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Congrats... ON job and baby!!!!!!! shhhhhhhhh :) Keep it to yourself for now

Dont give up, just make it a goal and follow your dream! Good Luck!

oh yeah and the clicking of the heels... it bothers me too, so i see what you are saying. Those clicks will not come from me. Can only wear flats since my injury. :)

thank you 2ndwind. I appreciate the advice. I am an advocate for staff as well as patients. I truly feel that if i can make a change in the quality of care or improving the gaps between what the staff needs and administraion that would be incredible. There were many times i thought while on floor "omg i can not do this any more" the stress the unsafe ratios etcetc. I did not take this position because i thought it would be easy. I debated over it for a while. I suffered an injury that has left me on sedentary work as of now. I have been for the past year. I have struggled and cried with the doctors who have told me going back to the unit may not ever be an option. I didnt have much of a choice in that. This is not where I thought I would be at this time in my nursing career, maybe in like 20 years, but it is now so i am doing my best. I truly do like it for the many reasons i have already expressed. I went to school to be a nurse to care for others. I unfortunately may not get to do that again. If I can change the stress and frustrations of my peers that too would be rewarding!

wow what a mess, i sorry this has happened to you... good luck and take care.

Thanks everyone for repling. I will do my best to change it for the best believe it or not.

I am open to comments and personal expereinces but i do not feel like I should be judged as I was. I do not approach my staff defensivly at all. Like I said 9 times out of 10 the staff was not in the wrong and maybe they were blamed in the past, but not while i have this position. No way no how. I can put myself in their shoes. Education and understanding is key. I really want to make a difference and yes be a support for the nursing staff.

I am not fighting with you. I am calling out to my peers for help advice. Ways I can change this. I am pro nursing. I am dedicated to my profession and making sure patients recieve the best care they should as a nurse should be. I have had some awful experiences as a patient myself where I recieved horrble care. I want what is best for both sides. Not all nurses are created equal, there is unnacceptable behavior that will not be tolerated, but most of the time there is behavior that needs to be praised. I do not think staff is used to compliments. I know they come far and few between, but are due daily.

I am not sure that you are being honest because you do not know me. I am not juding you so i would appreciate it if you have nothing to say other than smart comments you just dont reply at all. With such a judgement that my job is basically "window shopping" you were being rude.

I have made it a priority to compliment the staff and assure them they did the best they could do. I would not like to be blamed for something I didnt do. I understand because I have been in their shoes for six years. I know how hard it is the poor nurse/patient ratios all of it. It is very stressful. I love bedside nursing. I love being a nurse. Part of me really loves this new job because I have the opportunity to make a difference. If i can change old ways and improve the quality of care and performance of staff. That to me is amazing! I do miss patient care. I have suffered an injury that has not allowed me to go back to patient care... I am a nurse as caring as the rest of you. I want ratios /stafing to be suffcient. I want change I want nursing to have a support system and be heard. I am doing all I can to change this!

A patient leaving AMA does not trigger me to be involved the reason i was involved was because they called in and filed a complaint. I address these issues with the staff to come up with ways to improve our process. Actually 9 times out of 10 the staff did nothing wrong and i always assure the staff they can talk with me at anytime. I am a RN. I have had patients leave AMA. I realize the staff just doesnt know what CMS and JC require a facility to do with a complaint or greievance. They are categorized in high/low risk major and minor. THEY HAVE TO BE INVESTIGATAED! I think I will do an education session to explain the process of patient concerns. I really appreciate those whp have given me advice. As for you this comment: Yes it is hard to believe management cares. Maybe that explains the attitude. WE (myself and the other nurses with "attitude") are cynical, YOU are naive. YOU have no right to judge me. I am doing my best to change things. Whatever experiences you have had would have been great to hear about but for you to state i am niave and be so negative... I will just say a prayer for you!

To everyone else thanks for the advice i appreciate it.

I do wear business clothes. As float staff which was my previous job, I made friends in every unit. I got alone very well with my peers. I am trying to change the attitudes and make a difference. My position is important. I am not naive. As for this comment : 1. all management is concerned about is money 2. quality would improve if staffing improved 3. your position is window dressing sorry, you seem like a nice person, but naive. You obviously dont know about Quality or PI or how important it is to a hospital and staff. It is not window shopping. I was asking for advice not rude comments! The last thing I care about is money. The only thing I care about is my staff and patients!!! Is it so hard to believe that someone in management cares???

Fast pace... you will run around like a chicken with your head cut off!!! ER is fast, exciting, and scary all at the same time. You will witness things you never imagined and things you will wish you never see again. The pediatric population is tough. Kids bounce back quick but they also go down hill quick. Good luck with your new path of nursing and congrats!!!

I posted this last week. thanks to all who replied. I just am very frustrated lil history on subject read my last post and then i will explain: This is last week post "I have a question? Here is a little history. I am an RN BSN. I started my career in ICU. I worked ICU for 3 years and then went to Float pool. I floated to all clinical areas of hospital for 3 years. I have just accepted a new position in Quality Management. I was approached to take this position by administraion and medical director. It is new to me but i enjoy my role so far. I work on all patient concerns/greivances, set.events, RCAs, quality assurance and performance improvement. I have really got a taste of the other side, behind the scenes kind of nursing. Anyway my question is to all the nurses working patient care, (I was one for 6yrs) Why do I get such an attitude and defence/resistance from all when asking questions about an event or patient concern. We are not there to get you in trouble. We are there to help improve quality of care and improve performance. Why is there such a resistance from the staff nurses? I am not being smart when I ask do many of you even know there is a Quality/PI Office in your hospital??? I have found from my hospital, staff doesnt know what Quality or PI is. " I have made it a point to compliment the staff on all the positive observations I make. I have typed up notes on specific positive incidents i have witnessed and praised the staff.. I hang them in break room ofcourse without any patient identification. I also personally give the involved staff a copy and the manager. Today I go to a floor to discuss what happened when a patient left AMA. When I go to interview the staff, I make it a point to tell them I am not here to get them in trouble i am here to clear up what happened. I talked to three nurses involved in the case. Just trying to get the entire picture. They all 3 gave me a BIG old ATTITUDE!!! I am so frustrated. I am a nice person. I do not approach staff with attitude and i always reasure them I am here to help. I keep getting the same comment from staff..."You are one of them now"... I reply no i am one of you, a nurse, a nurse who worked along side of all of you, I wanted a change and got the opportunity to see nursing from the other side. I am still one of you! arghhhhhhh!!! I do know the last person in my position wasnt very nice and always talked about the bad and didnt talk to the staff as a peer but as if she was police. I am not the darn nursing police!!! frustrated......... sorry for typos too frustrated to check!!!