This is the WORST it has ever been on my unit. I am a noc shift RN on a mixed 28-bed Tele/Surgical Post-op unit.
Why is it the worst its been in my 8 years there you ask?
1. Staff turn-over is at its highest - Myself included, we are down to 10 RN's (7 full time)
2. Hospital wide critical census on a daily basis - full units
3. When we are short staffed (everyday), we rarely can get float RN's due to the high hospital census.
4. We have no unit secretary on noc shift anymore
5. Its a challenge to get Temp or Registry RN's
6. Confused patients that require the lone CNA to become a sitter = another blow to the overworked staff
7. Patients and visitors are ruder than ever and are hellbent on making my life a living hell
8. Endless charting either on paper or online - Thanks JCAHO, OSHA, CMS, and State health!!
9. More and More "ICU" patients are being (wrongly) admitted to my unit = more rapid responses/code blues
10. Manditory Overtime = enough said!
11. Literally to busy to get basic care done
12. Even the director of nursing (the big shot) is working the floors extra as are the unit directors, house supervisors, clinical staff educators, and other big wigs.
I needed to vent - this is terrible.
If this is a sign of things to come in the future, lets hope that the world will soon come to an end and Jesus will come soon (aka 5-10 years from now)
Do all the facilities have Unions there? Or just hospitals,I mean is it a requirement in Cali to have Unions?
The California Nurses Association/National Nurses United has succeeded in getting state laws passed which limit the amount of patients a hospital nurse can have at one time in California.
sounds exactly like my floor, and somehow we are unionized. understaffed every night, the short staffed nursing attendants are sitting with patients, totally unrealistic expectations of measures to increase patient satisfaction. as far as i can tell so far being unionized means nothing.
a new expectation on my floor: documenting a call to the translator service once per shift per non-english speaking patient. hospital in a 95% spanish speaking only neighborhood. get real.
This is the WORST it has ever been on my unit. I am a noc shift RN on a mixed 28-bed Tele/Surgical Post-op unit.
Why is it the worst its been in my 8 years there you ask?
1. Staff turn-over is at its highest - Myself included, we are down to 10 RN's (7 full time)
2. Hospital wide critical census on a daily basis - full units
3. When we are short staffed (everyday), we rarely can get float RN's due to the high hospital census.
4. We have no unit secretary on noc shift anymore
5. Its a challenge to get Temp or Registry RN's
6. Confused patients that require the lone CNA to become a sitter = another blow to the overworked staff
7. Patients and visitors are ruder than ever and are hellbent on making my life a living hell
8. Endless charting either on paper or online - Thanks JCAHO, OSHA, CMS, and State health!!
9. More and More "ICU" patients are being (wrongly) admitted to my unit = more rapid responses/code blues
10. Manditory Overtime = enough said!
11. Literally to busy to get basic care done
12. Even the director of nursing (the big shot) is working the floors extra as are the unit directors, house supervisors, clinical staff educators, and other big wigs.
I needed to vent - this is terrible.
If this is a sign of things to come in the future, lets hope that the world will soon come to an end and Jesus will come soon (aka 5-10 years from now)
Have a hug.:heartbeat it sounds like pure hell. is it possible as a team for the seven of you to have a meeting with the Clinical Director or DoN? I mean will they even listen before they have 3 or 4 RN's left?
I hear ya. So sorry. What state are you that is doing mandatory overtime? You need to get together and fight that with your state's nursing association. Try and keep your spirits up. It is one shift at a time. Good luck.
Not a sign of the future. It is the present and it has been like this for many years.
this is the worst it has ever been on my unit. i am a noc shift rn on a mixed 28-bed tele/surgical post-op unit.
why is it the worst its been in my 8 years there you ask?
1. staff turn-over is at its highest - myself included, we are down to 10 rn's (7 full time)
2. hospital wide critical census on a daily basis - full units
3. when we are short staffed (everyday), we rarely can get float rn's due to the high hospital census.
4. we have no unit secretary on noc shift anymore
5. its a challenge to get temp or registry rn's
6. confused patients that require the lone cna to become a sitter = another blow to the overworked staff
7. patients and visitors are ruder than ever and are hellbent on making my life a living hell
8. endless charting either on paper or online - thanks jcaho, osha, cms, and state health!!
9. more and more "icu" patients are being (wrongly) admitted to my unit = more rapid responses/code blues
10. manditory overtime = enough said!
11. literally to busy to get basic care done
12. even the director of nursing (the big shot) is working the floors extra as are the unit directors, house supervisors, clinical staff educators, and other big wigs.
i needed to vent - this is terrible.
if this is a sign of things to come in the future, lets hope that the world will soon come to an end and jesus will come soon (aka 5-10 years from now)
#12...a good thing. let them start taking wellbutrin too!
Just unemployment issues, according to the new grads on this board.
BTW the OP is from California.
I thought that if a hospital could not meet its legally mandated nurse patient ratios(including during breaks), they were required to close beds. OP can you clarify if you are in Ca and if so, if your hospital is breaking the law?
loveblossom
62 Posts
Do all the facilities have Unions there? Or just hospitals,I mean is it a requirement in Cali to have Unions?