Am I Wrong To Think This?

Nurses General Nursing

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I work midnight shift (7p-7a), weekend option at a hospital about 30 miles from my home. My floor is a stressful, busy med-surg floor, and a lot of times, I am the charge nurse. By the time my three days are over, I am wore out!

I chose to work weekend option so that the rest of the week I could homeschool my 5 year old son, spend time with my husband and have time for my other interests. It's like I am two different people: Through the week, I am a homeschool, stay at home mom. Come Friday night, I turn into Nurse Bugaloo for three shifts. I feel that I am a good nurse, and I do a good job while I am work. It is the best of both worlds.

The problem is this: A few weeks ago, our Nurse Manager, who I greatly admire, mentioned in a meeting that from now on, our yearly raises would not only be based on work performance. They would also take into consideration how many meetings and inservices you attend, and how involved you are in signing up to work on different hospital and floor committees. For the record, all of their meetings and inservices are mandatory and they are all held throughout the week (as are all committee meetings).

Am I wrong to think that our raises should be based on our work performance? I am a team player when I am at work. But, after almost 16 years of being a nurse, all I really want to do is work my shifts, be done with it, and then spend the rest of my time with my family. I don't want to run 30 miles back and forth for meetings and inservices on my days off!

Please let me know what you think!

When this was started at my facility, we complained to the DON, we told her night people should be inserviced at times for us. It took awhile, but now the day shift has to monitor the floor for us, just like we had to monitor it for them so many times. This is mandatory for the NM to be there until 85% of the staff gets the information needed. I love it.

Unfortunately pay for performance (P4P)is not going away. Physicians in some areas are now getting reimbursed for P4P-this is based on patient satisfaction scores, infection control rates, etc,etc.

Specializes in med/surg, TELE,CM, clinica[ documentation.

My hospital is starting a "practice run of "P4P" this year. Everyone is running scared thinking they won't get a raise. The raises are only arounfd 3% anyway--not much more unless you are exceeding expectations in every area of a very biased evaluation that is more of a popularity contest than anything else. No one can prove that they exceed expectations--it is ridiculous terminology and using press-ganey scores when you have an urban inner city clientele----no one pleases them. We bend over backwards and still get low scores- I think they do it on purpose.:bluecry1:

Specializes in Making the Pt laugh..

We had accreditation recently, the Govt gave us three months notice that they were going to audit how we do things, from paperwork, training through to locking medication trollies and everything in between. As expected, our management people started making all sorts of things up to make the facility look better than it realy is. I found a notice on a wall stating that I was a ward resource person for OH&S as well as paperwork, on asking the unit manager what was this, (in addition to what drugs are you on?) she stated not to worry, if I found a problem with either area I was to let her know and she would sort it.

Long story short, on paper I am a ward resource, in practice I am just a good looking rooster with no extra responsibilities.

Specializes in RN, BSN, CHDN.

Our raises if we get any more in this financial climate are based on performance, meetings attended, committees involved in, education we do the list is endless. If it is any comfort one of the nurses on our floor does nothing but show up to work and the difference in her raise is nickles and dimes, by this I mean she only earns a very small percentage less than those who do it all

Specializes in Med-Surg, HH, Tele, Geriatrics, Psych.

I greatly appreciate all of the responses so far! It helps to know what other hospitals require, and what other nurses think about it.

:yawn:

Heading to bed now.....

Specializes in Community Health, Med-Surg, Home Health.

I believe that most of the committees are not functional, anyhow. They are more geared towards gatherings to talk trash and do nothing. It does sound like magnet goaled to me...at least being spoken about behind the scenes. We don't get paid based on performance, anyhow at my hospital because we have unions. In this case, the opposite usually happens...many people work at minimal standards, just enough to get by.

How about offering to do some individual work on a performance improvement project. Probably falls into the same category on you eval check sheet - without the drive.

Pete Fitzpatrick

RN, CFRN, EMT-P

Writing from the Ninth Circle

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