Quote from ~*Stargazer*~
This is part of the problem. When nurses work off the clock like this, it looks on paper like you are capable of handling the workload that is being asked of you.
If just one or a few nurses refuse to do this, then it is easy for them to be singled out as poor time managers.
However, if you create a culture on your unit where your federally mandated rest and meal breaks are taken and nobody stays late to finish charting (or overtime is requested either due to missing breaks or having to stay late to chart), then it will be apparent that it's not just a few "troublemakers" and that the nurses are overworked, and the idea that the nurses can handle an unrealistic workload becomes indefensible.
Agreed- this has to be done across the board, and not just in one facility but all facilites nurses work in. It's not just happening in one facility, on one unit, to one or a few nurses. This is a universal
problem. It's not just a clinical
nursing problem, the original poster mentioned"case managment"
This is common knowledge
for all of us, nurses. it's happening in hospitals, home health and LTC. In every one of these venues the end user
is the patient
I am waiting for the 1 darn good explaination of why health has to pay a multimillion dollar( a
Sultan's" salary)to 1 individual- the CEO at the expense of the patient in these beds, homes, or where ever the patient is; just because, their marketing ability, their(tongue in cheek) "business saavy will not cut it. We are seeing progressively more and more of their dangerous, reckless, unaccoutable, continued cost cutting acts. It's getting worse and worse, it like "how low can you go under the limbo stick before the stick or the system falls down.
It's time nursing grew a pair and stood up as a large group to these CEO's. It's out profession not theirs.
If what the CMS and Joint commission lay down as regulations bother us nurses, it shouldn't. These are regulation agencies- that's their job. Why should
CMS pay for hospital aquired infections because the nurse is to spread thin to closely monitor 7,8,10 acutely(2012 acutely ill patients)ill patients. It's not the CMS' job to keep feeding the fiscal mis manamgent
of our greedy healthcare CZARS. It's not a reflection on the nurse at the point of care, this is a reflection on the fiscial managment of the institution they work for. The beside nurse is just the easiest one to get rid of. They can process variance/risk manage/ insident report all they want- they are still not solving the problem. There will still be another nurse who comes along and does the same thing or a variation of the same thing. Why? Try too much work for 1 person. There is something wrong with the thought process at the top, not at the point of care.- It's called "Greed based care" not "Evidenced based practice"