Started a new job and moved to a new state. Blessed to be in Texas quasi near the coast where my husband wants to live. Blessed to have my mom let us stay with her until we can find a place. But guys, healthcare in the US is just crap. Like I’ve never known a doctor or nurse wanting to give crap care, but the ‘business side’ of this system is just crap. My husband says I always complain about nursing. I think if there is a nurse or physician today satisfied with the crappy care we are doling out, that would be the healthcare provider I would trust the least. Or, by some falling star, once in a lifetime chance, they actually have a facility that cares and I want to know where it is. My new job is probably the worst I’ve seen yet. They had the first two weeks of orientation without ANYONE to provide instructions or guidance to the 11 new hires they have. ??? NEVER have I seen that before. I had to, without computer instruction or guidance of a class like setting or from assistance from an HR person, figure out how to sign up for benefits and automatic deposit on my own. After the first week of this unstructured craziness I decided to give myself a tour of the facility and find my manager so I could as about when I would be starting the floor. I found her and she didn’t even greet me. She barely looked up from what she was doing and said “I thought you were suppose to start a month from now. You’ll have to ask HR what you are doing.” ??? I gave up a life I built in an area in Illinois over 15 years to take this job.....soooooo yeah. Turns out they are about to have 50 RNs from the Philippines that they have had contracted for the last 3 years leave (because none of them want to renew). They also have travelers who have quit 2 weeks in due to lack of safety. So I’ve been pretty verbal about my dissatisfaction with their culture...in person and in writing... to my manager, my director, the CNO, and the President. Also have to write up a Safe Harbor sheet last shift because the ratio is 6:1. There was 1 new grad, me, and one nurse with 2 years experience on the floor and they assigned the regular a full team and me and the new grad 3 a piece. I was okay with that but the poor new grad has only been a nurse for 3 weeks. They were like “the other nurse can help her out”. And the other nurse was like “then that means I’ll technically have 9 patients!” But she didn’t want to fill out a safe harbor form because she was afraid of the repercussions. ???? And I’m like, “sisters, things ain’t changing if we don’t grow a pair.” They finally signed with me. Frankly I’m just laughing at this point. I’m not leaving because I gave up EVERYTHING to get down here. So I guess I’m working on getting fired.????? I guess I’m the first aggressive nurse they’ve had in a while. One of the CNAs came up to and for real was asking if I was part of that show ‘Undercover Boss’. So dang sad!!
Report this unsafe culture to CMS, TJC, BON..., someone!!
I feel like our onboarding has really gotten crappy compared to precocious, but travelers say that ours is the most comprehensive anywhere they have been.
Anyway back to your situation—first, I would fear losing my license in such unsafe conditions! Second, even if it isn’t your patient who is harmed or has a poor outcome based on lack of experience/knowledge on the unit, it is the patient/family/community where you live that is affected. This really makes me sad for you, the patients, community, and the nursing profession!!
I have had family in Texas hospitals and medical follow up ,care,for many different things.I can tell you not everyplace is like that.There are pissed off nurses there like anyplace else that tramples on their care. Do your research and go to a better place,they will fire you for stirring the pot.Get out.
Specializes in Surgical Specialty Clinic - Ambulatory Care.
13 hours ago, Leader25 said:
I have had family in Texas hospitals and medical follow up ,care,for many different things.I can tell you not everyplace is like that.There are pissed off nurses there like anyplace else that tramples on their care. Do your research and go to a better place,they will fire you for stirring the pot.Get out.
I realize not all hospitals in Texas are this way. But this is the hospital that serves my community. In 13 years as a nurse I have never been fired. And because I have 13 years of prior references to lean on, I’m willing to go the distance here. I hope I stir them to fire me, because the next thing I am doing (along with reporting them to the state) is making an opinion editorial for the local newspaper. My dad died at this facility 4 years ago. In his memory, there isn’t a chance in hell I’m going to roll over and let them keep doling out *** care.
Hi KalipsoRed21, I just want you to know I've experienced a similar lack of support. At first I allowed it to happen -- I didn't question the lack of support, but I finally spoke up in my most recent job and that has made me a target.
I have been an RN for over 15y and have experienced a significant change from when I first started as a new grad in the ER then ICU. I shifted to LTC and it's been a rocky road. In 2005, my orientation took place over a 3-week period (after doing a 3-month critical care nursing certificate). I had buddy shifts, in-person education from my CNE, and constructive feedback from my unit manager (and sometimes from her supervisor). I was guided to learn what I needed and was told about things I couldn't have known. HR took care of onboarding.
Things were much different 15 years later. I'm in a different nursing field and I've had 4 employers in the past 2 years. My learning has been self-directed (web-based), and I've had to do my own onboarding in 3 of the 4 most recent jobs. I thought part of it might have to do with my age and years of experience, until I realized new grads are treated the same. Sad.
Our onboarding process takes so long that it’s aggravating to current employees. Once someone is hired it’s a good month before they actually hit the floor, while we’re drowning.
9kidsmomRN
69 Posts
Report this unsafe culture to CMS, TJC, BON..., someone!!
I feel like our onboarding has really gotten crappy compared to precocious, but travelers say that ours is the most comprehensive anywhere they have been.
Anyway back to your situation—first, I would fear losing my license in such unsafe conditions! Second, even if it isn’t your patient who is harmed or has a poor outcome based on lack of experience/knowledge on the unit, it is the patient/family/community where you live that is affected. This really makes me sad for you, the patients, community, and the nursing profession!!