The Tyranny of Insecurity

I've been living this problem for several years. I work in a monitored trauma unit during the night (currently 5 beds). Several times a week, I am by myself (no NA or clerk) due to the shortage in staffing. All of the patients require vitals Q hour X 4, then Q 2; they are in full spinal precautions, serial labs Q 4, strict I+O, wound cleaning, etc. I do my best to complete all my work prior to change of shift, but most of the time is overwhelming. My manager comes from working in an outpatient diabetic clinic and has never worked the floor with us. Yet, she lectures me about not changing the linen bags, having any supplies in the unit at all (everything is supposed to be locked in the unit next door, including the Pyxis), having a cup of water in the nurse's station, etc. She's the best monday morning quarterback I've ever met. She goes out of her way to find anything that is not of her liking to counsel some of the staff, not really caring about our side of the story whenever any situation arises. Not once can I think of her giving most of us any positive reinforcement (unless you belong to her little click of nurses who are middle age afro american women). I haven't left yet, because I love what I do and work alongside some great nurses and doctors; but her level of professionalism and approach is truly a shame.

I saw that on the ANA site. Was sorely tempted to make copies and mail them to pointy-haired persons in the pearls and pumps department I have encountered in my career.

But I don't feel right about killing a tree just for all that paper.

I believe that you deserve to feel valued and respected. However, leaving doesn't necessairly solve the problem. Nursing management across the nation has become more abusive and punitive. I stay to be the voice of the patient and my nursing colleagues. Standing together, unified and educated, we can create change.