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karenchad

karenchad

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  1. karenchad

    oh so now we PAY to do residency to get a job?!?! seriously?

    I'm sorry to say NO I wouldn't- I think nursing students should get the real hands on clinical experience that I and many others got 30 years ago in a diploma program. I know that not a popular conviction nowadays I just don't see how you can teach someone how to ride a bike with out a bike. All the other fluff is nice but it's meaningless with out a solid foundation- teach about foley insertion, show foley insertion, do foley insertion. There is an art to teaching. I asked a nursing instructor up on the unit I was on about 1 year ago- why there is such a shortage of nursing instructors- her answer was; because students are sueing the instructors for failing them. Since when is that allowed- if you don't know something- especially with someones's life at stake, why would you think your instructor would pass you?? If you are not going for extra help, or asking a question, are you really interested in the course material? maybe the student should aske themself- am I nursing material??( I think now a days it's phrased- a good fit to me that's a description of a bra not whether someone belongs in nursing or not)
  2. karenchad

    oh so now we PAY to do residency to get a job?!?! seriously?

    Did any of you nursing students/new grads complain about this to your state nursing association or board of nursing? What did the school teach in exchange for all that tuition money they collected?
  3. karenchad

    oh so now we PAY to do residency to get a job?!?! seriously?

    This is unforgivable for a nursing school
  4. karenchad

    oh so now we PAY to do residency to get a job?!?! seriously?

    I think nursing education should go back to diploma hospital based nursing programs, where a student nurse can get a realistic idea of what nursing is all about, the good, the bad the ugly, the reality- the patients, the bedside, the proceedures, the preps, the meds, the calling for orders, looking up the labs etc. Leave the BSN degree education for some one who is already a practicing NURSE- some one who reality/culture shock has already hit and left- some one who can say- ok, now where do I want to go from here. I think the hospitals should go back to the old practice of NO NEW GRADS in a speciality area until they have atleast 1 year of a solid med/surg foundation- none of this- learning how to put a foley in in an ICU enviornment. By the time a nurse is in ICU they SHOULD already have mastered the foley insertion. I think this burns out both new grad and preceptor. The ICU is not the place to be learning basic medication interaction and lab interpretation, the ER is not the place to learn signs and symptoms, that should already be known. How can you learn the more advanced stuff if you don't have command of the basics. The only reason why new grads were suddlenly allowed to go into speciality ares instead of the traditional med/surg first was the shortage of nurses in those areas. This system doesn't function anymore. The needs of high acuity patients vs. inexperienced nurses is not working anymore. It's frustrating all involved. The whole system is screwed up.???
  5. karenchad

    Could you be a whistleblower?

    I don't think honor and honesty are words synonomis with healthcare anymore. That ended the day the MBA CEO's took over and it became about the MONEY, the 'Big guy". I belive the philosophy of democracy has gone from healthcare- there is NO freedom of speech and the civil rights in this county end at the hospital entrance. Like tewdles- I lost my fulltime job 2 years ago when I stood up against a situation that should have been a NO BRAINER ( 'brain' being the keyword) A vietnamese RN was being harassed, name called and had blatent insubordination by the 'lunching' nursing assistant ( he had been called stupid from the day he stepped on the floor, simply because of his accent- was fluent in vietnamese, cambodian, mandarian chinese AND english. He had just got a active GI bleed from the ER and was on his way down to the Lab to pick up a unit of blood, a patient of his needed the bed pan and he asked the aide to assist the patient, the aide refused, when I spoke up the aide turned on me, she went down to the NM to cover up- her butt and I was terminated.) I went to the State Labor Boadr, Corporate Compiance of the hospital and the EEOC. The whole matter was COVERED up to the attorney who went up to the nursing unit to investigate- to the point where the MOUTHY nursing assitant began to cry when questioned by the attorney and used her lesbianism(which none of us knew about) as an excuse- how lame is that!! Whistleblowing doesn't pay off. I went through my entire savings to keep my home as jobs have been slim pickens with all the mess in nursing going on. Needless to say I'm sure that aide still has a fulltime job. If you voice your opinnion, you are quickly shut up. I don't think this country was founded on 'shutting people up- if that were the case we would all be singing GOD SAVE THE QUEEN instead of the STAR SPANGLE BANNER! Nursing has become saturated with intimidation, threats, hostile working enviornments, harassment, and abuse all because we don't want to say or write something that might offend if we call it what it is. By minimizing all this crap, it has been allowed to flourish and engulf the entire profession. It's going to take something very powerful to 'surgically' remove it's influence- hopefully that will be the mega nursing union. How many times have any of us tried to advocate for a patient and met the wrath of our NM's? or Nursing administration asking the ever so popular reprimanding 'stupid pet trick' question "What did you do that for?
  6. karenchad

    Nursing crisis looms as baby boomers age

    I think if we read between the lines of all the posters above- and they are all correct, what I can get from this is and it's something I think we all know and most face is the hospital/healthcare 'powers that be' are plain out mentally ill. Thier personal bonuses and perks which are hefty- millions of dollars for the individual, are tied to hospital profits, if that slumps for a month WHO do they come after- the NURSES. The witch hunt begins- not fast enough, forgot to document this or that, need to cut hours, NO OT, work short, poor customer sevice skills= get written up, what ever the disipline may be. We take a beating I think there's an entire abusive culture thing going on between direct care nursing and administration/management. WE are the brunt of the higher ups personal profit frustration- they treat us with such disrespect, that they do everything but spit on us. As was mentioned above- if the new RN (whether she is new grad or older) can't catch on in the 12-16 week time frame, their gone,,,next. another for12-16 weeks,,,gone,,,next... Maybe we should stop attaching words to it like expendable and just call it abusive and mental illness. If you beat a group down enough they stop fighting and start to believe they deserve the treatment they are receiving. They'll some have us believing we don't deserve to be paid, they are trying with this work for free just to get experience deal. These hospitals are sick. They need to be held accountable for THEIR practices.. When one of theirs is caught frauding medicare what do they do- they swiftly remove him from harms way( get him out of his CEO position)and replace him with this woman- Judith Perch... who happens to have been a RN in her former life. Not hardly throwing the crooked CEO under the bus. I think that former nurse needs to look behind her- she may be the one they trow under the bus.
  7. Her appointment isn't going to make any difference- She's a business person more than a nurse. Same old crap just different day. She was put into that position- rather swiftly because one of the Hospitals she oversee's has been indicted for medicare/medicaid fraud. Their excuse is a consulting firm told them years ago the hospital wasn't charging enough, so they increased the rates for whatever, and they have a $7 million dollar slush fund available to them!! This was in our local newspaper. I'm guessing they had to get the old CEO- Hatala out of there quickly to keep him safe from harms way and save the catholic healthsystem's face and reputation.
  8. Bedside Nurses are not valued in the eyes of administration- we are devalued. We work 12 hour shifts because that is the way administration wants it- long ago in the late 1980's with the "nursing shortage' the reason we were given at the hospital I worked at was - It was easier to find coverage for 2 shifts than it was to find coverage for 3. It started in the ICU/CCU. The 12 hour shift quickly became the norm, then in the early 1990's we had too many nurses- new grads were having a problem finding jobs. It's all a big bunch of garbage. The longer you are around this profession, the more clearly you see administration's crap flinging.
  9. karenchad

    Nursing crisis looms as baby boomers age

    The public also needs to know that most of the experienced nurses are being chased out- where's the experience at these bedsides with complexly ill patients.
  10. karenchad

    Nursing crisis looms as baby boomers age

    I don't think it's a matter of nurses( bedside staff nurses specifically and the MOST affected in this mess) not being able to look out for themselves or speaking up, It's what is and has been done to us who HAVE done just that. diciplines, terminations, layoffs according to peck orders, get rid of the outspoken in most cases the older nurse squeeky wheels, the troublemakers(as we are viewed when we speak up) the only thing administration wants is a YES person, a bend over person, a 'you are soo right person': when it DEFIES common scense, patient safety, our license. There is No dialog between administration and the staff nurse. It's just do it.( work shorter staffed, longer hours, more patients, faster and faster where's the smile, lets see the teeth, keep the customer happy, don't ask for more money- there isn't anymore because administration's pockets need lining first/off the top, nope no more staff- 'DO THE BEST YOU CAN"!! but don't dare leave something out- because if you do- your GONE. even the newer nurses are leaving after 3-5 years depending on their physical stanina> staff meetings are full of press ganey numbers and profit margin reports- this is pure usless garbage!! this is an absolute indicator of where administration's focus is. often times in these staff meetings- the PATIENT is NOT mentioned ONCE. If only these staff meetings could be video taped and showed to rooms full of the general public- let the public decide what's wrong with nursing. WE, nurses are short of breath trying to tell these administrator jerks- and yes, they know what the problems and are SELECTIVELY refusing to listen- they don't want it changed- it's too profitable for them- that's what the public needs to see and hear. The public needs to know why they go to an ER and drop dead without being seem, why someone dies of medical and nursing errors- wrong heparin doses, the public needs to know the pace and patient loads each one of us are FORCED to take on or be terminated. The public needs to know the threatening and intimidating administrations pull on it's nursing staffs. The public needs to know what a nurse is responsible for= why they earn and have the RIGHT to earn a decent salary, the public needs to know how much the hospital CEO makes and needs an answer why the CEO's salary is what it is when nurses are caring for Joe public's family members short staffed and NOT smiling, stressed out, and frazzled but the CEO makes out good!! The public needs to know who the money mongers really are.( not the staff nurses) The public needs to know what happens to a nurse who reports medicare fraud, a poor practice . The public has the right to know- they are the ones affected by this- customers/patients/consumers??? are they not???
  11. karenchad

    Nursing crisis looms as baby boomers age

    It makes me wonder -or I can't help draw out of all this mess, Hospital administrations all give a "trying to change a culture' message- just what and how are they going about this. I think the above poster has a interesting point- lots of new grads ( out of work- but a pool of new grads kept in the holding pattern and experienced nurses administration is classifying as 'retiring' at age 50- in reality- forced out of work and unable to find another permanent position) The hospitals will hire us older 50 ish nurses into per deim positions but not permanent fulltime hours it seems.
  12. karenchad

    New national nurses union forms

    To PICUPNP- I don't mean to scare you- but my former union Pres. ( an ER nurse) from 1980-2002 moved to TEXAS. Merry Christmas from Philly!!
  13. karenchad

    New national nurses union forms

    A union DOES have the right to view personnel files, if the union has reason to believe that diciplines, terminations, layoffs etc. are suspicious in nature ( complaints from their unionized staff nurses) they most certainly do have the right to view those files. Incidently, this is where a large % of union dues are spent- management's screw-ups, defamation of character, and failure to play by US GOVERNMENT established LABOR LAWS- we do have them( U.S. Department of Labor.gov.) If I were a part of a 'dirty' management team now a days, I'd be afraid of union talk too.
  14. karenchad

    New national nurses union forms

    To PICUPNP- With an advanced degree I would think one would have learned to express one's opinnions with more eloquence and restraint. I think all on this forum are entitled to their opinnions- which are largely based from one's own experiences- some more vast than others. You sound more AFRAID of union's, possibly because you have no experience with them. This discussion is not so much about who wears a lab coat or not , however, there IS a difference in the treatment of the wearer of one- sorry to let the cat out of the bag! This discussion is about fair wages, safe staffing, playing by US government labor laws, and workplace violence ( blatent disrespect on management's part to their staff nurses) Since management also has advanced degrees ( whether they be business administration, or nursing) their behavior does not speak too well for their education. So what can one conclude from this- that advanced education gives one the right to ignore the personal rights of others??!!. I have always thought the sign of a truely educated person was being able to listen with an open mind, possibly learning something from the DIAGLOG, but at the very least respecting the other's opinnion with out attacking them. I think the tone of your posts makes a good case for why unions are needed, with or without the 'labcoat' and doesn't make too good a case for advanced nursing degrees. I'm offended by the tone being a felllow RN.
  15. karenchad

    New national nurses union forms

    I must not only be misinformed but visually hallucinating also- all the Nurse Practioners ( male and female) I have come in contact with in 4 different hospitals 2 hospitals in the same healthsystem- have all worn white labcoats and street clothes- cardiovascular surgery, pulmonary medicine, cardiology. It's the PA's that don't. Maybe you should actually do some research and stop bad mouthing something you know nothing about- unions! Maybe your wife doen't mind taking on more patients than a safe assignment ratio and jepordizing her license- she has you to support her if she looses her license and can't work and pay the bills. Maybe your in a nursing or physican management or administrative position where your influence protects her from the unscruplious tactics of management that the rest of enjoy on our own.
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