Comments by "American Dissident" (@americandissident9062) on "Hospital Greed Is Destroying Our Nurses. Here’s Why. | NYT Opinion" video.
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@VincentAgueda-f3s 12 hour shifts are difficult, but being in that environment 5 days a week is equally as difficult mentally. The solution is to keep the 12 hour shift, but cut the nurse/patient ratio down by a lot. Six patients is too much. Five is manageable sometimes. Four is much more ideal. When I had six, I’m basically just treading water. Trying to make sure the meds go out on time, I don’t miss orders, and otherwise, everyone is still alive. You don’t want a nurse saying “everyone is still alive, so it was good.” You want them saying “my patients have gotten to heal up for the last 12 hours.” Not “they’re alive.”
With five patients, it was work, but everything got done. I didn’t get to do anything extra, but everything was done.
With four, I knew everything about my patients in and out. Every med was on time and explained in detail with each patient why they were being given that medication. I was able to provide education on how to do their dressing changes when they got discharged. I could SIT DOWN IN A CHAIR in the patient room and talk to them. To the family. With four patients, your snack and drink requests make it onto my priority list. When I have four patients, you will not wait for me to arrive in your room when you call. If I have four patients, I will pick up an extra shift when we are short handed on staff, because it’s not a problem. When I have four patients, I will fully explain care plans and direction of care to patients. I’ll explain the short term and long term goals. When I have four patients, I’ll even talk about patients’ hobbies with them and tell them about myself. I’ll ask the older people about their lives. I’ll ask the younger ones about their plans.
That’s the difference. It’s not just the length of time. It’s the workload while I’m there. I was once given seven patients on a shift.
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