Nurse advocacy (Rant)

Nurses Activism

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Does anyone know how to start a revolution? I'd like to know because I think our profession is in serious need of a nationwide strike...quite possibly a global one. Of the 4 hospitals I've worked at 3 of them have awful working conditions....and I've worked in 4 hospitals in several states and different cities so I don't just think its the 'region' I'm in. From the horror stories I've read about nursing in the U.K., I guess I should feel lucky to have an 8:1 ratio, no aids, on a post op ortho floor.

I love caring for people...I became a nurse to care for people, but I'm just darn tired of our 'profession'. We are still treated like waitresses and ****** on severly by upper management and hospital administration in my opinion. There is very little professional respect given to us...there is a lot of talk about giving us respect, but it rarely happens. We mistake all the hot air about respect from our managers/hospital administrators for real respect, just because they talk about it a lot doesn't mean they are doing it.

What is worse is that I feel that it is horribly misleading to encourage ANYONE into our line of work. We talk about being fufilled by helping others and what not in our profession, or at least that's the line of bull I fell for when I decided to become a nurse. Hospitals (75% of them in my experience) don't want us to provide care to patients. You'll be lucky to see your patient again after assessment and med pass. I understand that medicine is a business, BUT here's the kicker: Don't ask me to be compassionate, caring, and customer serivce oriented if your bottom line is more important than my patients. I can't provide good service to 7,8, or 10 people at a time. There's a reason that research is showing that a basice med surg nurse should have no more than 4....you know why? Because that is the number of patients the RESEARCH is showing to be a safe and feesible. And to be frank I'm tired of being the hospital's scapegoat for unmet unreasonable expectations

Why do we allow are selves to put up with being gripped at for staying late but knowing we can't leave until we are done? I've seen nurses clock out on time just to stay for 2 more hours to finish up. THAT IS NOT OKAY! I've seen nurses clock out that they got to have a lunch when I know for certian that they didn't, just because they don't want to get in trouble with management. This is perpetuating false beliefs in what we are capable of!

We brow beat each other when other nurses are not willing to work like a dog and stand up for themselves. It's usually because then we get screwed into taking on the load that that nurse wouldn't take, but really what we should be doing is saying no too. We tell other people who have less loads but still high loads, that they are lucky and should quit complaning about their job. HELLO! We should ALL have reasonable loads and just because you are taking care of 8 people instead of 12 does not mean that either load is good!

We should all be able to go to work and on a regular basis (75% of the time) be able to have 2 breaks and a 30 minute lunch, do a through check of our patient's charts for errors and missed orders, have time to spend with our patients and know their needs, and leave ON TIME!! That shouldn't be a dream! That should be the average day! We should be complaining about missing a break, not missing urinating for 12 hours!

I do not, cannot, understand why there are nurses out there who stab us in the back with the ideal that they took care of 20 people back in the day so we need to shut up and quit complaining about our 8. Well the fact was you were getting screwed back in the day too, I'm sorry they treated you that way, but that doesn't make our current loads right.

We need a revolution. We need to say no, not just for our sakes but for our patients! And it isn't just nurses, this is for most of the people in medicine. 80 - 100 people for a doctor to see in a hospital in a 14 hour shift is crazy unreasonable too. I have a friend who is having to do this right now and I told that to a doctor I worked with and his response is that my friend was 'lucky'. Crazy!!! It's all maddness I tell you and we aren't helping anyone by not be more vocal about it!!!!!!

Specializes in Telemetry.

@ ZippyGBR

I wasn't trying to make jibes at the UK. I've just read quite a few bloggers from the UK that mentioned something like 15:1 on medical-surgical floors and I think that is quite a heavy load. I've never experienced something that high here in the states, but I haven't made it to all the hospitals yet. :)

I did not mean anything disrespectful by my statement. Sorry.

Specializes in ER/Trauma.

I have been an RN in the south for 13+ years and can tell you things aren't much better here. If you say anything about the unsafe loads you're branded a trouble maker and put under the microscope until a reason for dismissal occurs (a when, not an if, due to high patient load). Nurses who have tried to help organize a union are let go for any tiny rule infraction. Administration knows how to crush any dissenters. I was so burned out I almost left the profession a few years ago due to feelings of frustration and helplessness. Luckily, 3 years ago I began a new job at a hospital that, while concerned about the bottom line, has decided to follow evidence-based best practices concerning staffing ratios and all other aspects of care. I thought it was a mirage in the desert but it is actually an oasis of excellence in a Sahara of mediocrity. I'm not saying it's perfect, but it's better than any other local facility.

That being said, research your problem locally. Talk to nurses at other facilities until you find a place to work that actually cares more about people than money (they do exist.) When administration realizes they are losing all their staff due to better working conditions elsewhere, they will hopefully try to emulate the better facility.

There are more than enough nurses in this country to wield considerable political influence if we would stand together, the problem is getting us to cooperate and work together, something we obviously have trouble accomplishing.

Specializes in Psychiatric, Home Health, Geriatrics.

I feel much the same way. I keep thinking to myself...How can I make a difference for all nurses? Why do we take this crap? Because it's always been this way, or worse? I've heard it said time and again. Just seems we are going to lay down and take it.

I'm so sad about this, but as another poster has stated I want out and as soon as my contract is up (well I'm actually looking now) I'm done with the hospital setting. It's so sad because I don't even know where to start. I keep thinking if I make noise and try to change things I'll lose my job, my career. It's just scary.

It sure is, & getting out is certainly an option for the individual but SOMEBODY has to do it & if things don't change we will lose all of our new nurses who try to brave it out for a year or so and as a result they burn out and leave. Things need to change across the board or it will be the end of nursing.

:uhoh3:

We are unionized... still are overworked and understaffed, unsafe ratios, etc. Is there no way to end the madness? Nurses are stressed to the max, getting hurt, patients do die as a result of understaffing... will it ever end?

I am so sorry to tell you this....I am a retired nurse after 40 years of active employment, Your

complaints are the same I had all those years ago. Nurses are the most abused, overworked, underpaid,

and generally "used", until they are burned out, or like me....all used up.

The caregiver personality we all have, sets us up for no self love, when it comes to our patients.

The employers know this and will never stop taking advantage of it.

Find your happiness in all the good you are doing, not from better working conditions!

Good Luck

Judy

If you guys are serious about improving your working conditions and being able to provide better care for your patients then you should check this out.

http://www.wsws.org/articles/2010/sep2010/prog-s06.shtml

I have been working in the same hospital for over 20 years and it has always been union. I now pay about $1200/year union dues. When I read these posts I am even more shocked because even with our ratios, my job is the pitts. Taking care of 5 ill patients is usually almost impossible without over time so I have no clue as how many of you are doing it with more than 5 patients. My patients are getting lousy care because management does not want over time and truly only looks at the bottom line.....$$$$$$. My salary is probably higher than most, being union, and being in CA, but the truth is, I do not think about the salary when I am running around like a crazy person. I spend more time with paperwork. The computer has done little to improve the time spent with paperwork.

Specializes in MDS RNAC, LTC, Psych, LTAC.

I agree and I give up on LTC and I feel like getting a lawyer. I thought I finally found a good full time job at a good place until I had to have emergency gall bladder surgery I was out for 7 days and when I called to let the DNS know I could come back to my full time job I was hired for. I was told I was now on call and my position had been filled by a new hire. I know there is nothing I can do but I am so mad . I am sick of being treated like ****.. I hope their new hire doesnt stay and I called the staffing coordinator today and said sorry I am not accepting the few once in a while on call shifts I cant make a living with it and its unfair. She is not a nurse and said she understood. I agree its revolution time from acute care to LTC. I am sick of it. I am sure my friends and family think I am an idiot but there are too many nurses that are getting treated this same way. The worst thing is if they had told me I could have been looking for other positions during my time off and have been getting calls for jobs I turned down because I was happy at a job for once... I am so damn mad... and I can't get over it this time.

Sorry Psychtrish39.....this is a perfect example of how being unionized would protect your job.

Specializes in LTC, ICU, Cardiac,.

After 30 plus years of working as a CNA or Med Aide, I finally became an LPN,,,a little more money, but mostly (hopefully), I would have a stronger voice to advocate for better working conditions, better patient care,,,,lofty goals for sure,,,the last care center I worked at,,I was Charge Nurse for 40 residents, 1, count 'em, ONE CNA!!!

I was required to help the Aide w/rounds,,because they couldn't be trusted (DON),,between assessments,,,meds,, NG feedings, and it all has to be charted,,,I was told we met the state criteria for staff/Resident ratio...REALLY???

Half the time we had to do laundry too, in order to have pads, etc

I now work in home care,,which I love,,,but we have our own griefs,,,completely funded by Medicare or Medicaid,,so persnickety about documentation,,,I used a 'T' for Temp,,,no,,,no,,,huh?? So I write everything out,,no abbreviations,,

Funny,,,I bet in that post where the nurses responded to all codes,,,sure,,you bet,,,to me 'Code Brown' means all hands on deck,,,gitter done,,,good luck finding 1 of those nurses then!!!

We all have so many rules and regs,,,

We do the best we can for our people,,,we will always break some rules for them,,,we are the ones who have to look at ourselves in the mirror and sleep at night, (or day)

An old RN told me about a patient who had coded,,,later she was all aglow about Dr. Creep saving her life,,,Old RN was towards the end,,couldn't resist saying,,,'If I remember right,, Dr. Creep was no where around, but 6 of us nurses were!'

It's a very thin line to rise above the BS, yet stay under the radar!!!

One more thing,,,I wish we had a safe place to express our frustrations,,,without them being used against us,,,we lose way too many good nurses to burnout:mad:

And is it me, or are they trying to phase out the good ole gals??? We need them,,yes they eat their young,, but how else is a young nurse to learn??????

Specializes in LTC, ICU, Cardiac,.

one more thing,,,,

"NURSING IS AN ART: AND IF IT IS TO BE MADE AN ART, IT REQUIRES AN EXCLUSIVE DEVOTION, AS HARD A PREPARATION, AS ANY PAINTERS' OR SCULPTORS' WORK; FOR WHAT IS THE HAVING TO DO WITH DEAD CANVASS OR DEAD MARBLE, COMPARED WITH HAVING TO DO WITH THE LIVING BODY, THE TEMPLE OF GOD'S SPIRIT??? iT IS ONE OF THE FINE ARTS: i HAD ALMOST SAID , THE FINEST OF FINE ARTS....

Florence Nightengale:redbeathe

Specializes in Psych , Peds ,Nicu.
I agree and I give up on LTC and I feel like getting a lawyer. I thought I finally found a good full time job at a good place until I had to have emergency gall bladder surgery I was out for 7 days and when I called to let the DNS know I could come back to my full time job I was hired for. I was told I was now on call and my position had been filled by a new hire. I know there is nothing I can do but I am so mad . I am sick of being treated like ****.. I hope their new hire doesnt stay and I called the staffing coordinator today and said sorry I am not accepting the few once in a while on call shifts I cant make a living with it and its unfair. She is not a nurse and said she understood. I agree its revolution time from acute care to LTC. I am sick of it. I am sure my friends and family think I am an idiot but there are too many nurses that are getting treated this same way. The worst thing is if they had told me I could have been looking for other positions during my time off and have been getting calls for jobs I turned down because I was happy at a job for once... I am so damn mad... and I can't get over it this time.

Wasn't FMLA applicable to this situation . If you qualified for FMLA they can't get rid of you like this .

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