CONTINUED IN WHAT IS THE MAJOR REASON Why are they all leaving? - page 15

What conditions would cause so many nurses to leave? Our ER has been losing friends fast. Why is there such a large turnover in nursing? I'm going to school, yet I talk to many RN's who are looking... Read More

  1. by   traveltrash
    I've seen several mention that they clocked out to chart - you know that's against the law - because if you're off the clock, you have not business with the charts, you have no legal standing - I'm not reprimanding, I'm just saying - there is a recourse. If you've been told abt the no OT thing, "you should have all your charting done on time", etc. all you have to say is either it's patient care or paper care, which do you want and mention the fact that you thought the state board of nursing and JACHO frown upon the working off the clock thing, but you'll be glad to clarify it with them. Uh, adm gets bristled @ the thought of being investigated. of course, they may try to threaten you, but then I would say if you have the feeling this is going to happen, then take it to the board & JCHO anyway with FACTS, FACTS, FACTS
  2. by   Sheri257
    Quote from Dixielee
    I think the problem comes when you are a staff nurse and are barely keeping your head above water, have your own heavy patient load, and are trying to stay organized....then you are expected to be a preceptor for a new grad. It does slow you down when you have to teach someone else how to be a nurse. This is a management induced problem, not the fault of the preceptor or the new grad.

    A preceptor should have a lighter load in order to be there for the orientee, at least in the beginning. As the new grad gains more confidence and ability, then they can begin to take more and more responsibility and the preceptor can back off and let the new nurse take flight. Unfortunately, this is rarely the situation.

    Just one incident..... in our very busy ER, I was asked to precept a new RN. Generally no problem, but we were slammed that night(nothing really new). I was trying to let him do what he could, (he is past the simply shadowing point) but it was slowing everything down terribly. At one point there were several patients that needed discharging and a very sick respiratory distress patient came in for another nurse. I just told my orientee to go stand in the corner and watch the emergency while I discharged the patients. It would have been OK except we have 5 new grads being oriented, and they were all there that night and the same situation was being played out across the ER.

    None of the older nurses were mistreating or resenting the new grads....we are glad to have them, but administration makes huge mistakes in the way these things are handled.

    So I think if anyone eats their young, it is not the staff, but the managment who put everyone into impossible if not dangerous situations.
    Unfortunately, this is not always the case. I have gotten a taste of the "nurses eat their young" phenomenon and it's for real. But, luckily, I'm not that young and I can handle it.

    I can certainly understand your point, especially in emergency situations. But I have learned first hand how mean nurses can be ... even when you're pretty functional as a soon to be new grad doing the vast majority of work for them.

    I'm currently precepting for the final stretch of my program, and I've been taking most of the patient load. I've done a few stupid things but, by and large, this has been a vacation for my preceptor because I'm pretty functional.

    In addition to clinicals I've externed quite a bit so ... I've been running my butt off all day, even skipping lunch while my preceptor sits around reading magazines, watching soaps on tv in the nurse's lounge and chatting with her friends.

    Yet she never misses an opportunity to jump on my case, even when she has no justification for doing so. She's always on me like gravy on rice. So, I just work harder because it's not possible for me to switch preceptors this late in the game.

    But it doesn't really make any difference to her how hard I work. This is her little fiefdom and she and her little clique of friends are a real piece of work. They get their jollies with this sort of thing.

    I'll get through it ... been there, done that. But this "nurses eating their young" phenomenon is for real. Some of these women can be quite nasty .... even when you're doing most of the work for them and they have an easy day.

    Last edit by Sheri257 on Nov 22, '06
  3. by   catjmoses RN
    hi all, first post here.
    i completely agree with you mariedoreen. i have been a nurse for 10 yrs now and the work load doesn't get better in med/surg. i'm a travel nurse and i just left a job i had because i just could not take it anymore! one would think that it would be easy enough to take a 10 min bathroom break but it's not! in an 8-10hr shift many nights i couldn't get away. bells going off, bed alarms ringing, orders to be taken off, meds, assessments, blood, admits, iv's, brp's, charting, and that's just the 'regular' stuff, not all the other stuff that happens-- c/p, abnormal vs, falls, resp distress to name a few ---it just doesn't end some nights! and no, they do not sleep all night! hospital nursing doesn't have a beginning or an end. --24 hrs baby--just like 7-11! and if you work where half the staff is sick of it already, forget it, you will constantly hear --"get used to it--it doesn't get any better".
    i personally think that is a poor attitude --burned out or not. i love nursing, but i am tired of going home so tired i can't see straight, so hungry i'll eat the first thing that jumps out of the fridge and having to pee so bad that i'm on the verge or a uti! the only solution i see is to work days where they usually have enough staff, get breakfast, lunch and afternoon break!---not an option for me as i'm a true night owl, or specialize. ccu, pacu, mother/baby to name a few. i worked in ccu for a while a few years ago and i loved it. when we were busy it was a different kind of busy--not running the halls between 6-10 pt's busy but busy with 1-3 pt's. i'm definately working my way back there--it's that or i'm out! i'm too close to being burned. i keep telling my mother i'd rather be a walmart greeter some days!:chuckle
  4. by   rpayneisu
    Wow! This is an opinion to some earlier posts.
    This is my first posting, so here goes.....
    I'm a "male" nurse (hate that term). I've got ten years experience on a med-surg floor in KY, if anyone's interested. Yes, we're overworked, underpaid, blah, blah, blah. We've heard it and said it all before. We will continue to do so until we change "the system". What are we doing about it? California has a union, and along with Australia, a nurse/patient ratio in place. When we tried to unionize our nursing staff at my facility, the majority signed union cards, and then ended up voting "no". Conditions "improved" to keep the union out. How many of us, in general, belong to our professional organizations? Not many, I'll bet. I don't. That makes me part of the problem. Nursing is a calling, just as any occupation one feels good about doing regardless of how nasty the conditions are. So to fuel the ever burning fire....if you don't have time to use the restroom or eat or if the staffing is unsuitable, or if a process at your place of work is undesirable, use the same problem solving techniques for all and do something about it. I was offered a job in our IS department that needed nursing knowledge in the applicant. Better pay, better hours and a leadership position was the payoff. You have to be able to "play the game" to know how to change the rules. There are plenty of opportunities out there to make a difference for nurses, patients and ourselves.
  5. by   acadia
    dorselm, do you know any of the staff at the hospital where you will be working after edu.?As someone mentioned, it does help a great deal if the others you are working with have a sense of humor. I add humor, also a sense of everyone working together, comittment, humor, real care for people, and humor. I do not like crushing a dream for anyone, because I think nursing will be better one day again. Maybe it will begin with new nurses such as yourself.Some places are better to work than others, I do still hold out hope of finding, not the perfect nursing job(no such thing) but one that I can live with and still have my life when I get home.I hope this helps your Thankgiving a little. Studying ahead will help because you will have to know these things anyway, I would keep preparing. You will find book learning vs IRL working very different for sure as in many professions and keeping your eyes open, very wise.
  6. by   Simplepleasures
    I am so glad to see a forming consenses here and yes it is the big U word union.I got flamed in another post for advocating nation wide unions.California has the right stuff, and they are trying to unionize the rest of the nation, why not go to thier website and email them letting them know that you and how many other nurses you work with ARE interested in organizing.Why do we nurses continue to fall for the crap that the healthcare industry throws our way when nurses try to unionize? We cant possibly continue to be so naive.If a union drive begins in your facility I would strongly recommend getting it in there and voting yes, cause if you dont, once its over the facility will go back to their old ways -but even worse. So if Minnesota, Michigan and New York as well as California are mostly unionized, I think its only a matter of time till the rest of the country follow suit.And as Martha Stewart says , "Its a good thing".
  7. by   Gromit
    Well, Ive never been a fan of unions, and yes, I've been IN a union before (Teamsters, actually) but I must say you make a very compelling argument.
    But how good are they in states (like Florida) that rob unions of their bite by being a (crap, I forget the term, but you can be fired without reason in Florida -so striking -which is the unions greatest most powerful tool- could get you a spot in the unemployment line). Unions have ruined entire industries (Autoworkers, for the best example) but there are still areas where they are certainly needed. As Nurses ( a field in which the demand far outpaces the supply) we SHOULD be able to demand better conditions, pay, etc etc., but we don't. We certainly should be in the drivers' seat -its not like they can just replace us at a moments' notice.
    Last edit by Gromit on Nov 23, '06
  8. by   mixyplixy
    Part of the problem is the other nurses too...I was on a unit at UC San Francisco and was told by other nurses "nurse on this unit care enough our patients we dont have TIME to take a breaK"...meaning if I did, I would be thought of as I left there anyway. Other places I have been the same thing has been implied. Been a nurse for 12 years, quite enough thank you in Med Surg. going to try corrections on a state least they insist on proper breaks, educational ops etc. We shall see....
  9. by   Gromit
    Wow! Bad enough that you aren't given the time for a break (which seems pretty typical) but that you're made to feel like you shouldn't expect one ( -that you don't care about your patients if you DO want a break) is rediculous. Sounds like a pretty bitter place to work, to me.
    I have a friend that works on the county corrections level, and he seems to like it well enough. He absolutely hated working in the hospital environment, tho.
  10. by   ahf4699
    Once you become an RN, work a few months and then comment on the question at hand. A business career is truely a different kind of animal compared to being an RN or being in the medical profession. Just wait and see. Im sure your ideas will still be the same but achieving those ideas are nearly impossible each day you work.
  11. by   TrudyRN
    Quote from P_RN
    This is Mulan's opinion and not mine, I feel that the poster's point is well made. This comment reflects what is the "public's idea" of how a Nurse's day goes. We on the "inside" feel that we know best. When I was a secretary, I took my break, but also had to stay over at times to type a contract or an appraisal. Boy, I really thought I was overworked. When I was a telephone operator, I NEVER got overtime. The supervisor would come unplug my station and tell me to go home.....Again the "public sector."

    I believe what is different in the two circumstances is that nurses are made to feel that they are substandard if the patient is not ALWAYS put first. Sometimes it turns into a Martyr Mary situation. Instead of eating our young (I HATE that phrase) we nip at the heels of our co-workers. To make the floor or our unit look good, we give up what is our own time.

    I got a counseling note in my "permanent record" because I told a transporter I'd be right there after I went to the loo. At my age when you gotta go, you gotta go. She left the patient in the room and told her supv. the Nurse refused to come help her. And my NM believed her.

    I've seen Nurses clock out and come back to finish, because it's the only way they can chart and not be called away by duty. Somehow it's better to be able to say "sorry I'm off the clock."

    Now I'm no longer on floor work, I look back and see that there were times that I could have gotten a break, but it was the unit mentality that kept me from it. After all your co-workers don't do it, so maybe you shouldn't either?

    I used to work in an ICU where the rest of the staff were so intent on showing how capable they were of doing everything without help. Lifting, turning, taking care of 6 pts while there was not even a secretary to answer the phone, recovering surgical pts when Recovery was closed, drips and more drips. I just refused to try to cover the phones and do pt care. I figured the phone could ring from now to doomsday. I was going to be with my patients. And I was going to ask for help when I needed it. I did not last long there.
  12. by   Hellllllo Nurse
    Quote from Elle.p.enn
    I may be wrong, and I'll find out when I graduate: I still think everything is what you make it.
    Yes you are, and yes you will.

    We were all once eager and excited about our new careers in nursing. There is a reason for the so-called shortage. Nurses are leaving because conditions are intolerable.Believe me, thousands of nurses have been doing their best and have been trying to make the best of impossible situations everywhere.

    Saying that nursing is "what you make it" is a meaningless statement.

    You haven't been there so you can't understand where we are coming from. One day, you will.
    Last edit by Hellllllo Nurse on Nov 23, '06
  13. by   twotrees2
    Quote from Hellllllo Nurse
    Yes you are, and yes you will.

    We were all once eager and excited about our new careers in nursing. There is a reason for the so-called shortage. Nurses are leaving because conditions are intolerable.Believe me, thousands of nurses have been doing their best and have been trying to make the best of impossible situations everywhere.

    Saying that nursing is "what you make it" is a meaningless statement.

    You haven't been there so you can't understand where we are coming from. One day, you will.
    i have to agree- went in with high expectations and really wasnt so bad way beack when - had the idiotic poitics as always but over last ten yrs o would haveto say its really gone downhill. someone posted elsewhewre maybe someday it will change - doubt it - its all being overrun by corps whos bottom line is the almighty buck which in health care doesnt work........ we can make the best of it with what we are given but its still not gonna make it pleasnat cause we arent given a whole lot of anything to work with anymore. sad but true. i just hope the OP isnt to shocked when getting here.