If I hear this one more time I'm gonna scream! - page 3
:eek: :eek: :eek: Imagine: Airline pilot: "Tower, I have lost my landing gear, please have emergency equipment standing by." Tower: "We're short on emergency equipment tonight, just do the... Read More
Sep 4, '02Occupation: RN Joined: Sep '02; Posts: 166; Likes: 42My personal favorite reply to the shortage of nurses in a hospital I escaped from came from the staffing coordinator, who said, "What do you want me to do....sh-- a nurse for you?"
What I want to know is, if they can afford to pay an agency nurse twice what regular staff makes, why can't or won't they give the regulars more money?
Sep 4, '02Occupation: Intermediate Intensive Care Unit Joined: Sep '02; Posts: 40; Likes: 5I personally like, " you guys don't have enough vents, we are pulling one of you" That leaves a critical care unit with five and six patients, and effectively one assistant. (and a few of us are new grads, scary huh?)
Sep 4, '02Occupation: OR Charge Nurse/Circulator Specialty: Surgery ; Joined: Mar '01; Posts: 65The answer to the nursing shortage they use at our facility is "we are working on it." Having an ad in the local newspaper for the last year, is called "working on it"
Sep 4, '02Occupation: RN-i (RETIRED) Specialty: ORTHOPAEDICS-CERTIFIED SINCE 89 ; From: US ; Joined: May '00; Posts: 14,479; Likes: 2,298How about "There are just NO applicants, there's no one available."
"You have SEVEN people working. How is that hard with "only 30 patients?" (2 RNs, 1 LPN, 3 aides, 1 Phelbotomist who leaves at 11am, NO secretary, and ..........a partridge in a pear tree.)
Sep 4, '02Occupation: PCT FUTURE LPN Joined: Aug '02; Posts: 15Hi, I just had a bad day at work and this post really hit home. I work in Hospice so you all know how stressful and busy it can be. But today our unit manager, who used to be a CNA until she got hurt, made a comment that "Why are we having two aides on the floor when we only have 15 patients? I used to do it all myself." Well, me being the smartypants that I am returned with "And you got hurt and now am stuck behind that desk because you refused help" Well, I got called into the DONs office and told that my comment was uncalled for. I felt the unit clerks was and she had no right to comment anymore about how things are done. I would much rather have my bonus go to pay for the extra help than to have to spend the rest of my life in pain because I had to do it all myself.
Sep 7, '02Occupation: RN and blogger extraordinaire Specialty: 20 year(s) of experience in LTC, assisted living, med-surg, psych ; From: OR, US ; Joined: Sep '02; Posts: 26,953; Likes: 44,658The one that sends me around the bend is "With the number of residents on your unit, you're actually OVERSTAFFED" (3.5 CNAs for 34 residents on day shift). I'm the RN care manager for a unit that currently houses 7 skilled patients, 18 ICF residents, and 9 "young adult" clients who have serious psychiatric disorders (hx of suicide attempts, past and present drug/ETOH abuse, personality disorders etc.) These kids take up twice as much time and energy as all the other residents combined---even the SNF patients---but we have the same staffing as the medically stable ICF unit down the hall. What nobody higher up the LTC food chain seems to understand is that these people are extremely demanding, high-acuity residents with multiple complex problems. The minimum-staffing ratios instituted 20 or 30 years ago are completely outmoded nowadays, yet LTC facilities continue to perpetuate the myth that a single CNA can give good care to 10 residents (most of whom are two-person transfers, assisted feeders, and incontinent to boot). I swear, the next time I hear that BS from the staffing coordinator I AM gonna scream!!!
Sep 7, '02Joined: Sep '01; Posts: 16,606; Likes: 680Originally posted by shay
Rock on, preach it sister nell!!!!!!!!!!!!
I have nothing further to add other than 'AMEN!!!' and 'CAN I GET A WITNESS??!!'
Manage......or dismanage thyself from the unit! :chuckle
Sep 7, '02Occupation: R.N.,STAFF DEVELOPER Joined: Aug '02; Posts: 13WE GET LOTTERY TICKETS! GIVE ME A BREAK! DON'T EVEN HAVE TIME TO SCRATCH!
Sep 7, '02Joined: Mar '01; Posts: 2,730; Likes: 602Originally posted by BadBird
This is why nurses need to unionize, why is it that the staffing is always good when JCAHO is coming? I am seriously considering selling realestate.
Sep 7, '02Occupation: RN Joined: Aug '01; Posts: 15Wait. You guys get PIZZA? I'm jealous.
All we get is excuses.
Sep 7, '02Joined: Jul '01; Posts: 2,151; Likes: 86First - This is not Kristina, but her husband.
I was just scanning some posts as my wife asked me to keep an eye on one of them for her and I came across this one.
From what I've heard, coming from her and her mom and you good people here. It doesn't sound like much of a staffing problem, rather it sounds like a management problem.
Now, I kinda know how it works in some/most hospitals, and what it sounds like to me is that these people just simply aren't trained to handle "Management" responsibilities. They're trained to be nurses/cna's, etc.
There's a big difference between dealing with a budget, staffing schedules, and other misc. problems that will occur in a day to day business, and dealing with patients, meds, etc. etc.
The problem is your managers suck $ss, and their managers suck #ss and THEIR manager suck #ss. All the way to the top of the mangerial food chain where the Administrator of the hospital might choose to spend 15 million to redecorate the lobby and forego hiring more staff.
So how do you fix it? short of having every single nurse walk off the unit and threaten to quit if the hospital doesn't find a competent manager?
The Deal is that the problems you are suffering from are widespread and not relegated only to hospitals and nurses.
Colleges are breeding middle management employees who can handle #'s, but not people issues, they get 0 sensitivity training, next to nothing in real world psychology training and because of this they look at human beings as just more numbers to be crunched.
Granted, I think in some cases nurses may have it worse because they have been stigmatized from the very beginning of the professions creation, but the only real way to show that how fed-up you are is to quit and go into another profession.
Or walk off the unit and force upper management to dump your crappy boss. I've seen this happen only one time in my life, and it was not in a hospital situation.
Just briefly - Up until a year or more ago I worked for a major fortune 500 company. We had a manager come into our department after she had resigned from another fortune 500 company after charges of harrassment had been brought against her.
In 2 years time she ran everyone into the ground, so much so that 20 year employee's with a lot to lose were walking off the job because they couldn't handle the pressure anymore. I was one of them. I knew if I stayed much longer I probably would have put a firebomb in the %%#%# pannies. Shortly after I left, I found out from a friend of mine that all 67 employee's in her department called a meeting with her boss. Every single person in that department threatened to walk off the job, right then and there, if they did not get rid of her ASAP.
It took two additional months and 5 more resignations before they promoted her out of the department. hehe. She was promoted to an advisory permission, no longer in charge of any people, and she was quite happy with the double in her salary and her new lexus.
Some people are good leaders/managers, most aren't. Nobody cared that she got promoted, they were just glad she was OUT. The next manager wasn't much better, and he was quickly replaced by someone with better people skills and is still in the position.
There is power in numbers. as long as you complain individually, no one will hear you. Already they are estimating a crapload of nursing shortages because people are leaving the profession to go onto other things due to poor management and under-staffing. Some of the bigger and better hospitals are taking note. It will be years before the poorly run hospitals get the idea, maybe even decades.
Stand together or don't bother standing. You won't be heard. they may listen and nod their heads, but they aren't hearing you because most of them don't care. All it takes is ONE bad manager in the long line of managers from unit manager to administrator to ruin everything for everyone.
Me, I'm back in school, and currently destressing from a 5 year stint in hell. (i didn't mention it because it wasn't pertinent, but I hated my job too. I stayed only long enough to help support my wife while she was going to school and not working.)
I don't care what my next job will be, if i'm working with good people then i'm there even if the pay sucks. If not, i'll walk out. I won't take that kind of hell from anyone ever again, life is too short to be miserable for what amounts to as 1/3 to 1/2 of your life. (the working part of it).
------------------Last edit by NICU_Nurse on Aug 28, '03
Sep 7, '02Occupation: Retired Specialty: 15 year(s) of experience in Corrections, Psych, Med-Surg ; From: US ; Joined: Aug '02; Posts: 2,246; Likes: 48Kristi-husband: sounds about right to me.
Sep 7, '02Joined: Sep '01; Posts: 16,606; Likes: 680Thumbs up to Kristi's husband! Preach it, brutha man!
Thank you for that wonderful and inspiring contribution to this thread. I agree with you wholeheartedly!