TTK RN

Have to vent just a bit: This marks my last week at an incredibly mismanaged and dysfunctional hospital. I'm feeling great about moving out of a toxic workplace with all the incivility and safety issues you could imagine. That said, I'm pretty sad about not getting to work with some of the wonderful colleagues I'm leaving behind. They know I'm leaving because of the safety and mismanagement issues that they all see and care about but are somehow going to tolerate. My question to the allnurses world: in your experience, does change happen in hospital administrations when strong, experienced nurses leave in droves? Do healthcare administrators discuss the reasons why and the frequency with which people quit their hospital, even if it is in private meetings behind closed doors?

I agree that this is an interesting thread. I have used the awkward expression, "this RN," for years. It has always felt strange to type that, but I was taught to never, never, never, under any circumstances use the words "I" or "me" in the chart. I don't type it often--only when clarification is necessary. I like the idea of replacing "this RN" by "primary RN" when clarification is necessary. Perhaps it would be good to request an official position paper on this by the ANA. It seems like most people posting on this thread do not like the expression, but I'm curious how many nurses (like me) are charting this with ignorance of the legal ramifications.