I know exactly how you feel, I'm currently working at a hospital, fortunately temporarily as it's a travel assignment and they are trying to get magnet status, which is code for bending over backwards for patients even if it seems like an impossible task?!?!
I work in L&D and the things we are asked to do are just so unrealistic, they have this huge pain initiative going on and I completely understand in other parts of the hospital it's important to control patients' pain. BUt I just received an email today saying that our goal was for our patients to have no pain?!?!? ARE YOU FREAKING KIDDING ME
So are we going to start giving out pain meds to every single patient with the least little bit of pain wile they're talking on their selling phones and hooting it up with their familes???? Are we not to do vag exams because of the pain we might be causing them? Are we do redose epidurals when patients are about to delivery so that they won't have any pain??
I did hear a rumor about the US starting to use laughing gas in the delivery rooms again, but come on, we all know how hard it is to explain to an uneducated or young patient or even not, YOU'RE GOING TO HAVE PAIN YOU'RE HAVING A BABY welcome to the real world.
I'm all for relieving pain when I can, but wehn you come rolling up at 9cm, screaming for your epidural, sorry chick it's not gonna happen, then we get a bad score, saying they made me have my baby without pain medicine, they dont bother to ask the details???
That's just the beginning of the ridiculousness that's happening and unfortunately it's on other units, too, so it's just sad, it makes it impossible to do our jobs.
I just have to say, I admire you postpartum nurses, because the juggling act you have to do on a daily basis is amazing, I have 1-2 patients, and obviously it's an entirely different type of nursing, but im rarely doing discharges admits, pku's, bilis, breastfeeding, and teaching.
If half these patients would do a bit of reading during the pregnancy we wouldn't have to be explaing to them in detail where their uterus is and why tehy still look pregnant and when will their breasts fill and is my baby eating enough etc etc.
Which is one of the reasons I chose to become a midwife, so I could spend time educating my patients and preparing them for discharge from their very first OB visit!
GOod luck with whatever you decide, just know that there are hospitals out there that function entirely differently and they some how meet magnet and JCAHO standards without all the ridiculousness.
ANd thank you for the good care you provide, good post-partum care is hard to come by, and is amazingly hard work.