Novel Idea for Administrators

klone, MSN, RN · Mar 21

Hope your day goes better

ponderingDNP · Mar 21

Been there, done that, and I did finally quit after a solid 25 years AT LEAST in acute care. Once I did, so many doors opened up!! Met the most caring provider of my 30+++ year career, got my MSN, transferred within the organization, and received nearly $120K as my base pay here on the east coast (south) with only my BSN. Still waiting on the salary adjustment for the MSN....all in only four years of putting acute care in the rear view mirror. This was not a four-year journey, but you don't know what you don't know until you find out. (Trying not to think about the folks that watched me sit on the low-balled end without saying a word). But it doesn't matter...I'm here now!😎

Tweety, I get you! I headed home angry after ever single med/surg shift! I was calm by the time I got home because of the 2-hour commute....had plenty of time to ***** in my car. Had I still been in acute care, I would have joined your vent and plugged in the remaining thousand things you left out.

JKL33 · Mar 21

Hang in there, Tweety.

So much could be said but....already has been. I say practice nursing in the way that lets you sleep well at night knowing you did the best you could do with the hand you were dealt. Administration's fantasies are just that and have very little to do with the actual good, prudent practice of nursing.

👍🏽

**LibraSunCNM, BSN, MSN, CNM** · Mar 21

I've always felt that the lesser the acuity/adrenaline level of a specialty (on paper--obviously we know med/surg patients can be VERY sick), the less the respect. LTCs are even worse. Vent away, and I hope you have a better next shift.

EmergentAnesthetics · Mar 29

Uhm...and who says the ED doesn't get treated like this? When we get flexed from our normal 4:1 ratio to 5-6:1? Which includes a plethora of patient diagnoses in different stages of their treatment plans?

Talk about transporting a patient from the ED to their inpatient room and within 10 minutes the bed is clean and a new EMS ambulance is in the room ready to give me report.

I am not dismissing how you feel but this isn't a you vs us. This is a bedside staff vs the C-suites. Because I can tell you, the ED doesn't get the privilege/grace you think we get, everyone is being dumped on.

JKL33 · Mar 30

EmergentAnesthetics said:

I am not dismissing how you feel but this isn't a you vs us. This is a bedside staff vs the C-suites. Because I can tell you, the ED doesn't get the privilege/grace you think we get, everyone is being dumped on.

Right. So just let the poster vent

I worked ED for many years and heard innumerable times (and may have even said so myself 😶) that "at least you guys [M/S] can have all your beds full, we can't just put out the closed sign down here." In fact I admit I probably said it more than once....it's probably one of the most common retorts especially when we're trying to unload patients out of the ED. "too bad, so sad, we can't close the doors down here, you need to take report." I have zero doubt that the OPs house sup/admin has said things along the lines of what the OP wrote. And if you read carefully you'll see that Tweety didn't even say that the ED doesn't get crap but rather that s/he's tired of hearing those lines as if M/S doesn't also have their own stressors.

In order to add a bit of levity here let me just say that I wrote this rebuttal to point out that not everything needs to be rebutted. 😂

It's all good. It's really okay to just support somebody when they get a little tired of all the crap.

subee, MSN, CRNA · Mar 30

Tweety said:

Hey VP of Nursing, here's an idea. Show Med Surg nurses the same consideration you give the ER, PACU and ICU instead of dumping on us without consideration that we're human beings, haven't had a break, stay late and are stressed to the max.. ER gets "well there's a trauma coming in and they are busy and they don't get to tell ambulances not to come:". PACU gets "but the OR is getting backed up", "ICU gets, there's a a critical patient".

We get: you're HCAPS scores are bad, your white board isn't done, here's a train wreck that's full of poop, that can't breathe, and needs pain medication, consults to be called, and whose daughter is a doctor and isn't happy....and another one and another one and another one.

It's just a vent. Don't tell me: why don't you quit, why do you put up with it, where's your union?

Med surg is not respected for the SPECIALTY that it is. I loved the MS floor when I was starting out because I learned and saw such a diversity of patients and pathology. But when you are nearing retirement, it definitely stresses you physically and emotionally. Even in anesthesia, at the end I was 66 and just couldn't take it full-time anymore. I cut down to 4 days and while it was still a grind, it was doable. The bosses really frowned on people cutting back but I just told them to take it or leave it and they accepted it. I am grateful that I never became an alcoholic or drug addict and eventually left on my own terms:)

Tweety, BSN, RN · Mar 30

subee said:

Med surg is not respected for the SPECIALTY that it is. I loved the MS floor when I was starting out because I learned and saw such a diversity of patients and pathology. But when you are nearing retirement, it definitely stresses you physically and emotionally. Even in anesthesia, at the end I was 66 and just couldn't take it full-time anymore. I cut down to 4 days and while it was still a grind, it was doable. The bosses really frowned on people cutting back but I just told them to take it or leave it and they accepted it. I am grateful that I never became an alcoholic or drug addict and eventually left on my own terms:)

I work with a lot of Gen Z and Millennials that can't take the stress and disrespect of med surg and can't wait to get out. Very few stay in like I have. But it's been my choice, I just have to vent about it. It just is amazing how the ER and PACU get to dump on us because they are ER and PACU without regard to what we're going through.

subee, MSN, CRNA · Mar 30

Tweety said:

I work with a lot of Gen Z and Millennials that can't take the stress and disrespect of med surg and can't wait to get out. Very few stay in like I have. But it's been my choice, I just have to vent about it. It just is amazing how the ER and PACU get to dump on us because they are ER and PACU without regard to what we're going through.

We are adults, unlike the adult-chuld of today. We didn't have the sheltered and smothered lives these kids had. Nursing is not for snowflakes but the hospitals don't need to make our lives si darned miserable. Spending decades working for corporations instead os hospitals, it was no better. We need to blow it all up and start over again!

Tweety, BSN, RN · Mar 31

subee said:

We are adults, unlike the adult-chuld of today.

They look at us like "why did you put up with it?", "why did you put your job above your mental health", "why did you sacrifice your family life for a job that cares nothing about you", "I'm leaving because it's the best thing for me".

Sounds pretty adult to me.

subee, MSN, CRNA · Apr 2

Tweety said:

They look at us like "why did you put up with it?", "why did you put your job above your mental health", "why did you sacrifice your family life for a job that cares nothing about you", "I'm leaving because it's the best thing for me".

Sounds pretty adult to me.

Depends on why you are leaving. I put up with it because I knew I was protecting my retirement and I didn't know how do do anything else that would bring enough salary to do that. AND, I made the best I could of it. I was a teacher previously. Some people just don't pick easy jobs:(

Sounds pretty adult to me:)