How can I hate my job?

Specialties Urology

Published

I'm an older RN who has had it up to here with the abuse that most ICHD impose on their staff. I'm done. Every day they load even more BS on to my job and since I'm old I'm savvy enough to recognize that most of what they add on is simply profit-driven baloney. 'Protein supplements' that do nothing for albumin levels? Glucose checks when we don't keep insulin on our formulary? Just for the record, since I own a blood sugar level I refuse to do glucose monitoring if a patient has brought neither insulin or glucose tabs with them. I feel embarrassed when asked to do foot checks on patients who tell me that they won't take their socks off and to quit trying to profit on their disease. I really like my patients and do everything I can do for them but since I'm reality based and pragmatic I've decided that the ladt years left to my working life will NOT be spent driving stock prices up and reality down

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Sorry to hear this. I am an older nurse also and am really getting tired of the rat race of acute care (hospital) and was thinking of applying to dialysis. Do you mind telling what company?

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Specializes in Dialysis.

I think the correct term is "seasoned", you are a seasoned nurse, not an "older" nurse.

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How you doin' today, FransBevy?

I know the grind can really be wearing. It's natural to become a bit disillusioned, especially with the corporate model. I do hope it works out for you.

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Your "refusal" to do foot checks and other routine tasks as required by ERSD federal regulations for Medicare payments concerns me. I'm hoping some of the other nurses take care of these issues when the patients are in your clinic for their treatments. I hope you are willing to be accountable if a patient loses a foot because of your lack of professionalism.

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Is your manager aware of your "refusal " to follow MD orders for your patients? I sincerely hope not.

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Specializes in Dialysis.
Is your manager aware of your "refusal " to follow MD orders for your patients? I sincerely hope not.

The patients are the ones refusing assessment not the nurse.

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The patients are the ones refusing assessment not the nurse.

Yes, I am aware of that. Please tell me how a nurse documenting a patient 's foot condition is relative to stock prices...

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Specializes in Dialysis.
Yes, I am aware of that. Please tell me how a nurse documenting a patient 's foot condition is relative to stock prices...

Welcome to the delusional world of ESRD patients. The patient is the one alleging that foot checks are related to company profitability. Some also think that lengthened treatment times are done to increase profits, that fluid and dietary restrictions are an attempt infringe on their rights, and that they know their bodies better than any medical professional.

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Specializes in Nephrology, Dialysis, Plasmapheresis.

I think you may find that a lot of hospitals are now owned by corporations or large non-profit companies, and it's usually about the bottom line. It's not just dialysis. Lots of dialysis nurses I work with have left ICUs and bedside for the same reasons. They "escaped" the ICU after years of feeling like no one truly cares about the safety of patients, the reasonable choice, safe patient ratios, or constant new requirements that are impossible to meet. If you focus on these things, you may never be happy in nursing. Do your best with what you have. Remember, you are still helping people live years longer then they ever should have.

The grass isn't always greener. The worst thing is, corporate demands aren't just taking over nursing. My mother works for a corporate real estate business and they are doing more then ever with less time and fewer resources, for less money. I have worked for a few corporate restaurants, and they were always pushing us to upsell this and that, uncharge this, even if I know the customers weren't interested. The less you focus on this stuff, the better off you'll be. We've all got to get through our jobs somehow, the patients need us.

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Specializes in Specializes in L/D, newborn, GYN, LTC, Dialysis.

welcome to Corporate America. It's all over.

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My company does not require us to do foot checks. We've been told that Medicare doesn't require it, either.

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