I agree the care of patients took a real dive when units changed their make-up and mostly did away with LPN's and reduced the CNA's to one per side in most places. I know the big thing is primary care, but so many of the younger nurses do not do the care needed, either they do not know how and are too afraid to ask for assistance, or they refuse to do certain aspects of patient care. I was told by a new nurse once she refused to clean poop, well, being as I was going to be in charge for the next week, I made certain she had her share of that duty. I told the CNA's they were to assist but she was to be there helping, not talking at the desk, well....she hated me for awhile, then she came to me later and told me she still hated to clean a patient who was covered with feces but she realized she signed on for the whole role of nurse. She got to be a pretty good nurse, now she only works part time, she has 3 kids all very young, but she tackles the rough stuff now, not just the easy patients.
I actually had a doctor tell me yesterday he missed the old way of nursing and he is pretty young. Now, he did not mean the give up your seat for the doctor, he meant the nurse knowing a little about what was really going on with the patients, having labs ready for him if there was a potential problem, actually knowing if the meds for pain were working, if the patients was ambulating if able, and a thousand other little things he likes to hear. He loves it when I go in with the hubby, he says I give him a concise, current, and complete picture of hubby. I told him after 37 years I hope I know him a little. LOL.
Well, got to go. No Christmas for me this year but I still have a million things to do until January.
Have a blessed day.