Good point there Brita,
I do agree that there are many bad staff nurses out there also, no doubt about that. I say what I have said due to what I have seen and experienced.
The facility I worked at for many years prior to going agency, was a decent place. Administration and management were fairly decent to us, decent enough. With in one year we had two staff nurses die of CA, one retire and one cut back to two days a week and we never recouped of course there were other problems like the drug addict we had for a DON for a year. Administratiion threw raises at us left and right for a year and still couldnt keep us. Before I left, I was making my own schedule even. The problem was lack of continuity. A different charge nurse every night, having to orient someone new every other day. I am an Lpn and I was orienting charge nurses to their responsibilities, doing the admissions, except for calling the doc's (not smart enough)
Now I was told by the administrator, help these girls out, and damnit I did the best I could to orient three of them at a time in one night, but two outta the three didn't give a crap. Orders werent being taken off, things not passed on in report, meds not being reorderd, med errors out the butt, for no other reason than lazyness. Once in a while I would find a good one, or one that didn't need me to hold their hand. Hell, I had one come in and handle three admisions like it was cake.....I told her, if I went "that way" I would like her to marry me! lol.
After a time, and it doesnt take long, the place goes to hell. This place inpaticular, from what I have heard can no longer keep agency even in there because it is now a threat to your license to even look at the place let a lone walk in the door. People have died needlessly over there on several occasions out of shear neglect.
What I hate is the fact that so many agency nurses feel the need to be oriented. That is crap. I can walk into any facility and do my job well without my hand being held. I have eyes and can find things, I can ask questions if I have to, which you always do, but I have never asked a dumb one, I take initiative. Someone once said there is no such thing as a dumb question....I think that is a lie. I am not a lost puppy all big eyed and confused and scared. Too many are.
Too many have the attitude, well if I am not told who to chart on,,well then I wont....if nobody mentions treatments,,,I must not be responsible,,,someone els must be going to take off those orders cause no one has asked me to.
I can't honestly blame that particular facility for its downfall, yes it played a part, but they were as good to us as could be for as long as they could be. They tried to apease us as best they could. Agency walked in the door and within a years time, the regulars all walked out. We saw the money and lack of stress and went running.
I no longer feel the heat from management, but darn it I do try to keep up the standards they want and need me too.
I signed a six or eight week contract with the facility I am at now,, and my heavens it is an all too familiar scene. They are currently banned from admissions. The regular staff is dropping like flies. I am having dejavou!