Like I really need feed-back on this. . . .

Nurses General Nursing

Published

I get to work and here is the following memo. Like it is so shocking to me. What's more shocking is the complacency that fellow nurses accept this as normal behavior. Are we a sick profession or what???? It is like we have become abused partners in a co-dependent sick relationship. Check this out! Did you have the same reaction that I had? Or is it that I have been in nursing too long and I am just Soooo over crap like this? I high-lighted in bold what really blew me away. This is from a big major cardiovascular hospital in Atlanta; so it isn't like it happened in the boon-docks.

_____________________________________________

Memorandum

To: XXX SSSS Nursing Staff

From: XX CCCC

Date: June 5, 2001

Subject: Time analysis

Quadramed (previously known as Medicus) has been commissioned to help us define/examine how we spend our time during our shifts. . . what activities are we engaged in, what are our barriers to giving care, what do we do that perhaps could be done in a different way? This is a wonderful opportunity for us to assist in better defining how we function and to help determine what we can potentially change about our practice, affording us greater satisfaction while delivery high quality patient care. This is the first time ICU East will be monitored. In the past they looked at CCU and ICU West, but not us.

Some key notes about the study:

  • Every nursing unit will be surveyed at least 9 times. . .a representative sampling will occur on all shifts and on the weekends.

  • Each staff member will be assigned a number for that worked shift and that number will be worn on her/his back during the shift. This number is NOT for tracking of individuals, but by skill level only.


  • All activities will be recorded anonymously. . no way to track back to individual staff.


  • Activity of each staff member will be assessed every 15 minutes.


  • All activities will be recorded, even idle time when you might be waiting for a return phone call from an MD or medication to be tubed from the pharmacy.


  • A log will be kept at the nurses' station so that all staff can record every trip off the Unit for any reason.

If you have any questions, please see me. Thanks for your continued support.

_____________________________________________

Ok, so what do you think? I think this means increasing our workload while decreasing our job security and real earnings after inflation. When you point something like this out as SICK, Administration says it involves two problems: our lack of flexibility :eek: and bad morale. :eek: :eek: :eek:

[ June 07, 2001: Message edited by: RunningSoLate ]

As example of the mentality that thwarts nursing practice, I want to pass on this letter that was published in "NurseWeek" Mountain West Edition:

"Nursing shortages have occurred before; this time the shortage can be laid at the feet of nurses with so many degrees that they cannot do hands-on nursing. Many of their teachers have never done hands-on nursing. A true professional has a period of training after graduation longer than a few weeks, e.g., internship and residency of physicians.

Any unit can be run with speed and efficiency if the staff is of adequate size. HAVING TAUGHT NURSES AIDES, (caps are mine), I can say that patient needs are very basic. Toilet needs, water and food requests are followed through and personal bodily needs are cared for. Pain and/or routine medications are given on time and treatments are completed in a timely manner.

Except for the last two, the other needs can be completed by staff other than an RN, which equates to one RN with an LPN and aides (caring for five to six patients each) for a unit of 20 to 25 patients. signed RoseLee Bernstein, Sun City, AZ."

The first time I read this, I just blew it off. About the fifth time, I recognized it as an icon of the typical thinking of a person who is not a nurse and has no idea of what a nurse does. Let me hear your thoughts on this please. Do you find it as offensive as I do?

Specializes in telemetry, cardiac stepdown.

I want to move to Sun City AZ and wait for little Ms RoseLee Bernstein to get sick. Then I want to be her nurse, and educate her about the role of nurses at the bedside :mad: :rolleyes: :p

I worked at 1 hospital with an acuity staffing mix.

However, I noticed a few interesting facts - a) when the acuity mix said we had 6 more nurses than indicated by the scale - 6 nurses got pulled. HOWEVER - b) when the acuity mix said that the scale indicated we needed 8 more nurses - they were only able to send us 2 - irregardless of what the scale indicated.

SO - I have little faith in acuity scales.

mustangsheba, I just read that the other day. And yes, it pissed me off, too. Clearly RoseLee has never been in any kind of specialty unit (critical care, ER, L&D)where, guess what, the needs are just a wee bit more complicated. ANY "typical" inpatient these days needs a hell of a lot more complex care than feeding/watering/ wiping. If that weren't the case, we wouldn't need educated--or trained--people at the bedside at all.

I'll write a nastygram to NurseWeek if you do. :)

Specializes in Home Health.

Little miss Rose Lee can put her letter where the sun don't shine!

If she was a nurse, she would have put her "impressive" credentials after her name, no doubt.

Break out of the bubble and throw out those rose colored blinders honey, walk a mile in our shoes, then have the nerve to write that trash!!

I can't remember who said it, put I forgot to add that running around with numbers on your back IS incredibly degrading, would they ask the doc's to do this? How about a study on how nurse managers and supervisors use their time, can they wear number's on their backs too??

It's definitely time for my monthly toddy! Backberry brandy over crushed ice...yeah, I need it after reading this post! No one sober or sane would consent to this degredation!

I worked at a place that did something similar several years ago,and it infuriated me too. It cost them I don't recall exactly how many 100s of 1000s of dollars to do the study, more than enough to hire a couple maore nurses. the results showed that our average patient on our unit required 29 hours of nursing care per day. Of course our average nurse :patient ratio was 1:3 or on good days 1:2. So their big exciting conclusion was we were WAY understaffed! If they had listened to us they could have saved that money and hired some more nurses with it instead. But did anything change afterwards? OF COURSE NOT!! The same administrative "geniuses" who came up with this also came up with a gradual phase in for 12 hour shifts but the day shift didn't want to work 12s and the night shift did. So they simply did away with evening shift leaving one 12 hour day person to cover the work of 5-6 nurses between 3 and 7 pm when the night shift came in. And they didn't even see a problem with this!!! After all it was "only 4 hours." That was when I left that institution. Where do they find these people????

Specializes in NICU, Infection Control.

p.s.

Just because you're paranoid doesn't mean they're NOT out to get you!!

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