I worked in a rural hospital20 minutes away, 32 bed facility, Joint commission accredited and it just happened to be a company related to a larger entity so we were provided with some pretty nice equipment ex: pixis machines that work with just our finger print, nice dynamaps with o2 sat monitors, several patient assistant devices and many working bedalarms... to name a few. Our small hospital had everything we needed organized and right there!
Now, I worked there for 6 years and decided it was time for a change. Since I live in a small town I decided to work even closer to home, 10 minutes away, for surprisingly a little more money than the larger rural hospital. Well, I found out this new hospital is not Joint commission accredited, it has very outdated equipment, broken supplies such as bedalarms with missing peices and dynamaps with NO 02 sat monitors. When I asked the DON about it she said they "aren't going to purchase anymore for the floor b/c they are too expensive, maybe we'll purchase one and lock it up and we can sign it out." There are many times I call for Respiratory and there is only one RT per shift for the entire hospital and he/she may be tied up in ER or a bad baby in L&D and I have no way to check my patient's sats.
Many nurses say they've had up to nine or more patients a piece on the med surg floor. I won't be able to take that many. I am so curious about larger hospitals and how life would be driving an hour away in the AM to a bigger hospital. Tell me how big hospitals are? I don't want to waste my gas, but it looks like I'm going to have to if this hospital I'm working for now doesn't become a safer place. ...(highly unlikely):uhoh21: