Comments on: the change in staffing ratio side effects http://www.aboutanurse.com/2008/01/the-change-in-staffing-ratio-side-effects.html a nurse blog. Thu, 20 Nov 2008 17:18:30 +0000 http://wordpress.org/?v=2.0.7 by: rmvoisd jxyl http://www.aboutanurse.com/2008/01/the-change-in-staffing-ratio-side-effects.html#comment-84520 Thu, 11 Sep 2008 10:25:11 +0000 http://www.aboutanurse.com/2008/01/the-change-in-staffing-ratio-side-effects.html#comment-84520 jlxdm xuvkrp zdluxrqfg wkrunmca wenjsbxo rvzcbnexu cjypfgwe jlxdm xuvkrp zdluxrqfg wkrunmca wenjsbxo rvzcbnexu cjypfgwe

]]> by: MP http://www.aboutanurse.com/2008/01/the-change-in-staffing-ratio-side-effects.html#comment-74530 Sat, 05 Apr 2008 23:25:29 +0000 http://www.aboutanurse.com/2008/01/the-change-in-staffing-ratio-side-effects.html#comment-74530 Oh - if this is true I may return to bedside nursing! How I longed for that. I would strongly encourage you and your peers to consider yourselves guardians of all of OUR fates. If the administration feels, or had data, that the change did not increase patient care time --- we all may be doomed. I too recall believing that drama was inevititable. Until I worked with, by a weird chance in life, with my sister. She drove me crazy in our family, avoiding talking about anyone else. I didn't know how she did it. But while spending several weeks on a unit with her I saw. She listened alot, contributed nothing more than "ok gee that must be tough", or "how about that?" to any story or complaint no matter how juicy. And it never went on bit further. If asked about another person she said, "I don't discuss anything that is said to me about personal lives of the people I work with" and changed the subject. When asked how she felt about another coworker etc "Why do you ask?" and then listened and avoided the question or it it returned restated "I don't discuss my coworkers without their knowledge, if you would like to know, I will be happy to tell you when they are present" or simply "why don't you ask them?". The staff got mad at her, just like I did. She didn't share much of her personal issues at work, but listened to alot of others. After awhile they knew not to ask or expect that she would participate. They didn't know how she coped. But I did, she kept a varied but trusted circle of friends/professionals who she talked with regularly, she journaled her feelings some times dramatically. I had been one of those she was able to talk to but when we were on the same staff she sought out others. Once our units split again we were able to be of support to each other again. I learned alot from her. I wish that I had the courage and strenght to do what she did. I wish it for us all actually. Oh - if this is true I may return to bedside nursing! How I longed for that. I would strongly encourage you and your peers to consider yourselves guardians of all of OUR fates. If the administration feels, or had data, that the change did not increase patient care time — we all may be doomed. I too recall believing that drama was inevititable. Until I worked with, by a weird chance in life, with my sister. She drove me crazy in our family, avoiding talking about anyone else. I didn’t know how she did it. But while spending several weeks on a unit with her I saw. She listened alot, contributed nothing more than “ok gee that must be tough”, or “how about that?” to any story or complaint no matter how juicy. And it never went on bit further. If asked about another person she said, “I don’t discuss anything that is said to me about personal lives of the people I work with” and changed the subject. When asked how she felt about another coworker etc “Why do you ask?” and then listened and avoided the question or it it returned restated “I don’t discuss my coworkers without their knowledge, if you would like to know, I will be happy to tell you when they are present” or simply “why don’t you ask them?”. The staff got mad at her, just like I did. She didn’t share much of her personal issues at work, but listened to alot of others. After awhile they knew not to ask or expect that she would participate. They didn’t know how she coped. But I did, she kept a varied but trusted circle of friends/professionals who she talked with regularly, she journaled her feelings some times dramatically. I had been one of those she was able to talk to but when we were on the same staff she sought out others. Once our units split again we were able to be of support to each other again. I learned alot from her. I wish that I had the courage and strenght to do what she did. I wish it for us all actually.

]]> by: RehabRN http://www.aboutanurse.com/2008/01/the-change-in-staffing-ratio-side-effects.html#comment-68922 Sun, 27 Jan 2008 17:04:36 +0000 http://www.aboutanurse.com/2008/01/the-change-in-staffing-ratio-side-effects.html#comment-68922 may: That sounds like a real deal! I wish my unit had the same thing. I gave a patient a shower Thursday before I left because I had an order to do so. I had to do it because I knew the techs nor the RN would have time to do it. It would be nice to do this whenever I wanted. Getting clean from a shower or bath is totally different from getting a sponge bath. may:

That sounds like a real deal! I wish my unit had the same thing.

I gave a patient a shower Thursday before I left because I had an order to do so. I had to do it because I knew the techs nor the RN would have time to do it.

It would be nice to do this whenever I wanted. Getting clean from a shower or bath is totally different from getting a sponge bath.

]]> by: lpnmon http://www.aboutanurse.com/2008/01/the-change-in-staffing-ratio-side-effects.html#comment-68736 Fri, 25 Jan 2008 19:07:21 +0000 http://www.aboutanurse.com/2008/01/the-change-in-staffing-ratio-side-effects.html#comment-68736 I need to move to Ca. I worked the other night, on a med/surg floor. I started with 7 patients, 1 getting blood, 2 on PCA's, 1 wound vac, all needing stuff. I immediately got a fresh post-op patient. And.... I was supposed to just be working a partial shift. But there was no relief for me. So I had to give all of those patients to the other 3 nurses who were already carrying 8 each. Congrats to you-it must be wonderful being able to care for your patients!! I need to move to Ca. I worked the other night, on a med/surg floor. I started with 7 patients, 1 getting blood, 2 on PCA’s, 1 wound vac, all needing stuff. I immediately got a fresh post-op patient. And…. I was supposed to just be working a partial shift. But there was no relief for me. So I had to give all of those patients to the other 3 nurses who were already carrying 8 each.

Congrats to you-it must be wonderful being able to care for your patients!!

]]> by: Rygel http://www.aboutanurse.com/2008/01/the-change-in-staffing-ratio-side-effects.html#comment-68442 Tue, 22 Jan 2008 12:59:09 +0000 http://www.aboutanurse.com/2008/01/the-change-in-staffing-ratio-side-effects.html#comment-68442 how i wish that ration was the same here... even 1:10 would be a dream come true how i wish that ration was the same here… even 1:10 would be a dream come true

]]> by: unsinkablemb http://www.aboutanurse.com/2008/01/the-change-in-staffing-ratio-side-effects.html#comment-68302 Mon, 21 Jan 2008 02:10:16 +0000 http://www.aboutanurse.com/2008/01/the-change-in-staffing-ratio-side-effects.html#comment-68302 That's great about the new ratio, May! As for the drama, it's tough to avoid. I guess there's only so much that you can do to separate yourself from it. Hang in there... That’s great about the new ratio, May! As for the drama, it’s tough to avoid. I guess there’s only so much that you can do to separate yourself from it. Hang in there…

]]> by: CinderRN http://www.aboutanurse.com/2008/01/the-change-in-staffing-ratio-side-effects.html#comment-68014 Thu, 17 Jan 2008 22:59:11 +0000 http://www.aboutanurse.com/2008/01/the-change-in-staffing-ratio-side-effects.html#comment-68014 Gosh,1:3!.At my last job they got twitchy at me when I said something about having 6 pt on day shift tele floor. Two being titrated on heparin gtts(not theraputic yet and symptomatic),one going to cath lab,one to endoscopy,one for stress test on nitro gtt for malignant htn and oh,one getting a thoracentesis whose baseline B/P was 90/50.I got fussed at for missing a staff meeting that everybody else missed b/c we were all swamped. I'm glad I'm out of there but I don't think there are any better jobs out there in this area and I'm not willing to almost kill myself again. Sorry to vent May,there seems to be no happy medium.And the drama queens? OMG! Gosh,1:3!.At my last job they got twitchy at me when I said something about having 6 pt on day shift tele floor. Two being titrated on heparin gtts(not theraputic yet and symptomatic),one going to cath lab,one to endoscopy,one for stress test on nitro gtt for malignant htn and oh,one getting a thoracentesis whose baseline B/P was 90/50.I got fussed at for missing a staff meeting that everybody else missed b/c we were all swamped. I’m glad I’m out of there but I don’t think there are any better jobs out there in this area and I’m not willing to almost kill myself again.
Sorry to vent May,there seems to be no happy medium.And the drama queens? OMG!

]]> by: CrazyRN (Brooke) http://www.aboutanurse.com/2008/01/the-change-in-staffing-ratio-side-effects.html#comment-68007 Thu, 17 Jan 2008 21:02:08 +0000 http://www.aboutanurse.com/2008/01/the-change-in-staffing-ratio-side-effects.html#comment-68007 I sooooo know what you mean about how it's nearly impossible to stay out of the drama. I've about had it with our unit's drama and I'm actually thinking of finding a new job. There's a couple positions open at my former hospital, and I think I'd have a really good chance at getting hired. But, I know there's politics everywhere you go, so even if I changed jobs, it will still be there, just with different people! I'm glad you are getting to spend more time with your patients, I'm sure they really appreciate the extra care also! I sooooo know what you mean about how it’s nearly impossible to stay out of the drama. I’ve about had it with our unit’s drama and I’m actually thinking of finding a new job. There’s a couple positions open at my former hospital, and I think I’d have a really good chance at getting hired.

But, I know there’s politics everywhere you go, so even if I changed jobs, it will still be there, just with different people!

I’m glad you are getting to spend more time with your patients, I’m sure they really appreciate the extra care also!

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