Retaining workers key to solving nursing shortage

Nurses Activism

Published

http://www.thedesertsun.com/news/stories2003/opinion/20040101032404.shtml

Retaining workers key to solving nursing shortage

By Stephanie Salter

Guest columnist

January 1, 2004

The article, "Nursing shortage hits hard," in the Dec. 21 Desert Sun newspaper falls short on fact and truth.

The "investigative" author Rick Davis, it seems, did not speak to bedside nurses.

He interviewed only doctors and nursing managers at hospitals and the nursing school. When is the last time you saw these folks doing bedside nursing? Right. That is the point.

Dr. Max Harry Weil does come to the hospital now and then. I don't recall that he ever discussed nursing problems with bedside nurses.

The problem with patient care has been the lack of autonomy of the RN.

Now for the first time in history, bedside nurses have prevailed with our patient ratio laws, thanks to the California Nurses Association.

The Association has 55,000 registered nurse members. Perhaps Mr. Davis should speak with the association. He could also have gotten in touch with the Board of Registered Nursing, which says that there are enough RN licenses in this state so that if all those who possessed them practiced at the bedside there would be enough nurses. But they don't, and that is the problem. Why don't they?

I will tell you why they don't.

The solution to the nursing "shortage" is to retain the nurses we have and the ones who are just coming out of school into the profession. We can have a zillion nursing schools, but if the graduates leave the profession and run from hospital nursing, what have we accomplished?

The new graduates take one look at what goes on in the valley's hospitals and leave as quickly as they came. Many say that if they are to be treated so poorly here, they will go elsewhere. Many leave the profession altogether. Bonuses are not the answer. They are hard to collect (if ever). Increases in pay and benefits are the better ways to handle finances.

To retain nurses, we must:

(1) provide safe patient care by allowing the RNs to decide what is and is not safe

(2) provide decent working conditions

(3) provide a financial package that reflects and respects the professional RN's practice (including a retirement fund).

The "coalition" is well-intended but misinformed. It cannot be of help until it comes to grips with the complex structure of the nursing profession.

The first step; speak to a professional "bedside" nurse.

Stephanie Salter, RN, is a critical-care registered nurse in the Open Heart ICU, Desert Regional Medical Center, Palm Springs.

Specializes in Community Health Nurse.
Originally posted by Owney

Cheerfuldoer,

Thanks for your last post. It's nice to know somebody else cares enough to try to fix something that is so broken........................

..................................................................................

If you give Mr. Hobson and earful about how your sisters have screwed you, do you think he will listen? Do you think he can or would push his majic button and fix you? If he does, please let me know. I have been shafted out of my specialty of over 20 yrs and may be out of nursing for life.....................................

Thanks Owney :)

As for Mr. Hobson caring enough to fix the problem, I don't know. All I can do is bring the issues to the table, and pray he...along with our other politicians....will act on those issues and do something constructive to change things for the better. I've got to try if nothing else. :nurse:

A post from outside the profession about companies that refuse to worry about employee retention.... It isn't just health care any longer - this is becoming the norm in corporate America. I for one have decided that the best way to raise my standard of living is to move from employer to employer every few years. At each job I do my best to learn new skills. If I'm not rewarded for my increased knowledge I'm outta there - and the things I learned go with me.

I hate to sound this way but I'm at the point where I want to do a great job for my employer but my employer will be the one who's ready to show me the money.

Signing bonus? You bet! I'd take it in a heartbeat - and take it again from someone else in a couple of years. Hate to be that way and wish I could stay in one place but the employers have made the rules of this game - it's up to us to beat them at it.

Wow.... do I sound like a cynic or a realist?

We need that woman with the spiked white hair who used to shout: "STOP the INSANITY!!!!"

http://www.trivalleyherald.com/Stories/0,1413,86~10700~1901024,00.html

Working environment

Nurses finally win approval for better patient care. Unfortunately, if you try to exercise this right, you may be punished by upper management.

I am currently a registered nurse at a hospital in Northern California. On Jan. 5, I arrived at work to find myself and co-workers in an "unsafe" working environment that could have had the potential of risking my license as an RN.

Yes, currently the hospital is overflowing with patients and we are experiencing a nursing crisis. And we do take pride in offering excellent safe care to our patients.

However, on this particular night, I found myself, the team leader, and the rest of my co-workers, two others, (RN's responsible for 21 patients, two of which would be fresh post-op patients coming out of surgery) two other patients just being transferred out of ICU with multiple trauma injuries, one patient requiring two units of blood, which would require additional monitoring along with the other patients on the floor. The ratio would be 7 to 1.

Not only does the law now state 6 to 1, but anyone who is in the medical field would know that the above situation is not safe and at a high risk for something happening. I, the team leader, along with the other two nurses, objected to this assignment. The nursing administration was contacted and no solution was given or offered to me immediately. It wasn't until I made a phone call to the chief executive, whom I had seen in his office when I came to work, that we suddenly received relief (another nurse was coming to the rescue).

The following day, I was informed by management that I would no longer be the team leader. This is the punishment I must pay for standing up for my rights as a nurse. The safety of my patients and the law that was just passed. I will accept this punishment and continue to fight for the safety of the patients and the rights of the nurses, because I strongly believe in patient safety and value my license I worked so hard for.

My message to all nurses is do not give up. Fight hard for what you believe in and protect patients and provide them with the care that you were given the gift to provide. Good luck, I took a chance. I lost my privilege of being the Team Leader, but I would take that risk again if it meant saving a life, providing proper care and protecting my license.

Robyn Nickels

Originally posted by spacenurse

http://www.trivalleyherald.com/Stories/0,1413,86~10700~1901024,00.html

Working environment

Nurses finally win approval for better patient care. Unfortunately, if you try to exercise this right, you may be punished by upper management.

I am currently a registered nurse at a hospital in Northern California. On Jan. 5, I arrived at work to find myself and co-workers in an "unsafe" working environment that could have had the potential of risking my license as an RN.

Yes, currently the hospital is overflowing with patients and we are experiencing a nursing crisis. And we do take pride in offering excellent safe care to our patients.

However, on this particular night, I found myself, the team leader, and the rest of my co-workers, two others, (RN's responsible for 21 patients, two of which would be fresh post-op patients coming out of surgery) two other patients just being transferred out of ICU with multiple trauma injuries, one patient requiring two units of blood, which would require additional monitoring along with the other patients on the floor. The ratio would be 7 to 1.

Not only does the law now state 6 to 1, but anyone who is in the medical field would know that the above situation is not safe and at a high risk for something happening. I, the team leader, along with the other two nurses, objected to this assignment. The nursing administration was contacted and no solution was given or offered to me immediately. It wasn't until I made a phone call to the chief executive, whom I had seen in his office when I came to work, that we suddenly received relief (another nurse was coming to the rescue).

The following day, I was informed by management that I would no longer be the team leader. This is the punishment I must pay for standing up for my rights as a nurse. The safety of my patients and the law that was just passed. I will accept this punishment and continue to fight for the safety of the patients and the rights of the nurses, because I strongly believe in patient safety and value my license I worked so hard for.

My message to all nurses is do not give up. Fight hard for what you believe in and protect patients and provide them with the care that you were given the gift to provide. Good luck, I took a chance. I lost my privilege of being the Team Leader, but I would take that risk again if it meant saving a life, providing proper care and protecting my license.

Robyn Nickels

Oh my God. Mgmt are evil, evil ba$t@rds. They deserve nothing but loathing and contempt. There should be a special place in hell for them.

WHY??? She should have filed a grievance instead. She had an obligation, dictated by the state Nurse Practice Act and the national Code of Nurse Ethics, to speak up. That has been upheld in court. So why should she accept being "punished" for carrying out her obligation? She can still protect her & provide proper care while also filing a grievance and stopping this employer from "punishing" her for carrying out her professional responsibilities. In fact, if nurses knew they could not be "punished" for doing that, the pts might be even better protected. Accepting "punishment" for doing what we were obligated to do only allows the employer to continue this behavior & prohibits others from also speaking up when they should - and that could put the pts at even more risk.

File a grievance for retaliation and abuse of management rights.

Specializes in Rehab, Med Surg, Home Care.

Wonder what TPTB will do when there is no one left to BE team leader because everyone has lost the privilege to do so? Wonder what TPTB will do when there are no nurses left with a license after too many nights like the one Robyn wrote about...

I think Owney has hit the nail on the head here. The key for RNs to gain control over their work environment is for the floor RNs to join campaigns that better conditions for all bedside care providers, and not just RNs of which many are, in fact, managers.

What a disgrace for us and our country, that so many of us RNs, LPNs, and CNAs are not even receiving medical benefits! And then these 'managers" and administrators step in and pretend to be trying to solve the nursing shortage! Hell no they don't represent me, even if they have RN somewhere amidst there multitud of empty titles.

NurseHardee

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from Owney....

Oramar,

I would like to talk to your sister-in-law and your brother. The more I look at LTC nurses, (or any other "back ward" nurses, for that matter) the more I respect them. The longer I work with LPNs, and CNAs the more I respect them. They are the bottom of the heap in terms of respect and pay, yet I beleive that in most instances any of them could work circles around me, and teach me more clinical skills than I could learn in any other way. Every day they are at the cutting edge of critical care by being the first one to spot a sick person.

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