Losing momentum? - page 4

Okay nurses! We have a good thing going here. If you have not written to your legislators you need to do so! If you need help in doing this , I will help you! So will Barton! Also as Barton has said... Read More

  1. by   Joe,RN
    You know? Eliza, I have often wondered how nurse/patient ratios and acuity were established in VA facilities. I was in the Army as a corpman, did two tours and came out as a LPN. I had the opportunity to pull some duty in several VA facilities. This was (wow) 25 years ago and I am sure things have change dramatically. I have, more recently, visited friends who were patients at VA facilities and talked to some of the staff. I saw critically ill patients sharing rooms with patients recovering from minor surgery. One of the nurses stated to me that there was little distinction as to floor assignments. Patients were divided at shift start by the nurses themselves. Seems you could have two bad ones and three good ones or seven good ones or three bad ones and so on and so on. There seemed to be an air of complacency and lack of patient care. This may be biased because of my limited exposure to this environment. Oh, and I saw one RN on duty! Does this help you at all?
  2. by   Joe,RN
    Something I forgot to tell you! Would you believe that some of the patient care was done by the other patients assigned to the unit? I saw a man shaving another and assumed he was a friend or relative. He was a patient assigned to the next bed! Such kindness, brings tears of compassion to my eyes, such neglect of care, brings tears of anger. Just goes to show you, vets are indeed special people.
  3. by   eliza
    joe, you're right about your observations. When I first worked at a VA and saw 5 beds / 5 pts in room , I thought how inthe world can they get their rest. But, fortunately it usually works out for the best. Pt's, (men) (vets) more often than not 'take care of one another'- willingly. They watch out for each other in a way I've never experienced in 14 years of public nursing, nor do we see this with women...???interesting, huh?
    back to staffing methodology; the va system is so poor but makes the 'numbers look good', wheras when i worked in public, the staffing methodology reflected pt care better, however the 'staffing'numbers were more deficient.