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spasm

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  1. How about going through the Policy and Procedure manual to see if they have guidelines for staffing? If they do have guidelines and are not following them, then you might be able to first appeal to the 1st in line, 2nd, etc. If this fails, perhaps your organization has a Risk Management department that might be interested in the potential liability risk of a unit which ignores its own staffing policies. A more radical approach might include giving your state regulatory agency a call to voice your concerns...this might be possible with a degree of anonymity. Or, hit the want ads.
  2. I have been trying for some time to find recommendations from a reputable source suggesting appropriate staffing levels (my interest lies with acute adult psych). I have Googled this and searched the ANA site in hope of finding something concrete.....something with numbers! Granted, acuity levels will factor into appropriate staffing levels, but I dumbfounded aobut not being able to find even a minimal starting point. Any suggestions or insight would be truly appreciated. BTW, your original staffing was reprehensible.
  3. Perhaps this is just a case of some people requiring more comprehensive report than others rather than an issue of ethnicity affecting work quality. However, your statement, "..some real weirdos in the psych field." seems to allude to more than just an objection to report style/completion. Theoretically, it seems realistic to assume that some nuances of a culture might be missed by those of a different culture...especially if the language barrier is pronounced. However, it sounds as if your work conflict has developed into something a little more personal. How about constructively addressing exactly the areas you would like to see included in report with the nurse in question? BTW, we frequently get report from the Emergency Department prefaced by, "I'm not the nurse taking care of the patient, but let me give you report about what I know" or something similar.

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