We struggle with many of the same challenges. I've lost count of how many times I've been left with heavy, immobile patients, and all staff tied up, unable to help. I used to strain myself to move them in those situations, but after sustaining injuries doing that... no more. And it comes down to administrative levels cutting, cutting, cutting staff. It never works out, and one of my highly esteemed instructors more than 35 years ago now shared this wisdom:
If you feel you are being overworked, intimidated into physical overload, that's when consideration of administrative levels that have created that conundrum, while likely being paid several times our rate, lose all respect from me:
I'll share the worst "administration" I worked as a traveler under:
December of the previous year, an blurb was published in the hospital monthly rag that the employee of the month prizes over the coming year would be increased to a great shower of prizes, gift certificates, spa visits, cash bonus, a partridge in a pear tree and... the venerated use of the "employee of the month" parking space.
January through November of that following year, the announcement was made on the overhead: "This month's employee of the month award goes to "Emma Godley of"... wait for it... administration, billing, secretarial pool, administration... not one single patient care person had won this all year.
I'd heard enough of this. I told every nurse in that hospital to examine the "employee of the month" board by the cafeteria, and note what all the recipients had in common. Uproar followed.
So, December came. The hospital rag announced that: "due to bugetary constraints, the employee of the month award would be reduced to... use of the "employee of the month" parking spot.
And December's award finally went to... a nurse.
Keep this in mind when admin's are understaffing the crap out of your floor.
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