Jump to content
2019 Nursing Salary Survey Read more... ×

Registered Nurses Claim Patients Not Getting Proper Care

News   (11,012 Views 35 Comments)
by herring_RN herring_RN (Guide) Guide

herring_RN works as a retired registered nurse.

30 Likes; 3 Followers; 97,776 Visitors; 2,867 Posts

advertisement

You are reading page 3 of Registered Nurses Claim Patients Not Getting Proper Care. If you want to start from the beginning Go to First Page.

2,552 Visitors; 56 Posts

I am a RN represented by a union. We have filed grievances on this same issue and the administration keeps coming back with the same response: "There is no problem here." Yes, there is! Who is caring for our patients while we are away at a code for a couple hours? We have patients who require a nurse to absolutely stay right at the bedside. Other patients need q 15 minute observations due to drips, etc. Minimally, someone ready to transfer out requires q 1 hour observation. How can we safely give our care to these patients if we are off the floor for a few hours? And we do not have a ward clerk or aide either. As many nurses know, we are the last line of defense, so we are protecting our patients by taking on the roles of so many other health care professionals (doctors, residents, pharmacy, etc).

Currently, I refuse to take on the role as a charge nurse. Currently, I let those nurses who don't have the guts to say "No more!" go to the codes. I'm not putting the patients that I am responsible for in jeopardy and leaving any more. This is putting pressure on those wimpy nurses who will not stand up for the patients. As long as the CEO only cares about the money in his/her bank account and nurses do not collectively stick together patients will suffer.

Does the public need to hear about this? YES!!!! Because as long as the hospital administrators can keep things quiet they enjoy big payouts while the patients suffer. Administrators only react to the holy Press-Ganey scores so maybe public pressure is the only way change will take place. Of course that may be very pollyanna of me because Press-Ganey scores mainly mean we get yelled at in our staff meetings for things beyond our control (food not cooked to patient's liking, floor needed to be mopped, doctor didn't see me enough, etc). But I like to think if the public really knew what was going on in hospitals, the outrage would cause some changes.

I support these very brave nurses. Many of us are trying to fight this same battle.

Share this post


Link to post
Share on other sites

CCRNDiva has 7 years experience and works as a ICU Charge RN.

13,595 Visitors; 365 Posts

Well, I decided to relinquish my role as charge RN. It saddens me because I feel I'm good at performing as a charge RN. For a minute I regretted my decision, but then I picked up an extra shift on Monday because our night charge RN was again stuck with two patients and they were unable to admit additional patients safely. I admitted two telemetry patients, the second being a 23 hr observation patient with pneumonia who was complaining of ETOH withdrawal and requested detox. He was stable so when the rapid assessment alarm was called overhead I went because the charge RN had 2 critical pts. Guess what? 15 min into the call I received a call from the charge RN informing me my stable, 23 hr observation patient had seized. I rushed back to the unit in just enough time to see my patient not only seize again but go into Vfib as well. Thankfully, we had a good team of RNs that night and my charge RN happened to be at the monitor when my pt had his first runs of Vtach. We were able to shock him and dose him with Ativan before he required intubation and CPR.

That sealed the deal for me. I will never work as a charge RN while carrying a patient assignment again. I could have lost my patient that night. We were very busy and his alarm could have very easily been missed. My charge RN reported the event to our unit director but nothing has changed. I don't understand their logic. Do we have to lose a patient in order for them to understand how dangerous these practices are?

Share this post


Link to post
Share on other sites

herring_RN works as a retired registered nurse.

30 Likes; 3 Followers; 97,776 Visitors; 2,867 Posts

With a shortage of ICU nurses does it make sense to terminate RNs?

Share this post


Link to post
Share on other sites

14,786 Visitors; 991 Posts

In an educated, responsible, truely patient care oriented heathcare system- no it doesn't. In a healthcare system run by a bunch of bean counters/ foot ball fans/nepotists who don't know what an ICU is ( and will ask you how to spell it)- It makes sense. They are legends in their own minds.

Share this post


Link to post
Share on other sites

455 Visitors; 3 Posts

Rally in support of the 7 Brownsville ICU nurses fired by HCA Valley Regional Medical Center for standing up for patient safety to be held on Tuesday, May 24, 2011 from 11:30-12:30 in front of the hospital. Join us and let's be heard.

Share this post


Link to post
Share on other sites

herring_RN works as a retired registered nurse.

30 Likes; 3 Followers; 97,776 Visitors; 2,867 Posts

[color=#424242]protest planned over fired icu nurses at brownsville hospital

[color=#424242]a picket is planned against valley regional medical center in brownsville after seven nurses were fired.

[color=#424242]the former staff worked as registered nurses in the intensive care unit of the hospital.

[color=#424242]they were all terminated for "insubordination."

[color=#424242]stephanie gonzalez and ramiro castillo each had four years experience at vrmc before they said they were wrongfully fired.

[color=#424242]they were among the 21 nurses out of 26 to sign a petition refusing to work a shift known as a "charge nurse." ...

[color=#424242]..."it affects patients' lives... and patients can die from us not attending to them... us abandoning them for 30 to 45 minutes to go to a rapid response... to go to a code blue... so it's not something that should be taken lightly," she said.

[color=#424242]the hospital tried to reach a settlement with the 7 nurses, according to a representative with the national nurses organizing committee of texas, the union representing the group.

[color=#424242]accepting the settlement would have meant a two-week suspension, the punishment placed on their records and a signed document that indicated each admitted to wrongdoing for putting patient safety at risk, according to the union.

[color=#424242]the registered nurses rejected the deal as "laughable."

[color=#424242]the hospital would not comment on the personnel matter....

[color=#424242]http://www.valleycentral.com/news/story.aspx?id=621529

firednurses5-23-2011_ryan_1.jpg

Share this post


Link to post
Share on other sites
advertisement

herring_RN works as a retired registered nurse.

30 Likes; 3 Followers; 97,776 Visitors; 2,867 Posts

[color=#333333]texas rns condemn retaliation against brownsville nurses for protesting unsafe icu conditions

[color=#333333]...all seven icu nurses serve as code team nurses and four of the seven are open heart nurses. the staffing shortage in the icu is now being filled by 13 temporary agency nurses who do not share the lost rns' history in the facility or with the patients at the hospital.

[color=#333333]the nurses were targeted for refusing to accept an additional assignment that in their professional judgment was unsafe and a violation of the texas nursing practice act.

[color=#333333]hospital management has demanded the nurses, who in the icu provide constant care for the hospital's most severely ill patients, take on additional duties of temporary charge nurse, who make clinical assignments for patients and staff on the floor, and code team assignments, which can require them to rush to other hospital floors to assist with patients - leaving their own icu patients and their icu charge duties behind.

[color=#333333]we have been asking the hospital to correct this unsafe situation for some time, with no result," said ramiro castillo, rn. "because of our increasing concern for the safety of our critically ill patients, we felt we no longer had a choice but to refuse the additional duties that put our patients at risk."...

...[color=#333333] additionally, the rns blasted the cavalier attitude of the hospital's chief nursing officer for gushing in an e-mail that the threatened firings, which would exacerbate the facility staffing crisis, were "groovy."...

http://www.medicalnewstoday.com/releases/226236.php

Share this post


Link to post
Share on other sites

455 Visitors; 3 Posts

Breaking news! Icu nurses nnoc union members have come together as one to make patient care safety issues be heard. Thanks to all who tuned out and those who supported in spirit.

Share this post


Link to post
Share on other sites

14,786 Visitors; 991 Posts

Administration doesn't care what the risks are- until it's them or theirs in the bed!! groovy!!

Kudos to all these nurses for standing up for what is ethical and safe practice.

Share this post


Link to post
Share on other sites

herring_RN works as a retired registered nurse.

30 Likes; 3 Followers; 97,776 Visitors; 2,867 Posts

this is the most recent in the "comments" after the article:

[color=#424242][color=#424242]ctflsbsn said: 1 hour, 16 minutes ago

[color=#424242]the fact is these nurses were fired for standing up for nurses everywhere. how can anyone call them self a nurse with out standing up for patient's safety.

i happen to know the nurse who first was suspended, before all other rn's refused the charge assignment, was written up for responding to the rapid response on the floor (one of their additional responsibilities as charge) her pt in the unit became unstable while she was stabilizing the floor pt. she was literally written up for not being in two places at once.

after that the rest of the rn's refused to take charge.

the news clip doesn't say all of that making it misleading.

the concept behind the sticker "firing nurses isn't groovy" is that in an email mistakingly sent to one of the nurses, a conversation between hr and the cno took place. the email states that hr was firing 5 of the nurses. the response from the cno was "groovy" i don't think so!

[color=#424242]http://www.valleycentral.com/news/story.aspx?id=621911

Share this post


Link to post
Share on other sites
×