money troubles
two months from now, our unit will undergo some management changes.
i know that sounds trivial and common, but this past week, it’s the only thing that had been buzzing over the nurses’ and everybody’s lips, (except of course the fact that O and T are obviously dating, just when we all thought T has a girlfriend in another city) but this is not a post about gossips, so let’s move on…
anyway, a little background: in our floor, there are three units. basic medicine, cardiac telemetry (CCU step down), and our unit, intermediate telemetry. at present, each unit has each own nurse manager, and an educator.
in august, the whole floor will have one nurse manager, one administrative assistant, and one educator. one big happy family, or one big headache?
as you can see, the very thing that bothers us about this whole change thing is the fact that our present nurse manager is not that interested in interviewing for the job. although most, if not all of us want her to stay, we totally understand why the prospect of managing the whole floor with about 200 employees is not that appealing to her.
since it is happening throughout most of the floors in this big hospital, the logic of this change is pretty straightforward. less people to pay, more money to save. not our own business, but we are worried sick about the nurse managers and educators who will eventually move out. where will they go?
i’m sure we will eventually embrace this change because that’s what nurses are: flexible. but what are the repercussions? to those who will be displaced, and to those of us who will be left behind.
ridiculous gas prices. cost cutting. drastic measures to cope financially. these things affect households. and now, even work. i hate to sound political, but is it wrong to actually blame president Bush for this?
i don’t know. it’s not a good thing to point a finger, but just like everybody else, i want to blame somebody. or something. somehow, the president and his relentless support and approval of the never ending war in iraq seem to be the perfect explanation. i’ll stop here, because i don’t really know what i’m talking about.
let’s just focus on what we know for sure.
okay, spill it: what has your administration done in the name of cost cutting?


May:
At this job, so far, there’s no blatantly evident cost-cutting. Government bureaucracy takes YEARS (yes, years) to get anything. Unless some elected official throws a stink, nothing happens (a lot of stink happened within the last year or two, so plenty of stuff now).
At the last job though, it was very subtle. Stuff breaks…you don’t get another (unless someone could die with out it) or you need stuff, you don’t get it (unless of course, you could get sued without it).
This same unit I was previously on was remodeled and revamped so another unit could have it as its temporary home while their unit is being remodeled. Since this division will be sent out of the hospital eventually, they just bounced this unit back with the sister units.
The happy family’s not exactly happy to be all together again…glad I’m not there anymore!
Comment by RehabRN — June 29, 2008 @ 5:14 am
Good luck with the changes…
we made big changes like this a few years ago and it was a disaster… we are still trying to pick up the pieces and get the DHB to change the system back…
it worked before…
It sure doesn’t now!!!
As for Bush, I live on the other side of the world and he gets blamed for everything….
Him and our PM who is as useless as …………….
(Some things don’t need to be said out loud.)
Comment by Kj — June 29, 2008 @ 4:50 pm
My hospital is one of many in a big name system. They are now consolidating their HR department leaving only the recruiters and a couple of employee liaisons on site. With all of the issues going on in the OR, I have a feeling that this has added another layer of red tape that employees have to cut through in order to be heard.
Comment by unsinkablemb — June 30, 2008 @ 5:16 am
Hospitals are fooling themselves if they believe one individual can truly “manage” that many people. Yes, nurses adapt, because they have no choice, but adapting to ridiculous organizational policies is contributing to many of the problems you describe. The quality of health care is deteriorating and no one is minding the store. And…chances are those that are being let go are of a certain age. If they’re over 40, they might want to investigate EEO laws.
Onehealthpro
Comment by Onehealthpro — June 30, 2008 @ 7:52 am
I actually quit a job over the budget. Now I’m a practical person {at least on my good days I like to think that I am one} so if you state hey, be aware of the budget- clock in, clock out on time- be aware of supply use, O2 use and so on and so forth then HEY! No problem- it’s how I manage my home supplies as well.
But some take it awful far where patient and definately patient satisfaction is compromised then I draw the line.
Comment by alwaysmrsghost — July 3, 2008 @ 9:34 am