Is it like this everywhere now?

Nurses General Nursing

Published

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?

16 hours ago, JKL33 said:

??‍♀️"Thank you for letting me know." [Good bye.]

Never, never feed this. Like, never. Don't dignify it by getting defensive. Just dismiss it by any pleasant means. Of course this person went to your boss - she wasn't there to be helpful or useful and was just up to no good.

This is good advice for a lot of different situations. Just aim for being as pleasant and otherwise non-reactive as possible.

??

Sometimes it does take a lot of self control. It's hard, bury it deep deep inside and try not to make yourself sick I guess. Push all that stuff down and keep going, Not very healthy but what else to do?

On 5/26/2019 at 12:30 AM, Natkat said:

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?

I hear ya.

Sometimes I feel trapped or like I'm being herded. All that expense and hard work and dedication with nothing in return. That sucks.

Specializes in medical surgical.

Healthcare is so bad that I really am not sure if I want to continue on this path. I am a nurse practitioner. Triple charting now mandatory on a patient.

Like all of you, I am very ethical. I CARE about my patients. Some days I am so stressed as I want to spend time with my patients. I have told my child NOT to go into healthcare. It is not possible with the requirements and expectations today.

Wow. It is very disheartening to hear that it's no better for N.P.s

Specializes in medical surgical.

Old/Improved,

It is not better for our medical doctors either. My son wants to go to med school. I have had more than one doctor say they "want to set him straight."

Healthcare has changed immensely.

Sadly, I have no answers.

Specializes in Cardiology.
On 5/16/2019 at 4:43 PM, Forest2 said:

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?

Long story short: Yes. This is nursing in 2019. No matter which way you look at it you are always wrong. Your friend got in trouble for not documenting belongings. Now, had he documented the belongings he would have got in trouble for overdue meds. Its a lose-lose situation and most people with common sense would have done what your friend did.

Specializes in Cardiology.
On 5/26/2019 at 6:07 AM, panurse9999 said:

no they're not. Not in hospitals.

Not true. Some in my area still hire ADN's and will pay for their schooling to get a BSN within 5 years.

Specializes in Med-Surg, NICU.
On 6/2/2019 at 3:45 PM, JKL33 said:

??‍♀️"Thank you for letting me know." [Good bye.]

Never, never feed this. Like, never. Don't dignify it by getting defensive. Just dismiss it by any pleasant means. Of course this person went to your boss - she wasn't there to be helpful or useful and was just up to no good.

This is good advice for a lot of different situations. Just aim for being as pleasant and otherwise non-reactive as possible.

??

You are right. I just thought that since this person used to work on the floor that she would be more understanding but I guess not.

It felt good, though!

Specializes in PICU, Pediatrics, Trauma.
5 hours ago, OUxPhys said:

Long story short: Yes. This is nursing in 2019. No matter which way you look at it you are always wrong. Your friend got in trouble for not documenting belongings. Now, had he documented the belongings he would have got in trouble for overdue meds. Its a lose-lose situation and most people with common sense would have done what your friend did.

Agreed, fully! As nurses we must do what is in the patient’s best interest. Period! That is what I was talking about earlier.

On 5/17/2019 at 11:48 AM, caliotter3 said:

My insurance recently paid for a "depression survey" during my last PCP visit that was not done so nurses are not the only providers who check off that they did something when they actually did not. I just don't see how a 15 minute encounter is supposed to accomplish much anyway. I now go in with a written list and still everything does not get addressed. Everybody has too much to do and not enough time or resources with which to do it.

Funny you bring this up.

An MD, working in the VA system in KY, has been fined $5,000 and made to undergo education, as he was found to have falsified the blood pressure readings of patients.

He charted 128/78, a normal reading, in order to avoid adding interventions and medications.

He has put many veterans health at risk, by falsifying these readings.

So yes, the problem involves doctors and nurses.

The US healthcare system is broken.

On 5/26/2019 at 6:07 AM, panurse9999 said:

no they're not. Not in hospitals.

Yes, they are.

The large teaching hospital in Lexington, KY hires ADNs (they hired me), but you must earn your BSN, within five years (they help pay for it).

The second-largest hospital in Lexington, will also hire ADNs, with the same stipulations, and tuition assistance.

I was also hired at a rural hospital, with an ADN.

In areas with a shortage of nurses willing to work at the bedside, hospitals have few choices, but to hire ADNs.

And really, few want to do bedside nursing, for all the reasons highlighted on this thread.

On 5/26/2019 at 5:07 AM, panurse9999 said:

no they're not. Not in hospitals.

In my area, BSN is preferred, but ADNs get hired all the time, even in the highly sought after specialty areas. No requirement to obtain BSN.

+ Add a Comment