#24-As a retired RN, I can tell you hospital administration can give a flying fig about nursing satisfaction. In the 1970’s and early 1980’s, care was patient focused. Then in the late 1980’s it became about the money. More emphasis was on paperwork/computer work, patient safety. Hourly patient rounds were instituted in the name of “safety”. This was mandated by the government, i.e. Medicaid and Medicare, for reimbursement. Hospital administrators didn’t care if it was a dissatisfaction on the patients’ end. It contributed to lack of privacy, lack of sleep. It was just another “task” nurses needed to document. You could be in the room one minute and 5 minutes later the elderly patient fell out of bed, or the sleep deprived new mother fell asleep with her baby in her arms and the next minute, on the floor! The premise behind it sounded good, but in reality was a waste-documentation in paper and later in the computer, filling out incident reports because the patient fell. This all took away from the teaching and actual patient care. Then add to that the electronic scanning of name bands prior to giving a medicine, and scanning the actual medicine to insure the right dose and right medicine. The computers were burdensome to push in the rooms, sometimes the patient’s band was missing, sometimes the medicine wouldn’t scan. The computer sometimes lost the charge in the middle of passing medications and shut down. Then you needed to find another computer that is charged to replace it. All of this leads to stress on the nursing end, although from a safety stand point it all sounds great. More time was spent in documentation and computer work than in patient care. As nurses called off at the drop of a hat because the new generation had no concern for co-workers, nor work ethic, your patient load increased. On one division the patient load was 8:1, but if there were 9-10 patients, the administrator would cut the staffing to one nurse. That meant you could not leave to go to lunch. Oh sure you could call one of two other floors for another nurse to relieve you, but that let one nurse to cover 16 patients for 1/2 hour and put the the other nurses behind. The administrators didn’t care because they were being pushed to cut costs, and if they did, they got a bonus. I cared about my patients. My patients came before my own needs always, but the new generation just sees nursing as a job and a paycheck. I pray I don’t ever get sick, that I die of heart failure in my sleep because as health care is today, it is dire and not to be trusted.
Aim for truth...Doug Gabriel is a Jesuit and adored pope John Paul..I say this as people speak from a bias or agenda
However his information about De Santis being part of the British pilgrims etc shows the lack of choice as he is being put forward as a likely president based on his Florida governorship which he is doing very well..no doubt aided by the forces said to be behind him.
As Bill Cooper says order out of chaos...they cause the chaos and give people a seeming choice.. can there be a choice that isn't from them?
Like governments we are given the illusion of choice to vote for a side but they are two wings of the same bird..it's a pantomime.
.the MPs in UK parliament should wear clown suits they do everything but pour buckets of water over the pretend opposing side. Both sides in privy council and both sides get rewarded..knighted etc.money for nothing for life but I think you buy the ermine robe.
#24-As a retired RN, I can tell you hospital administration can give a flying fig about nursing satisfaction. In the 1970’s and early 1980’s, care was patient focused. Then in the late 1980’s it became about the money. More emphasis was on paperwork/computer work, patient safety. Hourly patient rounds were instituted in the name of “safety”. This was mandated by the government, i.e. Medicaid and Medicare, for reimbursement. Hospital administrators didn’t care if it was a dissatisfaction on the patients’ end. It contributed to lack of privacy, lack of sleep. It was just another “task” nurses needed to document. You could be in the room one minute and 5 minutes later the elderly patient fell out of bed, or the sleep deprived new mother fell asleep with her baby in her arms and the next minute, on the floor! The premise behind it sounded good, but in reality was a waste-documentation in paper and later in the computer, filling out incident reports because the patient fell. This all took away from the teaching and actual patient care. Then add to that the electronic scanning of name bands prior to giving a medicine, and scanning the actual medicine to insure the right dose and right medicine. The computers were burdensome to push in the rooms, sometimes the patient’s band was missing, sometimes the medicine wouldn’t scan. The computer sometimes lost the charge in the middle of passing medications and shut down. Then you needed to find another computer that is charged to replace it. All of this leads to stress on the nursing end, although from a safety stand point it all sounds great. More time was spent in documentation and computer work than in patient care. As nurses called off at the drop of a hat because the new generation had no concern for co-workers, nor work ethic, your patient load increased. On one division the patient load was 8:1, but if there were 9-10 patients, the administrator would cut the staffing to one nurse. That meant you could not leave to go to lunch. Oh sure you could call one of two other floors for another nurse to relieve you, but that let one nurse to cover 16 patients for 1/2 hour and put the the other nurses behind. The administrators didn’t care because they were being pushed to cut costs, and if they did, they got a bonus. I cared about my patients. My patients came before my own needs always, but the new generation just sees nursing as a job and a paycheck. I pray I don’t ever get sick, that I die of heart failure in my sleep because as health care is today, it is dire and not to be trusted.
...sorry about the wrong date...
...doggy winks....
that’s the advice Samuel gives Saul
However his information about De Santis being part of the British pilgrims etc shows the lack of choice as he is being put forward as a likely president based on his Florida governorship which he is doing very well..no doubt aided by the forces said to be behind him.
As Bill Cooper says order out of chaos...they cause the chaos and give people a seeming choice.. can there be a choice that isn't from them?
Like governments we are given the illusion of choice to vote for a side but they are two wings of the same bird..it's a pantomime.
.the MPs in UK parliament should wear clown suits they do everything but pour buckets of water over the pretend opposing side. Both sides in privy council and both sides get rewarded..knighted etc.money for nothing for life but I think you buy the ermine robe.