BJA 1,137 Views
Joined: Dec 2, '99;
Posts: 28 (7% Liked)
; Likes: 3
I too must disagree with Dplear. Hospital lawyers will always work for the best interests of the hospital, not the nurse. The hospital malpractice insurance will cover you even if you have your own insurance. That is part of their obligation as your employer. The best thing about having your own insurance is that you will have a lawyer looking after your best interest, not those of the hospital.
Encouraging people to drop their malpractice/liability insurance coverage is irresponsible. Are you going to support these nurses when they lose their licenses after following your advice?
Try this: firstname.lastname@example.org
I did not really take your comments as an attack, and I did say that I agreed with you. I was feeling a little spiky that day. Sorry. Your comment on great charting is pretty accurate too.
I love this comment too. "I CARE THEREFORE THE UNCARING MAKE ME ANGRY."
Keep the candle burning bright.
I agree with much of what you say.
However . . . . when I was a little kid, and I would feel unjustly insulted or accused, my mother would say, "If the shoe fits, wear it. Otherwise, don't worry about it."
I am choosing to apply that lesson now. I will agree with what you say, but I will not "wear the shoe." I have no reason to defend myself, so I will not.
Yeah! What Shodobe said!
Charles said it well too.
I took care of a 50 year old lady in our ICU. She came in with respiratory distress. She ended up on a ventilator for about a week. She was fairly alert most of the time. I worked all week with her, provided lots of support and hand-holding. She finally got off the vent and went home.
Several days later, her husband showed up with a handful of restaurant gift certificates for the staff. She stopped by a few weeks later and thanked me for taking such good care of her. She credited all of us for saving her life.
What a wonderful profession!
Maybe you can't change the ANA at the national or state level but you can certainly begin to effect change at the local level.
Everything starts with one.
National nurses union? I don't think I like that idea. We already have a national nurse's organization in place (ANA). If more of us were members and we used our political clout a little better, we could make some real progress. We are making some headway. There is publicity, some new spending bills that support nursing education, etc.
I guess part of my problem with the union is that in many cases the union seems to protect the mediocre and fails to reward excellence. I have worked hard to develop my skills and my nursing judgement and I am recognized as a "good" nurse, and as such I have always been able to negotiate a better than average wage for myself. I am very hesitant about having someone else negotiate my pay. Some of my thoughts actually have a rational basis and some are the result of me just being the way I am. Everyone has to decide for themselves what is best for them.
The hospital I work for finally voted for union by a very close margin. This was the second vote on the issue. The union drive was spearheaded by people that were unhappy with staffing, job security, the usual things most of us are unhappy about.
The problem now is this; Wages have been frozen for almost 2 years because of the long, drawn-out process leading to the union vote. They remain frozen now during negotiations which are expected to take a year or more.
The other hospitals in the area have taken advantage of this situation and have been "harvesting" our nurses. They are not operating under the same constraints that we are. The other hospitals offer a higher wage, a sign-on bonus, and POOF! the nurses go. The sad thing is that the core people from the anti-union side of the issue remain at work and loyal to their patients and the institution, and many of the people who were for the union are the ones leaving for better money.
Many of these same pro-union folks were amazed when they tried to negotiate higher wages for themselves (as an offer - counteroffer situation involving a job offer from another hospital) and administration told them they simply could not do so because of the regulations regarding changes during union organization and negotiation. They were genuinely mystified by this. They thought they could still conduct and negotiate their own business with their employer as they had in the past. SURPISE
Please don't take this as an anti-union diatribe, but do consider the side-effects of a union vote. I am sure our nurses did not expect the long-term wage freeze and the subsequent mass exodus of employees from our institution.
I firmly believe that we, as a society would not enjoy many of the benefits we have today if not for the sacrifice of early union organizers, but a union is not always the best solution for everyone.
[This message has been edited by BJA (edited October 29, 2000).]
Joankim, Your comment about choice reminded me of some things I hadn't thought of in a while. I was in a treatment program before I realized that I had a choice. It was a hard lesson. It can be very refreshing and enlightening to realize that there is a choice involved in life. A funny aside: There was a man in treatment with me who was at the time a successful businessman/alcoholic. He related a story about working in a meat packing plant and being told that he should eat his lunch next to a dead cow. He said it was an unpleasant experience. The counselor told him that he could have chosen to eat somewhere else. His eyes lit up and he said, "You mean I could have decided to eat my lunch somewhere else?!" In realizing "choice" he found his freedom. I know that was a weird story, but it is just to demonstrate that yes, we all find our way at different times and different ways. Be patient, some of us are slow learners.
I must agree too, that those of us who work with "using" nurses have an obligation to the patient, first and foremost. If that means reporting a co-worker, then so be it. Hopefully, that will be the first step to recovery. Nurses, like others, need to be given an chance to recover without such severe sanctions that they can no longer work in the profession. But, I must reiterate, protect the patient.
I think I have done quite a fine job of talking in circles, so I will quit for now.
I remember feeling like an imposter when I first started signing RN after my name. Now I have a hard time remembering NOT to put it after everything. You will learn and adjust. There is some good advice posted by others, you don't need anymore from me. You'll do great!
I too have lived in areas where there is not a nursing shortage. It can be frustrating. I moved from MN to AR 10 years ago. The nursing shortage in the Little Rock area is ridiculous. Can you breathe in and out? Do you have a license? Good, you're hired.
Last year the Little Rock hospital I was employed at hired 60 new grads (total RN staff is almost 1000). Gave them each a $1000 sign on bonus and a nice 12-16 week orientation period. Pay is fair for the area, etc., etc.
Sometimes moving is a good solution to the job situation.
What a great topic! Obviously very near and dear to the hearts of many.
I went through a drug and alcohol treatment program 10 years before I started nursing school. I have now been clean and sober for almost 20 years.
I believe that nurses who are addicted need our support IF they are willing to seek help. They absolutely must have an interest in their own recovery. Forcing a person into a treatment program is often a waste of time. In fact, the success rate of most treatment programs is a whopping ONE OUT OF TEN!! This is probably a generous estimate.
There is already a mechanism in place in most states for dealing with this issue. Of course it involves random drug tests, limiting access to drugs, etc. I agree that the addict always finds a way around these sanctions. I don't have any great answers, just more questions.
I think part of the reason I have stayed straight for so long is because of the rather unique approach of treatment center I was involved with. Suffice to say that I carry a medallion with the motto, "LIFE IS CHOICE."
I hope that everyone will work on their compassion for addicted nurses and that any currently "using" nurses will realize that they do have a choice. Chose to seek help.
God grant me the Serenity to accept the things I cannot change, the Courage to change the things I can, and the Wisdom to know the difference.
Your chance of passing if the computer shut off @ 75 questions:
A couple of years ago, the statistic was that 95% passed if the thing shut off at 75. Those are huge odds in your favor. I'd bet money on you!
All good ideas!! I think that your realization that you don't know things, is a great step in learning. I once read a quote by some wise old philosopher whose name I forgot long ago, I'll try to paraphrase . . .
The better educated we become, the more aware we are of our ignorance. This ignorance becomes the inspiration for our quest for more knowledge.
Please forgive the garbled paraphrase. I hope the message comes through. Hang in there.
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