Latest Comments by rabbitgirrl

rabbitgirrl 5,117 Views

Joined: Jun 6, '07; Posts: 141 (68% Liked) ; Likes: 289

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  • 2
    cerri4 and julstexas like this.

    I went to neither the graduation nor the pinning. I had three good, compassionate nursing teachers.
    As for the rest, they were disrespectful, unprofessional, theiving and lacking in compassion for students as well as patients. I taught myself nursing and graduated in spite of them. I did not go because they did not earn the right to pin nor to pass me.
    The majority of my teachers have inspired me to be a better nurse only through negative example.

  • 0

    Quote from arelle68
    He thrashed about.
    He kicked your can,
    But love won out,
    ...and Ativan!

    Laughing too hard!!!

  • 2
    BradleyRN and wooh like this.

    Quote from MikeyBSN
    Butcher jobs? Nurse-patient ratios have generally decreased over the years, not increased. Salaries have also increased, as ratios have decreased. I'm sure that managers care that their nurses have to work sometimes, but they care more about the hospital going out of business, everyone losing their job, and all the patients losing their hospital.

    Ratios have gone down? Care to back that up with some figures from a reliable source? Did you remember to factor in that pt acuity has risen steadily in the last few decades as well as the complexity of medical treatments and the scope of nursing practice?

    There is quite a difference between the "nurses having to work" and being too busy to take a pee in 12 hours. I am embarrassed on your behalf for making the inference that nurses are lazy.

    If you think that the situation you described your workplace to be is safe, then you are not a prudent nurse, and I wouldn't want you to care for me or my family.

    Seems you think that the big, bad nurses are overpaid, and that the poor widdle hospitals are the victims. Sorry chief, that one doesn't fly either.

    Clearly, you don't mind being a butcher--seems you are proud of it, but personally, I do mind neither of us have any business taking assignments like this.

  • 0

    Quote from gomerpyle
    eight patients is the norm on my floor. last night was one of the worst nights in my short nursing career. two rn's called off...leaving 3 rn's to care for 32 patients on a busy med/surg floor. needless to say, we each had 10 patients. i struggle with 8 patients...10 just absolutely buried me. charge nurse says " this ain't so bad, we were getting 11-12 patients just two years ago, staffing is getting better!"

    whthfk ???!!!

  • 5
    wooh, lindarn, Magsulfate, and 2 others like this.

    First, I must say that I am so sorry to hear this is happening to both you and your patients.

    What they are asking (telling) you to do is ridiculous.

    When I have been in similar staffing ratio situations, I felt like I was colluding in patient abuse by accepting the assignment. These aren't nursing jobs, they are butcher jobs.

    You will not loose your license over abandonment if you refuse an assignment, but you may if you leave after you have taken report.

    Management knows what they are doing, they just don't care. If I were you, I would look for another job (in any field) ASAP

  • 4
    HonestRN, BradleyRN, wooh, and 1 other like this.

    What they are asking (telling) you to do is ridiculous.

    When I have been in similar staffing ratio situations, I felt like I was colluding in patient abuse by accepting the assignment. These aren't nursing jobs, they are butcher jobs.

    Management knows what they are doing, they just don't care. If I were you, I would look for another job ASAP.

  • 7

    Quote from valerie salva
    this article was posted by hopefullyanrnsoon in the middle of the "nursing market cools" thread.
    i thought the article was very interesting, and deserved its' own thread.

    here it is:

    "the reason i decided to do it is no matter where we go, no matter what happens economy-wise, this is an occupation i can count on and i can take with me," said gambill, a mother of three who had been a full-time teacher's aide.",2933,513032,00.html

    here is the reply i sent to fox:

    many nurses, myself included, believe that the so-called "nursing shortage" is a myth. thousands of nurses are unemployed, and unable to find jobs- especially new grads. thousands are collecting unemployment. we are baffled as to why the media has never caught onto this and continues to perpetuate the myth of a shortage.
    the american nurses' association supports this belief:

    "the ana maintains that the deterioration in the working conditions for nurses is the primary cause for the staff vacancies being reported by hospitals and nursing facilities - not a systemic nursing shortage. nurses are opting not to take these nursing jobs because they are not attracted to positions where they will be confronted by mandatory overtime and short staffing...." (1)

    with articles like yours encouraging more and more people to come into an already saturated field, the outlook for nurses and nursing will only get worse. not only will there be fewer jobs for current nurses, but the shortage myth attracts people to the field who are not interested in nursing per se, but only in a "recession proof" career.
    the us dept of labor bureau of labor statistics and the health resources administration(2) reports that there are currenly 500,000 licensed rns in the us currently not working in nursing, but only 400,000 current job openings. that's a surplus of 100,000 rns. but- why are they not working in nursing? poor working conditons, overwork, and being assigned to far more patients than a nurse can safely care for.
    nurses, especially new and male nurses, are leaving nursing faster and in larger numbers than ever before. (3)

    the media are always talking to hospital administrators, college professors, and nursing students about the so-called "shortage". they need to be talking to real, experienced working nurses- those of us in the trenches. we are the ones who truly know the score.

    (1)ana's message to congress:

    <<"ana believes that the u. s. healthcare industry has failed to maintain a work environment that is conducive to safe, quality nursing practice and that retains experienced u. s. nurses within patient care. ana supports continuation of the current certification process to apply to all foreign-educated health care workers regardless of their visa or other entry status. ana opposes efforts to exempt foreign-educated nurses from current h-1b visa program requirements.

    the issues surrounding immigration and the nursing workforce:

    the practice of changing immigration law to facilitate the use of foreign-educated nurses is a short-term solution that serves only the interests of the hospital industry, not the interests of patients, domestic nurses, or foreign-educated nurses.

    ana condemns the practice of recruiting nurses from countries with their own nursing shortage.

    (2) almost 500,000 licensed registered nurses were not employed as nurses in 2000.*

    data from the health resources and services administration's (hrsa's) 2000 national sample survey of rns shows that more than 500,000 licensed nurses (more than 18% of the national nurse workforce) have chosen not to work in nursing. this available labor pool could be drawn back into nursing if they found the employment opportunities attractive enough**

    the ana maintains that the deterioration in the working conditions for nurses is the primary cause for the staff vacancies being reported by hospitals and nursing facilities - not a systemic nursing shortage. nurses are opting not to take these nursing jobs because they are not attracted to positions where they will be confronted by mandatory overtime and short staffing. **

    76.6% (of) licensed rns (in the u.s. are) employed in nursing***

    * projected supply, demand and shortages of registered nurses: 2000-2020 (released on 7/30/03 by the national center for health workforce analysis, bureau of health professions, health resources and services administration, u.s. department of health and human services). the bureau of labor statistics.


    (3) the washington post
    recent graduates of the nation's nursing schools are leaving the profession more quickly than their predecessors, with male nurses bolting at almost twice the rate of their female counterparts, according to a recent study.

    what a brilliant letter! thank you for writing it, i hope you write lots of these!

  • 0

    HA! well, maybe for the first time I am glad to be a big, fat, hunter-gatherer, cause I am going to need those stores while I am hunting/gathering a job!

    Seriously, I am going to grow soybeans and tomatoes in my yard this year--and learn how to can (old school)! May even go freegan this summer, the ultimate in urban hunter/gatherer.

  • 6

    Quote from DeFacto
    LOL....I can'r believe ANYONE is giving credit to this article. A quick search on JUST ONE job site. reveals over 147,000 RN jobs available nationwide. ONE SITE!!!!

    There maybe a few cities where there are freezes or even cuts, but the nation on the whole is still a great place to be a nurse looking for a job.

    Hey, thanks for the database, DeFacto. Let me see, well anyway in my area about 70% of these jobs are for agencies who will beef up their options and keep you waiting in the wings, but not give you a job. hm, some are contingincy for local hospital;same thing. here is the ICU unit where I started and we had 6 pts a piece. And the front-line psych emergency room with no security where you can get the crap beat out of you for $18.00/hr for RNs. Oh, and they mandate all the time.

    Sorry, in my book these are not actually jobs.

  • 2
    FireStarterRN and wooh like this.

    I really think that it would be better to spend the money on making nurse to patient ratios more reasonable. If nurses had more time, they would be more meticulous about hygiene.

    Here's the research there's lots more where this comes from:
    The NIR was most strongly correlated with patient census but also was strongly associated with the nursing hoursatient day ratio. These factors may influence the infection rate because of breaks in health care worker aseptic technique or decreased hand washing. Increased patient census alone may increase the risk of cross-transmission of nosocomial infections. As hospitals proceed with cost containment efforts the effect of fluctuations in patient census and nurse staffing on patient outcomes needs evaluation.
    Nurse understaffing contributed to an increased NVGI rate in our general pediatrics population, and should be assessed as a risk factor in outbreak investigations.

    Here is a court document from an ICU NM who went to bat against Kaiser for better nurse retention and ratios...This as a tribute to Northwestwind's brilliant post (thank you, NWW!)

  • 9
    Jarnaes, nrsang97, flightnurse2b, and 6 others like this.

    I think ooottafvgvah has a great point that low emotional intensity is the place to start in these kind of confrontations. The thing that was left out of consideration, though, is what I heard the loudest- It just didn't feel right.

    I think the intuition thing is greatly discounted, especially in this sort of situation. She noted the creepy gut-feeling, verified with another nurse and took action. Clearly, this guy was pulling out the stops to act offended, anyway and the situation would have gone where it went eventually anyway.

    I wouldn't have given a New York nanosecond's worth of thought to creepy guy's feelings. If he had been innocent, he would have acted embarrassed instead of huffy.

    Also, I think maybe some people don't know that in most nursing homes there is no security, and many, many visitors with ulterior motives who are all too willing to misrepresent themselves. Add this to having 20-40 pts and very little time to doodle around with the nuances of questioning the validity of instinct.

    OP, I think you did a really, really good thing. Keep up the good work!

  • 0

    Quote from nerdtonurse?
    They did a study at our hospital of areas with the highest rate of code blues. The result?

    1) ICU
    2) ER
    3) Dialysis

    I know we get a TON of folks on our floor who are being dialyzed; I also know the dialysis nurses I've interacted with have been absolutely awesome, with an impressive knowledge of pharmacology -- what drugs are dialyzed out, interactions, etc. While a corporate center may not have fully stocked Pyxis, like a hospital site would, there's a code cart there, you can bet on it. If she wanted to kill people, she could do it with meds from the code cart (amiodarone/adenosine cocktail, anyone?). If she was a "code junkie" she'd know what she gave, and how to reverse it. No reports of that in the articles; I'd be interested in knowing if she was viewed as a code junkie...

    She may be murderer, but she could also just be a convienent "spear catcher" for a corporation who had poor training, poor supervision, and insufficient manpower, too.

    I think you are right, nerdtonurse. If management can blame it on the nurse, they don't have to question the system or spend any money to make it safer... they can just keep whistling the same tune and not have to pay more for better ratios, training or procedural changes.

  • 1
    wooh likes this.

    Quote from lamazeteacher
    That gives fuel to the need to have exudate from wounds and severe diarrhea cultured, so you know what you're "handling". If nothing else is available, using alcohol based hand cleaner can break down the cell wall of C-diff when lots of friction and 2 minutes of time is also used. Hand lotion needs to be applied frequently so any cracks in nurses' skin don't spread infection...... I like the thick, creamy kind.

    thank you, I think I will continue with soap and water as I do every time I enter a room.

    I assume that every patient could have anything.

    I am a professional, like the doctors, and as a professional, can be trusted to do my job. Don't really need the electronic babysitter to keep an eye on me, thank you, I am a meticulous, conscientious adult, as are you, I assume.

  • 1
    DeLana_RN likes this.

    Quote from rkitty198
    Sadly, in any Nursing job,

    All Nurses are overworked, stressed and understaffed-

    I just cannot concieve that one person can kill five people because of not following policies and procedures and being overworked and stressed.
    Not saying she did it intentionally, but it seems sort of fishy to me.

    I can't see it either: I think it kind of makes an argument for the scapegoating theory.

    I can totally see the scenario where these nurses were so rushed as to be unsafe, and when something happened, instead of the company and the system being held accountable, all the blame was heaped on one unfortunate nurse. Then the company still looks good and no one has to question the quotas or production demands.

    thank you delana, for the real-deal rundown. I feel for you guys.

  • 0

    Quote from iceyspots
    What about C-diff pts, you cant use alcohol based sanitizer with them.
    Really? does it not work? I had no idea, thanks!