How to Stop the Mass Nursing Exodus?

Nurses COVID

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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.
21 minutes ago, SmilingBluEyes said:

Well we will see as supply becomes less, so demand should go up. Therefore your ridiculous idea of 100K wages (in most markets) becomes less viable as time goes on.

100K Is NOT a lot when it comes to the risks taken to be a nurse, especially these days. Demand will way outstrip supply. In some markets it already does. Are you in an overage market?

SO my question still remains unanswered. What is a good nurse worth to you should you indeed go into business?

I am in business and I don’t need nurses.  I need a TMS tech and they will make $17ish/hour 

100k is a lot for a nurse.  It’s not a dangerous job.  You can get Covid anywhere and the survival rate for most age groups is 99%++. I don’t know when nurses became so entitled.  I’ve always felt my compensation was adequate for the job I did even though many say Florida is underpaid.  

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

It is not a lot. And nursing IS a dangerous job. Just ask any of us who have been assaulted on the job, while doing what we are paid to do! ( I have)

Ask any of us about our bodily injuries. ( I have body aches from head to toe most days that IT specialists won't encounter).....

Not to mention exposure to any number of dangerous and deadly diseases and chemical hazards in many of our specialities (I am exposed to both).

Nursing IS a very dangerous and taxing job. Hence why so many are leaving.

Specializes in MSN, FNP-C, PMHNP, CEN, CCRN, TCRN, EMT-P.
1 hour ago, SmilingBluEyes said:

It is not a lot. And nursing IS a dangerous job. Just ask any of us who have been assaulted on the job, while doing what we are paid to do! ( I have)

Ask any of us about our bodily injuries. ( I have body aches from head to toe most days that IT specialists won't encounter).....

Not to mention exposure to any number of dangerous and deadly diseases and chemical hazards in many of our specialities (I am exposed to both).

Nursing IS a very dangerous and taxing job. Hence why so many are leaving.

The program I am an adjunct online instructor for is on a 2 year waitlist to get into the ASN.  There is no mass nursing exodus.  People are leaving staff positions for lucrative contracts.  
 

Body aches from head to toe from what? I

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

There is an exodus of experienced and seasoned nurses. A bunch of new graduates can't just step in and bring things to right.

Now is there a shortage? I argue no, not a shortage of sheer numbers. But valuable experience? YES you bet.

Specializes in Dialysis.
On 8/20/2021 at 10:48 PM, GordonGekko said:

Body aches from head to toe from what? 

From years of lifting and straining, especially from years ago when employers didn't supply proper equipment and training. Also, the rising obesity trends haven't helped either. There aren't any fancy gadgets to turn the 400+ lb pt in bed or reposition in chair, at least not when I still worked in the acute setting (10+ years ago). Days of no breaks (even bathroom) causes damage to the body, both physically and mentally, as well as spiritually.

Some areas of our country are still saturated with new grads and longer-term new grads that can't work or find steady work, or the specialties that they want. Employers want experience at newbie pay, and want to staff bare bones, then turn around and wonder why they aren't being stampeded with takers or can't keep good staff. You can only staff minimally short term before it starts taking a toll on a person

Specializes in Prior military RN/current ICU RN..

I make 58/hour and I will get it to 60/hour or I will quit and travel.  I am single no wife or kids.  I like my hospital, but I don't have any loyalty to it.  And because citizens aren't willing to do even simple mitigating factors I consider myself only in it for the money.   You can say whatever, I don't care. it is flat out business for me and I am going to make the most money I can. 

Specializes in Vascular access.

GordonGekko- you're an online nursing instructor? So you would not appreciate the physical demands of lifting, turning, running, never going to the bathroom, not eating or drinking for 12+ hours- you sit behind a computer. There is a nursing exodus- I am living it real-time. There are at least 4 middle-aged nurses, including myself, who are in the fence about resiging, right now. I am sick and tired of doing 4 peoples jobs and then have administration (making $1,000,000/yr-just for one of them!) stroll through for 120 seconds and make comments like "oh, you've got this under control"- REALLY?? no, we don't have it under control- WE ARE TREADING WATER!

6 hours ago, windsurfer8 said:

I make 58/hour and I will get it to 60/hour or I will quit and travel.  I am single no wife or kids.  I like my hospital, but I don't have any loyalty to it.  And because citizens aren't willing to do even simple mitigating factors I consider myself only in it for the money.   You can say whatever, I don't care. it is flat out business for me and I am going to make the most money I can. 

Yep, make it work for you. Don't let the corps/biz owner use you to get rich and spit you out while insulting you. They don't see you as human. There is no such thing as loyalty anymore. 

20 hours ago, GordonGekko said:

The program I am an adjunct online instructor for is on a 2 year waitlist to get into the ASN.  There is no mass nursing exodus.  People are leaving staff positions for lucrative contracts.  
 

Body aches from head to toe from what? I

I just can't anymore with you Gekko. The name says it all.

Specializes in NICU, PICU, Transport, L&D, Hospice.
24 minutes ago, AtomicNurse said:

Yep, make it work for you. Don't let the corps/biz owner use you to get rich and spit you out while insulting you. They don't see you as human. There is no such thing as loyalty anymore. 

I just can't anymore with you Gekko. The name says it all.

There's an ignore feature that you can employ.  It's really helpful to not directly see intentionally inflammatory posts when reading through a thread.  If you ignore a member you can always choose to read their content when you want.  

On 8/20/2021 at 10:48 PM, GordonGekko said:

The program I am an adjunct online instructor for is on a 2 year waitlist to get into the ASN.  There is no mass nursing exodus.  People are leaving staff positions for lucrative contracts.  

There's not a shortage of people trying to get INTO nursing.  There's a shortage of people willing to STAY in nursing. Big difference. While there are some who leave staff positions for lucrative contracts, many more are leaving staff positions for non-bedside roles.

In the past year, I've seen many nurses leave their positions at my hospital. Not one left for more money or a travel position. All left for positions that they thought would be better for their mental and/or physical health - school nursing, outpatient surgery center, doctor's office, case management, clinic, etc.  

More money is a short-term motivator. I'm making good money (>$50/hr), and could easily pick up a lot more with extra shifts, especially given the incentive bonuses that are currently on offer.  But it's not worth it right now. The stress and, frankly, the moral injury of working with unsafe ratios bleeds over into my home life. It's harder to turn it off at the end of the day. My family gets a short-tempered me because I've used up all my energy and patience at work. While there are undoubtably some nurses who are packing up and chasing after lucrative travel assignments, there are many more who have family obligations that make contract work an impractical option.

Many of us are planning our exit strategies. I'm currently riding it out to see if staffing improves. If this proves to be temporary, and I can get back to safe patient ratios, I figure I have 5-10 more years of staff nursing before the risk of injury outweighs the pay. What the body can Spring back from at 25 is really different from what it can Spring back from at 50. If things don't improve, I'll be out a lot sooner.

Specializes in PMHNP-BC.
1 hour ago, turtlesRcool said:

More money is a short-term motivator. I'm making good money (>$50/hr), and could easily pick up a lot more with extra shifts, especially given the incentive bonuses that are currently on offer.  But it's not worth it right now.

This is the same at our hospital. I make>$50/hr as a staff RN and would normally pick up hours for extra money. However, given the lack of respect, the incredibly poor working conditions, poor patient care r/t short staffing, and I could go on.., I don't pick up and I don't see this ending any time soon. Nurses have been hanging in there for the pay, benefits, and for the patients however, this has only allowed the disrespect and poor working conditions to become worse. Nurses here are also moving on to other positions that allow for less stress, improved working conditions, and the respect they deserve. As you say, these positions pay less but they offer an improved quality of life for these nurses. I have started a new position as an APRN and while that comes with its own type of stress, I am treated with respect and my working environment is positive.

Specializes in Vascular access.

Does anyone really believe that after they've staffed us for so poorly for so long and we're doing it- although not well- that we will ever go back to safe ratios? Not when they can squeeze 2-3 peoples jobs out of 1 person. Then administration gets bigger bonuses for "saving" $$$...

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