Nursing Is No Longer Worth It

[AnonymousSuper]

I'd Like To Tell You A Story

I've been a member of Allnurses for nearly a decade. It's a little surreal to contemplate that amount of time but I vividly recall writing posts in the pre-nursing students section pleading for help in Anatomy and Physiology.

A decade! Time really flies.

Given my involvement in this forum over the years, I created this new username to remain anonymous and to speak freely about my opinions and feelings about nursing.

In the beginning, nursing was an exciting, interesting, and thrilling career. As a student, I would spend extra hours delving into extra readings about A&P and care plans. I would tutor students and help anyone that I could. I even volunteered in a local hospital to get more exposure.

I was addicted to the idea of becoming a nurse!

As a newly minted nurse, I loved connecting the pathophysiological dots at the bedside and helping the providers make well-informed decisions by providing them with valuable assessments and up-to-date patient data.

I've worked in many specialties over the past 7 years but my primary focus has been pulmonary step down. I've traveled all over the country and worked in a variety of hospital systems big and small.

I've helped save lives through rapid responses, code blues, administered vital medications and important treatments. I've teamed up with fellow nurses to help them catch up on meds or other tasks, then find ourselves at a local diner for an early morning post-shift breakfast.

Those are the best!

I've also experienced a significant amount of pain and agony. I've seen more patients die than a I care to count. I've listened to hearts stop. I've seen heart die on monitors. I've watched people take their last breath completely and utterly alone in this world.

I've laughed, cried, and been stunned. A host of emotions over the years.

When I was done working acute care, I transitioned to ambulatory nursing and started triaging patients in a variety of specialty clinics. This was a weird shift because I thought ambulatory nursing where were lazy nurses go or older nurses go to finish out their career. I found that outpatient nurses were just as hard but simply in a different way.

I even found myself in a nursing supervisor position where I currently reside. Something I never would have thought I would have found myself in. I even tried to talk my boss out of it when she first approached me about it because I thought to myself, "You must be crazy! Why would you consider me?" I am grateful for the opportunity ultimately.

Something Has Changed

There was a time where I absolutely loved the nursing profession and my place in it. But, something changed along the way. Burn out? I have my doubts it's that simple. This feels more definitive than the insidiousness of Burn out. This feels more permanent than burn out.

Over the past couple years, I've really questioned my place in nursing. Is this profession for me? Was it ever? Is it worth it anymore? I think Covid 19 really pushed me over the edge and was the straw that finally broke the camel's back.

Here's The Bottom Line To Me

• If I had to do it over again, I would not choose nursing as a profession.
• Nursing is no longer a profession that is worth pursuing and if a person would ask, I would recommend they choose something else.
• While there was a time when the love of the patient was what did it for me, ultimately, at this time in my life, nursing is no longer worth it because we are completely undervalued, underpaid, underappreciated, and understaffed.
• We are forced into dangerous scenarios with massive liability with compensation that doesn't match the risk we take as professionals and individuals.

Hospitals Just Do Not Care

While they give the facade of caring, healthcare organizations and hospitals ultimately don't care about you and your well being as a professional nurse.

Hospitals don't want quality. They want the appearance of quality but in actuality they want quantity. They want more with less in even lesser time. More patients. More calls. More responsibilities. More liability for you. More destruction on your physical and emotional well being. You are treated like a disposable piece of equipment with a short shelf life.

And, when it comes down to it, your professional and personal butt is totally on the line and if you screw up, there will be every effort to blame you, avoid organizational liability, and throw you under the bus.

Don't ever believe your hospital is there to back you. Consider yourself fortunate if you happen to find a manager that will stick their neck out for you and back you when the **** really hits the fan.

The PPE Crisis We're Facing Is Unbelievable

It's shocking to me that our hospital "leaders" didn't have the wisdom or foresight to have massive stockpiles in place. Now, nurses and providers are force to buy PPE on-line (impossible currently), wear the same PPE over and over, or not have any at all. This is a clear example of the failure of leadership all over the country and the clear lack of consideration for the front line worker's safety. Of course, nurses aren't the only one feeling this pain.

Nurses Are Severely Undervalued And Underpaid

We take massive liability when we're administering medications and implementing the plan of care. Yet, where's the pay? When you try to negotiate your pay with HR, you're going to get a giant middle finger. Organizations have standardized pay scales and there is zero room for negotiation. Nurses have zero pull when it comes to pay negotiation.

My theory about pay is that nurses are a cost to the healthcare system. You are not a financial asset like a provider who has billable treatments and procedures. We don't bring in revenue to the organization. Therefore, nurses don't have negotiation power. Yet, we're somehow sooo "valuable?"

Don't buy us pizza, baked goods, and crappy nurse's day prizes. Give us better pay and better benefits. That is the way to create loyalty. Yes, nursing is also about providing a service to the patient but if you're a valuable, highly trained, highly skilled, and highly knowledgeable professional, you should be paid adequately. Period.

Here's a current representation of the pay issue. I'm seeing travel nursing contracts for $4,000-$8000 per week in some parts of the country. That's crazy money! The organization I presently work for is "volun-telling" ambulatory staff to either "go acute care or use PTO/unpaid leave." However, when these staff to go in-patient, they don't receive temporary differentials or hazard pay.

Furthermore, the acute care nurses taking care of Covid patients aren't receiving hazard pay either even though they are reusing PPE and taking care of dangerous patient populations. So we're going to pay travel nurses six figures? But, when you force nurses back into acute care or not adequately pay acute care nurses, that's supposed to be okay? Think again.

Nursing Isn't Worth It Because Of The Liability

I've traveled in certain locations where nurses were taking care of 10 patients at night on an acute cardiac unit.

Unbelievable. Talk about liability.

I'm not going to go into it now but if you practice nursing without professional Liability Insurance, you're basically having unprotected sex but expecting not to get pregnant.

Why do you think providers have professional malpractice insurance? Yes, nurses get sued to and remember what I said above about hospitals throwing nurses under the bus? It's literally pennies a day for peace of mind. If you have any valuables or assets in your life you wouldn't want to be taken away, you need professional liability insurance.

Nurses Are Part Of The Problem As Well

The nursing culture is full of malignant toxicity, backstabbing, and bullying people. It's vial and toxic and incredibly hard thrive in.

I have rarely seen a unit or clinic act in a cohesive, team-based manner. My professional career has only been in nursing so I'm not sure how other professions are. However, most places I have been to, have been the same.

There are many nurses that bring their contagious negativity to the bedside and to the clinics. It's distracting and disturbing to be around and it has taken a toll on myself and I know it has on others around me. I'm speaking in generalities of course because not ALL nurses are like this but it's fairly common. Just spend a half a day on a nursing unit and you'll quickly notice who those problematic people are.

I once had hope for the nursing profession that someday they would come together and help change it for the better. There's what, about 3 million nurses in the country? That's a lot of voices. We're too busy bickering amongst ourselves to ever truly come together and create meaningful change.

Bickering, backstabbing, and bullying is easy. Coming together with a cohesive voice to promote real change in the nursing profession is hard and it will never happen in my opinion.

I guess I could go on and on about the failings of the nursing profession but I'll leave you with this:

Quote

Nurses are treated as expendable pieces of meat that are readily replaced like a disposable dead battery. You are severely under paid for the skills and knowledge you bring to the table. Hospitals don't give a crap about your well being even though they say the do.

Nursing Is No Longer About The Art Of Nursing

• It's about the numbers.
• The output.
• Doing more with less in less time.
• The satisfaction scores.

You only live once in this life. If you happen to discover this article and you're considering nursing, I would urge you to turn around and look elsewhere.

Nursing isn't worth the risk and the personal effects it has on your life.

[BostonFNP, APRN]

On 11/20/2021 at 11:27 PM, KalipsoRed21 said:

That is the point. I did all the job changing and found nothing that I could tolerate for more than a year or two without the hospital trying to invade my personal life with committees, extra education, mandatory over time, and staff meetings….not to mention that nurse schedules are just kinda sucky regardless (and I’ve done the 12 hour, 8 hour, and salaried thing.) 
 

It has boiled down to this for me. I don’t want to be a manager because I don’t want to be available all the time. I don’t want to be an administrator because I don’t want to be available all the time. I don’t want to get an FNP or MSN because while their work is different than an RN, it isn’t THAT much different and it is even MORE responsibility/liability with the the FNP being a scape goat as well. And more student debt for not really all that much more pay. I don’t want to be an educator because I don’t want more student debt and they get paid the same amount I am already making as a floor nurse? Why would I spend money to make the same salary I already do?

So interestingly nursing, with all it’s expanse, is most stagnant when it comes to “moving up”. There isn’t anywhere to grow and escape the drudgery, abuse, poor life balance or poor compensation.

I am a partner in a independent internal med/primary care practice so I have one foot in clinical work and another in the business side of healthcare (and it's been a long time since I worked as a bedside RN), so this is my perspective, and it may be unpopular.

From the business side, here are my questions and concerns. 

1. You sound incredibly burned out. I think burnout in healthcare is one of the biggest problems we face. Acuity has gone up, time of care has gone down, and there are more and more non-clinical demands placed on HCPs. When HCPs get burned out, nothing aside from a major career change makes life better. 

2. If you have been through many jobs in many settings and are not lasting a year, some of that might be due to unrealistic expectations of your job/employers or your career as a whole. Here are some examples:

#If you don't like hourly pay or salary, how would you prefer to get paid? Aside from volunteering, the only other system I could see for compensation is a productivity pay scale (which I'm not sure most nurses would be interested in).  

#What makes the shifts "sucky"? If you don't like 8 hours shift and you don't like 12 hour shifts, what are you looking for? Do you not want to work nights or weekends or holidays? Healthcare is a business that in many settings runs 24/7; applying to a clinical job at a hospital and expecting to work bankers hours is probably unrealistic. In my clinic, I need staff to work 10-12 hour shifts because that what covers my business needs, 4 hour or 8 hour shifts do me no good. 

3. As far as advancement goes, it is hard to expect advancement when you don't invest in yourself. For most jobs, advancement requires some degree of sacrifice: increased responsibility, increased education, increased demands on availabllity, etc. 

On a different note, I would also disagree that moving to advanced practice nursing "isn't that much different": it is nearly a completely different job with a much higher financial ceiling than bedside nursing especially if you don't want to work a ton of overtime or if you want to be your own boss. 

 

[nottheproblem]

Why is it that management in nursing or anyone close to it are so passive aggressive? Years ago I had a great manager so this isn’t a blanket statement but pretty confident it’s pretty pervasive.  My friend who is a Manager definitely changed when she became a one at a unit at another hospital.  She quit due to being written up for a patient care issue that let’s just say she was told thankfully we are not being sued over.  So she was one foot out the door anyway. Despite this due to her education and experience she checked off all the boxes so they hired her as manager.  She’s told me once after she became manager she can’t believe how the nurses she manages talk to her.  Her exact words “don’t they realize I am the manger”.  My response “ How many times did you but heads and argue with our manager” She sheepishly said “a lot”.  So, she had quickly forgotten what it was like to be the bedside nurse she once was and pretty clear the FNP here that commented has done the same.    

[KalipsoRed21, BSN, RN]

2 hours ago, BostonFNP said:

I am a partner in a independent internal med/primary care practice so I have one foot in clinical work and another in the business side of healthcare (and it's been a long time since I worked as a bedside RN), so this is my perspective, and it may be unpopular.

From the business side, here are my questions and concerns. 

1. You sound incredibly burned out. I think burnout in healthcare is one of the biggest problems we face. Acuity has gone up, time of care has gone down, and there are more and more non-clinical demands placed on HCPs. When HCPs get burned out, nothing aside from a major career change makes life better. 

2. If you have been through many jobs in many settings and are not lasting a year, some of that might be due to unrealistic expectations of your job/employers or your career as a whole. Here are some examples:

#If you don't like hourly pay or salary, how would you prefer to get paid? Aside from volunteering, the only other system I could see for compensation is a productivity pay scale (which I'm not sure most nurses would be interested in).  

#What makes the shifts "sucky"? If you don't like 8 hours shift and you don't like 12 hour shifts, what are you looking for? Do you not want to work nights or weekends or holidays? Healthcare is a business that in many settings runs 24/7; applying to a clinical job at a hospital and expecting to work bankers hours is probably unrealistic. In my clinic, I need staff to work 10-12 hour shifts because that what covers my business needs, 4 hour or 8 hour shifts do me no good. 

3. As far as advancement goes, it is hard to expect advancement when you don't invest in yourself. For most jobs, advancement requires some degree of sacrifice: increased responsibility, increased education, increased demands on availabllity, etc. 

On a different note, I would also disagree that moving to advanced practice nursing "isn't that much different": it is nearly a completely different job with a much higher financial ceiling than bedside nursing especially if you don't want to work a ton of overtime or if you want to be your own boss. 

 

1) Acuity has gone up and time of care has gone down. Which means people (and taxpayers) are paying out their bursa for poor quality care. Very unethical. I would imagine (or at least hope) that this conflict of ethical behavior disturbs most of us in healthcare.

2)  The only time I feel my time was adequately compensated for all that I am responsible for was when I did travel nursing. Bit I could not tolerate switching facilities all the time or being away from my husband and kids. (My husband is/was a brick mason.) And frankly that was the salary that I felt I deserved for doing my job at a hospital full time not traveling around learning a new facility all the time. It isn’t the amount of hours (8/12/salaried) it is that 80-90% of the time I am working more hours than what was agreed upon because there is no staff. And salaried was just stupid. Never flexible, always there, way, way more than 40 hour weeks. Stupid and I won’t ever do that again.

3) I have gone one to get several advanced certifications. The pay increase is minimal. And I have learned that I do not want to advance in nursing at all. Advancement means that I will have to be more involved, more available, and more time away from my family. No, no, no, no! 
 

4) I have yet to meet a nurse that went and got her advanced degree as an FNP and didn’t regret it. My own PCP is an NP and she has told me of her work life and how much she hates it but has to keep going because of student loans. Student loans are how I got stuck as a nurse, no way I’ll do it again now that I have them paid off. 
 

I am a good nurse. I have received lots of acknowledgment of my expertise from several employers, but I am done with this stupid crap. I want to work and go home. I don’t want to be working my *** off hard every day I go to work. I want to pee and poop, and eat and rest and give quality care and then go home. That is not nursing or CNA work. So nursing is bad, don’t go into it.

[londonflo]

2 hours ago, KalipsoRed21 said:

I have gone one to get several advanced certifications. The pay increase is minimal.

I am an outlier here but I am not in favor of certifications that the hospital touts but doesn't acknowledge with a monetary increase.  With the development of certifications,  I think it was just a way for the professional organizations to make a money grab while deviating from the their main founding mission which was to represents nurses. Really how did the ANA help RNs during Covid besides 'letter writing' and providing free online educational programs?

Okay, I got that out of my system but that being said there is actually one advanced practice with similar or increased pay that gives more free-time (home time with family) that I know of. When I became a nurse Educator (for a college or school of nursing) I found I could plan for each course at my own pace (sometimes in the Summer/sometimes during the semester) and review the content every semester to ensure it's currency. The first year of teaching is hell, you are writing lectures a few days before giving them, creating test questions and revising them constantly, but then you develop a plan to do this more efficiently. Later years are much better (starting with year two).

I was sorry to hear that your husband can't work his usual job because of arthritis. Have you investigated other 'self-employed' jobs like eBay, Amazon book selling etc? I hope you are not feeling I am being too personal here. I speak from experience that when I got married late in life we got my husband's 2 children through college with selling used goods (eBay/Amazon books) besides my salary.

2 hours ago, KalipsoRed21 said:

I am a good nurse. I have received lots of acknowledgment of my expertise from several employers, 

We need good nurses in education. 

Best wishes for a peaceful and love-filled Thanksgiving. 

 

[feelix, RN]

6 hours ago, BostonFNP said:

I am a partner in a independent internal med/primary care practice so I have one foot in clinical work and another in the business side of healthcare (and it's been a long time since I worked as a bedside RN), so this is my perspective, and it may be unpopular.

From the business side, here are my questions and concerns. 

1. You sound incredibly burned out. I think burnout in healthcare is one of the biggest problems we face. Acuity has gone up, time of care has gone down, and there are more and more non-clinical demands placed on HCPs. When HCPs get burned out, nothing aside from a major career change makes life better. 

2. If you have been through many jobs in many settings and are not lasting a year, some of that might be due to unrealistic expectations of your job/employers or your career as a whole. Here are some examples:

#If you don't like hourly pay or salary, how would you prefer to get paid? Aside from volunteering, the only other system I could see for compensation is a productivity pay scale (which I'm not sure most nurses would be interested in).  

#What makes the shifts "sucky"? If you don't like 8 hours shift and you don't like 12 hour shifts, what are you looking for? Do you not want to work nights or weekends or holidays? Healthcare is a business that in many settings runs 24/7; applying to a clinical job at a hospital and expecting to work bankers hours is probably unrealistic. In my clinic, I need staff to work 10-12 hour shifts because that what covers my business needs, 4 hour or 8 hour shifts do me no good. 

And that is the problem. It is all about business needs.

[BostonFNP, APRN]

5 hours ago, KalipsoRed21 said:

1) Acuity has gone up and time of care has gone down. Which means people (and taxpayers) are paying out their bursa for poor quality care. Very unethical. I would imagine (or at least hope) that this conflict of ethical behavior disturbs most of us in healthcare.

2)  The only time I feel my time was adequately compensated for all that I am responsible for was when I did travel nursing. Bit I could not tolerate switching facilities all the time or being away from my husband and kids. (My husband is/was a brick mason.) And frankly that was the salary that I felt I deserved for doing my job at a hospital full time not traveling around learning a new facility all the time. It isn’t the amount of hours (8/12/salaried) it is that 80-90% of the time I am working more hours than what was agreed upon because there is no staff. And salaried was just stupid. Never flexible, always there, way, way more than 40 hour weeks. Stupid and I won’t ever do that again.

3) I have gone one to get several advanced certifications. The pay increase is minimal. And I have learned that I do not want to advance in nursing at all. Advancement means that I will have to be more involved, more available, and more time away from my family. No, no, no, no! 
 

4) I have yet to meet a nurse that went and got her advanced degree as an FNP and didn’t regret it. My own PCP is an NP and she has told me of her work life and how much she hates it but has to keep going because of student loans. Student loans are how I got stuck as a nurse, no way I’ll do it again now that I have them paid off. 
 

I am a good nurse. I have received lots of acknowledgment of my expertise from several employers, but I am done with this stupid crap. I want to work and go home. I don’t want to be working my *** off hard every day I go to work. I want to pee and poop, and eat and rest and give quality care and then go home. That is not nursing or CNA work. So nursing is bad, don’t go into it.

I absolutely agree that the quality of the care (overall, in this country) is substantially less than it should be for the amount of per capita healthcare dollars we spend.

If hospitals were to increase nursing hourly rates to the same as travel nurses (I think at our local hospital that would be paying $20 more an hour in pre-covid times), would that fix the quality problem? Would it offset the huge increase in cost to the system? Where could the system cut costs to budget for it (I'd vote on removing the entire administration but that's just me)?

If I were an administrator, I would sure look at if the hospital could save money long term by increasing base pay and nurse staffing levels and not relying on travel nurses. If the hospital is staffed by 20% travel nurses making $20/hour more then they could afford to either pay all their nurses $4/hour more OR hire 10% more nurses for the same money. Would that be enough to make people happier and quality better?

 

[BostonFNP, APRN]

1 hour ago, feelix said:

And that is the problem. It is all about business needs.

I mean healthcare is absolutely a business, and is becoming increasingly worse. Even non-profit systems have administrators making huge salaries.

For me its a business because I need to keep the lights on and payroll paid. 

[Daisy4RN]

37 minutes ago, BostonFNP said:

Where could the system cut costs to budget for it (I'd vote on removing the entire administration but that's just me)?

Of course we need some admin but IMO this is a huge problem. We have been steadily increasing admin over the years. Same size unit 25+ years ago had 1 MN and 1 educator, fast forward said unit has 1MN and 4 ANM. I don’t see the increased need. Same with other admin positions. Increased  staff plus increased pay and bonuses could really go a long way for more (patient care nurses). And that is not even counting the lower wage people that the hospital sends around with clipboards checking if staff used hand sanitizer etc. Too much waste IMO. 

[Daisy4RN]

6 hours ago, KalipsoRed21 said:

1) Acuity has gone up and time of care has gone down. Which means people (and taxpayers) are paying out their bursa for poor quality care. Very unethical. I would imagine (or at least hope) that this conflict of ethical behavior disturbs most of us in healthcare.

2)  The only time I feel my time was adequately compensated for all that I am responsible for was when I did travel nursing. Bit I could not tolerate switching facilities all the time or being away from my husband and kids. (My husband is/was a brick mason.) And frankly that was the salary that I felt I deserved for doing my job at a hospital full time not traveling around learning a new facility all the time. It isn’t the amount of hours (8/12/salaried) it is that 80-90% of the time I am working more hours than what was agreed upon because there is no staff. And salaried was just stupid. Never flexible, always there, way, way more than 40 hour weeks. Stupid and I won’t ever do that again.

3) I have gone one to get several advanced certifications. The pay increase is minimal. And I have learned that I do not want to advance in nursing at all. Advancement means that I will have to be more involved, more available, and more time away from my family. No, no, no, no! 
 

4) I have yet to meet a nurse that went and got her advanced degree as an FNP and didn’t regret it. My own PCP is an NP and she has told me of her work life and how much she hates it but has to keep going because of student loans. Student loans are how I got stuck as a nurse, no way I’ll do it again now that I have them paid off. 
 

I am a good nurse. I have received lots of acknowledgment of my expertise from several employers, but I am done with this stupid crap. I want to work and go home. I don’t want to be working my *** off hard every day I go to work. I want to pee and poop, and eat and rest and give quality care and then go home. That is not nursing or CNA work. So nursing is bad, don’t go into it.

I understand completely, but unfortunately I don’t think it will ever get any better! The only advice I have is to just do the best you can with what your admin gives you to work with. Prioritize and do the best you can, what doesn’t get done doesn’t get done, not your fault. And do take your breaks etc, it you don’t you will regret it later. I know it is hard at times but let things go undone (the little things of course). 

[feelix, RN]

That is because there is more and more paperwork to be done in nursing in the name of quality’, and accreditation. They need more higher level pen pushers to keep CMS, Joint Commission, and the lawyers.

[KalipsoRed21, BSN, RN]

On 11/24/2021 at 4:02 PM, BostonFNP said:

I absolutely agree that the quality of the care (overall, in this country) is substantially less than it should be for the amount of per capita healthcare dollars we spend.

If hospitals were to increase nursing hourly rates to the same as travel nurses (I think at our local hospital that would be paying $20 more an hour in pre-covid times), would that fix the quality problem? Would it offset the huge increase in cost to the system? Where could the system cut costs to budget for it (I'd vote on removing the entire administration but that's just me)?

If I were an administrator, I would sure look at if the hospital could save money long term by increasing base pay and nurse staffing levels and not relying on travel nurses. If the hospital is staffed by 20% travel nurses making $20/hour more then they could afford to either pay all their nurses $4/hour more OR hire 10% more nurses for the same money. Would that be enough to make people happier and quality better?

 

This whole triangle where if nursing staff get paid more the costs of care require something to be omitted concept….while I truly understand it as a business concept it isn’t that simple in healthcare business terms, if you ask me.

What needs to be done in healthcare is a complete reset. 1) Facilities and hospitals should be required to have a menu of services with estimated prices posted and easily accessible to customers. There needs to be hospital competition among PATIENTS, not among insurance companies. Insurance companies should have to make plain how having their insurance affects the patient’s cost and a posted menu of discounts they have negotiated with hospitals/doctors. EMPLOYERS SHOULD NOT PROVIDE INSURANCE AS A BENEFIT!! The government should mandate we all have insurance (as they did) and we should be able to shop for the best insurance provider (thus creating competition among insurance companies by the patient, not insurance competing for the business of our EMPLOYERS. That is so backward to have your employer pick out your insurance for you based on the discounts the employer gets from the insurance company!!! Also, nursing needs to quit overinflating education requirements for nurses. And ADN is more than adequate to be a good, safe, competent healthcare provider. I have a BSN because I was told that I needed it to get anywhere in nursing. But my friends who have an ADM feel more adequately compensated than I do. For the most part they are paid what I am and have far less debt. Also they are generally paid just a dollar or two less than me to do the exact same job. I feel my BSN was way more expensive than a dollar or two. America as a whole has a real hard time accepting that some people just want to work enough to live, not live to climb a ladder so they can have more things. Nursing should be a good middle class job that doesn’t require ever increasing degrees and certifications to be adequately compensated for years of successful experience. 

[payitforward]

I agree with 1000%. I have been in the medical field since age 14 when I was a “ candy striper “ volunteering at a local hospital. I am not in my late 50’s. I pretty much have been there and done that, and I have become so disillusioned with nursing that it makes me sad. I see new grads having attitudes because they aren’t holding a clipboard telling folk what to do and catching attitudes when they have to work on the floor. Wow! I thought working the floor was a rite of passage? I’ve seen nurses walk past a call light to get a CNA/gna to answer the light. Administrators feeling the need to tell a DON that 1:20 is an acceptable ratio and the DON NOT  saying anything. All in the name of “ saving money”. Yeah, I could have done without the pizza . And why is it that facilities tell you don’t come to work when you’re sick, but when we ARE sick we get read the riot act? How does that even make sense?