood from the lab, helping position the patients, etc...
There, my vent is over. It's a stressful place to work, I just wish we had a nurse manager who cared and supported her staff. Unfortunately, I'm not the only one who feels this way, the majority of the staff feel that the NM is "useless" to us. No, we can't go above her. This is a communty hospital where the majority of those in power are related by blood or marriage - so we have no where to complain to - and no upward mobility either as most of the "power" positions are held by those in their 40's - 50's.
There, I feel SO MUCH better now