MarkonCRT

that's really a sad and disturbing thought. hope that if they do monitor this in an "orwellian" way, that they take note of the reality that outcomes are based on knowledge, timing, teamwork and many other factors. the low priority is if the patient receives a four star meal and a stay at a spa. jeeez, maybe we better not talk about getting the vote,,,, maybe the gold old boys are monitoring the site. i'm a guy by the way.

Found this link on another site and wanted to share. I had a good laugh, but await your thoughts. Just copy and paste to your browser.

I guess that people can always have a difference of comprehension of the written word. As I stated earlier, I don't believe that some of the people who responded read the complete post and realized that this was more of a commentary on the way nursing has been allowed to deteriorate at the patients expense. The maliciousness that you interpret, I read as sadness and resignation. I'm not dumb or gullible, and my ability to read the true meaning of a post may exceed yours.

Are you kidding me? The failure of the critics to realize that the OP is making a comment with regard to the state of patient care priorities shows a lack of ability to use a vital component of nursing. That being critical thinking. If you can't see that she was making an observation on the state of nursing in general, I really question your general understanding of any situation. I think it was perceptive on her part as a new grad to see clearly what most seem to ignore.

i think that in your examples there is a reasonable expectation of entering into a contractual agreement for tangible assets secured through the contract. hr presenting a contract to the employee at the time of the offer seems somewhat underhanded to put it mildly. if there was a set practice and the expectation of such a contract in all hiring practices, we would have legal review of the contract before signing. are contracts a part of life? sure, but pulling one out in a "by the way" fashion after a job offer to a prospective employee isn't. that being said, she did enter into this contract and is fully bound by the terms. i just think this is another example of how inexperienced nurses are manipulated. what are your thoughts on the verbal promises that were not forthcoming? i gues the used care salesman and the mortgage broker could lie to me also, just hopeing that as a profession, these things wouldn't occur.:)

Does anybody reading this post have any problems with the integrity or moral ethics of HR springing an employment contract on a new hire that most likely has limited contract experience? I can't t think of any other profession that operates in this manner when hiring an EMPLOYEE and not a contractor.

Thanks for the heads up on Suzanne Gorden. I orderd the book today. Thanks to all those who responded back, and a special thanks for working your butts off for a number of years.:)

the center for nursing advocacy states that in 2004 there were 2.9 million rn's nationwide. i'm sure that the numbers are higher now. the organizations that you speak of seem to have no voice. if they did, there would be a call for outrage against the portrait of nurses as an expendable commodity that can constantly be made into the scape goat of poor care that is fostered through fiscal policy that ignores the outcome of the patient. i don't need a 20 million dollar study to know that qualified nurses in greater numbers in an acute care setting would reduce morbidity and mortality. this basic fact seems to be ignored over and over. the cost of one electronic monitoring system may very well have paid for the additional coverage that would have prevented errors for patients. if you have two guys shingling a roof when the job calls for five, you shouldn't be surprised when the job is late being done, the workers are injured or burnt out and a leak develops around the chimney. the way it's looked at now, is to have an electronic monitor around the roofers neck to make sure all the nails are driven in. make sure that the homeowner and neighbors are well taken care of by the understaffed team, chart relentlessly the progress at the direction of the roofing company owner, both paper and electronically, and then sit silently by when the roofing company owner blames the lazy workers for the imperfections and disgruntled neighbor who found a nail in their yard. i'll give anybody who disagrees the chance to flame me now by saying that i'm not a nurse. i am a respiratory therapist just starting nursing school, married to a woman who has been an lpn, and a rn for 30 plus years. it's extremely sad for me to see how this demanding profession is being treated and minimized.

It seems that there is a constant flow of information that is presented by the media that belittles and demeans the actual role and responsibilities of the nurse. I can't think of any profession that would allow themselves to be tethered to an electronic monitor that tracks every move without a huge fight. Would physicians allow cameras at the bedside wash basin to monitor hand washing ? And why hasn't this been suggested as a way to reduce infection rates? Maybe little frowning smiley faces that they wear on their foreheads for the rest of the day if they forget. Where are the people who stand up for nurses and defends against the misinformation and attacks? A group that is as well educated, task oriented and hard working as this group should be able cull a few outspoken RN, BSN and MSN's from the ranks. Med errors are depicted as acts of incompetence in the news.... where is the comeback that tells of the increased workload of more acutely ill patients that foster an error as administration looks for ways to increase the margins? Maybe the need exists to look at all these retiring nurses that are due to leave the field. No fear of retribution, and I guarantee that many of them are very very aware of how information is manipulated. Just saying !

The saddest code that I'll never forget was a full term pregnency involved in MVA. C-section in ER with both patients gone. I remember the silence in the room. I cried alot on this one later in the evening. It's one part of healthcare that I really hate.