What's WRONG with nursing management? - page 3
They just DON'T get it. Sort of like talking Chinese to someone who only understands English; not communicating--not even on the same wavelength. Had a bigwig from a neighboring large hospital call... Read More
Sep 30, '02Occupation: RN Specialty: 7 year(s) of experience in ICU, nutrition ; Joined: Jan '02; Posts: 905; Likes: 281You know Ryan, that's a good idea, but good luck getting everyone together to do it. Several colleagues already do the extra shifts anyway, so it doesn't affect them. Several more will talk a good line but when it comes to actually following through, forget about it. I'm sure if I gave my notice, she'd be sorry to see me go, but not sorry enough to reconsider.
And with all the extra shifts they're suddenly requiring, you'd think we were extremely short-staffed. However, that's not the case; we only have two openings, a full-time and a part-time.
How can that be???
Oct 1, '02Occupation: ED Nursing Joined: Mar '02; Posts: 16Yep, there is definitely a nursing shortage and the only ones who seem to care are the nurses who are working short! So maybe you have some advice for "us". At my hospital, we are short staffed, so we are "supplemented" with travelers and agency nurses. The agency nurses are from an agency created by our hospital corporation. So get this: the agency nurses are hired at approximately $20.00 more an hour than staff nurses (depending on what regular staff makes). They can preschedule, get shift diff, are guaranteed 24 hours a week, and have all the benefits we do except paid time off. Does anyone else see a problem with this?
Know what they have done for staff retention? If we don't call in sick for six months, they will give us a whole $100.00 bonus! And I am sure that is before taxes! Whoo! Hope they don't hurt themselves!
What is wrong with this picture? What incentive is there to work full time at any of these facilities? Money for the agency nurses comes from our budget. Our lousy paychecks come from the same budget, just from another column. And they expect nurses to bust their butts, work extra, be loyal and committed? Do you really think our staff feels appreciated? Offer me the same benefits and pay as our agency nurses!
This is what we did- we sent a petition to our nursing administration asking for raises, better treatment, more paid holidays (we get 3 a year!) , etc. Nurses from every department in our hospital signed the petition. It was great. They have about 2 weeks left to respond.
So any ideas from anyone? Got any great advise? I am with the nurses in my hospital on this one. I only hope we stick together and continue to stand up for what we know is right! Any advice on dealing with management will be greatly appreciated!
Oct 1, '02Occupation: RN Joined: Apr '02; Posts: 2,065; Likes: 48Management doesn't care about a nursing shortage...they don't care if they have a staff of all new grads...less money...less benifits........This is why they don't retain....maybe not as dumb as we think...HUH..........LR
Oct 1, '02Joined: Nov '00; Posts: 931; Likes: 18Here's another one I particularly love. Department Heads are given huge quarterly bonuses if they are below budget. The size of the bonus depends on how much money they save the corp. So, the suits get financial incentives to short-staff. And when they act like you're taking money out of THEIR pocket, well, you are.
Nursing ---------- management
The two shall never understand each other.
Oct 1, '02Occupation: Retired Specialty: 15 year(s) of experience in Corrections, Psych, Med-Surg ; From: US ; Joined: Aug '02; Posts: 2,246; Likes: 48Tex--sounds as though you have done the initial steps of organizing into a union. See if the Teamsters are interested, as facilities don't seem to pay attention to anyone else.
Youda--exactly right, though most nurses don't seem to understand this and still wonder WHY they are short-staffed or question how they can get management to understand their problems. HA!
Oct 1, '02Joined: Sep '02; Posts: 74l.rae....I just found out..the managers on the units get bonuses....when they keep the staffing costs DOWN...
Ah HA! that explains the oft heard phrase..."we are working short staffed today..no nurses...here are your 8pts.!"
Oct 1, '02Occupation: RN Joined: Aug '02; Posts: 187; Likes: 51Do you notice any difference if the hospital is Private, state supported, Federal, Teaching, etc?
Oct 1, '02Occupation: Hospice clinical director Joined: May '02; Posts: 2,873; Likes: 26Two new grads get day shift??????????????????????????????
I don't know about anyone else, but one of the things I'm seeing with the shortageis that new nurses have this idea that they can just get day shift right off the bat, even though there are loads of experienced nurses waiting for a day shift slot to open up.
Something like this just happened in my dept. Thank heaven our new NM had the brains and foresight to say, "Sorry, you'll have to wait your turn."
The other thing that bugs me with mgmt. is that if you work nights, you're expected to come in on your day off for mandatory meetings. Hey, "off" means, "not here." I would love to call them at 2:00am and say, "Hey, you need to come in here for..."
Oct 1, '02Joined: Nov '00; Posts: 931; Likes: 18Management goes to MBA schools. Most CEOs went to the Machievellian School of Corporate Training. Accountants take accounting. Nurses go to nursing school.
Is there ANY doubt why management doesn't understand the problems they cause? As if it would ever happen . . . I think no management in a healthcare setting should be allowed to be there without at least an ADN who has worked bedside nursing for a couple of years, in addition to their other degrees. Dream on!
Oct 1, '02Joined: Dec '01; Posts: 3,165; Likes: 59Well, IMHO, the problem is different goals.
Management's twofold goal: "Using Management Rule #1, operate on the least amount of money possible/take care of #1"
Nursing's twofold goal: "Spend the money to create the best patient-care environment possible/take care of #1"
Management Rule #1: Keep the money. Possession is 9/10's of the Law.
Ever notice there has NEVER been a critical shortage of managers?
Oct 1, '02Joined: Nov '00; Posts: 931; Likes: 18Originally posted by Sleepyeyes
Ever notice there has NEVER been a critical shortage of managers?
Oct 1, '02Occupation: travel nurse - ob Specialty: OB ; Joined: Jul '01; Posts: 3,170; Likes: 4,503fab4fan - in reference to the midday meetings - for years working for the federal gov. with the IHS I refused to come in for "mandatory" daytime meetings. I was very upfront about this, told them that if this was reflected on my evaluation, I would file a grievance as I was permanent night shift(it never was) and that I would start coming in for daytime meetings after they held a mandatory meeting at 2 a.m. and REQUIRED all day shift to attend.
After several years, they sceduled one seminar at 10 p.m. and notices all over the hospital read: "Through the effort of Billee..."