If you’re like me, then you’ve likely wondered what happened to all your money at the end of the month at least a time or two. Sure, times are hard and bills are always there demanding payment, but it seems like there should be more left over than there usually is. At this moment I’s working towards my RN credential (I actually got my GED last year by following a free online GED course), and when I secure a good job I may change my mind, but for now I really have to think about how to keep my little money inside my wallet!
Here are a few tips that may appear to come in handy when it comes down to spending your hard-earned dollars not clumsily so you cam pay for you education and life costs easier without missing the essentials in life.
Oh, if only! Right? I’d definitely apply to work there! The wage would barely cross my mind because I know it would be researched, fair, balanced and the job would come with unimaginable perks and benefits for me and my family. The staff would be held accountable for the same level of service throughout the facility. The management would be incredibly qualified and spectacular. The workplace would be filled with safety and fun. The colleagues would be genuine.
I would travel any distance whatsoever to receive medical treatment there. The cost would not be an issue. I would save, take a loan, purchase private insurance that only covered WDH inpatient care …whatever it took, I would do it. Talk about Tourist Healthcare! I’d be there.
It is true. There is no “I” in the word “Team”.
There is also no “Team” in the words “Responsibility”, “Lawsuit”, “Assignment”, “Medication Error”, “Patient Safety”, “Holiday Shifts”, “Experience”, “Benefits” and “Income”, “Patient Load”, “Professional”, “License” or “Certification. – There are only “I”s.
All this to say, it is time we quit teaching our young that “We are a Team!”
We are not.
We are individually practicing professionals with our own patient assignments and patient care assistants (sometimes) to delegate and direct. We ultimately carry the personal responsibility for each individual patient assignment we agree to take. Additionally, while we are not “responsible” and therefore not “liable” for another practitioner’s care (unless we are assigned as their preceptor), we are quite willing to provide simple coverage when needed for a break, give and receive help in a crisis, and lend a hand when we are not busy with something else.
I’ll be the first to admit I love working with a good nurse. Give me a good nurse any day! and we can work short-staffed, under pressure and come out smelling like roses with cheerful and sunny attitudes. Alternatively, give me a fully-staffed shift of slackers and complainers, and we come out overworked, under-paid, grouchy, tired and beaten. Yes, a good nurse is worth their weight in gold.
The good nurse can handle his/her patient care assignment with minimal or no unnecessary emotional drama. I enjoy both the novice and the expert nurse when their work is efficient, comprehensive and professional. And, thankfully, most nurses are sincerely good.
Never tell your staff the woes and concerns of your own life. There is no comparison between the administrative life you lead and the practice of staff nursing at the bedside for 12-hour shifts 2 – 3 times per week.
Your own mental stress and anguish with your chosen managerial position – your meetings, your budget shortages, your inventory costs, your shift-coverage heartaches, your JCAHO and Magnet surveys – pale absolutely when held against the clock-in/clock-out bondage and life/death responsibilities of today’s clinically practicing nurse professional.
And, please, save your staff the details of your home-life. It is not the same as theirs. Even if it is… it is not.
While your title may be “Leader”, your role is S*U*P*P*O*R*T. The administrative, middle management aspect of your job is what you signed up to do for the corporation. It is private and of no concern to the working nurses at all. Keep it that way.
The hospitals back a proposal (S 876), filed by Sen. Richard Moore (D-Uxrbidge, Massachusetts) and co-sponsored by 20 lawmakers, that would establish committees of nurses and other staff at every Massachusetts hospital to develop individualized staffing plans. Such plans would govern “nurse-to-patient staffing guidelines” that take the acuteness of patient illness into account. (Read the full article here.)
Individual hospitals have proven themselves incapable across-the-board of implementing this type of control. This is a fluff-measure offered by the hospital interest groups and lobbyists on behalf of our employers and meant to appease the bureaucrats’ good, but misguided (sarcasm mine), intentions to help the clamoring staff nursing base.
Elected Official, please remember you are in office because of the clamoring and voting base. We are appealing to you for help, not because we are whiners or ignorant of the ways of business, but because we care deeply for our patients.
…your job is easy to but i dont want to be a garbage man. nurses are a mix of maid and babysitter anyone with an 8th grade deploma could do it its not hard to do. i guess its good nurses are around because who else would get coffee for the drs .
This is an inflammatory comment left by a fool in the midst of a jumble of comments following this article from Michigan. The comment is asinine and I usually would pay it no attention, but I am hearing and reading this genre of spittle more and more often. This mindset definitely makes me wonder if this is a sad backlash of our economy, our union activities and the employment situations in which nurses are finding themselves – more “labor” (believed by the masses to be unskilled, at that) than “professionals.”
Are we not worthy of respect and a seat at the Big Boy Table? Do they understand how much work we have and that our education is demanding?!
Here are some of my observations:
Neither medical nor legal professionals are standing on State Legislative lawns with signs.
While it is much easier to revel in the knowledge of our strengths and bask in the praise from others, it is time to stop beating ourselves with our weaknesses. Who, as an adult, needs to be reminded of those anymore? That you know what your personal skill weaknesses happen to be is all that matters. That you spend any time at all trying to change a weak skill into a strong skill at this stage of life is a waste of valuable time. Abandon the Weaknesses!
A weakness is a skill that probably should not be used to earn a living – a good living, that is. If you cannot sing in tune, starring roles in Broadway musicals are usually out of the question. Not being able to speak to large groups means elected high political office and motivational speaking can be taken off the table. And, not being able to expertly run and leap-in-stride absolutely means Olympic Gold in the High Hurdles is not in your future.
I am not inferring that you should abandon a weakness if you enjoy the activity. Hobby-like attention to learning to sing can be extremely fulfilling and relaxing. However, if you truly want to improve an area of your life – both financially and inter-personally …go with a strength, not a weakness. Do not chase down a known weakness and plan to make that skill your income-producing cash-cow. It will not work well and you will feel miserably unsuccessful. (Think: surgeons that wanted to be ministers; engineers that wanted to be artists.)
HAPPY NURSES WEEK! ! !
It is my extreme pleasure to bring you all this edition Change of Shift! My thanks and enduring gratitude to Nurse Kim @ Emergiblog…. beside whom, I just know, I’d love to work.
The theme – The Greatest Nurse… – was a flop. (Is it “themes” in general? or ‘this one’ in particular??) Whatever. Since I am a nurse through and through, I have found a way to get over it.
Here’s to all the Greatest Nurse Bloggers who submitted for this edition AND to their Blogrolls where I ‘discovered’ at least one additional blogger to showcase. (pssst – thanks for listing the nursing and medical blogs that you follow on your sites! Its a GREAT way to find each other.)
RehabRN gives us pearls of wisdom that she’s gathered along the way in The greatest nurse…(!!! managed to address a theme with my deepest gratitude!!!) And from her blogroll, I found Call Bells Make Me Nervous — one of those dear ER Nurses that made me lol with Bet They Didn’t Teach That in Med School. And, from *her* blogroll, I wandered over to Diaper Changes Are Not My Job — where my new favorite Peds Nurse retells her version of the Desperate Housewife.
Nurse Me offers up her example of Enough is Enough …and she’s freakin’ right. You rock, Sister! From her blogroll, I checked in on one of my favorite docs, Dr. Grumpy in the House and re-read his earlier post: Nurses… — you gotta love a doc that gets it, ya know?
The theft of approximately 3 hours of patient-focused nursing availability each shift is nursing documentation. The culprit for this is the tired, old mantra …
“If it is not charted, it was not done.”
Time for a paradigm change for Nurses’ Notes! In the interest of direct patient care and in deference to the remarkable work we provide at the bedside – none of which is reflected in charting – STOP THE MADNESS!!
From now on, how about …
“If it was not charted, IT WASN’T BLOODY IMPORTANT!”
Ok, ok, how about some middle ground? Introducing the Muse’s …
Nursing Documentation Theory
A comprehensive nursing physical assessment is completed and DICTATED. An electronic copy is generated in the EMR and reviewed (revised, if necessary) and posted.
Each shift thereafter performs a comprehensive nursing physical assessment but *only* documents that “Yes” it was completed and the exceptions, if any, are checked in the appropriate corresponding boxes.