In a perfect world all nurses - all PEOPLE - would have the luxury of getting up and walking out when matters became dehumanizing. But most of us are still stuck in the "paycheck-to-paycheck" trap and can't. PLUS we are all acutely aware of the fact that it's the same story everywhere you go - just some say it in different ways - so if we leave then it's just like jumping from the frying pan into the fire. I have yet to work in a place where the nurses were actually backed. Never had that luxury.
What WAS said back to the administrator was more of a laugh and a "yeah, right" type of response. Nobody pretended they were actually going to follow through on that. Another real fun idea he's got going is - (small hospital, now, 3 nurses in-house to cover the floor and the ER - which hops, no assistants or techs) - they can't decide where they would put a snack machine or coke machine. They don't want it in the ER waiting lobby because "it would make it cluttered" - so they keep cokes and crackers in the kitchen. When people come up to us asking where the machines are we're supposed to drop everything we're doing to take their money and get their snacks for them. And we're supposed to say, "We don't have machines, we have one-on-one service here!" (yeah, right - in his dreams)
Last night I took care of a particularly chatty patient who does like to talk with the administrator. Last night she told me that he had said to her that she was the only patient who ever talked with him on a regular basis (she's a frequent patient). Her response? "Well I don't know why, you're human just like us, not no better." She said his response to that was, "Nobody's ever said THAT to me before." Gotta love HER! Lol
The kicker is that our administrator is married to a nurse. That makes his total lack of vision a little bit confounding. He's in the wrong profession, for sure: a consummate salesman. But such people forget that nurses are a strong-willed, cynical bunch who can read through a sales pitch a mile away.
Our hospital is owned by a man who used to work as a consultant. No major corporations in here, though there's a new management team coming in in the morning to meet with us - they had to take investors to keep the place open. I'll listen to their ideas and the changes they plan to make but I'm also prepared to hit the door if it's a totally unrealistic proposition. Which WILL leave them hurting. There are already two other nurses leaving this month and another is in negotiations with another hospital as I type this. It took them 4 months to replace the nurse who worked opposite me in the ER at night. I don't want to leave because right now I'm working 10 minutes away from home, there is often a good bit of downtime in the middle of the night, and right now I have a sweet schedule worked out. They also actually pay better than other places around here. If the administration (including the nursing administration) would just LISTEN to the nurses instead of continually fighting us, since all we're fighting for is safe staffing and to have certain areas run according to certain mandates ( you don't want to know how the so-called "unit" is run and we don't have needleless systems. We run out of certain meds frequently and supplies have been scarce as well). They say it's money. We are all acutely aware of the financial problems of the hospital and we are also acutely aware of some unnecessary salaries being paid and other fluff. If you're having money problems, why on earth would you pay over $700 a month for the privilege of using certain forms (that we make copies of when we run low)?? That's enough to pay a part-time ER tech! Bottom line to me is, if you can't afford to run a business properly then you can't afford to be in business in the first place.
I'm just waiting on my ACLS renewal card to get to me and update on my PPD and my options are all open. I can always go back to the agency (though the drive will be exhausting and I'm not in any real hurry to go back to the big hospitals only to come home feeling like i've been run over by a truck) and the local max security prison is hiring too. I've worked there before. At least you don't have to worry about bending over backwards to make your patients happy and no families to deal with either. And at least you're not expected to eat whatever is served up to you and grin and pretend to like it, if you know what I mean.
You know, if I won the lottery I'd buy the place out and run it like it should be run - starting with a brand new building - the old one is falling apart at the seams. It's just a small place - the kind of place where everybody knows what the expenses are. It would be a nurses' hospital and patients would receive good, safe care and the nurses would be given all the respect from administration that they deserve. Their input would be taken seriously and I think morale would skyrocket. Call me crazy, but I firmly believe that strong morale makes for better "customer service" anyway. Marketing money? Forget it. Word of mouth in a small town is the best marketing strategy you have. I would be happy just to break even - in this poor rural area, that's all you can realistically hope for.
Best of luck to all