Needed to vent a bit

Nurses General Nursing

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Although I may not actively post on these discussions boards I still like to go through what people say but I feel now I'm now due for a little venting myself. (For a little background, I have been an RN for over a year now and finishing up my bachelors degree).

As I'm sure many of you are going through currently my facility has had a staffing shortage and we've had to resort to using agency/temp nurses. It's been a difficult situation because the ratio feels as if we're using more agency than regular staffing and reg. staff feel so demotivated and under appreciated, and our DON doesn't help the situation. Our DON does not try to take the time and make the effort to help us on the unit. For example, about a week ago I worked second shift and the third shift nurse called out sick at 1900. I began scrambling to find coverage however between making the calls to other staff members along with calling the agencies I was unsuccessful. Since it was understood by me that the DON was on-call Mon-Thurs I contacted her at approx. 2200 and she refused to come in stating that she wasn't on-call and that I would have to deal with the situation (ie. staying until I find coverage). Because I have never been in a situation such as this before I ended up calling her boss (who had no clue) and he told me it's what I signed up for. It was my understanding when I originally got hired that the DON was on call Mon-Thurs and staff nursing Fri-Sun, however our DON denied that. After I got off the phone with him the DON called me back angry for calling her boss and ends up offering to relieve me at 0330. It was difficult because I am not used to working past my shift and by the time I was giving her report I could see that mentally I was not alert and frankly if I stayed longer I'd feel unsafe. It's been so difficult to get up and go to work because all of the regular staff including myself walk into work anticipating disasters and wonder if that day will be the day our licenses go on the line.

The last night I worked recently a similar issue arose as well. I was getting ready to leave after finishing my documentation (did report, count, etc) when we heard that the agency nurse covering for the third shift on another unit didn't show up and it was because they weren't scheduled. Because there was an agency nurse working second shift on said unit was insisting that she was unable to stay because of medical reasons and was threatening to leave. The 11-7 nurse who relieved me was between a rock and a hard place, and I felt the same way as well. I quickly finished up my work and bolted out because I did not want to get stuck again. However, like I mentioned, I felt like I was stuck between a rock and a hard place. I wanted to stay and help but mentally and physically I felt unsafe since I'm not used to working doubles as a nurse. I came home contemplating whether or not I should go back in but at the same time after I took a shower I fell into bed and that was it. The day after I felt so guilt ridden over the situation but at the same time I am both mentally and physically exhausted. I wanted to ask one of the staff members how everything went but personally feel as if for that particular situation I need to let the sleeping dogs lie.

I am truly mentally and physically sick and tired of everything that has been happening lately to the point where the stress has made me physically ill. The facility did not have these issues when I first was hired however with changes in management it's disappointing to admit that things have declined. I know that it's a difficult situation however I am trying my hardest to stick through it all because I will admit I do love what I do and I love some of the staff members I have, but with situations such as these have made it difficult to look forward to coming into work like I used to. I know I'm still a rookie at this and I know I have much to learn but it's hard for someone to learn when dealing with conditions such as these.

I'm hoping that any experienced and seasoned nurses here will help me with any suggestions and/or advice to help me get through this. I'd truly appreciate it.

Specializes in OB.
Had a similar situation at one of my first jobs. Poorly staffed, call outs all the time, no coverage. When management refused to cover even when the DOCS called them, that was it for me. I was done. I tried to change things from within, and exactly what TriciaJ said happened: they made lots of lovely promises to buy time to renege on them. I left, and was so glad when I did. It is my suggestion that you definitely get out of there asap.

I know this was not intended to be funny, but I got a little snort out of picturing a unit so understaffed that doctors were actually getting involved and calling management for nurses! Sounds pretty dire!

I know this was not intended to be funny, but I got a little snort out of picturing a unit so understaffed that doctors were actually getting involved and calling management for nurses! Sounds pretty dire!

It was awful!! Yes, one of our (senior) residents actually called management in the middle of a horrible shift told mgmt we were drowning and asked them to come help. Management refused. You know when the DOCS are coming to your aide, it's bad. I've actually had that happen now at TWO places where I've worked. Both places, docs went to management in defense of the nurses, begging them to do something because we were drowning. Both times, nothing was done, and nurses jumped ship in droves. It's unbelievable. The instances were 15 years apart. ETA the second time it happened, it was the chief of OB that went to management.

What are they going to do...fire you? Then they'll be even more short.

Of course they don't care, why should they? They're skating by ridiculously understaffed because their nursing staff is tolerating their abuse. They will only listen when you band together and demand change or talk with your feet.

Finish your semester and get out, or stay and fight. Easy? No way. But you have to do something one way or the other.

That is my plan. Trying to hold off until I complete my remaining semesters to then start applying. I sometimes wonder if it's worth contacting the department of labor though.

It was awful!! Yes, one of our (senior) residents actually called management in the middle of a horrible shift and said, "your nurses are drowning, you need to come in." Management refused. You know when the DOCS are coming to your aide, it's bad. I've actually had that happen now at TWO places where I've worked. Both places, docs went to management in defense of the nurses, begging them to do something because we were drowning. Both times, nothing was done, and nurses jumped ship in droves. It's unbelievable. The instances were 15 years apart. ETA the second time it happened, it was the chief of OB that went to management.

That's actually unbelievable that the doctors got to that point! The physicians I work with have been on the fence about what is going on. One of our main nurse practitioners doesn't like our DON but at the same time gave me a long winded story about how she had to stay during a storm while having a baby at home when she found out that I had to stay.

That's actually unbelievable that the doctors got to that point! The physicians I work with have been on the fence about what is going on. One of our main nurse practitioners doesn't like our DON but at the same time gave me a long winded story about how she had to stay during a storm while having a baby at home when she found out that I had to stay.
I hate it when people do that. I think your working conditions are deplorable, and definitely think you need to report it to the labor board. They HAVE to be guilty of violating SOMETHING.
I hate it when people do that. I think your working conditions are deplorable, and definitely think you need to report it to the labor board. They HAVE to be guilty of violating SOMETHING.

Like I said in another post, I have no idea as to how to go about this and would it be really worth it to go through all the trouble. If it wasn't for the change in DON I'm sure none of this would be happening. But they say everything happens for a reason right? Maybe for all this the reason would be to help me get a strong start on my career and understand what is out there? I'm trying to keep a positive outlook on it all but it's quite difficult

Specializes in Psych, Corrections, Med-Surg, Ambulatory.
Like I said in another post I have no idea as to how to go about this and would it be really worth it to go through all the trouble. If it wasn't for the change in DON I'm sure none of this would be happening. But they say everything happens for a reason right? Maybe for all this the reason would be to help me get a strong start on my career and understand what is out there? I'm trying to keep a positive outlook on it all but it's quite difficult[/quote']

Until a patient has a bad outcome because you were stretched too thin and management throws you under the bus. Now you have to defend your practice. Are you going to tell them how bad staffing is? They'll pretend it's all news to them. "Why didn't someone tell us we were short-staffed? We can't do anything about it if no one tells us!"

Find a phone book or go online and look up your state government pages. Then find Department of Labor. Find a number and call it. When someone answers, ask whom you can talk to about possible labour violations in your workplace. It IS worth it because it won't stop otherwise. You all deserve better. Your PATIENTS deserve better. Good luck.

Specializes in ER.

Legally, management is responsible to provide adequate staff. That's a fact. But in practice they have been telling their staff that its not their problem. It's been working because no one has called their bluff. Look, if someone holds out dirty diaper to you, you don't have to accept it. You can say, sorry, not my problem, and go on your way.

Write your nursing board with the mandating issue, and find out specifically how to say "no" without your license being at risk. Where I live, you just say you aren't available, notify the charge nurse, and go home on schedule. I've never had to actually DO it, once they realize you aren't going to cave, they figure something out. (Miracles DO happen!) Then email that you are not available to be mandated past the end of your shift. They will say you are abandoning your patients, and you can counter with "well, actually I have a letter from the Board of Nursing, and they say..."

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