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It's become a terrible job for some. Excluding ED; ER; ICU; CRNA, NP's; it's simply an extension of our economic and moral climate. Nurses currently are a dime a dozen. Most of us are "meat." Extreme pressure on "increase profit," exists, and we are the small fish. Work us to death with reversing rotations, keep us in horrid places with one-sided contracts, and import foreign (often good) RN's who "take what they get." This will only change some years out when a true shortage exists. In the meantime, burn-outs disappear, there are plenty new grads to fill the empty spaces.
Where I work? Older nurses seem bitter. Little empathy for other nurses. Everyone has "been there done that" but show no interest in changing to make it better for all. No where near the shared governance ideas talked about during senior semesters of BSN. Don't expect this everywhere... counting down the years and months before I can quit and move-on to a more progressive setting.
It is b/c of administration and managers who develop quality improvement projects like 'improving teamwork on the unit'.
When asked recently what my thoughts were on how to "improve teamwork on the unit", my response was to 'ensure the unit has enough team members to complete the work!'
They can continue to develop a million ideas but without the manpower to implement them, they are just that, bright ideas!
Dare I say documentation is the area of my undoing. Wish I had a paid hired hand to take notes during my day so I could just do my Job.
I know, I know you'll say: "Well, callacold you simply don't get it!!! We document to save our skins when we get in front of a judge and plead our case, if you did not record it, it did not happen!" I say, most of this documentation is checking off boxes, pulling up this window and completing the next nurse joint commission required task == worthless time consuming venture. I only love charting when I have the time to and that is rare indeed. Arrg!
God help me, I think I went past the 50 word limit!
PS I do love this work, especially when you have those moments of patient gratitude or MD RN teamwork acknowledged by MD or family members wishing you'd come back tomorrow (the day you have off)...all good in my book.
firstyearstudent
853 Posts
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