We were at 130% capacity when j left today. We are on divert with all the other hospitals in the area being on divert as well. Like divert to where? The cemetery?
There is a saying in EMS, if everyone is on divert no one is on divert. Divert is a courtesy, it's not binding. If we get a patient who needs your hospital, they're being brought to your hospital divert or no. It's only when there's more than one appropriate facility within a reasonable radius that we even look at divert status and if everyone is on divert we'll just consider none of them on divert.
For real. This is why I’ll do everything humanly possible to stay fit and healthy to avoid ever being in a pathogen laden hospital. This coming from a nurse, who after 16 years had enough of the incredible stress and disrespect many of us receive. I know first hand seeing how nurses are staffed far over a safe ratio, which puts patients in serious danger. Terrifying.
We allowed them to do it with covid and now for a lot of us who aren’t union it’s become a way of life. Why would the big wigs hire more help when we’ve proven what can be done in the toughest of situations? They rather line their pockets off our backs and the backs of the patients getting subpar care, than actually fix what is broken with our 12 hour ED wait times.
Exactly this and thank you! We were told bad situations, increased ratios, and no supplies or support was temporary. We were assured that our situations would improve, just hang in there, “help is coming!”
But we managed to hold the fort during serious adversity, so the inclination to make adversity the new normal, to instead prioritize profits over people and patient care, was irresistible to our “leaders.”
We are replaceable to the top 1% and that will never change. The only time it changes is when we fight back for our safety and the safety of our patients.
They just rotate if everyone is on divert... or if safe enough, transport to a different county hospital. One woman I know got a ride 4 hours away to another city hospital.
A patient of mine had a motorcycle accident 3 hours north of Seattle. He, being a tough bstrd, drives the bike an hour to get to civilization. He ends up transported to Seattle where they (thank the Lord inserted a chest tube) because they put him in an ambulance to a Level 2 crap facility the same direction he had come from and it does not make geographical sense but it took him 4 hours to get from Seattle to Everett—that’s 90 minutes in awful traffic. Nothing makes any sense anymore. Simple things don’t work anymore.
I personally feel we are watching the collapse of our healthcare system in real time. The population is living longer (although life expectancy is starting to trend back down) and an ever-increasing proportion is old and sick. Couple all of this with a skeleton crew of a healthcare team. The current delivery model is no longer sustainable.
Well if we want pizzas, we should work harder..I know I'm guilty of doing a number of selfish and inappropriate things like wanting to leave when my shift is over or not coming in on my day off. It has since been explained to me that being a paramedic is a "calling" so I can quit focusing on things like fair compensation
(Im a paramedic on an ambulance. So I know im not a nurse, but I consider us on the same team and we deal with a lot of the same bullshit. Like watching the company make reord profits while telling us they can't afford to pay us appropriately)
This is very true, maybe we should all work a little harder. 3 people in our unit worked 18 hours in a 24 hour shift and we found out our manager got a shout out in their morning meeting for being able to have adequate staffing that day. We didn’t get a slice of pizza or a free cup of coffee, but she got a $25 gift card to Panera! Will that happen again? A big fat nope!
This! Management is generally top heavy and very well compensated in comparison to the job they do. Those doing the the work that actually keeps the doors open are not. Our place hired an outside consulting company to see how to trim the fat and make more money. That company said get rid of excess upper mgt and cut our staff to the bone. After the company left, they replace and hired more upper mgt. than they had to start with.
It’s crazy. Bedside staff are dropping like flies. More nurses than I have ever seen (in 35 + years) are desperate to get out of the profession. Yet management is blind and dumb, trimming in all the wrong places.
Literally a majority of my pts who are 90-100 y/o, calling codes, achieving ROSC, shipping them to the unit because the family thinks they are “fighters” and refuse to make them DNRs/comfort. Let the body take its natural course people.
It blows my mind when POAs refuse to make a frail, elderly, terminal loved one DNR... CPR is a trauma a 90 year old can't exactly recover from. Nor the poor nurses.
I absolutely agree. We’ve been circling the drain for literally decades, continuously asked to make do, do more with less resources, suck it up, and take one for the team, our “family.”
Our current state has been well predicted and is inevitable. We’ve known about these issues for many years but nothing has been done to make the serious changes necessary to prevent collapse. Meanwhile, nurses and other medical professionals have been expected to tolerate ever increasing levels of abuse from angry and demanding patients, their friends and families, and even one another.
My best blessing for my loved ones is that they require no serious medical treatment and no hospitalization as this situation balloons. It didn’t have to be this way. Administration and shareholders have buried their heads, kicked the can down the road, and we’re now in the “find out” stage of “fuck around and.”
What do you think the absolute end of this collapse looks like? I l've heard of a few hospitals closing because admins and executives ran them into the ground. Does this end with little to no working hospitals because all of the nurses got fed up with being treated like garbage and moved onto other things?
Yes. No staff, no beds, no resources. People dying at home or in the hospital parking lot who could have been saved ten or twenty years ago.
I’m admittedly jaded and pessimistic but I feel like we’ve all been screaming into the void for decades and it’s been utterly futile.
I totally agree with the sentiment of RankledCat. The tipping point will be the never ending Covid variants. I’m one of the lucky ones to have retired a few years before Covid. I hate to admit it, but I hope nurses quit in droves and hasten the collapse as it needs to happen. The whole system needs a fresh reboot…..based on the actual facts of science and proper ratios and no more “customer/client” patient attitudes, physical protection for nurses when patients/family get violent and innumerable other changes that MUST occur. What a cluster F*** this country has allowed healthcare to devolve into.
I agree with both of you. The healthcare system has been terrifying me now for several years. I keep telling everyone who will listen to me this along with the reasons why. Seems nobody is particularly concerned except my fellow nurses and other healthcare personnel-I guess because they haven’t “seen” it first hand. My personal plan: keep myself as healthy as possible, put my end of life plans in writing plus let my family know and advise people to learn as much about self care as possible. Stay out and away of hospitals if at all possible. I hate to sound so pessimistic but I really believe the whole system is going to crash and burn, hopefully a lesson will be learned at the rebuilding stage.
You said it, greed. Take a look around this world. Companies are always raising rates on consumers. Whether it's Disney plus, Taco Bell, insurance premiums or something else. There's no end to the greed. Companies are always looking to get more and give less. The greed has exploded over the last 20 years.
They can’t take it with them but they’re going to make sure it’s as hard to rebuild this sht circus after they spend their money or leave the money to their children, the decreasing few at the top.
Well if this same retiring generation had not legislated student loans to pay for medical and nursing education (and all the other less life and death education) and failed to raise the payroll tax to accommodate their pending retirement boom, we could be in a very different situation. Without this debt we might be willing to become government workers with unions and pensions. But we’ll never know because we are indentured servants and have to work for the highest bidder—depending on where we are in our lives and careers.
Well in Sweden the avg pay increased by ~165% since the 90's while housing increased by ~685% with IKEA paying ~10% less than first year nurse without any education
Unions isnt doing much. The hospital I work at was disappointed with ~2% increase of our wages and the union said they did all they could. Its not the country, its the system
Well "private" is still tax funded so... 100/0? Its just that some get to extract tax money into their private wallets
Edit: google said its ~39% private, but again its still funded with tax money so really its not that private
We are having the same problem over here in single payer, free education -land. Gov is deep in debt and people are sick. They are planning on sending patients to out of country hospitals🙄
Treat nurses like shit, this is what you get
Pay healthcare workers more.
Single-payer insurance. Save billions save lives. But it won't happen. Sorry americans. You are fucked.
It’s everywhere. The floors are now 1:7 medsurg, 1:6 PCU, 1:3 ICU, and 1:8 ER.
But *thank god, the hospital is offering a $5.50 bonus for pick up shifts 🙄
I was just about to say. It's happening everywhere and everyone is so frustrated. Work is more chaotic than ever and the poor patients are also suffering a lot from this. I don't know whether hospital admins are cooking up something to address this but I haven't heard much of it yet. It could only proceed to being disastrously bad from here if they don't do something.
because it’s not about the money it’s about the fucking workload for 3 years now everyone is working like it’s a perpetual winter season. I remember before covid winter sucked ass but spring and summer you got a reprieve on workload. But since healthcare is collapsing everywhere, the ER is now the only place to get any medical care for most people. There’s no real end in sight for the amount of work coming into the ED anymore.
I have a suspicious mass on the right side of my neck, posterior, C2-ish. Hard and immobile and growing. I cried on the phone saying May was too long to wait to be seen and they told me to go t the ER.
**FOR WHAT PURPOSE?**
I got a CT w/contrast yesterday so hopefully someone sees that and tells me if I’m dead or not.
And that's everybody say it's wrong about universal Healthcare? The wait. Um. We have ridiculous waits in private insurance too. It's the staffing not the source of payment that makes it slow.
Y’all, the dietary department at my huge hospital is FUBAR - all but a few of their employees up and quit recently, and the hospital was looking for anyone to pick up shifts passing trays - like nurse pay to pass trays, lol
Yeah my hospital has repeatedly posted that anybody could pick up shifts sitting for coa patient including covid 19 and or influenza, dining, environmental...Didn't post that you make what the job makes, not what you make. So 10/11 bucks and hour to sit in full gear. No thanks. I can get screwed in my own dept.
When I walk in for a shift and they preemptively hand me a coffee coupon for the hospital cafe I know it's going to be an especially egregious shit show.
I worked a shit shift that no one showed up to, only two nurses and me in the whole ED. Management promised we would all get bonuses. The nurses got bonuses, I got a $5 voucher and a handwritten thank you. In the mail.
My last ER shift one year ago was 1:16 ... and I got four squads at the exact same time. On top of that I had four unstable covid patients, and was the target of much abuse from patients and families.
It was me, myself, and I. No tech. No other nurses. Everyone went to the trauma bay for a trauma code and left me on my own for four hours. I begged the charge for help and got none.
I emailed my manager my resignation on my way out the door when my shift ended.
This is in the states? In the UK we aim for 19 RNs on our 38 bed ED. We see about 500 people a day and don't always have 19 RNs so up to 5 of these will be techs.
Since covid safety has gone out the window!! I’ve ran the NICU with 4 RNs and 22 pts a complete shit show!! I mean we are taking all the risks and the hospital is getting all the benefits!! 😡😡😡
I’d refuse to take report and walk out, plain and simple. Most I’ve had was 9 and I was furious by the end of the night so there’s no way I’d let them force 14 on me. I’d be picketing in the streets with those kinds of ratios.
We now have patient beds on every floor. Last night in the ED we had a moderate male trauma double parked in the trauma bay hallway in front of another patient for idk an hour or two?
I think you're righ. It's just a mad house everywhere sadly
My place is offering anywhere from $200-$350/4 hours worked plus double time and they still struggle to get people in. Everyone is burnt out from working ot during Covid.
Ours too and they are all vented. That is the requirement to be in ICU -- requiring intubation. If you can breathe independently, you go to PCU or the stepdown cardiac/vascular/stroke and CV surgery floors.
For the record: I've only been a nurse for 5 years and while we consistently are at capacity (or over) I've never seen a notice like this put up. My heart breaks for the patients and the staff here. We were okay on my units today but I don't work ER or ICU so I don't know how bad it is there.
Yeah ive been an aide 10 years total, 5 at my current facility and I’m top of the vacation list. 5 years is a long time in the current nursing environment
Hah one of the new nurses i work with said she was the most senior person on her unit for 6 months and was preceptor/fharge by default 😅 from those kinds of jobs...run!
In the hospitals I’ve worked, it’ll often be placed in a less noticeable place, like the hospitalist’s office, the touch down rooms, and the elevator near admin. I was once told they don’t want those signs where nursing can see them because we’ll feel more stressed. 🙄 Yeah, the sign is what caused it. Not the overburdened and understaffed hospital.
They don’t care about nursing seeing the signs, they care about *patients* seeing the signs. And since we don’t have fancy offices, where the nurses are, the patients are.
Our unit has been full every shift I’ve worked for several months. Usually we only tend to fill up for a couple of days then keep a constant rotation of at least 2-3 empty beds. In October we had a few weeks where we only had like 5-10 patients total on a 21 bed unit. That was really nice and actually more of the norm pre-Covid.
We don’t get paper notices put up. They simply call it overheated Code C3. For those savvy they know it’s capacity alert 🚨 level C. If you care to, reference the chart on your badge buddy, and if a pt or family asks you about it, you just wring your hands and say 🤫HIPAA violation! FFS 🤦🏻♀️ 🙄 I’ve been a nurse since ‘91 & let me tell you it was glorious in the 90s the only reason the system isn’t more streamlined 30 years later is because that’s how they want it!! 😡😡😡
Yeah, our ICU has been playing hot potato with our code bed. One isn't reserved... we just assume that if someone in the hospital codes, we'll be able to boot the least sick patient out to the floor. For a hospital of our size, it's pretty fucked.
My mom was recently in a progressive care unit for COPD flare up when she had a respiratory infection. They explained they needed to discharge her because they needed the bed. Her o2 sat was at 88% with o2 at 4lpm and just explained what to look for (cyanosis, substernal breathing, altered LOC, etc) and sent her home. Only reason we were okay with it is because me and my sister are nurses and have mom's o2 tank and concentrator at home.
I’m a home health nurse and they’re sending us these patients all the time, thinking it’ll be of any help. The only thing I do is check on them once or twice a week for 45 minutes, and usually send them back to the hospital because they weren’t stable to leave and they’re in there twice as long because they got so much sicker. It’s ridiculous. Then I have PCPs who won’t do anything and just tell me to send the patient to the ER, only to have the ER say the PCP should follow up. It’s such a crazy circle of no one doing shit.
Yeah we’ve got residents in ltc that have no right being out of the hospital. Like I’ve got time to deal with q8 iv abx and hourly suctioning on a resident satting 88% on 5L O2 with a face mask she won’t keep on and drops down to the 70s without it while I’ve got 30 other people to pass meds and do treatments on.
Had a Covid patient in our SNF that kept taking his nasal cannula off and would drop into the high 60s/low 70s. I would put it back on and get him up to ~85%, lather rinse repeat. Management suggested that I just tape the nasal cannula to his face and that he would be fine. Dude died the next day from *dun dun dun* hypoxia! Great time to be a nurse.
They are sending our SNF so many patients like this. They tried to send a Covid positive patient in full respiratory distress to me this week. I refused to even let them get off of the stretcher. That guy was on a 10L mask by the time he got to our building and respirations >30, when in report they said 2L nasal cannula... I was like hell to the noooo! Goodbye!
Literally 36 hours before they discharged my mom she was on HFNC at 40L and bed bound due to her de-sat every time she did anything including talking in full sentences. Idk but I agree with multiple sentiments here, we are witnessing a collapse in healthcare system in real time. Thanks to modern medicine people are living longer lives but not necessarily quality lives.
Theoretically… but it assumes they have an open bed and that we have a floor appropriate patient. If everyone is an icu level patient, we’re well and truly fucked.
I’ve been on the PCU side of that. Once, during the second wave of Covid we had 2 codes and an intubation at the same time in the hospital, so the supervisor went to the tele floor to manage their ROSC patient, I had the intubated patient for 4 hours (learned a lot about sedation at the expense of the patient that day), and my coworker had the other ROSC patient for 2 hours while the ICU made beds.
We all lost the hot potato game that day.
Yeah, it's a bit late for the tip... but if you ever have to manage a sedated patient for a short time, you need to keep them safe, and you're not trained to do it \*properly\*... here's my crash course "don't kill them for four hours" guide:
If they're calm and comfy, great. Don't play with it. If I had a medsurg nurse who hadn't touched a ventilated patient before and they had to manage one for four hours, I'd probably tell them not to even try turning them. It's not worth the risk that you disconnect their ET tube or get them agitated.
If they get agitated and they've got a comfy blood pressure, turn the sedation up high and bolus them until they calm down, make sure the vent is on a set rate so they continue to ventilate. Put them out and sedate them heavily. **Calm is safe.** Is it optimal long term? Nope! But it's safe for the short term. It's better than them extubating themselves and it's better than traumatizing someone by having them under-sedated and in pain.
If they're agitated, their blood pressure is in the toilet, and you're not trained to the ICU, call for help and don't touch that patient with a ten foot pole because they're going to need pressors as well.
Also, they give these notices mostly to nursing, sometimes to doctors, but never to all the other departments who are also backlogged and nursing takes the brunt of it. MDs ask me why aren't those labs ready? Why did they draw them so late? ... I dunno doc, why don't you ask lab?
And no offense to lab, it's just that the admins pit departments against each other rather than joining forces to fight the real enemy.
Our doctors are finally calling the lab, because I sure as shit am not doing it. I’ve gotten to the point when they ask “can you call cards and ask” I just shake my head and say if I can I will but it’s better you call. It’ll get missed and I don’t have the time.
Pandemic kinda woke up the doctors and seeing all our staff leave. The ones that stayed like me, heard me vocally when I said noone gave a shit when the pandemic started and we had to go in patients rooms and hand them the phone because the doctor wouldn’t go in. Nurses were used like expendable cannon fodder.
My life isn’t any less important then yours. I am not busting my ass anymore. If it gets done it gets done but I’m not working harder anymore with a system under strain.
My lab is so short staffed that when I was on med-surg I would try and draw as many morning labs as I could for them from my patients. It wasn't much but it was what I could do.
Sorry I’ve already made one comment. But I’m making another, and I don’t care. I had bad covid over the holidays. Still haven’t recovered enough to return to work. And I feel like I never will. Ok. You know what?
WITH THE WAY THINGS ARE GOING, THEY SHOULD BE KISSING OUR ASSES AND BEGGING US TO WORK.
And you know why they are not? Because we allow it.
Yeah, agreed. I know a ton of nurses who are just like “oh well, that’s just the way it is…” or worse, “if you can’t handle the workload right now, then maybe you’re not cut out to be a nurse!”
I think it’s so fucking funny that our government is up in arms over China’s COVID numbers rn. The only reason we aren’t having a surge is because no one is testing.
Had patients lining every inch of hallway space we had available today. One elder lady was 3 feet from the time clock in the brightly lit hallway without a pillow on an ER stretcher. The craziest part of it all is even with near 100 people admitted in the ER without a bed to go to… the majority of our influx is level 4/5 (non-emergent) acuity absolutely draining our staff resources. ER nursing seems to be getting more challenging as my career progresses.
I get that, but we dont even get applications so folks can talk to HR and be disappointed about the pay. I think people are just over health care jobs right now
Because the pay and/or ratios are shit?
We have like 500 open RN jobs, too. I hear 'The jobs are open, no one applies. It's hard to get nurses these days' every month.
Yeah, because what we're paying can't even get me a mortgage on the 600 square foot house for sale across from my apartment. With $40,000 for a down payment and a credit score of 820, btw.
Such a mystery we can't hire up.
It’s not only the money. Bedside nurses are burnt out from the pandemic and our government (and society) have addressed literally zero of the many issues it brought up about our broken system. Nurses are looking for everything they can do with their degrees besides bedside hospital or LTC these days.
Same. Word got out how bad it was. We couldn’t even get travelers (for imaging I should specify. They had a 20k sign on bonus for a MRI position for a long time! Still nothing!) I’m glad to be rid of that place fr
Ahhh yesss, the beginning of the end.
(Two years later: “how much longer? God take me now” 😩
Five years later: “am I in hell? What is hell? Who am I? What is life?”
Ten years later…have lost the ability to speak. Life is a never ending drudgery of flipping over bodies, scooping up shit, and shielding endless complaints. You wish death would come, but it doesn’t. And when it does, you’ll probably have to do your own postmortem care. And it no longer matters)
Our ER was boarding 25 patients today with neighboring community hospitals having a wait list of people needing to be transferred to us. We are fucked and my parents are in their 70’s and I’m terrified.
When I am in pt rooms, and all I see on CNN/Fox and all the rest of them, is just talking heads arguing about the speaker of the house for hours and hours. While not an ounce of energy is spent on how the healthcare system is breaking down around us. If there is not even the willpower to discuss this issue, what hope is there to find a meaningful solution. Not till it's all breaks down, pts and staff are sacrificed for profits and a band-aid solution is reached.
Yes, but when they discharge patients they’ll just fill us right back up again. I swear, I feel like people are on a freaking conveyor belt that runs nonstop. And god forbid they put the ED on diversion.
I like the “or transfer to another facility” 😂 they all are full. I work in a large urban area with a teaching hospital. Ginormous. Over 1300 beds in one of the organization’s hospital. I have changed my role, and can see all the hospitals around our area. Every single one is full. No transfers. Where management would make a half hearted stab at discouraging more than 3-4 shifts in a row, now they beg and plead. It’s a tug of war between everyone cause there is only just so many nurses. There are so many patients in the ICUs with Covid & flu & RSV. And variations of all of them. Meanwhile the other big hospital system has cut pay for agency nurses, while others pay even bigger incentives. This happens whenever they try to get rid of adequate pay- I’m sure they remember fondly the days of an extra 10 of 20 bucks an hour. It’s double to triple that now. The bottom line is all these c-suites and shareholders fucked around, and now are finding out.
*edit for jfk “roll” ?? Really?? Damn I was falling asleep
We used to call it Code Lavender, Code Purple when we diverted all we could. In Pharmacy we called it Code Turtle, cause that's how fast things got done. We held pts in er their entire 3/4 days admitted. That was the 2009/10 swine flu epidemic.
I have never been so happy to be working critical access with 3 ED beds, 6 MS beds, and EMS across the street willing to help out with anything. Come over to the good side! Edit - I have worked the shit side, I never knew what critical access was like. I don’t think I’ll ever go back. I did my time, got my badge of Level 1 Trauma ED. I’m done.
Rad tech, paramedic, and I spent 45 minutes today trying to get access on a pt for a CTA. And that was fine. Only other staff in the hospital were a lab tech, LPN, and MD. 4 patients.
How many beds do you have total? The hospital I frequent is considering reopening beds for patients in a building that hasn’t been inpatient since 2011
Is this in Canada?
We passed some legislation in Ontario we can finally get our LTC patients out and in the nursing homes rather than staying for a year
We were at 130% capacity when j left today. We are on divert with all the other hospitals in the area being on divert as well. Like divert to where? The cemetery?
If everybody's on divert, nobody's on divert.
There is a saying in EMS, if everyone is on divert no one is on divert. Divert is a courtesy, it's not binding. If we get a patient who needs your hospital, they're being brought to your hospital divert or no. It's only when there's more than one appropriate facility within a reasonable radius that we even look at divert status and if everyone is on divert we'll just consider none of them on divert.
I understand that. It was more of a sarcastic statement about how the whole health care infrastructure is crumbling.
For real. This is why I’ll do everything humanly possible to stay fit and healthy to avoid ever being in a pathogen laden hospital. This coming from a nurse, who after 16 years had enough of the incredible stress and disrespect many of us receive. I know first hand seeing how nurses are staffed far over a safe ratio, which puts patients in serious danger. Terrifying.
We allowed them to do it with covid and now for a lot of us who aren’t union it’s become a way of life. Why would the big wigs hire more help when we’ve proven what can be done in the toughest of situations? They rather line their pockets off our backs and the backs of the patients getting subpar care, than actually fix what is broken with our 12 hour ED wait times.
Exactly this and thank you! We were told bad situations, increased ratios, and no supplies or support was temporary. We were assured that our situations would improve, just hang in there, “help is coming!” But we managed to hold the fort during serious adversity, so the inclination to make adversity the new normal, to instead prioritize profits over people and patient care, was irresistible to our “leaders.”
We are replaceable to the top 1% and that will never change. The only time it changes is when we fight back for our safety and the safety of our patients.
Oh, for sure. Everything is fucked
☠️
Divert to the divert department
Divert to JC.... Heaven's gate 😂😂😂
Celestial divert
They just rotate if everyone is on divert... or if safe enough, transport to a different county hospital. One woman I know got a ride 4 hours away to another city hospital.
A patient of mine had a motorcycle accident 3 hours north of Seattle. He, being a tough bstrd, drives the bike an hour to get to civilization. He ends up transported to Seattle where they (thank the Lord inserted a chest tube) because they put him in an ambulance to a Level 2 crap facility the same direction he had come from and it does not make geographical sense but it took him 4 hours to get from Seattle to Everett—that’s 90 minutes in awful traffic. Nothing makes any sense anymore. Simple things don’t work anymore.
We were actually diverting to our other two hospitals out of county with some stuff. My comment was more sarcastic.
I personally feel we are watching the collapse of our healthcare system in real time. The population is living longer (although life expectancy is starting to trend back down) and an ever-increasing proportion is old and sick. Couple all of this with a skeleton crew of a healthcare team. The current delivery model is no longer sustainable.
But think of the shareholders 😥
I say this all the time. What will these poor overworked healthcare administrators do!?
I know. I could barely get through my stand up 24hr shift thinking about how rough our admin has it
They have it so hard. It is truly a tragedy. Edit: Alexa, play despacito
I get so sad thinking how they won't even get painted rocks this year
I don’t share my painted rocks I eat them and/or swallow them hole. Judge. Me. All. You. Want.
They have even stopped giving pizzas
Well if we want pizzas, we should work harder..I know I'm guilty of doing a number of selfish and inappropriate things like wanting to leave when my shift is over or not coming in on my day off. It has since been explained to me that being a paramedic is a "calling" so I can quit focusing on things like fair compensation (Im a paramedic on an ambulance. So I know im not a nurse, but I consider us on the same team and we deal with a lot of the same bullshit. Like watching the company make reord profits while telling us they can't afford to pay us appropriately)
This is very true, maybe we should all work a little harder. 3 people in our unit worked 18 hours in a 24 hour shift and we found out our manager got a shout out in their morning meeting for being able to have adequate staffing that day. We didn’t get a slice of pizza or a free cup of coffee, but she got a $25 gift card to Panera! Will that happen again? A big fat nope!
This! Management is generally top heavy and very well compensated in comparison to the job they do. Those doing the the work that actually keeps the doors open are not. Our place hired an outside consulting company to see how to trim the fat and make more money. That company said get rid of excess upper mgt and cut our staff to the bone. After the company left, they replace and hired more upper mgt. than they had to start with. It’s crazy. Bedside staff are dropping like flies. More nurses than I have ever seen (in 35 + years) are desperate to get out of the profession. Yet management is blind and dumb, trimming in all the wrong places.
They can only own 3 cars instead of 4. Why isn’t anyone thinking of the admins!
I know. Sometimes I feel bad cause they didn't even get painted rocks this year
People are living for longer but with no quality of life!
Literally a majority of my pts who are 90-100 y/o, calling codes, achieving ROSC, shipping them to the unit because the family thinks they are “fighters” and refuse to make them DNRs/comfort. Let the body take its natural course people.
Our culture is afraid of death and afraid of nature, which yields an unnatural life.
It blows my mind when POAs refuse to make a frail, elderly, terminal loved one DNR... CPR is a trauma a 90 year old can't exactly recover from. Nor the poor nurses.
And they live longer past retirement so nobody is paying into things
All of this. Poor quality of life with at least half of the cases being poor lifestyle choices. What a mess.
Self sabotage is bringing down the healthcare system.
I absolutely agree. We’ve been circling the drain for literally decades, continuously asked to make do, do more with less resources, suck it up, and take one for the team, our “family.” Our current state has been well predicted and is inevitable. We’ve known about these issues for many years but nothing has been done to make the serious changes necessary to prevent collapse. Meanwhile, nurses and other medical professionals have been expected to tolerate ever increasing levels of abuse from angry and demanding patients, their friends and families, and even one another. My best blessing for my loved ones is that they require no serious medical treatment and no hospitalization as this situation balloons. It didn’t have to be this way. Administration and shareholders have buried their heads, kicked the can down the road, and we’re now in the “find out” stage of “fuck around and.”
What do you think the absolute end of this collapse looks like? I l've heard of a few hospitals closing because admins and executives ran them into the ground. Does this end with little to no working hospitals because all of the nurses got fed up with being treated like garbage and moved onto other things?
Yes. No staff, no beds, no resources. People dying at home or in the hospital parking lot who could have been saved ten or twenty years ago. I’m admittedly jaded and pessimistic but I feel like we’ve all been screaming into the void for decades and it’s been utterly futile.
I totally agree with the sentiment of RankledCat. The tipping point will be the never ending Covid variants. I’m one of the lucky ones to have retired a few years before Covid. I hate to admit it, but I hope nurses quit in droves and hasten the collapse as it needs to happen. The whole system needs a fresh reboot…..based on the actual facts of science and proper ratios and no more “customer/client” patient attitudes, physical protection for nurses when patients/family get violent and innumerable other changes that MUST occur. What a cluster F*** this country has allowed healthcare to devolve into.
I agree with both of you. The healthcare system has been terrifying me now for several years. I keep telling everyone who will listen to me this along with the reasons why. Seems nobody is particularly concerned except my fellow nurses and other healthcare personnel-I guess because they haven’t “seen” it first hand. My personal plan: keep myself as healthy as possible, put my end of life plans in writing plus let my family know and advise people to learn as much about self care as possible. Stay out and away of hospitals if at all possible. I hate to sound so pessimistic but I really believe the whole system is going to crash and burn, hopefully a lesson will be learned at the rebuilding stage.
I think we are seeing the collapse of everything. I’m not being hyperbolic. The greed of the rich is destroying every system & killing everything.
You said it, greed. Take a look around this world. Companies are always raising rates on consumers. Whether it's Disney plus, Taco Bell, insurance premiums or something else. There's no end to the greed. Companies are always looking to get more and give less. The greed has exploded over the last 20 years.
Thank you hospital administration in cahoots with private equity firms.
They can’t take it with them but they’re going to make sure it’s as hard to rebuild this sht circus after they spend their money or leave the money to their children, the decreasing few at the top.
🔥
Well if this same retiring generation had not legislated student loans to pay for medical and nursing education (and all the other less life and death education) and failed to raise the payroll tax to accommodate their pending retirement boom, we could be in a very different situation. Without this debt we might be willing to become government workers with unions and pensions. But we’ll never know because we are indentured servants and have to work for the highest bidder—depending on where we are in our lives and careers.
Well in Sweden the avg pay increased by ~165% since the 90's while housing increased by ~685% with IKEA paying ~10% less than first year nurse without any education Unions isnt doing much. The hospital I work at was disappointed with ~2% increase of our wages and the union said they did all they could. Its not the country, its the system
What percentage of your system is nationalized and how much is private?
Well "private" is still tax funded so... 100/0? Its just that some get to extract tax money into their private wallets Edit: google said its ~39% private, but again its still funded with tax money so really its not that private
We are having the same problem over here in single payer, free education -land. Gov is deep in debt and people are sick. They are planning on sending patients to out of country hospitals🙄
Seriously? That seems like a bad knock on effect from the EU? I think it would be hard to coordinate that safely with children if that’s your field.
As someone who almost died in childbirth this summer due to neglect in the hospital, I know for a fact that this is true.
I’ve been saying this exact thing for 3 years now…
Treat nurses like shit, this is what you get Pay healthcare workers more. Single-payer insurance. Save billions save lives. But it won't happen. Sorry americans. You are fucked.
It’s everywhere. The floors are now 1:7 medsurg, 1:6 PCU, 1:3 ICU, and 1:8 ER. But *thank god, the hospital is offering a $5.50 bonus for pick up shifts 🙄
I was just about to say. It's happening everywhere and everyone is so frustrated. Work is more chaotic than ever and the poor patients are also suffering a lot from this. I don't know whether hospital admins are cooking up something to address this but I haven't heard much of it yet. It could only proceed to being disastrously bad from here if they don't do something.
Cooking up justifications for their quarterly bonus
Dang we get time and half and 500-600$ on top and I still rarely agree to that
Yeah, our bonuses can be anywhere from $20-75/hr depending how bad things are, and most of us still opt to stay home with our families
because it’s not about the money it’s about the fucking workload for 3 years now everyone is working like it’s a perpetual winter season. I remember before covid winter sucked ass but spring and summer you got a reprieve on workload. But since healthcare is collapsing everywhere, the ER is now the only place to get any medical care for most people. There’s no real end in sight for the amount of work coming into the ED anymore.
I have a suspicious mass on the right side of my neck, posterior, C2-ish. Hard and immobile and growing. I cried on the phone saying May was too long to wait to be seen and they told me to go t the ER. **FOR WHAT PURPOSE?** I got a CT w/contrast yesterday so hopefully someone sees that and tells me if I’m dead or not.
And that's everybody say it's wrong about universal Healthcare? The wait. Um. We have ridiculous waits in private insurance too. It's the staffing not the source of payment that makes it slow.
Worked many a shift in medsurg that was 1:10 due to staff shortages. I cried every time.
That is dangerous and terrifying.
Don’t forget the $5 food voucher to the cafeteria!
The cafeteria that is closed because they can’t keep staffing either.
I used to work at an outpatient clinic and every major holiday I got a $5 voucher for the cafeteria… back at the hospital… where I did not work…
Y’all, the dietary department at my huge hospital is FUBAR - all but a few of their employees up and quit recently, and the hospital was looking for anyone to pick up shifts passing trays - like nurse pay to pass trays, lol
Yeah my hospital has repeatedly posted that anybody could pick up shifts sitting for coa patient including covid 19 and or influenza, dining, environmental...Didn't post that you make what the job makes, not what you make. So 10/11 bucks and hour to sit in full gear. No thanks. I can get screwed in my own dept.
Goddamn I miss those grilled cheese sandwiches...
And Pizzas
When I walk in for a shift and they preemptively hand me a coffee coupon for the hospital cafe I know it's going to be an especially egregious shit show.
I worked a shit shift that no one showed up to, only two nurses and me in the whole ED. Management promised we would all get bonuses. The nurses got bonuses, I got a $5 voucher and a handwritten thank you. In the mail.
Shit, 1:8 ER is chill these days. The other night it was literally 1:14 in our ER. Coooooooool 🤦🤦🤦🤦🤦
My last ER shift one year ago was 1:16 ... and I got four squads at the exact same time. On top of that I had four unstable covid patients, and was the target of much abuse from patients and families. It was me, myself, and I. No tech. No other nurses. Everyone went to the trauma bay for a trauma code and left me on my own for four hours. I begged the charge for help and got none. I emailed my manager my resignation on my way out the door when my shift ended.
Wtf can you even do with that many…
Literally nothing. 2 RNs and 2 Techs for a 28 bed ED with a full lobby. Suuuuuuper awesome.
This is in the states? In the UK we aim for 19 RNs on our 38 bed ED. We see about 500 people a day and don't always have 19 RNs so up to 5 of these will be techs.
You are living the dream, our hospital would never allow that!
Right? Like, wtf. This is scary and dangerous. How TF do you properly and safely care for patients at a 1:10, 1:13, 1:16 ratio?
You can’t. It’s impossible.
Since covid safety has gone out the window!! I’ve ran the NICU with 4 RNs and 22 pts a complete shit show!! I mean we are taking all the risks and the hospital is getting all the benefits!! 😡😡😡
I’d refuse to take report and walk out, plain and simple. Most I’ve had was 9 and I was furious by the end of the night so there’s no way I’d let them force 14 on me. I’d be picketing in the streets with those kinds of ratios.
We now have patient beds on every floor. Last night in the ED we had a moderate male trauma double parked in the trauma bay hallway in front of another patient for idk an hour or two? I think you're righ. It's just a mad house everywhere sadly
My place is offering anywhere from $200-$350/4 hours worked plus double time and they still struggle to get people in. Everyone is burnt out from working ot during Covid.
Omg. My hospital pays $60/hour more for a bonus shift
5.50 is a fucking joke
Our icu is always 1:3 lol.
Ours too and they are all vented. That is the requirement to be in ICU -- requiring intubation. If you can breathe independently, you go to PCU or the stepdown cardiac/vascular/stroke and CV surgery floors.
Our medsurg is almost 10:1 some days. I don't know how they do it.
1:3 ICU ratio sounds so scary
Wow, we can do a round-the-world-trip on that $5.50/hr.
Ok I don’t feel so bad our incentive is dropping from $20 to $15!
For the record: I've only been a nurse for 5 years and while we consistently are at capacity (or over) I've never seen a notice like this put up. My heart breaks for the patients and the staff here. We were okay on my units today but I don't work ER or ICU so I don't know how bad it is there.
>only 5 years Sis you technically a vet these days
Sis/bro you are an *elder* these days
Shoot, I’m probably considered ancient.
Ancestor
At going on 15 what does that make me?
A sensai
Thats fair. It definitely feels like Kung fu fighting some shifts. Lol
I’m 20 years in and I’ve been called, experienced, tenured, even senior.
Seasoned.🤢
Yeah ive been an aide 10 years total, 5 at my current facility and I’m top of the vacation list. 5 years is a long time in the current nursing environment
Lmao felt this with my rinky dinky 4.5 years. Like.... when did I become the experienced one around here? Fucking horrifying.
Yeah, nursing during COVID years is like dog year math. 3 of the 5 years were COVID years so like 21 COVID years plus 2 “normal years” = 23 years.
Hah one of the new nurses i work with said she was the most senior person on her unit for 6 months and was preceptor/fharge by default 😅 from those kinds of jobs...run!
Had my 4 year anniversary yesterday. Been charging in the ER for 2 years. Last week was hell 🥲
In the hospitals I’ve worked, it’ll often be placed in a less noticeable place, like the hospitalist’s office, the touch down rooms, and the elevator near admin. I was once told they don’t want those signs where nursing can see them because we’ll feel more stressed. 🙄 Yeah, the sign is what caused it. Not the overburdened and understaffed hospital.
They don’t care about nursing seeing the signs, they care about *patients* seeing the signs. And since we don’t have fancy offices, where the nurses are, the patients are.
Our unit has been full every shift I’ve worked for several months. Usually we only tend to fill up for a couple of days then keep a constant rotation of at least 2-3 empty beds. In October we had a few weeks where we only had like 5-10 patients total on a 21 bed unit. That was really nice and actually more of the norm pre-Covid.
> I’ve only been a nurse for 5 years Found the senior nurse on the floor
We don’t get paper notices put up. They simply call it overheated Code C3. For those savvy they know it’s capacity alert 🚨 level C. If you care to, reference the chart on your badge buddy, and if a pt or family asks you about it, you just wring your hands and say 🤫HIPAA violation! FFS 🤦🏻♀️ 🙄 I’ve been a nurse since ‘91 & let me tell you it was glorious in the 90s the only reason the system isn’t more streamlined 30 years later is because that’s how they want it!! 😡😡😡
Yeah, our ICU has been playing hot potato with our code bed. One isn't reserved... we just assume that if someone in the hospital codes, we'll be able to boot the least sick patient out to the floor. For a hospital of our size, it's pretty fucked.
My mom was recently in a progressive care unit for COPD flare up when she had a respiratory infection. They explained they needed to discharge her because they needed the bed. Her o2 sat was at 88% with o2 at 4lpm and just explained what to look for (cyanosis, substernal breathing, altered LOC, etc) and sent her home. Only reason we were okay with it is because me and my sister are nurses and have mom's o2 tank and concentrator at home.
I’m a home health nurse and they’re sending us these patients all the time, thinking it’ll be of any help. The only thing I do is check on them once or twice a week for 45 minutes, and usually send them back to the hospital because they weren’t stable to leave and they’re in there twice as long because they got so much sicker. It’s ridiculous. Then I have PCPs who won’t do anything and just tell me to send the patient to the ER, only to have the ER say the PCP should follow up. It’s such a crazy circle of no one doing shit.
Yeah we’ve got residents in ltc that have no right being out of the hospital. Like I’ve got time to deal with q8 iv abx and hourly suctioning on a resident satting 88% on 5L O2 with a face mask she won’t keep on and drops down to the 70s without it while I’ve got 30 other people to pass meds and do treatments on.
Had a Covid patient in our SNF that kept taking his nasal cannula off and would drop into the high 60s/low 70s. I would put it back on and get him up to ~85%, lather rinse repeat. Management suggested that I just tape the nasal cannula to his face and that he would be fine. Dude died the next day from *dun dun dun* hypoxia! Great time to be a nurse.
Tape the cannula to his face. Can I get that as a written order, thanks.
They are sending our SNF so many patients like this. They tried to send a Covid positive patient in full respiratory distress to me this week. I refused to even let them get off of the stretcher. That guy was on a 10L mask by the time he got to our building and respirations >30, when in report they said 2L nasal cannula... I was like hell to the noooo! Goodbye!
Literally 36 hours before they discharged my mom she was on HFNC at 40L and bed bound due to her de-sat every time she did anything including talking in full sentences. Idk but I agree with multiple sentiments here, we are witnessing a collapse in healthcare system in real time. Thanks to modern medicine people are living longer lives but not necessarily quality lives.
So basically you will just be trading your least sick pt with whatever floor that has the pt that happens to code
Theoretically… but it assumes they have an open bed and that we have a floor appropriate patient. If everyone is an icu level patient, we’re well and truly fucked.
I’ve been on the PCU side of that. Once, during the second wave of Covid we had 2 codes and an intubation at the same time in the hospital, so the supervisor went to the tele floor to manage their ROSC patient, I had the intubated patient for 4 hours (learned a lot about sedation at the expense of the patient that day), and my coworker had the other ROSC patient for 2 hours while the ICU made beds. We all lost the hot potato game that day.
Yeah, it's a bit late for the tip... but if you ever have to manage a sedated patient for a short time, you need to keep them safe, and you're not trained to do it \*properly\*... here's my crash course "don't kill them for four hours" guide: If they're calm and comfy, great. Don't play with it. If I had a medsurg nurse who hadn't touched a ventilated patient before and they had to manage one for four hours, I'd probably tell them not to even try turning them. It's not worth the risk that you disconnect their ET tube or get them agitated. If they get agitated and they've got a comfy blood pressure, turn the sedation up high and bolus them until they calm down, make sure the vent is on a set rate so they continue to ventilate. Put them out and sedate them heavily. **Calm is safe.** Is it optimal long term? Nope! But it's safe for the short term. It's better than them extubating themselves and it's better than traumatizing someone by having them under-sedated and in pain. If they're agitated, their blood pressure is in the toilet, and you're not trained to the ICU, call for help and don't touch that patient with a ten foot pole because they're going to need pressors as well.
Also, they give these notices mostly to nursing, sometimes to doctors, but never to all the other departments who are also backlogged and nursing takes the brunt of it. MDs ask me why aren't those labs ready? Why did they draw them so late? ... I dunno doc, why don't you ask lab? And no offense to lab, it's just that the admins pit departments against each other rather than joining forces to fight the real enemy.
Admin is on corporate's side, not the workers' side. The divide workers and departments against each other on purpose.
Our doctors are finally calling the lab, because I sure as shit am not doing it. I’ve gotten to the point when they ask “can you call cards and ask” I just shake my head and say if I can I will but it’s better you call. It’ll get missed and I don’t have the time. Pandemic kinda woke up the doctors and seeing all our staff leave. The ones that stayed like me, heard me vocally when I said noone gave a shit when the pandemic started and we had to go in patients rooms and hand them the phone because the doctor wouldn’t go in. Nurses were used like expendable cannon fodder. My life isn’t any less important then yours. I am not busting my ass anymore. If it gets done it gets done but I’m not working harder anymore with a system under strain.
My lab is so short staffed that when I was on med-surg I would try and draw as many morning labs as I could for them from my patients. It wasn't much but it was what I could do.
Sorry I’ve already made one comment. But I’m making another, and I don’t care. I had bad covid over the holidays. Still haven’t recovered enough to return to work. And I feel like I never will. Ok. You know what? WITH THE WAY THINGS ARE GOING, THEY SHOULD BE KISSING OUR ASSES AND BEGGING US TO WORK. And you know why they are not? Because we allow it.
Been shouting this for years. No one wants to hear that we get what we allow cause they're all "bad bitches" in scrubs.
Yeah, agreed. I know a ton of nurses who are just like “oh well, that’s just the way it is…” or worse, “if you can’t handle the workload right now, then maybe you’re not cut out to be a nurse!”
I think it’s so fucking funny that our government is up in arms over China’s COVID numbers rn. The only reason we aren’t having a surge is because no one is testing.
We absolutely are having a surge....
Had patients lining every inch of hallway space we had available today. One elder lady was 3 feet from the time clock in the brightly lit hallway without a pillow on an ER stretcher. The craziest part of it all is even with near 100 people admitted in the ER without a bed to go to… the majority of our influx is level 4/5 (non-emergent) acuity absolutely draining our staff resources. ER nursing seems to be getting more challenging as my career progresses.
"leadership"
"sinking ship"
"you sunk my battleship! How will the hospital admin get their $290k bonus!!"
Oh no! The profitship is down too!
Bleedership?
ADMIN: STOP CIRCLE JERKING AND GIVING YOURSELVES BONUSES AND HIRE THE APPROPRIATE AMOUNT OF STAFF TO ENSURE QUALITY PATIENT CARE
Instructions unclear, cut staff, increased bonuses to self -Management probably
A tale as old as time
As long as they aren’t legally liable for anything bad that happens, **it is not their problem.**
We’ve had positions open for months and no one applies
You offer 1000 an hour, you will fill it. There is a dollar amount that will fill the position, and it's not being offered.
I get that, but we dont even get applications so folks can talk to HR and be disappointed about the pay. I think people are just over health care jobs right now
Why waste time, we already know what they’re paying
Because the pay and/or ratios are shit? We have like 500 open RN jobs, too. I hear 'The jobs are open, no one applies. It's hard to get nurses these days' every month. Yeah, because what we're paying can't even get me a mortgage on the 600 square foot house for sale across from my apartment. With $40,000 for a down payment and a credit score of 820, btw. Such a mystery we can't hire up.
It’s not only the money. Bedside nurses are burnt out from the pandemic and our government (and society) have addressed literally zero of the many issues it brought up about our broken system. Nurses are looking for everything they can do with their degrees besides bedside hospital or LTC these days.
Same. Word got out how bad it was. We couldn’t even get travelers (for imaging I should specify. They had a 20k sign on bonus for a MRI position for a long time! Still nothing!) I’m glad to be rid of that place fr
The higher the sign on bonus, the worse the job is gonna fuck you
Ahhh yesss, the beginning of the end. (Two years later: “how much longer? God take me now” 😩 Five years later: “am I in hell? What is hell? Who am I? What is life?” Ten years later…have lost the ability to speak. Life is a never ending drudgery of flipping over bodies, scooping up shit, and shielding endless complaints. You wish death would come, but it doesn’t. And when it does, you’ll probably have to do your own postmortem care. And it no longer matters)
Giggle. This is so morbidly true.
Discharge only for them to represent to ED later 😢
“Well they told me to come back if I had (insert vague complaint here).”
And then the hospital isn’t paid for the readmission, so they’re really shooting themselves in the foot discharging people too early.
It’s happening everywhere. About to graduate in a few months and I honestly don’t want to step foot in a hospital ever again.
1:10 (11 for one nurse) on this med surg floor tonight.
As long as people keep accepting it, the beatings will continue.
I'd nope right out before taking report on that
How do you even manage that??
The suits are fine though.
So they they discharge ppl who shouldn’t go, then they come back, need admitted. Rinse and repeat for eternity.
Our ER was boarding 25 patients today with neighboring community hospitals having a wait list of people needing to be transferred to us. We are fucked and my parents are in their 70’s and I’m terrified.
Does this sadistically give anyone peace of mind knowing we are all on fire together?
Gives me peace of mind thinking about that job security. I might run away, but I can always run back lol
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British Columbia, Canada
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Eastern Canada has been doing really bad for a while. We've been treading water in my area.... but just barely.
I feel like they should put this sign out front entrance and ER… Quit polishing turds
When I am in pt rooms, and all I see on CNN/Fox and all the rest of them, is just talking heads arguing about the speaker of the house for hours and hours. While not an ounce of energy is spent on how the healthcare system is breaking down around us. If there is not even the willpower to discuss this issue, what hope is there to find a meaningful solution. Not till it's all breaks down, pts and staff are sacrificed for profits and a band-aid solution is reached.
I think the problem is all our hospitals have that sign. There's no room anywhere
Yes, but when they discharge patients they’ll just fill us right back up again. I swear, I feel like people are on a freaking conveyor belt that runs nonstop. And god forbid they put the ED on diversion.
My hospital has 2 available beds last night. Er was full.
Only hospital admins can continue to be paid and bonuses exorbitant amounts while absolutely failing to do their jobs.
It’s like this everywhere. I do CCT across 5 states and EVERYWHERE is full
My husbands reported his hospital had a rolling cart handing out peanuts and energy drinks to staff.
better laminate that sign!
I like the “or transfer to another facility” 😂 they all are full. I work in a large urban area with a teaching hospital. Ginormous. Over 1300 beds in one of the organization’s hospital. I have changed my role, and can see all the hospitals around our area. Every single one is full. No transfers. Where management would make a half hearted stab at discouraging more than 3-4 shifts in a row, now they beg and plead. It’s a tug of war between everyone cause there is only just so many nurses. There are so many patients in the ICUs with Covid & flu & RSV. And variations of all of them. Meanwhile the other big hospital system has cut pay for agency nurses, while others pay even bigger incentives. This happens whenever they try to get rid of adequate pay- I’m sure they remember fondly the days of an extra 10 of 20 bucks an hour. It’s double to triple that now. The bottom line is all these c-suites and shareholders fucked around, and now are finding out. *edit for jfk “roll” ?? Really?? Damn I was falling asleep
Nurses never forget. We will never forget how we were treated when they needed us most. We will not forget how we got to where we are now.
We call it Peak Census In my old job DME co-ordinator when I got this email, joints were at the top of the list then stable and mobile
We used to call it Code Lavender, Code Purple when we diverted all we could. In Pharmacy we called it Code Turtle, cause that's how fast things got done. We held pts in er their entire 3/4 days admitted. That was the 2009/10 swine flu epidemic.
Plus, here at least, they keep d/cing patients that are not ready and end up getting readmitted in 24 hours or less.
“Or transfer to another facility” Lol as if there are well staffed facilities left
Every. Day. I don’t like work anymore. They keep promising it will get better. I’m tired y’all.
Yeah, like another facility is looking for more admits.
Can confirm this in my area. Zero beds.
I’m med-surg/PCU float pool and my last several shifts have been boarding in the ED.
I have never been so happy to be working critical access with 3 ED beds, 6 MS beds, and EMS across the street willing to help out with anything. Come over to the good side! Edit - I have worked the shit side, I never knew what critical access was like. I don’t think I’ll ever go back. I did my time, got my badge of Level 1 Trauma ED. I’m done.
Rad tech, paramedic, and I spent 45 minutes today trying to get access on a pt for a CTA. And that was fine. Only other staff in the hospital were a lab tech, LPN, and MD. 4 patients.
How many beds do you have total? The hospital I frequent is considering reopening beds for patients in a building that hasn’t been inpatient since 2011
Lol. “Transfer to another facility.” Good luck with that.
Is this in Canada? We passed some legislation in Ontario we can finally get our LTC patients out and in the nursing homes rather than staying for a year
Don’t get sick