Biggest Pain or Problem

[tronix304]

I am curious to see the various individual problems facing the profession. What has been everyone's biggest pains or problems recently or over the past year? Feel free to post aside from Covid or including Covid. This is a great place to vent, I will listen!

[mmc51264, BSN, MSN, RN]

High turnover. It seems that the expectations that new grads have about what nursing is does not match what the job is and there is constant "grass is greener" stuff going on.

[CommunityRNBSN, BSN, RN]

I work for an FQHC that is unbelievably poorly run. Communication from top to bottom, as well as between departments, is nonexistent. As a result, NOBODY— not doctors, not nurses, not aides, not secretaries— knows what they are supposed to do in any given situation. We have no written policies (well, not literally none, but almost zero). I love our patients and my coworkers are absolutely wonderful. But I don’t think I will last long because of the mismanagement, disorganization, and total failure of leadership at the top.

[LibraNurse27, BSN, RN]

40 minutes ago, CommunityRNBSN said:

I work for an FQHC that is unbelievably poorly run. Communication from top to bottom, as well as between departments, is nonexistent. As a result, NOBODY— not doctors, not nurses, not aides, not secretaries— knows what they are supposed to do in any given situation. We have no written policies (well, not literally none, but almost zero). I love our patients and my coworkers are absolutely wonderful. But I don’t think I will last long because of the mismanagement, disorganization, and total failure of leadership at the top.

Sounds like most FQHCs... so frustrating! As you said the patient population and the people who are attracted to working in community health/FQHCs are wonderful! But the dysfunction is real.

[Daisy4RN]

IMO, the biggest problem is the corporate entities that run healthcare and the fact that the bottom line is always money. If we had good leadership from the top down we would have better leadership from all levels of management. When the bottom line is the almighty dollar the only winners are management. The people in charge dont care about staff or patients. This takeover has eroded the quality of healthcare. Add to that endless and cumbersome regulations and the entitlement and ridiculousness of the society at large and what we have now is a perfect storm brewing.

[Daisy4RN]

On 5/25/2020 at 8:39 PM, tronix304 said:

Davey Do 1970 called, they want their idiom back (Yes, I had to Google it, so what).

Oh my gosh, you had to Google that. So what you ask? Well for one thing you just made me feel absolutely ancient LOL.

[tronix304]

mmc51264 - I can definitely see that. Do you know where the nurses go, do they go to another department or nursing job or leave nursing altogether?

CommunityRNBSN - That's crazy, do you think the management realizes this, or they just don't care? I wonder if the FQHC's are like that because it attracts that type of administration/management.

Daisy4RN - I definitely agree with this. It is ridiculously obvious in all of healthcare that every decision is made because of money. When someone tries to come in to change the process, it doesn't work becuase of one of the many variables in healthcare. Insurance, management, administration, government all work together to ensure healthcare is a highly profitable industry. What do you think the solution to this problem would be?

LOL. I've never heard that idiom before, after Googling I do remember it being on The Simpsons, though.

[CommunityRNBSN, BSN, RN]

16 minutes ago, tronix304 said:

CommunityRNBSN - That's crazy, do you think the management realizes this, or they just don't care? I wonder if the FQHC's are like that because it attracts that type of administration/management.

I actually don’t know, and often wonder. Our CEO, to use one example, looks great when she talks about our clinic on TV. I don’t know her personally. Half of me thinks “She’s running this place for her ego, she’s getting money and praise from this” and half of me thinks “She wants to help her community and she’s a poor leader but doesn’t realize it and doesn’t know how to improve”.

[NurseSpeedy, ADN, LPN, RN]

Find me (nurse) and my husband (he works in hospitals as a manufacturer rep) proper PPE and waiting for it to arrive, hopefully, from amazon since our employers cannot seem to find any either.
I have mixed reviews on what amazon has delivered.

[tronix304]

NurseSpeedy - What about these, only bad thing is that it takes a month to ship from China:

https://www.aliexpress.com/item/4000991776361.html?spm=a2g0o.tm139952.5612828150.3.110f9e68D6yGHY&gps-id=seaZeus&scm=1007.25281.150765.0&scm_id=1007.25281.150765.0&scm-url=1007.25281.150765.0&pvid=ff63743e-28b4-4f0b-b687-0e67e882535c

CommunityRNBSN - I remember seeing somewhere that most CEO's have narcissistic qualities so that is a possibility. The bad thing is, it's probably a little bit of both.

[NotMyProblem MSN, ASN, BSN, MSN, LPN, RN]

On 5/22/2020 at 8:30 PM, Davey Do said:

I quote from correspondence to the HR director, where I stated I wanted certain "concerns... validated and addressed and I am reasonably sure that I will be respectfully treated while working a safe, non hostile environment where established laws, codes, guidelines, policies and procedures are enforced."

I was subsequently terminated, I believe, as a result of a retaliation.

That was my biggest professional problem recently over this past year, tronix304.

How about you?

My year wasn’t so bad, after all.

[amoLucia]

Bear with me folks as I KNOW that I have asked this somewhere else but ...

what is FQHC? Something something health care?

[tronix304]

FQHC is a Federally Qualified Health Center. Basically a health center that serves an underserved area or population and receives federal funding.