Is it like this everywhere now?

Nurses General Nursing

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A nurse friend of mine had the day from hell at work the other day. He was telling me all about it. Patients moving, discharging, admitting and too many patients from the get go. Just chaos all day. Then he gets a call a couple of days later asking about a personal belonging of a patient that was missing, he didn't get the inventory sheet done on admit. So they are looking for this one item. He said he didn't feel that doing the inventory had a very high priority when insulin was past due and patients were asking for water and to go to the bathroom and admissions had to be done. So I guess the jist of it, he is being told this must be done, MUST on admission. I don't like what is happening to nursing, can't the nurse set priorities anymore? Is everything an absolute MUST? How are nurses supposed to get anything done that is important if inventory sheets are listed as a high priority?( just an example). I think the world has gone crazy sometimes. He says there are signs all over the place that the hospital is not responsible for valuables and families are to take them home. He did not unpack for her, her family did. So he thinks he may get fired for this. Seems a bit much to me.

He also said that most of the nurses don't change dressings, do actual assessments, etc, but chart that they do it because it is a must, because the work load is more than a human can handle. It is really scary to be a patient in a hospital I think. I wonder if it is like this everywhere?

Specializes in MPCU.
On 5/19/2019 at 7:03 PM, Wrestler133 said:

That's some MAJOR ***. This hospital isn't unionized so it bugs the hell out of me they could fire me for any reason. That's horrible what happened to you!

Only five pages before the Saviors of nursing (unions) are given credit where it is not due. I appreciate the idea of unions, but the reality is they are just another corporation out to make money exploiting the workers. Unions could work for us, but they really do not. A model similar to the skilled trades unions for example, could work for us. If we quit hating or loving unions and worked on a system that worked.....

And before it is said, I have done the union rep thing, full participation, worked hard. It works just like the magnet thing, they only listen when you tell them what they want to hear.

3 Votes

We have moved so far away from critical thinking & patient centered care, and into computer driven, task oriented, box checking *******

How all of this isn't a national crisis, I don't know. The care is horrible and the expectations are absurd. Systematic overhaul is needed

6 Votes
Specializes in PICU, Pediatrics, Trauma.

Yes, in answer to the original question. It is like this everywhere. Well, everywhere a nurse will work that is owned/operated by a corporation or county or state. I know there are some unusual working situations that are the exception, such as non-profit organizations etc... which may be different.

In 30 plus years I have only seen the responsibilities and pressures get worse. Most all the comments here I have experienced, including the expectation of falsifying documentation by checking off boxes to satisfy management. I have been chastised by management for working OT to finish charting since I WONT compromise patient care for charting. Then told I cannot work off the clock to finish charting, so no matter what, I could not win unless I compromised patient care. And THAT was only one aspect, so I got out of the hospital after 20 plus years building knowledge and experience in my loved specialty.

I am now winding down towards retirement and feel so sad about what it has all come to. I also fear for myself and others one day being much older and needing care. I feel badly for all the younger nurses out there trying to function as nurses in this climate. I have no advice other than to stick to your values and ALWAYS DO WHAT IS RIGHT FOR THE PATIENT. PROTECT YOUR OWN BUTT AND LICENSE FIRST.

7 Votes
Specializes in MPCU.

PROTECT YOUR OWN BUTT AND LICENSE FIRST.

Not sure I agree with this part. I feel we should protect the patient first. They are the most vulnerable. Even, if not especially, the wealthy/VIP patients.

Specializes in PICU, Pediatrics, Trauma.

Actually...I meant to say by protecting yourself first ...Care for the patient as you should as opposed to satisfying the management with checking boxes etc...

3 Votes

Regarding adding more tasks to the nurses workload: Where I work they started requiring nursing staff to check all the expiration dates on our supplies and equipment monthly because we had been dinged by the state twice for expired supplies/equipment. I'm talking about supply carts, cabinets and drawers full of dressings, foleys, syringes, gloves, stat locks, catheters, and hundreds of other things. Also, all machines like vital sign machines, IV pumps, SCDs all had to be checked for expiration dates (that biomed is supposed to update). NURSING had to do this. Neither material management (who stocks supplies) nor biomed was expected to do this. Only nursing. Ridiculous.

8 Votes
Specializes in PICU, Pediatrics, Trauma.

Yes...One place I worked had us do the same! Ridiculous! Also, same place had us check all the food trays to make sure the kitchen did them correctly for the ordered diets. Is there and end to what Nurses are responsible for? EVERYONE else’s jobs in addition to ours. And then IF WE miss someone else’s mistake we are held accountable. Absolutely crazy.

6 Votes
Specializes in MPCU.
4 hours ago, BeenThere2012 said:

Yes...One place I worked had us do the same! Ridiculous! Also, same place had us check all the food trays to make sure the kitchen did them correctly for the ordered diets. Is there and end to what Nurses are responsible for? EVERYONE else’s jobs in addition to ours. And then IF WE miss someone else’s mistake we are held accountable. Absolutely crazy.

That seems to be the issue. If you can do, then do; if not teach; if not then administrate. Got a 'bad nurse' for saying that before. Awesome how not saying what admin wants to here is considered disrespect.

1 Votes
Specializes in MPCU.

This once was a very active site. I remember being afraid to say something, because i would look stupid for expressing the same sentiments as the previous 10 posters. Then the administrative nurses showed their control. Too bad, that which is best for the patient.... is not so great for administration. And straight up, if you are not a direct care nurse, it's because you can not handle direct care. Nobody believes that you have an agenda that is not self centered.

1 Votes
Specializes in Psych/Mental Health.
7 hours ago, BeenThere2012 said:

Also, same place had us check all the food trays to make sure the kitchen did them correctly for the ordered diets.

Wow are you serious? I'd call that a new low for the nursing profession.

1 Votes
Specializes in Corrections, neurology, dialysis.
On 5/17/2019 at 4:51 PM, thoughtful21 said:

I know! As I struggle to find my footing in nursing, with about a year of experience, I realize that I am starting to think more in terms of "making my charting look good" than actually taking good, critically-thought-out care of the patient.

A piece of advice I got early on in my career - by my supervisor at the time - was “make it look good on paper”.

2 Votes
Specializes in Corrections, neurology, dialysis.
On 5/18/2019 at 8:04 PM, sarolarn said:

A lot of hospitals have shifted in the direction panurse describes- if you don't have your BSN within 2 years in my system you're out; but they don't hire ADNs in the hospitals at all- only private practices and SNFs. The only way into a hospital as an ADN in my area is if you know someone who has a real hookup, otherwise you're starting in home care, dialysis, or subacute until you get your fancy BSN.

And the shift from hell in the OP is exactly what we see here. Worse in subacute settings.

You described my exact experience. Dialysis was the only place hiring, so did that. And actually acute dialysis is a great place to land if you want to go back to school. You can study while you dialyze a patient (but the on-call will kill you).

But wait. I got the fancy BSN and exactly nothing changed. I even got a fancier MSN and still nothing changed. I took all those off my resume and can’t even get a job in a doctor’s office.

Why won’t my fancy BSN work that kind of magic?

1 Votes
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