New Grads doing Registry/Travel

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I have been a nurse for 10 years, I’ve done hospital (med/surg and DOU), LTC, subacute, home health, and hospice. I started out as a new grad employee and has to go through the whole orientation process before being let out in the wild.
 

Then after a couple years I started doing per diem and agency/registry, and have been doing that almost entirely for the past 8 years. Before Covid to be registry you had to know your stuff, you had to have verifiable experience, and you were expected to be able to jump in and go. 
 

I am so sick now of working alongside registry nurses and CNAs who have no experience and/or integrity. Who on earth would go straight into registry after all that time and money to get your license just to probably lose it because you are taking jobs you can’t handle and are not safe for the patients?? 
 

I have had a change of shift in telemetry where I endorsed to a nurse who was obviously clueless but all bubbly and excited, stared she had never worked in a hospital before. She was acting like it was her first day of orientation in a new grad program but she was going to be taking on my 4 patients.

Then a bunch of these nurses that don’t understand how 1099 works brag about how much they are making to staff nurses while not doing their job so the staff nurses and other registry like me have to pick up their slack, meanwhile causing animosity regarding pay when they are often clueless about how their pay actually compares to w-2 with benefits. I could tell so many stories but basically the bottom line is that these new agencies will take anyone off the street and these nurses will take any assignment whether they actually can care for the patients or not.

And I used to be the one always standing up for the hardworking CNAs, and I still do stand up for the hardworking ones. But I have never seen so many lazy, entitled CNAs than the current crop from registry. In the break room on their phones all shift while the call lights go off AND THEN talk back to you when you had to go find them and ask them to do the job they are getting paid for. Arguing over assignments with the staff CNAs. Arguing when asked to do anything. Missing from the floor half way through the shift and then found sleeping in their car. Or, clocked in and signed in but never checked in for their assignment and literally no longer on the property. I can’t tell you the number of times I’ve seen that. Literally just there to collect a paycheck, not to work at all. While the patients they are supposed to be caring for are soiled or on the floor etc. I’d say I see this in about 50% of registry CNAs. 

I guess this is what happens when health care companies are all about profit over people for decades. Now they are getting a staff with the same values. The nurses and CNAs that care are burning out like always but now there’s an army of staff that don’t give a good GD about the people in their care to take their place.

There have always been these types of nurses and CNAs with no business being there, but to me it’s the sheer volume now and the boldness with which they show up and refuse to do the job that I find shocking and exhausting.

Specializes in Home Health,Peds.

OMG yes!

All the agency nurses at my job talk about how much money they are making. The Lpn’s here all talk about there is no difference between an RN and an Lpn and that they make more then the staff nurses here. 
 

 

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