How to Stop the Mass Nursing Exodus?

Nurses COVID

Updated:   Published

covid-resignations-how-to-stop-mass-nursing-exodus.jpg.0f9abff5338f3a76e264434fac18f8d8.jpg

Hi. My hospital is currently up for magnet renewal,  but we're losing staff constantly. I've even said myself that I can't do another COVID round, but it's here, and I'm still there while my co-workers are leaving and we're having to train staff that have never worked in acute care, because that's all we're getting. I've heard it's the same in many places. I'd like to gather some ideas on what it would take for you to stay, if you left.

Here are some things that pushed me over the top during our last covid surge, and some ideas on how the hospital might could help. 

* Having to transport an extremely sick covid patient to radiology because they were on over four units of oxygen while leaving four extremely sick patients on the unit that would not be looked in on or get their medication on time during the 40 minutes that we would be off the unit.

IDEA: I don't know how else to fix this one but more nursing or RT staff. We're already working short though. A resource nurse to help those that are drowning, or to transport when a nurse is required would help. 

*Trays left outside of covid rooms for 45 minutes when the nurses and techs are in other rooms and our covid patients who are already isolated and sad getting cold meals. 

IDEA: Hire more kitchen staff and TRAIN one of them to don and doff and deliver covid meals. 

*Full trashcans everywhere with isolation gear, in the hall, in the rooms, etc.. I try to empty them when I can but I've always got due and overdue medications and really don't have time to slow down. 

IDEA: Hire more ancillary staff to clean

If you left your nursing job, what would it have took for you to stay? 

Specializes in MSN, FNP-C, PMHNP, CEN, CCRN, TCRN, EMT-P.

Better patient nurse ratios, benefits, pay.

My hospital is having no staffing issues and every floor is packed with nurses.  We are utilizing tons of travel companies paying RNs up to $100/hour though.

 

Specializes in Cardiology.
19 minutes ago, GordonGekko said:

Better patient nurse ratios, benefits, pay.

My hospital is having no staffing issues and every floor is packed with nurses.  We are utilizing tons of travel companies paying RNs up to $100/hour though.

 

Well there ya go. If I was getting $100/hr Id never leave the bedside.

Specializes in MSN, FNP-C, PMHNP, CEN, CCRN, TCRN, EMT-P.
Just now, OUxPhys said:

Well there ya go. If I was getting $100/hr Id never leave the bedside.

Agency nurses in Florida are getting $96/hour for day shift, a little more for night.  My buddy doing ecmo in the ICU is getting $140/hour....

I average $75/hour doing urgent care/ER and $120/hour doing psychiatry online.  Might pick up a few ER nurse shifts lmao

Specializes in Pediatric Critical Care.
On 7/30/2021 at 9:20 AM, JKL33 said:

This is harsh but I don't think hospitals deserve to have any of us worry about how to stop the exodus. 

Amen.

Specializes in MSN, FNP-C, PMHNP, CEN, CCRN, TCRN, EMT-P.

I just got an offer for a 13 week contract ICU 5 nights a week, 12 hour shifts.

 

$116,000 take home

 

I bet that assignment sucks 

Specializes in ER.

I am feeling this topic and feeling it hard. I work for a facility in California in an ER which doesn't go on diversion when we are a packed house. Night shift is 90 percent new grad and 10 percent experienced. I live in an area where the vaccine is mostly frowned upon (Huntington Beach, CA) and in my county most people are not vaccinated. I have such a hard time coming from a travel position in LA and seeing how people respected the damage covid does as a disease to OC again where people are just, meh, I don't want the vaccine. I have to dig deep to find compassion for the man waiting outside, breathing in gasps, telling me he wants his hydroxychloroquine and that "this is all ***, Covid is a myth". I told him to kiss his wife and tell her he loves her before he got a bed, because he was going to be immediately intubated. His sats were in the 60s and he still managed this rant.

My young lady last night just wanted a test and some cough syrup because she had to pick up pizza for her kids at home. When I asked her if she had been vaccinated she was appalled, "absolutely not". Not indeed. During her rant she maxed out at 80% which was cool because I couldn't stand another minute of it. She got bipap then the tube. Kids did not get pizza.

I find it so hard to care for these people. For whatever reason they don't vaccinate, they know they can spread this to someone and kill them. And they are totally OK with this. I feel like I live in a society of sociopaths.

 I'm kinda on board with insurance companies not paying for covid related illnesses if a person is not vaxxed. After all, it is "their right" to not vax, then insurance should have the ''right " to decline all bills related to covid. 

yep, I'm that bitter. So are all the other nurses...hence, the exodus

Specializes in Emergency / Disaster.

@momoneypls Im in the ED too. I gave my notice today. I used the words “I just cant”.

I just cant with the non sick people who want something to be wrong and they act like they need all the attention - juice, snacks, blankets…. 


I just cant with the dementia patients that really are sick, but they pull out their IVs while we are boarding them because we don't have enough floor nurses.

I just cant with the parent that brings their kid in for a runny nose.

I just cant with people needing get blankets in the waiting room.

I just cant do my job without supplies - like IV kits (or IV supplies) or 2x2 or bandaids even.

I just cant keep putting myself and my family at risk because you won't give me a mask that I was fit tested with and you won't let me wear my own.

I just cant take care of admitted patients boarding for 50+ hours in the ED.

I just cant work 16 hour shifts because we are short staffed and you won't pay me extra. We are short staffed because of a management problem and a respect problem.

I just cant anymore.

so Im going somewhere where I can…

Specializes in Dialysis.
51 minutes ago, momoneypls said:

I'm kinda on board with insurance companies not paying for covid related illnesses if a person is not vaxxed. After all, it is "their right" to not vax, then insurance should have the ''right " to decline all bills related to covid. 

yep, I'm that bitter. So are all the other nurses...hence, the exodus

I may be that bitter, but it becomes a slippery slope: obesity and what they eat, diabetics and what they eat, COPD and smoking or around certain chemicals. I agree, the vaccine is an easy fix, but if we start denying care there, and insurance stops paying for treatment for covid w/o vaccine, what will be next? It would begin to have an effect on all of us and our loved ones. We need to be careful as to what we begin to allow

I doubt that hospitals will hire anymore staff, they can't even pay a decent wage to nurses and it might result in CEOs losing their bonuses.

Specializes in MSN, FNP-C, PMHNP, CEN, CCRN, TCRN, EMT-P.
7 minutes ago, RN1987 said:

I doubt that hospitals will hire anymore staff, they can't even pay a decent wage to nurses and it might result in CEOs losing their bonuses.

Nurses make great money.  What are you talking about?  My first nursing job paid $28/hour plus differentials in Florida.  They are giving insane bonuses right now and I can actually make a higher hourly as an RN than as an FNP.

Specializes in MSN, FNP-C, PMHNP, CEN, CCRN, TCRN, EMT-P.
On 8/17/2021 at 8:02 AM, bitter_betsy said:

@momoneypls Im in the ED too. I gave my notice today. I used the words “I just cant”.

I just cant with the non sick people who want something to be wrong and they act like they need all the attention - juice, snacks, blankets…. 


I just cant with the dementia patients that really are sick, but they pull out their IVs while we are boarding them because we don't have enough floor nurses.

I just cant with the parent that brings their kid in for a runny nose.

I just cant with people needing get blankets in the waiting room.

I just cant do my job without supplies - like IV kits (or IV supplies) or 2x2 or bandaids even.

I just cant keep putting myself and my family at risk because you won't give me a mask that I was fit tested with and you won't let me wear my own.

I just cant take care of admitted patients boarding for 50+ hours in the ED.

I just cant work 16 hour shifts because we are short staffed and you won't pay me extra. We are short staffed because of a management problem and a respect problem.

I just cant anymore.

so Im going somewhere where I can…

That sounds like my last ER even before Covid.  We had holds for 3-4 days in hallway beds.  God I hated hallway beds so much.  It was supposed to be lower acuity in the halls but as it gets busier the standards change and we would be doing Afib RVR, intubation, blood transfusion, and even a code in the hallway once in awhile.  16 hour waits in the lobby were the norm.  26 bed ER, 3 trauma bays, 16ish hallways, 10 ped beds

"Unpopular take:  There are a certain percentage of nurses now that didn't really want to be nurses in the first place.  They did it because they could make good money, because their first choice didn't work out, because they needed it as a stepping stone to another advanced healthcare career, because ________ (insert non-nursing reason here).  These folks probably won't stick it out.  On the other side of the coin are people that only ever wanted to be nurses.  They felt it in their blood at some point.  That is what life presented them as their vocation and they always knew that is what their destiny was.  They are nurses, not because a licensing agency told them they met the requirements, but because they were called to serve by a stronger pull of some kind.  Some of these folks are done too now, but many will still be there doing the job."

 

While I love my job, and have been in nursing over 35 year, this martyr attitude is what keeps nursing from changing for the better.  It is short sighted to think that sticking it out "for the patients" will result in anything other than continued abuse &, less safety for patients and nurses.  When we really love something, we need to make the hard choices and get serious to fight for real change to happen.  The short term pain will be worth it if we can affect change for better staffing, pay and safety.  We need to get our heads out of the sand, get active politically, and refuse to accept the continued unsafe demands being placed on us. They count on that martyrdom, they use it against us, and cash those big executive bonus checks, while patients suffer, we suffer.  We are a force to be reckoned with if we get smart and use it against them.  They will use guilt and abandonment arguments as metaphorical chains to keep the status quo.

+ Add a Comment