Politcally incorrect rant aka how my day went

Published

If anyone here thinks that healthcare is not already suffering because of Medicare cuts and reimbursement cuts as a result of Obamacare and the general state of the economy... are smoking some great crack (and I'd like some). And the bad news is, we are in a downward spiral with very little to no hope of stopping it. Staffing cuts are leaving our hospital workers overwhelmed and unable to provide the level of care that we once did. Value-based pricing, process measure indicators, and customer satisfaction scores, which Medicare reimbursement is now based on, have nowhere to go but down. Which equals more decreased reimbursement and even more staffing cuts. Our national leaders from the left and the right should hang their head in shame at what they have done to our national budget.

And hospital administrators need to pull their heads out of their elitist, overly educated a$$, and join us "peons" on the front line. Then, they can tell us we need to do more. We need a practical paradigm to emerge from this nightmare--- not more esoteric weak management and leadership philosophy from the school of BS model of useless politically-correct drivel. Our leaders need to extricate their lard butts from their inane committee meetings and take a peek at the state of things. Stop telling us "we know this is a problem, we are working on it" and do something about it---- that is why we pay you the big bucks.

Specializes in Peds/outpatient FP,derm,allergy/private duty.

It's kind of a smörgåsbord rant.

There are a couple of things you allude to that could be changed without a lot of difficulty, though.

The executives and people who normally inhabit an office wth a carpeted hallway should get out there and at least talk to the people on the front lines. That would be an excellent start.

It always amazes me that most businesses (including healthcare) give the people who interface with their "customers" the least support and pay them the lowest wages. Imagine if that was turned around, and nurses, CNAs, etc were paid twice as much and we were flown to conferences in Carribean hotels and given gift baskets, etc.

To be fair, we could have Management Week and give them all a crappy tote bag emblazoned with our names on the sides, or a polar fleece throw you can see through with a picture of our smiling faces on it. :)

I think it would have a transformative effect and probably end up saving everyone money.

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Specializes in MED/SURG STROKE UNIT, LTC SUPER., IMU.

Totally agree and could follow the second paragraph with no problem. I hope you have a better day today. I definately think management should shadow a nurse for a day and then tell us how we can get more done. "Mandatory leg bags to get rid of those pesky 5 minutes to pee." That would be one for the board meetings.

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Totally agree and could follow the second paragraph with no problem. I hope you have a better day today. I definately think management should shadow a nurse for a day and then tell us how we can get more done. "Mandatory leg bags to get rid of those pesky 5 minutes to pee." That would be one for the board meetings.

I too had no trouble understanding this post. I would have to presume that those who "can't" have an iron in the fire on the other side of this arguement.

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Specializes in LTC.

Obamacare does not go into effect for 3 years if it does at all.. Its true our system is broken, and our politicians only care about serving themselves. These are not great times we live in now. While I don't blame Obama for the current state of things (he hasn't been around long enough to hurt us and it seems he has been unable to get Congress to agree to help us working people) I don't know that things would be any better or that they will be any better in the next administration.

Oh and as for the state of working of these days I can honestly say employees have no say in anything and that we seem to have no rights as workers. We are supposed to just shut up and do our jobs no matter how deep the work load gets. And we are supposed to be thankful that we even have a job..

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Specializes in Trauma Surgery, Nursing Management.
What about decent spelling and a breath every now & then, so we can actually READ what people are posting?!!

Carol-you owe me a cup of coffee; mine went directly through my nose as I laughed at your post! I thought that it was just me being overly sensitive to poor spelling...my one true pet peeve.

OP, I understand your rant. It is very frustrating to see our healthcare system so mismanaged. So what are YOU doing about it? Have you written out a list of issues to discuss with your manager? Have you written to your congressman? Have you joined a professional nursing association to become involved with the changes you would like to see?

It is easy to sit back and blame the "elitist overly educated hospital administrators", but without taking some kind of measurable action yourself to change this broken system, your rant is tantamount to a pouty child.

Oh, and writing that you are clarifying your post for the 'hearing impaired' will gain you little support. We are all in the same boat. As nursing professionals, we can accomplish more if we work together than against one another.

It may seem overwhelming and hopeless to take steps to change our working conditions, but it must start somewhere. It may seem like our voices aren't heard, our efforts go unnoticed, our ideas never implemented. It takes TIME to see change, and it takes patience and determination to push forward when we run into brick walls.

But we can start...one step at a time.

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For nearly 40 years I have said that everyone should get the care that the mother of the insurance company's president is getting. Because that president is making certain that his mom has the best care possible.

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Specializes in Mental Health, Medical Research, Periop.

Lol! She clarified for the "hearing impaired" as if you need the sense of hearing in order to read. ROTFLMAO! I still can't hear you, thank God I can see. Would you please clarify for the visually impaired? LoLOLOL!

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Specializes in FNP.

The dumz. I gotz em. 'Cause I still don't get what the nonsensical rant has to do with anything. Whatever, carry on.

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Proper spelling, grammar, and a breath every now and then, diminishes from the overall tone of the peice. Also it's not nearly as cathartic when you gotta think about it ;0)

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Specializes in ER/ICU/STICU.
If anyone here thinks that healthcare is not already suffering because of Medicare cuts and reimbursement cuts as a result of Obamacare and the general state of the economy... are smoking some great crack (and I'd like some). And the bad news is, we are in a downward spiral with very little to no hope of stopping it. Staffing cuts are leaving our hospital workers overwhelmed and unable to provide the level of care that we once did. Value-based pricing, process measure indicators, and customer satisfaction scores, which Medicare reimbursement is now based on, have nowhere to go but down. Which equals more decreased reimbursement and even more staffing cuts. Our national leaders from the left and the right should hang their head in shame at what they have done to our national budget.

And hospital administrators need to pull their heads out of their elitist, overly educated a$$, and join us "peons" on the front line. Then, they can tell us we need to do more. We need a practical paradigm to emerge from this nightmare--- not more esoteric weak management and leadership philosophy from the school of BS model of useless politically-correct drivel. Our leaders need to extricate their lard butts from their inane committee meetings and take a peek at the state of things. Stop telling us "we know this is a problem, we are working on it" and do something about it---- that is why we pay you the big bucks.

So what have YOU done about it? Have you voted, petitioned, gathered signatures and taken them to your local representative and senator? Have you gone through your chain of command about the terrible working conditions?

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I think you all may have missed my point in it's incoherency. We should not have to fight our leaders for what is right. If you are being paid to run something (a nation or a business) you shouldn't run it into the ground.

What have I done about it? I wrote a beautifully disjointed tirade on a message board. Now I am going to go knit something. I'll leave the protesting to the hippies.

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I'm happy to say I am fully able to read and comprehend the OP's post. Just more proof that I am smaaaart. :D

Really, I do love to read all the "blame Obama/Obamacare" crap out there. Every CEO is using it now as the reason to cut back and lay-off folks. Funny how just about every employee who is laid-off will buy into all that too. Suckers every one of them.

People, don't be so gullible. There's a lot of liquid assets in corporate america now. They just don't want to hire or better things unless they feel that it will directly bring in even more cash. Those that got it know how to keep it.

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