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 icu,prime care,mri,ct, cardiology, pacu,.

NY state now requires you get your BSN within 10 years of getting your RN license. You can get hired with AD though

Specializes in ED.
On 5/16/2019 at 1:43 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?

yes.

Specializes in ICU, OR, Periop.

Yep. Daily occurrence. Worse most days, actually, because new MUSTS are added weekly or previous musts are changed. This is why many nurses leave the hospital, bedside, go back to school or leave nursing. It's too much. Everything happening each week is too much. Humans are not meant to live and work in these conditions.

On 5/20/2019 at 6:46 AM, panurse9999 said:

It was about my 3rd year in nursing when I started accepting the fact that my choice to go into the nursing field 2nd career was a monumental mistake. I have regretted it all along the way. I have put up/ shut up, gone from job to job, been fired, beaten down, framed for misconduct, humiliated, set up on false allegations, quit, walked off the job mid shift, walked out of an interview, left after a week on the job, dabbled in other short term non-nursing jobs, and lived hand to mouth. It doesn't get better by changing employers. Been there , done that. This is nursing. If you have any other career options, I would look hard at those, then deep six nursing entirely and never look back. Nothing is ever going to change until nurses refuse to work in these toxic environments.

Well, now I am depressed. Have to admit I wish I had something else, but now I'm stuck with it. Unless, the lottery comes through. So, yea, I'm stuck with it and trying to do the best I can.

On 5/26/2019 at 7:09 AM, panurse9999 said:

Its food for thought, when we are discussing a thread about the shift from hell, the constant stress place on nursing to do more, and do everything, and do it all to perfection. Its called "Death by a Thousand Clicks"

https://khn.org/news/death-by-a-thousand-clicks/

Patients AND nurses die from clicks. I wonder what it is like to work in a less advanced county that is not so sickly complicated. I wonder when the peak of nursing was? 1960's?, anybody? I am a bit envious of nurses who retired in say, 1980.

On 6/3/2019 at 1:22 PM, gettingbsn2msn said:

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.

I tell them don't do it unless they have it very well planned out. Like starting your own medical equipment company or something. Where you are in business to sell stuff to hospitals.

Specializes in Cardiology.
3 minutes ago, Forest2 said:

I tell them don't do it unless they have it very well planned out. Like starting your own medical equipment company or something. Where you are in business to sell stuff to hospitals.

Thats a field I am considering. Medical device sales are currently huge with the potential to get even bigger.

On 6/6/2019 at 3:09 AM, NoctuRNal_UnicoRN said:

Yep. Daily occurrence. Worse most days, actually, because new MUSTS are added weekly or previous musts are changed. This is why many nurses leave the hospital, bedside, go back to school or leave nursing. It's too much. Everything happening each week is too much. Humans are not meant to live and work in these conditions.

I'm a pretty tough nurse but I have seen nurses breaking down in tears, running off to the bathroom to cry because of the pressure, the inability to perform the job with the resources provided. On occasion you can but most of the time it is impossible. Notice administration does all kinds of surveys, all kinds of comparisons, etc. Where are the nurse satisfaction surveys? They wouldn't dare. LOL

On 6/3/2019 at 1:46 PM, gettingbsn2msn said:

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.

Maybe cosmetic surgery, at least you wouldn't have as much insurance stuff. Private pay, out of pocket. Provide something for the wealthy.

How about used car sales? Once they get to a certain lot size, they seem to make pretty darn good money.

Specializes in Cardiology.
52 minutes ago, Forest2 said:

I'm a pretty tough nurse but I have seen nurses breaking down in tears, running off to the bathroom to cry because of the pressure, the inability to perform the job with the resources provided. On occasion you can but most of the time it is impossible. Notice administration does all kinds of surveys, all kinds of comparisons, etc. Where are the nurse satisfaction surveys? They wouldn't dare. LOL

Most employers usually have an employee survey done annually. The problem is employees dont take the time to answer them truthfully or upper manager just ignores the pleas of their workers. I think its a little of both tbh.

Specializes in icu,prime care,mri,ct, cardiology, pacu,.

Nursing was better about 15 years ago before we became a business. I know patients weren’t as sick but even with working full time, with a child with learning disabilities, my nursing was better. More full filing, more appreciated by both mds, mid levels and patients. I wasn’t as tired emotionally and physically. We had more help. People were less negative overall too.

Life was better.

Specializes in Cardiology.
30 minutes ago, winniewoman9060 said:

Nursing was better about 15 years ago before we became a business. I know patients weren’t as sick but even with working full time, with a child with learning disabilities, my nursing was better. More full filing, more appreciated by both mds, mid levels and patients. I wasn’t as tired emotionally and physically. We had more help. People were less negative overall too.

Life was better.

Ive heard stories like that from older nurses at my previous job. They said the patients weren't as sick and there wasn't all the redundant charting. They also had the weekender program and they had better shift diffs.

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