The last thing a hospital administration wants is a nurse who advocates for patients. As an OR nurse, I had a patient who did not want general anesthesia, was terrified of it. He was saying "No, STOP!, and the CRNA and Anesthesiologist literally were holding him down, forcing the mask on his face and pushing propofol when I intervened as the circulating nurse and made them stop. I reported the incident to my director who made my life a living hell after this. I left the job shortly after. If I can't advocate for and protect my patients, there is no place for me there. In hospitals, it is "keep your mouth shut and do what we tell you". Happily retired after 40+ years. Thank God.
I am fearful to be a patient anymore. It will only get worse as owners and management cut staff and take all the money. As a former ICU nurse CC float and wife of a current health care professional I hear you. What a nightmare our health care system has become. Lawyers should be watching this and getting ideas regarding Ascension. Take away their medicaid-medicare money if hospitals don't maintain staff ratios.
I agree. But how do you maintain that ratio when no one wants to do the job???? You can't FORCE people to do a job that will almost invariably make them sick--look at the results of the national draft back in the 60s. Of course, I'm assuming that you're an American citizen living in the USA as of your writing. Or aren't you?
30 year RN here… healthcare has gone down hill … I discourage anyone from going into nursing and I encourage anyone who must be a patient in hospital to never be alone.It’s a scary situation ….
I left nursing a few years back and do not miss it at all. I was constantly bullied and mean treated and threatened for years for doing a fantastic job of caring for others and going way beyond expectations---never a med error. One day I looked at myself in the mirror and decided I had had enough of the abuse from administration and I walked out the door without a 2 week notice before the start of a shift and when they flipped out and started calling me all kinds of names i said....deal with it. I did not return their phone calls or threatening letters. I moved away and started a new life and that is when life began for me, a wake up from the nightmare. Once in awhile I have flashbacks to the bullying and abuse, but not often.
That's true, you do need a spine of your own to survive nursing, plus a brain helps as well. You were not cut out to be a nurse with your level of emotional intelligence. We're better off without you and your labile moods. No one wants to work with a drama queen.
I’m a nurse that walked in a strike over patient ratios 30 years ago. It hasn’t gotten any better in 30 years. Hospitals don’t care about their employees. Last place I worked at gave these mandatory employee relations inservices that were supposed to help you like your job, and one of the speakers said if you don’t like it here leave.
Liz...there is a culture in nursing that puzzles me. For 30 years I've watched nursing work groups have the same issues and they NEVER back the nurses who speak up
I am not a nurse but I worked in a level 2 trauma hospital ER as a clerk in MI . We constantly had at least 10-12 nurses on staff. We constantly had codes and stroke patients.I do not see how they (Ascension Illnois)could have run a 51 patient unit with 4 nurses. They will prevail in arbitration especially since the employer did what was requested by the nurses only after they punished the nurses. I have a degree in HR and there is no way their HR team can adequately cover this up. I am glad to hear that they are unionized nurses and I am sure they will be made whole as a result. It is hard to see nurses work so hard and be treated so poorly. I thank every nurse for their attention, skill, and compassion to care for us all when we are not well.
The problem is that Corporate America has completely taken over hospitals and healthcare. All that matters to the CEO, BOD, is profit. Period. Nurses are lazy , that infuriates me. Our hospital was stripped to barebones, always short staffed, always, no support staff, the nurses are doing the work of 3-4 people, constant stress, cleaning 500 lbs patients. this has been happening for at least a decade.
Exactly why I retired earlier than I planned to. I feel for the young nurses coming in. Some are clueless to the toll these unsafe conditions will take upon their mental health as well as physical. When I stood up and said no I will not take another patient I was branded as a troublemaker. This was a safety issue for the patients. Loved the patients, but I do not miss the stress, pain and distress I was experiencing after 25+ years of being an RN. Our charge was forced to take patients. I refused to be charge. Patient care is no more.
9 years as a Tech... started 6 years Med Sug/ICU 3 years ED and counting.... RNs and Techs are expendable and ratios are a joke when the license and careers on the line. Staff is gone and travelers and agency RNs have been a blessing but again management doesn't care... except pizza and ice cream parties to boost moral... instead they hiring more RNS, ER Techs, and focus on patient care!
Staff nurses have gotten taken advantage for a long time. The scariest situation I was ever in as nurse was me and a new grad nurse on a med-surg unit alone with no nursing aid during an afternoon shift. We didn't have a year of experience between the two of us. All I was able to do really was push pain meds during that time. I was totally swamped. There was no one to take vitals. No one to feed patients who couldn't feed themselves. I was literally in triage mode. It was very unsafe. I always thought later what I would do if I walked into work again and found out that I had 15+ patients by myself. We were also told at this hospital if we didn't like it we could quit. It was my local hospital so felt like I was failing the community I grew up in.
I want to get into nursing but the hostility is ridiculous. I barely survived HS bullying and when I was a CNA the cattiness and bullying was beyond heavy. I can’t understand the power trip people get smh
@@mimi_j honestly, you just have to learn how to handle it, either by reporting things, your personal interactions, etc or just don’t go into healthcare. It doesn’t get easier. You only grow stronger and learn how to deal with it or you don’t. Those are the options. Because it will be there in some form or another through out your career. But if you avoid a career you truly want because you’re scared of hurt feelings, you’re going to be very disappointed. Whatever you choose you will face the same thing eventually. That’s life
@@Phoenixhunter157 Yeah, no. Every person I know who had life experience before going into healthcare finds the behavior common in healthcare absolutely wild. 90% of doctors are nerds and 90% of nurses are women. We can pretend like nerds with power and meangirl stereotypes associated with those groups and bad social behavior have no basis in reality, just like we can pretend that frequent flyers with allergies to percocet, ketorolac, and ice packs is really at 10/10 pain.
Yeah. They were absolutely just trying to prove a petty point to intimidate others who may have thought of doing the same thing. Literally they couldn’t care less about the patients and how unsafe that was 😔
Disgusting. Our rural hospital has been acquiring and ruining smaller hospitals around here for years. Sickening , cluster chaotic almost no policies, no training to speak of and 90% brand new nurses out of school. I dont know how these administrators get away with this crap. Recently our hospital bought their way into a prestigious business magazine. Unbelievable
Oh they have policies. They just arent written where you can see them. Try saying something they dont like. They will pull out some “policy” out of their arse faster than you can say facist government takeover.
It’s the complete authoritarian approach to addressing employee relations and patient care contrasted to their marketing BS to the public & prospective employees. Also the state hospital licensing agency & CMS need to get involved.
I saw a travel nurse a few months ago refuse to accept her patients because the ratio on the med surge was 7 and possibly going to 8 pts. Her contact said 6 pts max. Mgmt haggled with her for an hr, the other nurse couldn't leave until it was resolved, she punched out and went home. The hospital ended her contact, and next day everyone was lectured, you WILL accept what we give you, or you will be fired! I'm a CNA, WAS looking into nursing school, after this, I had some soul searching. I stepped down to part time, got my class B CDL, and drive a school bus, and make better money than the hospital paid. A religious company bought our hospital a few years ago, and it changed drastically after it was sold. Most Drs left, and we mostly have Physician assistants now.
It's my local hospital. I went in last month with my wrist. They talked me out of seeing a doctor. I had a torn tendon that was bleeding. I'll have long term damage. The labor delivery was great but the ER is horrible.
Listening to you reaffirms my decision to cut out processed foods and sugar and cook my meals at home from scratch. Lots of fresh meat and vegetables with some low-carb fruits once in a while has greatly improved my health. As a society, we need to become more responsible for our own health.
You are literally saying everything I have been saying myself for years. We have to stop letting them just assume we will take the ratios. It is not safe and we are no longer putting up with it. I myself have been lucky except the one time I said no and it was a hospital system you stated. I love the idea of not only good reviews of the hospital care but safe ratios for patients. I always tell patients to speak up because until they hear it from their patient surveys they are not going to change.
I recently had an episode where I was taken by ambulance to this hospital. It was awful. I went by ambulance and then was wheeled into the waiting area where I sat waiting for HOURS. I was surrounded by people in similar circumstances. The nurses were not rude but clearly understaffed. They keep saying that the ER is clogged with people who are using it as a quick care. It was honestly a traumatic experience 😣.
Ambulance patients are sent to triage all the time because they are stable and can wait their turn. Patients are treated based on their acuity. Not all non-emergent patients are eligible for triage, but the ones who are should expect to go through the process of being triaged with everyone else.
@@CatMurray -five hours of waiting is excessive. I thought I was having a stroke because of the severity of the headache. This wasn’t the case for many people waiting. Some patients were screaming in wrenching in pain. The poor elderly lady sitting next to me had a broken arm and hip. This experience was far outside reasonable expectations for everyone. That same hospital had a patient die from thinking he was stable and he died. My last three interactions with the health care center within the hospital setting have been eye opening. The cost of this visit to the insurance company was about 15,000. Which is a whole other topic.
If the nurses took the assignment and one of their patients died because a mistake was made they could be charged with murder. At least the nurses left the hospital with their nursing license and their freedom! This is why I retired a few years ago from ICU because of the dangerous patient ratios that were given to the nurses. I knew that if I stayed I might make a mistake that could hurt a patient.
Exactly. I'm really glad they stood up for themselves and didn't take the assignment. So sad that so many nurses are having to quit to protect their license and sanity. It's just not worth it as you very well know to risk things like that :(
I’m starting cna program in January and going to become an RN if I like it, and I have heard nothing but bad things about ascension and will be avoiding them at all costs. (And this is coming from someone who is not naive to how evil the medical industry is) I’ve also noticed all the job postings for ascension hospitals in my area are drastically lower paying than the same positions at other hospitals
Ah yes, Ascension, where they routinely mandate you to work 16 hr shifts; and they are Catholic too😂 The nurses were absolutely right to refuse this insane assignment. Call CMS and the State, maybe if the hospitals are threatened with losing their Medicare funding, they will do something. I have been a nurse for 34 years, and staffing has been an issue for almost my entire career.
Such an incredibly important conversation. There are many .many deaths. In some countries the all cause mortality and new dx of sudden adult death syndrome numbers are coming close to the peak pandemic numbers. I would highly encourage all medical people to look into this. There is a lot more that needs to be unearthed here. As a director of nursing when we had a profit before people takeover , one of the first things I did was teach the team of nurses I was in " charge " of was how to decline an assignment and to protect their license above all else. I became a whistleblower in July of 2021 and it was not fun. I'm still healing from that experience.
A lot of times when people think of nursing to patient ratios, they think of hospitals, but the nurse to patient ratio in nursing homes and rehabs are ridiculous. I refuse a job when the hiring manager told me that the ratio is 1:33 patients.
I had 30 to 35 in British Columbia, Canada working in the nursing homes.Night shift was 1:110 patients with 5 care staff. Also need to be the scheduler if it is the weekend calls.
I wonder what their plan was to give these 4 nurses a break! Leave 3 nurses on the floor? Interrupted breaks? No breaks? Or they just didn’t care enough to think about this?
I used to teach nurse practitioners as an ER doc. In my opinion, most are not qualified after only 2 years of training. The bachelors degree in nursing before that was mostly inadequate to throw a new graduate out on the floor and expect any degree of competence. I know this because I am an RN,too. My last 5 encounters with NP’s were scary. Wrong diagnosis and wrong treatments. There is no comparison between the 13 years I spent after high school and the 6 years NP’s spend. Yet they are given the same responsibility as MD’s. I would never trust one of them as a caregiver for myself or my family. When medicine changed to this kind of health care, that was as dangerous as the nursing staff shortage.
I think that runs the spectrum in healthcare. There’s great providers and there’s sub par ones. I’ve had the unfortunate experience of two ER physicians that refused to listen to me about my child and two ER visits that could have been outpatient treatment but instead ended up being an eye roll, a lecture on viruses, and us returning within 48hrs of both visits requiring two admissions that could have been avoided with simple treatment but ended in 3-5 day hospital stays. Mind you we’ve only used the ER about 5 times ever for both children combined. I’ve had and worked with some amazing ER docs too. It’s a mixed bag in all levels these days.
@@GW-gz8jh You are so right. I have traveled with family members to ER’s incognito and have been appalled at the docs who never even did a perfunctory physical exam! I called one guy out on that, and he almost reluctantly checked for CVA tenderness in what was obviously by history (and exam) to be a kidney stone. Even my own partners were less than adequate. My philosophy was to always think of the worst diagnosis possible based on history and physical, ignore previous drs evaluations for fear of missing something,and then follow an appropriate algorithm to reach the final dx. For example, of a 50 yr old male comes in with severe back pain, he has to have an aortic aneurysm ruled out first until you end up with the much less serious dx of lumbar muscular strain. Or if a young apparently healthy person comes in with chest pain , you have to rule out a cardiac or pulmonary cause before being satisfied that the symptoms were merely from a muscle strain or an anxiety driven issue. In fact, every women who complained or lower right or left abdominal pain got a pelvic exam by me. With that approach, I’ve never had a lawsuit come my way in 40 years. (which does not mean I’m perfect, but it seemed to work in the patient’s best interests). I have so many stories! .
at this hospital, my father had to diagnose his own boxer's fracture. er doc said you're all good to go! Dad said hey doc isn't this bone broken? as he pointed out the fracture on the Xray film...
It's such BS that employers can legally terminate with no reason or explanation. Why even have laws protecting employees from discrimination and retaliation, if this type of thing is okay?! Seems just to pacify us workers.
Sorry I missed the live- great topic and everyone please pay attention to those incredibly high salaries of execs and the marketing rhetoric. Total disconnect.
There is no way to care for 13 patients. I worked in NYC metro area where they have no ratios in the ED. I left that area over 4 yrs and never looked back
I work as an OR nurse at Ascension in TN. Can’t speak to ratios but I do know the vibe is different from my previous and only other nursing job at a small community hospital. I knew the CNO at the last job and so many other higher ups that were so approachable and wanted to make it a good experience working there. I never once had more than the 5 patients we were supposed to have. I only left because of moving out of state and inpatient physical rehab wasn’t my jam as a nurse.
My sister-in-law works for hospice. They have come up with a new idea,hospice that admits 24 hours a day, if a patient is a 2 AM getting sicker they will admit them. Two of her patients she admitted this week were in the process of dying and one died before she got the paperwork done. They do not care about the patient whatsoever, it is that get money stuff. Many years ago when I was working home health and hospice we did not admit anyone until seven or eight in the morning …what are you gonna do at 3 AM with an admission??? We have decided it is nothing but pure greed. She turned her resignation in yesterday and she’s going to the doctors office to work. By the way she has a bachelors degree and has been in management for 17 years, thought the Lord led her to this company to quit her job and start with hospice. Obviously she missed the mark lol. So she’s going back to the same company she actually was a manager over all of the doctors offices in this company and now she’s going to be he working for the doctors office just to take the stress level down. I believe it is pronounced Jolly-ette. As for how did they know how many patients were there. Nurses have friends… ie… If I was working the night shift and I had those 13 patients looking me in the face, I would call the dayshift nurse at home and tell her look out, you’ve got a heckuva thing coming right here. Ascension is every where now. Yes it is a money maker.
Thanks for bringing this topic for discussion Liz.I believe these nurses had it. They've been short every day and they've been picking up to cover the shortage. It's bad decision from the top management. Escorting, Suspending them out of the building when they are the only ER staffs that night. They had all the management worked to cover who have no clue of ER. It's very interesting.
I have been a nurse in Las Vegas for 26 years. No staffing ratios. Luckily I work in the ICU where our clin sups and manager have really advocated to keep our ratio at 1:2. Most other hospitals in town have 1:3 ratio in ICU. Get floated to the ER to take ICU holds and those ER nurses are so overwhelmed. Recently did travel nursing to CA and it was so nice. But they have no idea how good they have it and love to complain. They would never make it in another state with no mandated ratios.
Liz you are 100 on the mark when you talk about nurses, for whatever reason the nurses seem to have the need to tear others down to build themselves up. Such a sad situation we will never get ahead unless we act like a team working for the same goal.
After learning how petty, selfish and power-hungry women can be, the best you can hope for is to be off their radar. Forget about advancing your career, especially if you're a male. The women brown-nose and pal around with the managers to get ahead. It's not based on any kind of skills or work ethic; it's because women stick together, but secretly hate each other. Women play a huge part in shaping the environment were in now. The change starts from within, but I have VERY little hope that women will get it together enough to make a difference.
I worked for an Ascension ER a couple years back. I asked for help, charge nurse peeked in the room and said na you got it and Walked out. That was my last shift.
There is an American company, banned in your country for malpractice, buying up, and setting up GP practices in the UK who are taking the money but not providing patient care. I can’t remember the name, but my son, currently in London, appears to be experiencing this issue. Often they don’t even have a doctor in attendance, and telephone appointments constantly being cancelled while face to face consultations are non existent . We have similar issues in our NHS in badly run health authorities. It is all about poor management at the top, and lack of man management. We all like to work in a safe well run system.
Sounds like you're dealing with nurse practitioners, of which, in case you missed it, the author of this video happens to be. Completely normal. Get with the times, grandma!
From what I've seen, if you have roots in a town: family, house, friends, then it's not that easy just to pick up and find a new job. THOSE are the nurses that are truly screwed.
I just left an Ascension hospital. This story sounds exactly like what is happening to Ascension Tulsa. We do not have a nurse Union there to help. I worked at this hospital for 8 years and saw it go from the best in the city to a dangerous place. Also a level 2 trauma center, but acts as level 1 for the city. Ascension starts out as a good company there to help and then slowly flips to tearing it apart bit by bit. They replaced our supplies with poor options. Now they are out sourcing the areas (hospitalists, anesthesia, etc). Their mission and vision is a joke and they are definitely not a ministry. I’m so glad I left and found a job where I feel like my license is safe and people care.
I’m a (former) CT Technologist. I left my job after 20 years. It became abundantly clear that the only people who care about the patients are those involved in direct care. Hospitals systems exploit the fact that people who go into caring professions will do their best to do what’s right for the patient, which ultimately leads to burn out. Working conditions deteriorated to the point where I came to realize that I was putting my license on the line, and putting patients at risk for a system that sees all employees as expendable. They don’t care about the patients. They only care about money. It’s an absolute travesty and most Americans are completely oblivious.
Hospitals are brutal places to work. Always understaffed. It is sadly all about profit. Way too much management staff and not enough people on the floor trying to care for the patients. Right to work states equal no union and no representation. I work at a transplant unit where if your insurance is sufficient you get a transplant regardless of your "situation". They don't recognize federal holidays so no holiday pay, no bonus, nothing. Their medical plan is bad which is surprising given that it is a hospital. You get paid days off rather than getting sick days and vacation days. If you call out sick too much you are fired, All of this has staff afraid to call out sick so they come to work sick.
Ascension use’s Kronos for payroll and Kronos was hacked. So everyone who used Kronos was unable to access their payrolls. And Kronos doesn’t not use 2 factor authentication, Ascension does.
I know I’m seeing this a year after the fact, but I turned down an assignment to work at Ascension as a travel nurse, because of their horrible reputation! A month or so later, I saw your video. Keep up the good work informing people. Nothing will change if it’s kept quiet.
I just filed a grievance report from the abysmal ER experience last night. The same hospital I work at, I took my son last night for severe abdominal pain. From intimidation by the "security" who actually opened my fanny pack and asked why I was carrying Tylenol, to leaving my son to cry on the ER floor for 3 hours, I am horrified, ashamed and disgusted. The worst was the lack of compassion the ER staff had for the patients. So many moaning and crying. The homeless and addicts are belittled and sent away. No offer of kind words, warm blankets or even a sip of water. No shred of human compassion detected. He lay on the floor crying, "help me" and no one cared. All I could do after attempting to communicate my concern for his life over and over again was cry. Is this really the modern state of things or only my hospital provider? This next year looking for a new job if anyone thinks their hospital is a good place please comment.
Is there any way you could cover assault on nurses by doctors? In July of this year, I was shoved by an angry anesthesiologist. This was witnessed. The doctor still works there. HR tried to set up a meeting with the doctor, me, head of HR and head of outside anesthesia company. I declined. They wanted us to air our grievances and see how we could move on working together. Excuse me? I don’t know what to do. I have ptsd. I cry on my way to wk. it’s horrible and they’re gaslighting me. Do you have any advice for me? Oh and doctor is denying she did it even though they have witness testimony. Thank you. I look forward to hearing what you have to say.
You were not cut out to be a nurse, unfortunately. That would require self-awareness and a thick skin. When you spend so much time being offended, you end up being a boring, superficial person no one wants to work with.
Your right about that alexandria louisiana regional hospital owed me and my family big apologize cause of negligence stage 4 bedsore case and heart of hospice over drugs and patient died bigtime!
Respiratory therapist here. As bad as it is for the nurses, it is even worse for RTs. We often have entire units, floors, ERs, ICUs, NICUs, or any combination of the above.
I am a retired radiologic technologist. I am totally with you. I really understand the impossible position you nurse are put in. A similar situation goes on in the radiology department, but it is not usually so critical. Still, I have seen cases that bother me to this day of negligence. For instance, not waiting for the oral contrast to get into the lower colon before the x rays are taken. When the patients comaint was low abdominal pain. I, myself, got a needlestick injury with a HIV positive patient. He didn't know. We had been so buzy. No tome to empty the sharps container. Actually, noone ever actually assigned that duty. It was so full thay a butterfly needls turned around backward and went into my thumb. 6 weeks of AZT. Very weak. Never went back to work full time. Developed fibromyalasia. I already had a history of chronic migraine. So I had to give up my career at the age of 49. It broke my heart to leave work. Head od department {and other relevent people including my regular coworkers didn't seem to care. Maybe, probably, they just didn't know what to say. Sorry to go off on that tangent. I could tell many stories of negligence and covered up by others including the head radiologist. I just wanted to let you know that I understand what you are campaigning for. I totally support you. What could I actually do to help you? Stick with it! 👍
Nurse Liz I have a serious question how do we protect ourselves from state coming to our hospitals due to reported injuries involving a patient - especially if management and all these people that support the hospital don’t protect nurses
The Christian Hospital where I am is doing the same. Cutting all great supplies with inferior products. I know President, VP, CEO makes millions. The little people who do all the hard work makes very little.
I wonder if Ascension Saint Joseph’s medical center in Mishawaka, Indiana is the same way. Covid money has caused so much corruption in the hospitals and doctors offices.
Kicking myself for not using this when I had 11 patients a couple of weeks ago. They give 300$ bonus/ per 4 hours for staff to come in. Scheduling asks us to put the word out. They need to hire more supplemental/ agency which they say they are....happens all the time
My sisters work for anthem from home on the phone making three times what they made on the floor as nurses so they said they would never go back to working At a hospital
Wow ! So sorry this is your situation. Bravo you for speaking up! It’s every RNs fear that you have to take more patients than is safe. Come to New Zealand Liz ! We need you ! Arohanui from Kapiti New Zealand
Your correct but look to our government and the food industry before health insurance. People became unhealthy before we got to the medical institutions. That is what this pandemic taught us but no one is paying attention.
Administration, managers, supervisors all want people that will say yes to their every demand. Why do they try to do that to nurses? We are all educated caring people that couldn’t stand letting something happen to our patients. So we question them when we know we are right. They get mad and treat us like children that don’t obey them. I would think they would listen to us. They don’t even know anything about our jobs except crap they need to do to increase profits.
RN MSN/ED just retired from psych. Very used to low staff ratios so our hospital didn’t short units but would put charge into staff position and would staff nurses for 20 hour shifts. Dear heavens if the unit was a hot mess being tired puts yourself, your staff, and patients at risk. Patients who are suicidal or homicidal require serious watching for safety. Not having a charge a hospital supervisor ( usually medically trained) might take a patient not knowing that it’s an inappropriate patient.
I'm a CNA that works in nursing home/rehab. This should be a wake up call to all. Start taking care of your health to the best of your ability. The help you get in my state is scary!!!
OMG, those whiteboards! We just arrived to the ED, got report from dayshift then immediately received a frothy CHF'er from EMS. The patient was not even registered yet before we decided to intubate him. The manager came in the room while we were incubating the pt and asked about our whiteboards. lol
Heyyy so I work at st joes and I can confirm that it is like this, I'm a cna on a med surg floor and I regularly have 15 patients and occasionally have 30 patients(the whole floor) and I'm on what some would say is the best staffed unit.
The same with Case Management, how is one case manager to 25+ patients on a surgical unit suppose to effectively and safely plan for discharge with all the needed resources? Most patients return because we don’t have enough time or staff to complete discharge plan assessments on time smh.
I left nursing a year ago when I can’t tolerate stress. Bullied from my co worker and supervisor to the extend I question my personality and attitude. I love being a nurse. I love taking care of patient. I always put on my mind my patient’s safety is my priority. Once my supervisor said put your shoes on patient’s shoes. Patient came to hospital or any healthcare facility for care and our expertise. They vulnerable. They to hospital for care and we will just kill them because of malpractice, because of neglecting because of no enough staff and they paid the right cost. There’s no discount because no staff. Working on very unsafe situation. God bless all the patients. This is America. Do we have very poor healthcare system. Good luck to the three of you stand and protect your license. Your work hard on it to earn that license. GOD BLESS YOU ALL AND TO ALL THE NURSE who just close their eyes because you need the job
Well, your grammar is problematic. I'd be willing to bet you speak broken English, too. I can't tell you how many patients have said to me coming on shift: "Oh, thank God, someone I can understand."
That is crazy! I worked in a level 1 trauma icu and we had 1 or 2 patients. That's it. I couldn't imagine having 4 or more....especially an ER. I'm supposed the company posts what they pay lol
I REALLY NEED TO LEAVE THIS COMMENT.... FIRST OF ALL REALLY LIKE YOUR CHANNEL AND I AM A SUBSCRIBER TO YOUR CHANNEL. YOU HAVE VERY GOOD INFO THAT YOU SHARE WITH US. I AM A FORMER PRACTICAL NURSE SPECIALTY GERIATRICS AND SUB ACUTE UNIT STAFF AND AGENCY NURSE. I AM CURRENTLY DISABLED. I LIVE IN NEW JERSEY AND I AM SO SHOCKED TO FIND OUT THAT ER NURSES ARE REALLY ONLY SUPPOSED TO BE ASSIGNED MAX 4 PATIENTS. I HAVE NEVER EVER SEEN THAT TYPE OF RATIO OF NURSE TO PATIENTS. OUR ERS BEING MOSTLY IN THE CITY ARE SO CROWDED THAT AN ER NURSE CAN EASILY HAVE UPWARDS OF 10 PATIENTS PER 8 OR 12 HOUR SHIFT. I HAVE LITERALLY SEEN AN RN BREAK DOWN IN FRONT OF THE ER CRYING AND HEARING HER SAY SHE DIDN'T WANT TO GO BACK INSIDE. SHE WAS VERY OVERWHELMED WITH HER ASSIGNMENTS. I HAVE ALSO BEEN A PATIENT IN ER NUMEROUS TIMES. IT IS NO LAUGHING MATTER. I HAVE LITERALLY BEEN TRANSPORTED INSIDE BY EMS WORKERS ON A STRETCHER AND WE WERE JUST WAITING AND WAITING FOR THE DESK NURSE AND SHE WAS STEADY JUST TALKING AND TALKING TO ANOTHER MEDICAL STAFFER ABOUT NOTHING RELATED TO THE JOB. I LITERALLY HAD TO SPEAK UP AND YELL EXCUSE I'M A NURSE ON A STRETCHER AND CAN I GET SOME HELP HERE. IN GERIATRICS AS A STAFF NURSE MY ROUTINE RATIO WAS 30 PATIENTS TO MY WING. IF I WORKED OVERNIGHT MY RATIO WENT TO 60 PATIENTS ON 2 WINGS UNLESS I DID OVERTIME IN THE 10 BED SUB ACUTE UNIT. WHEN I WORKED AGENCY I WAS ABLE TO WORK IN A FEW SURBABAN NURSING HOMES AND WHEN I WAS ONLY ASSIGNED MAYBE MAX 7 PATIENTS I THOUGHT SOMETHING WAS WRONG WITH THE ASSIGNMENT. SO I ASKED THE NURSING SUPERVISOR OF THE FACILITY WHERE WAS ALL MY PATIENTS AND SHE ASKED ME WHAT DID I MEAN. I TOLD HER HOW MANY PATIENTS I USUALLY AM ASSIGNED AS A STAFF NURSE AT MY OWN FACILITY. THE NURSING SUPERVISOR LOOKED AT ME VERY STRANGELY AND SHE STATED TO ME..... "WE DON'T DO OUR NURSES LIKE THAT". SO I THANKED HER FOR THE ASSIGNMENT AND WENT ON ABOUT MY SHIFT. HOWEVER THAT HAS STAYED WITH ME SO MANY YEARS LATER. SO I AM VERY AWARE OF THE DISPARITIES IN NURSE PATIENT RATIOS AND IT IS SURPRISING WHEN YOU FIRST FIND OUT. ANOTHER THING I WANT TO POINT OUT IS THIS... THERE ARE MANY PRACTICAL AND VOCATIONAL NURSES THAT WOULD ABSOLUTELY LOVE TO WORK IN ER AND REALLY PICK UP THAT EXPERIENCE HOWEVER WE HAVE BEEN CONTINUOUSLY SHUNNED FROM WORKING ER DUE TO THE RN NURSES NOT WANTING THE US TO WORK THERE. WHEN I WAS IN NURSING SCHOOL WE WERE TAUGHT THAT BASICALLY ONLY 2 PROCEDURES SEPARATE THE NURSING SKILLS LEVEL BETWEEN AN LPN AND AN RN NURSE. SO LPNS, LVNS, CAN AND SHOULD BE ABLE TO WORK IN THE ER AND EVEN OUT THOSE PATIENT RATIOS AND HELP TAKE THE LOADS OFF THE RNS....BUT IT'S UP TO THE RNS....BECAUSE PRIMARILY EVEN WITH THE LPNS AND LVNS HAVING THEIR OWN NURSING LICENSES THEY WOULD ALSO BE WORKING UNDER THE RNS LICENSES WHICH WOULD COUNT THEM AS SUPERVISOR NURSES AS WELL. SO THE RNS REALLY NEED TO ALLOW THE LPNS AND LVNS TO COME UP IN THE ER AND HELP THEM OUT. DOING THAT WOULD MAKE IT A MORE PRODUCTIVE AND SAFER EXPERIENCE FOR THEM AND THE PATIENTS. SO KEEP UP THE GOOD WORK AND I TRULY HOPE YOU CAN CONVEY THIS MESSAGE BETTER THAN ME. I HAVE NOT WORKED IN THE FIELD SINCE 2006.
I live 180 miles from my OBGYN. I scheduled an appointment for a physical and then had to get blood test done. So blood test results came in but I had to drive home so I asked if we could change that to a phone/zoom appt. The time of my appt. I was told that the doctor had an emergency surgery that afternoon that she would call later that day, the doctor never called. So then they rescheduled the appt for a week later and we talked cause we could not connect by zoom talked for about 10 mins. Then I saw they charged $200.00 for that call. I didn’t call to fine out why? But I wanted to. I just found another OBGYN. What do you think? It’s only been a few months since that happen. Any suggestions? Thank you, Norma
ALSO THE FACILITY DID RIGHT TO HAVE THEM GO HOME. BECAUSE AS LONG AS THEY WERE THERE ON THE FLOOR IN THE FACILITY MANAGEMENT WOULD NOT HAVE BEEN ABLE TO ASK ANOTHER NURSE MAYBE GOING OFF SHIFT TO STAY AND TAKE THE ASSIGNMENTS AND / OR CALL IN AN AGENCY NURSE TO TAKE THE SHIFT. IF THEY WOULD HAVE CHOSE TO STAY AND WORK THE SHIFT THEY SHOULD HAVE CAREFULLY DOCUMENTED FOR THEMSELVES HOW MANY PATIENTS THEY WERE ASSIGNED, THE DIAGNOSIS OR PROGNOSIS OF EACH PATIENT, THE CARE GIVEN, AND ALL 4 NURSES COULD HAVE FILED A COMPLAINT WITH THE STATE. THEY WOULD HAVE BEEN PROTECTED BY THE WHISTLE BLOWER LAWS SO EVEN IF THE FACILITY RETALIATED THEY WOULD BE ABLE TO SUE THE FACILITY IF NECESSARY. BUT TO REFUSE THE ASSIGNMENTS THEY WERE SUPPOSED TO LEAVE THE FACILITY BUT DOCUMENT WHY THEY LEFT OR WAS TOLD TO LEAVE.
Do these religious based hospitals still claim some tax exemption because they claim religious non profit Providence is another hospital in WA that has crazy high paid CEO Plus crazy high annual bonuses OMG😮
The last thing a hospital administration wants is a nurse who advocates for patients. As an OR nurse, I had a patient who did not want general anesthesia, was terrified of it. He was saying "No, STOP!, and the CRNA and Anesthesiologist literally were holding him down, forcing the mask on his face and pushing propofol when I intervened as the circulating nurse and made them stop. I reported the incident to my director who made my life a living hell after this. I left the job shortly after. If I can't advocate for and protect my patients, there is no place for me there. In hospitals, it is "keep your mouth shut and do what we tell you". Happily retired after 40+ years. Thank God.
100% true. How awful!!
You are a hero and angel. 💞😊
I have a wonderful supervisor but I would never go to them, I would go to Compliance instead. You can only trust yourself, sad but true.
Cannot trust compliance always neither especially if it's small hospital.
Oh wow 😮
I am fearful to be a patient anymore. It will only get worse as owners and management cut staff and take all the money. As a former ICU nurse CC float and wife of a current health care professional I hear you. What a nightmare our health care system has become. Lawyers should be watching this and getting ideas regarding Ascension. Take away their medicaid-medicare money if hospitals don't maintain staff ratios.
I agree. But how do you maintain that ratio when no one wants to do the job???? You can't FORCE people to do a job that will almost invariably make them sick--look at the results of the national draft back in the 60s. Of course, I'm assuming that you're an American citizen living in the USA as of your writing. Or aren't you?
Lawyers make money off of our poor staffing.
30 year RN here… healthcare has gone down hill … I discourage anyone from going into nursing and I encourage anyone who must be a patient in hospital to never be alone.It’s a scary situation ….
I left nursing a few years back and do not miss it at all. I was constantly bullied and mean treated and threatened for years for doing a fantastic job of caring for others and going way beyond expectations---never a med error. One day I looked at myself in the mirror and decided I had had enough of the abuse from administration and I walked out the door without a 2 week notice before the start of a shift and when they flipped out and started calling me all kinds of names i said....deal with it. I did not return their phone calls or threatening letters. I moved away and started a new life and that is when life began for me, a wake up from the nightmare. Once in awhile I have flashbacks to the bullying and abuse, but not often.
Good for you. Wow calling you names? That’s a bit much
That's true, you do need a spine of your own to survive nursing, plus a brain helps as well. You were not cut out to be a nurse with your level of emotional intelligence. We're better off without you and your labile moods. No one wants to work with a drama queen.
I’m sorry you were treated that way. Thank you for serving patients for as long as you did. I’m praying for a peaceful time for you now.
I’m a nurse that walked in a strike over patient ratios 30 years ago. It hasn’t gotten any better in 30 years. Hospitals don’t care about their employees. Last place I worked at gave these mandatory employee relations inservices that were supposed to help you like your job, and one of the speakers said if you don’t like it here leave.
Liz...there is a culture in nursing that puzzles me. For 30 years I've watched nursing work groups have the same issues and they NEVER back the nurses who speak up
its completely bizarre. I agree. I so so hope we change that.
High female oriented profession does this. Same for teachers.
I am not a nurse but I worked in a level 2 trauma hospital ER as a clerk in MI . We constantly had at least 10-12 nurses on staff. We constantly had codes and stroke patients.I do not see how they (Ascension Illnois)could have run a 51 patient unit with 4 nurses. They will prevail in arbitration especially since the employer did what was requested by the nurses only after they punished the nurses. I have a degree in HR and there is no way their HR team can adequately cover this up. I am glad to hear that they are unionized nurses and I am sure they will be made whole as a result.
It is hard to see nurses work so hard and be treated so poorly. I thank every nurse for their attention, skill, and compassion to care for us all when we are not well.
why would anyone ever want to work there again. So incredibly stupid of Ascension (business as usual for them)
The problem is that Corporate America has completely taken over hospitals and healthcare. All that matters to the CEO, BOD, is profit. Period. Nurses are lazy , that infuriates me. Our hospital was stripped to barebones, always short staffed, always, no support staff, the nurses are doing the work of 3-4 people, constant stress, cleaning 500 lbs patients. this has been happening for at least a decade.
very well said and it also depends on the State, Area, and Health System that runs the hospital.
Exactly why I retired earlier than I planned to.
I feel for the young nurses coming in. Some are clueless to the toll these unsafe conditions will take upon their mental health as well as physical.
When I stood up and said no I will not take another patient I was branded as a troublemaker. This was a safety issue for the patients. Loved the patients, but I do not miss the stress, pain and distress I was experiencing after 25+ years of being an RN.
Our charge was forced to take patients. I refused to be charge. Patient care is no more.
So true
You are saying nurses are lazy, but then you are saying nurses are doing the work of 3-4 people?? That doesn’t sound lazy to me lol
@@roses4923 Pretty sure what she meant was " _The idea that_ nurses are lazy , that infuriates me." She was just using shorthand.
9 years as a Tech... started 6 years Med Sug/ICU 3 years ED and counting.... RNs and Techs are expendable and ratios are a joke when the license and careers on the line. Staff is gone and travelers and agency RNs have been a blessing but again management doesn't care... except pizza and ice cream parties to boost moral... instead they hiring more RNS, ER Techs, and focus on patient care!
Staff nurses have gotten taken advantage for a long time. The scariest situation I was ever in as nurse was me and a new grad nurse on a med-surg unit alone with no nursing aid during an afternoon shift. We didn't have a year of experience between the two of us. All I was able to do really was push pain meds during that time. I was totally swamped. There was no one to take vitals. No one to feed patients who couldn't feed themselves. I was literally in triage mode. It was very unsafe. I always thought later what I would do if I walked into work again and found out that I had 15+ patients by myself. We were also told at this hospital if we didn't like it we could quit. It was my local hospital so felt like I was failing the community I grew up in.
The answer to being short staffed is to suspend more of the staff, brilliant logic.
Right???
The business casuals and suits now seem to outnumber the nurses. The bloated corporate greed has GOT to go!
I want to get into nursing but the hostility is ridiculous. I barely survived HS bullying and when I was a CNA the cattiness and bullying was beyond heavy. I can’t understand the power trip people get smh
Unfortunately we just can’t avoid those ppl in life, no matter where you work. It’s an issue of different values/personality types/mental states, etc.
@@NikNik0123 it is but I’ve experienced it more in healthcare
@@mimi_j honestly, you just have to learn how to handle it, either by reporting things, your personal interactions, etc or just don’t go into healthcare. It doesn’t get easier. You only grow stronger and learn how to deal with it or you don’t. Those are the options. Because it will be there in some form or another through out your career. But if you avoid a career you truly want because you’re scared of hurt feelings, you’re going to be very disappointed. Whatever you choose you will face the same thing eventually. That’s life
don't do it
@@Phoenixhunter157 Yeah, no. Every person I know who had life experience before going into healthcare finds the behavior common in healthcare absolutely wild. 90% of doctors are nerds and 90% of nurses are women. We can pretend like nerds with power and meangirl stereotypes associated with those groups and bad social behavior have no basis in reality, just like we can pretend that frequent flyers with allergies to percocet, ketorolac, and ice packs is really at 10/10 pain.
So the hospital escorted 4 experienced nurses off when their ER WAS FULL??? that seems a dereliction of their duty to provide
Yeah. They were absolutely just trying to prove a petty point to intimidate others who may have thought of doing the same thing. Literally they couldn’t care less about the patients and how unsafe that was 😔
I think it’s all part of the plan, to burn down the US infrastructure….
Disgusting. Our rural hospital has been acquiring and ruining smaller hospitals around here for years. Sickening , cluster chaotic almost no policies, no training to speak of and 90% brand new nurses out of school. I dont know how these administrators get away with this crap. Recently our hospital bought their way into a prestigious business magazine. Unbelievable
How do you think? Someone unnamed is funding all of this.
Oh they have policies. They just arent written where you can see them. Try saying something they dont like. They will pull out some “policy” out of their arse faster than you can say facist government takeover.
@@maxalberts2003 a lots of billionaires 🤫 secretly meeting and buying those places
It’s the complete authoritarian approach to addressing employee relations and patient care contrasted to their marketing BS to the public & prospective employees. Also the state hospital licensing agency & CMS need to get involved.
I saw a travel nurse a few months ago refuse to accept her patients because the ratio on the med surge was 7 and possibly going to 8 pts.
Her contact said 6 pts max. Mgmt haggled with her for an hr, the other nurse couldn't leave until it was resolved, she punched out and went home. The hospital ended her contact, and next day everyone was lectured, you WILL accept what we give you, or you will be fired!
I'm a CNA, WAS looking into nursing school, after this, I had some soul searching. I stepped down to part time, got my class B CDL, and drive a school bus, and make better money than the hospital paid.
A religious company bought our hospital a few years ago, and it changed drastically after it was sold.
Most Drs left, and we mostly have Physician assistants now.
Good for that Travel nurse
Changed for the worst?
It's my local hospital. I went in last month with my wrist. They talked me out of seeing a doctor. I had a torn tendon that was bleeding. I'll have long term damage. The labor delivery was great but the ER is horrible.
Listening to you reaffirms my decision to cut out processed foods and sugar and cook my meals at home from scratch. Lots of fresh meat and vegetables with some low-carb fruits once in a while has greatly improved my health. As a society, we need to become more responsible for our own health.
Dietitian here, and I agree!
You are literally saying everything I have been saying myself for years. We have to stop letting them just assume we will take the ratios. It is not safe and we are no longer putting up with it. I myself have been lucky except the one time I said no and it was a hospital system you stated. I love the idea of not only good reviews of the hospital care but safe ratios for patients. I always tell patients to speak up because until they hear it from their patient surveys they are not going to change.
I recently had an episode where I was taken by ambulance to this hospital. It was awful. I went by ambulance and then was wheeled into the waiting area where I sat waiting for HOURS. I was surrounded by people in similar circumstances. The nurses were not rude but clearly understaffed.
They keep saying that the ER is clogged with people who are using it as a quick care.
It was honestly a traumatic experience 😣.
Ambulance patients are sent to triage all the time because they are stable and can wait their turn. Patients are treated based on their acuity. Not all non-emergent patients are eligible for triage, but the ones who are should expect to go through the process of being triaged with everyone else.
@@CatMurray -five hours of waiting is excessive. I thought I was having a stroke because of the severity of the headache. This wasn’t the case for many people waiting. Some patients were screaming in wrenching in pain. The poor elderly lady sitting next to me had a broken arm and hip.
This experience was far outside reasonable expectations for everyone. That same hospital had a patient die from thinking he was stable and he died. My last three interactions with the health care center within the hospital setting have been eye opening. The cost of this visit to the insurance company was about 15,000. Which is a whole other topic.
If the nurses took the assignment and one of their patients died because a mistake was made they could be charged with murder. At least the nurses left the hospital with their nursing license and their freedom!
This is why I retired a few years ago from ICU because of the dangerous patient ratios that were given to the nurses. I knew that if I stayed I might make a mistake that could hurt a patient.
Exactly. I'm really glad they stood up for themselves and didn't take the assignment. So sad that so many nurses are having to quit to protect their license and sanity. It's just not worth it as you very well know to risk things like that :(
Not true murder is malice thats manslaughter
And admin would not stand by the nurse. Just throw them under the bus to cover their dangerous staffing practices.
I just left Ascension in Oshkosh, Wisconsin. I'm in another state now. I wish I could say it's better somewhere else... sadly it's not.
Nurses are there to save and protect life!! Praise Jesus you spoke up for not just the nurse but for the patients!! Go Nurse Go!!
I’m starting cna program in January and going to become an RN if I like it, and I have heard nothing but bad things about ascension and will be avoiding them at all costs. (And this is coming from someone who is not naive to how evil the medical industry is) I’ve also noticed all the job postings for ascension hospitals in my area are drastically lower paying than the same positions at other hospitals
Ah yes, Ascension, where they routinely mandate you to work 16 hr shifts; and they are Catholic too😂 The nurses were absolutely right to refuse this insane assignment. Call CMS and the State, maybe if the hospitals are threatened with losing their Medicare funding, they will do something. I have been a nurse for 34 years, and staffing has been an issue for almost my entire career.
Liz, where do you find what the executives are paid? I think we should all look this up!
I appreciate everything you do, nurse Liz, I’m a huge fan!
Such an incredibly important conversation. There are many .many deaths. In some countries the all cause mortality and new dx of sudden adult death syndrome numbers are coming close to the peak pandemic numbers. I would highly encourage all medical people to look into this.
There is a lot more that needs to be unearthed here.
As a director of nursing when we had a profit before people takeover , one of the first things I did was teach the team of nurses I was in " charge " of was how to decline an assignment and to protect their license above all else.
I became a whistleblower in July of 2021 and it was not fun. I'm still healing from that experience.
A lot of times when people think of nursing to patient ratios, they think of hospitals, but the nurse to patient ratio in nursing homes and rehabs are ridiculous. I refuse a job when the hiring manager told me that the ratio is 1:33 patients.
I had 30 to 35 in British Columbia, Canada working in the nursing homes.Night shift was 1:110 patients with 5 care staff. Also need to be the scheduler if it is the weekend calls.
Thanks!
I wonder what their plan was to give these 4 nurses a break! Leave 3 nurses on the floor? Interrupted breaks? No breaks? Or they just didn’t care enough to think about this?
No breaks. Breaks have become a luxury, even when mandated by law.
No breaks
I used to teach nurse practitioners as an ER doc. In my opinion, most are not qualified after only 2 years of training. The bachelors degree in nursing before that was mostly inadequate to throw a new graduate out on the floor and expect any degree of competence. I know this because I am an RN,too. My last 5 encounters with NP’s were scary. Wrong diagnosis and wrong treatments. There is no comparison between the 13 years I spent after high school and the 6 years NP’s spend. Yet they are given the same responsibility as MD’s. I would never trust one of them as a caregiver for myself or my family. When medicine changed to this kind of health care, that was as dangerous as the nursing staff shortage.
I think that runs the spectrum in healthcare. There’s great providers and there’s sub par ones. I’ve had the unfortunate experience of two ER physicians that refused to listen to me about my child and two ER visits that could have been outpatient treatment but instead ended up being an eye roll, a lecture on viruses, and us returning within 48hrs of both visits requiring two admissions that could have been avoided with simple treatment but ended in 3-5 day hospital stays. Mind you we’ve only used the ER about 5 times ever for both children combined. I’ve had and worked with some amazing ER docs too. It’s a mixed bag in all levels these days.
@@GW-gz8jh You are so right. I have traveled with family members to ER’s incognito and have been appalled at the docs who never even did a perfunctory physical exam! I called one guy out on that, and he almost reluctantly checked for CVA tenderness in what was obviously by history (and exam) to be a kidney stone. Even my own partners were less than adequate. My philosophy was to always think of the worst diagnosis possible based on history and physical, ignore previous drs evaluations for fear of missing something,and then follow an appropriate algorithm to reach the final dx. For example, of a 50 yr old male comes in with severe back pain, he has to have an aortic aneurysm ruled out first until you end up with the much less serious dx of lumbar muscular strain. Or if a young apparently healthy person comes in with chest pain , you have to rule out a cardiac or pulmonary cause before being satisfied that the symptoms were merely from a muscle strain or an anxiety driven issue. In fact, every women who complained or lower right or left abdominal pain got a pelvic exam by me. With that approach, I’ve never had a lawsuit come my way in 40 years. (which does not mean I’m perfect, but it seemed to work in the patient’s best interests). I have so many stories! .
@@kkdoc7864 We need more Docs like you!
at this hospital, my father had to diagnose his own boxer's fracture. er doc said you're all good to go! Dad said hey doc isn't this bone broken? as he pointed out the fracture on the Xray film...
@@janetskocy9936 Did you get seen by an NP or a PA? What did he do? Punch a wall with a closed fist?
It's such BS that employers can legally terminate with no reason or explanation. Why even have laws protecting employees from discrimination and retaliation, if this type of thing is okay?! Seems just to pacify us workers.
That's a fact, but it is the way of the world.
Sorry I missed the live- great topic and everyone please pay attention to those incredibly high salaries of execs and the marketing rhetoric. Total disconnect.
There is no way to care for 13 patients. I worked in NYC metro area where they have no ratios in the ED. I left that area over 4 yrs and never looked back
I work as an OR nurse at Ascension in TN. Can’t speak to ratios but I do know the vibe is different from my previous and only other nursing job at a small community hospital. I knew the CNO at the last job and so many other higher ups that were so approachable and wanted to make it a good experience working there. I never once had more than the 5 patients we were supposed to have. I only left because of moving out of state and inpatient physical rehab wasn’t my jam as a nurse.
My sister-in-law works for hospice. They have come up with a new idea,hospice that admits 24 hours a day, if a patient is a 2 AM getting sicker they will admit them. Two of her patients she admitted this week were in the process of dying and one died before she got the paperwork done. They do not care about the patient whatsoever, it is that get money stuff. Many years ago when I was working home health and hospice we did not admit anyone until seven or eight in the morning …what are you gonna do at 3 AM with an admission??? We have decided it is nothing but pure greed. She turned her resignation in yesterday and she’s going to the doctors office to work. By the way she has a bachelors degree and has been in management for 17 years, thought the Lord led her to this company to quit her job and start with hospice. Obviously she missed the mark lol. So she’s going back to the same company she actually was a manager over all of the doctors offices in this company and now she’s going to be he working for the doctors office just to take the stress level down.
I believe it is pronounced Jolly-ette.
As for how did they know how many patients were there. Nurses have friends… ie… If I was working the night shift and I had those 13 patients looking me in the face, I would call the dayshift nurse at home and tell her look out, you’ve got a heckuva thing coming right here.
Ascension is every where now.
Yes it is a money maker.
Glad I am not able to work anymore due to disability! You are only speaking about the tip of the iceberg!
I hope everyone knows this is how Ascension is in all hospitals. Crazy how they took over our Christian hospitals and now treat people like crap.
lawyer now
im in cali right now on a travel assignment. the cali law is a myth. unless you work for a unionize hospital, the ratio is really unsafe in the ER.
Thanks for bringing this topic for discussion Liz.I believe these nurses had it. They've been short every day and they've been picking up to cover the shortage. It's bad decision from the top management. Escorting, Suspending them out of the building when they are the only ER staffs that night. They had all the management worked to cover who have no clue of ER. It's very interesting.
I have been a nurse in Las Vegas for 26 years. No staffing ratios. Luckily I work in the ICU where our clin sups and manager have really advocated to keep our ratio at 1:2. Most other hospitals in town have 1:3 ratio in ICU. Get floated to the ER to take ICU holds and those ER nurses are so overwhelmed. Recently did travel nursing to CA and it was so nice. But they have no idea how good they have it and love to complain. They would never make it in another state with no mandated ratios.
Liz you are 100 on the mark when you talk about nurses, for whatever reason the nurses seem to have the need to tear others down to build themselves up. Such a sad situation we will never get ahead unless we act like a team working for the same goal.
After learning how petty, selfish and power-hungry women can be, the best you can hope for is to be off their radar. Forget about advancing your career, especially if you're a male. The women brown-nose and pal around with the managers to get ahead. It's not based on any kind of skills or work ethic; it's because women stick together, but secretly hate each other. Women play a huge part in shaping the environment were in now. The change starts from within, but I have VERY little hope that women will get it together enough to make a difference.
I worked for an Ascension ER a couple years back. I asked for help, charge nurse peeked in the room and said na you got it and Walked out. That was my last shift.
Not everyone is cut out for nursing, and that's the nicest way that I can say that
@@jawarholol4651 What is that supposed to mean?
@@AlexandryiaJae First time being insulted?
@@jawarholol4651 not at all. It’s just really stupid since you know nothing about me. But go off, friend.
There is an American company, banned in your country for malpractice, buying up, and setting up GP practices in the UK who are taking the money but not providing patient care. I can’t remember the name, but my son, currently in London, appears to be experiencing this issue. Often they don’t even have a doctor in attendance, and telephone appointments constantly being cancelled while face to face consultations are non existent . We have similar issues in our NHS in badly run health authorities. It is all about poor management at the top, and lack of man management. We all like to work in a safe well run system.
Sounds like you're dealing with nurse practitioners, of which, in case you missed it, the author of this video happens to be. Completely normal.
Get with the times, grandma!
I'd rather lose the crappy unsafe job than my RN license.
From what I've seen, if you have roots in a town: family, house, friends, then it's not that easy just to pick up and find a new job. THOSE are the nurses that are truly screwed.
Thanks for the information on accepting assignments
I just left an Ascension hospital. This story sounds exactly like what is happening to Ascension Tulsa. We do not have a nurse Union there to help. I worked at this hospital for 8 years and saw it go from the best in the city to a dangerous place. Also a level 2 trauma center, but acts as level 1 for the city. Ascension starts out as a good company there to help and then slowly flips to tearing it apart bit by bit. They replaced our supplies with poor options. Now they are out sourcing the areas (hospitalists, anesthesia, etc). Their mission and vision is a joke and they are definitely not a ministry. I’m so glad I left and found a job where I feel like my license is safe and people care.
Let us get rid of the Insurance companies and other corporations running our medical system. We are tired of being sick and bankrupt.
I’m a (former) CT Technologist. I left my job after 20 years. It became abundantly clear that the only people who care about the patients are those involved in direct care. Hospitals systems exploit the fact that people who go into caring professions will do their best to do what’s right for the patient, which ultimately leads to burn out. Working conditions deteriorated to the point where I came to realize that I was putting my license on the line, and putting patients at risk for a system that sees all employees as expendable. They don’t care about the patients. They only care about money. It’s an absolute travesty and most Americans are completely oblivious.
you nailed it. they *know* you'll suck it up "for the patients"
Hospitals are brutal places to work. Always understaffed. It is sadly all about profit. Way too much management staff and not enough people on the floor trying to care for the patients. Right to work states equal no union and no representation. I work at a transplant unit where if your insurance is sufficient you get a transplant regardless of your "situation". They don't recognize federal holidays so no holiday pay, no bonus, nothing. Their medical plan is bad which is surprising given that it is a hospital. You get paid days off rather than getting sick days and vacation days. If you call out sick too much you are fired, All of this has staff afraid to call out sick so they come to work sick.
Omg...I love hearing what adm. makes!! And they have sold their souls!!
Ascension use’s Kronos for payroll and Kronos was hacked. So everyone who used Kronos was unable to access their payrolls. And Kronos doesn’t not use 2 factor authentication, Ascension does.
Yep, and their solution was to throw up an emulation of Kronos that still exists today. I wonder how many copies they'll create by the time I retire
I know I’m seeing this a year after the fact, but I turned down an assignment to work at Ascension as a travel nurse, because of their horrible reputation! A month or so later, I saw your video. Keep up the good work informing people. Nothing will change if it’s kept quiet.
I just filed a grievance report from the abysmal ER experience last night. The same hospital I work at, I took my son last night for severe abdominal pain. From intimidation by the "security" who actually opened my fanny pack and asked why I was carrying Tylenol, to leaving my son to cry on the ER floor for 3 hours, I am horrified, ashamed and disgusted. The worst was the lack of compassion the ER staff had for the patients. So many moaning and crying. The homeless and addicts are belittled and sent away.
No offer of kind words, warm blankets or even a sip of water. No shred of human compassion detected. He lay on the floor crying, "help me" and no one cared. All I could do after attempting to communicate my concern for his life over and over again was cry.
Is this really the modern state of things or only my hospital provider?
This next year looking for a new job if anyone thinks their hospital is a good place please comment.
Is there any way you could cover assault on nurses by doctors? In July of this year, I was shoved by an angry anesthesiologist. This was witnessed. The doctor still works there. HR tried to set up a meeting with the doctor, me, head of HR and head of outside anesthesia company. I declined. They wanted us to air our grievances and see how we could move on working together. Excuse me? I don’t know what to do. I have ptsd. I cry on my way to wk. it’s horrible and they’re gaslighting me. Do you have any advice for me? Oh and doctor is denying she did it even though they have witness testimony. Thank you. I look forward to hearing what you have to say.
Talk to lawmakers
Get an attorney.
You were not cut out to be a nurse, unfortunately. That would require self-awareness and a thick skin.
When you spend so much time being offended, you end up being a boring, superficial person no one wants to work with.
Your right about that alexandria louisiana regional hospital owed me and my family big apologize cause of negligence stage 4 bedsore case and heart of hospice over drugs and patient died bigtime!
Respiratory therapist here. As bad as it is for the nurses, it is even worse for RTs. We often have entire units, floors, ERs, ICUs, NICUs, or any combination of the above.
Contact afl cio to get retired union members to show up when hospital staffing is not adequate. I would show up to picket unsafe staffing issues.
I am not a nurse. I am retired union member.
Call 911. Sounds funny, but it actually works and shines an interdisciplinary light on hospitals' corrupt practices.
I really want out of healthcare. 20 years is enough. Definately no more pandemics for me.
Ascension is horrible across the board.
In the ICU, the crew that responds to codes are the nurses in the unit. Out on the floor the code team responds.
& don’t forget Respiratory Therapists are responding to all codes…
Does those hospital not have non retaliation clause in their employees handbook or contract?
I hope they all sue and get a BIG hurtful amount of $. Remind me never to go near that hospital
Thank you for being a necessary muckraker of all things healthcare today. 🎉
Do those adverse assignment forms only apply for union hospitals?
I am a retired radiologic technologist. I am totally with you. I really understand the impossible position you nurse are put in. A similar situation goes on in the radiology department, but it is not usually so critical. Still, I have seen cases that bother me to this day of negligence. For instance, not waiting for the oral contrast to get into the lower colon before the x rays are taken. When the patients comaint was low abdominal pain. I, myself, got a needlestick injury with a HIV positive patient. He didn't know. We had been so buzy. No tome to empty the sharps container. Actually, noone ever actually assigned that duty. It was so full thay a butterfly needls turned around backward and went into my thumb. 6 weeks of AZT. Very weak. Never went back to work full time. Developed fibromyalasia. I already had a history of chronic migraine. So I had to give up my career at the age of 49. It broke my heart to leave work. Head od department {and other relevent people including my regular coworkers didn't seem to care. Maybe, probably, they just didn't know what to say. Sorry to go off on that tangent. I could tell many stories of negligence and covered up by others including the head radiologist.
I just wanted to let you know that I understand what you are campaigning for. I totally support you. What could I actually do to help you? Stick with it! 👍
Nurse Liz I have a serious question how do we protect ourselves from state coming to our hospitals due to reported injuries involving a patient - especially if management and all these people that support the hospital don’t protect nurses
I’ve been told if you clock In you’re responsible even if you didn’t take report. Is this true?
The Christian Hospital where I am is doing the same. Cutting all great supplies with inferior products. I know President, VP, CEO makes millions. The little people who do all the hard work makes very little.
I wonder if Ascension Saint Joseph’s medical center in Mishawaka, Indiana is the same way. Covid money has caused so much corruption in the hospitals and doctors offices.
Kicking myself for not using this when I had 11 patients a couple of weeks ago. They give 300$ bonus/ per 4 hours for staff to come in. Scheduling asks us to put the word out. They need to hire more supplemental/ agency which they say they are....happens all the time
Maternal child unit
Off topic… there multiple categories measured to qualify as “MAGNATE”.
How do they do with ratios and sentinel events?
My sisters work for anthem from home on the phone making three times what they made on the floor as nurses so they said they would never go back to working At a hospital
Wow ! So sorry this is your situation. Bravo you for speaking up! It’s every RNs fear that you have to take more patients than is safe. Come to New Zealand Liz ! We need you ! Arohanui from Kapiti New Zealand
Don't accept the assignment. know the nurse practice act. I've done that and I was not popular. Who cares, I didn't lose my license.
I was seriously considering a career in NICU/pediatric nursing but not so sure now 😳
I live less than 2 hours from Joliet (My late husband actually lived there). I think it's pronounced Jo-Lee-Ette. There's also a Romeoville
NICU is the way to go from what I hear. The ratios there are far more strict.
Our country is in the worst health of recorded history. The system does not work. Let it crumble and let's build something new.
Your correct but look to our government and the food industry before health insurance. People became unhealthy before we got to the medical institutions. That is what this pandemic taught us but no one is paying attention.
Administration, managers, supervisors all want people that will say yes to their every demand. Why do they try to do that to nurses? We are all educated caring people that couldn’t stand letting something happen to our patients. So we question them when we know we are right. They get mad and treat us like children that don’t obey them. I would think they would listen to us. They don’t even know anything about our jobs except crap they need to do to increase profits.
RN MSN/ED just retired from psych. Very used to low staff ratios so our hospital didn’t short units but would put charge into staff position and would staff nurses for 20 hour shifts. Dear heavens if the unit was a hot mess being tired puts yourself, your staff, and patients at risk. Patients who are suicidal or homicidal require serious watching for safety. Not having a charge a hospital supervisor ( usually medically trained) might take a patient not knowing that it’s an inappropriate patient.
Yes, management was vindictive. Unhealthy and unsafe work place.
I'm a CNA that works in nursing home/rehab. This should be a wake up call to all. Start taking care of your health to the best of your ability. The help you get in my state is scary!!!
Cna here too in long term care 😊 stay strong 💪
A hospital in Pontiac, MI is all I have to say. C. Berry takes it to another level.
Same thing happened at st joes Pontiac and childrens detroit
OMG, those whiteboards! We just arrived to the ED, got report from dayshift then immediately received a frothy CHF'er from EMS. The patient was not even registered yet before we decided to intubate him. The manager came in the room while we were incubating the pt and asked about our whiteboards. lol
😢😂
Heyyy so I work at st joes and I can confirm that it is like this, I'm a cna on a med surg floor and I regularly have 15 patients and occasionally have 30 patients(the whole floor) and I'm on what some would say is the best staffed unit.
The same with Case Management, how is one case manager to 25+ patients on a surgical unit suppose to effectively and safely plan for discharge with all the needed resources? Most patients return because we don’t have enough time or staff to complete discharge plan assessments on time smh.
I left nursing a year ago when I can’t tolerate stress. Bullied from my co worker and supervisor to the extend I question my personality and attitude.
I love being a nurse. I love taking care of patient. I always put on my mind my patient’s safety is my priority.
Once my supervisor said put your shoes on patient’s shoes.
Patient came to hospital or any healthcare facility for care and our expertise. They vulnerable. They to hospital for care and we will just kill them because of malpractice, because of neglecting because of no enough staff and they paid the right cost. There’s no discount because no staff.
Working on very unsafe situation. God bless all the patients.
This is America. Do we have very poor healthcare system.
Good luck to the three of you stand and protect your license. Your work hard on it to earn that license.
GOD BLESS YOU ALL AND TO ALL THE NURSE who just close their eyes because you need the job
Well, your grammar is problematic. I'd be willing to bet you speak broken English, too. I can't tell you how many patients have said to me coming on shift: "Oh, thank God, someone I can understand."
That is crazy! I worked in a level 1 trauma icu and we had 1 or 2 patients. That's it. I couldn't imagine having 4 or more....especially an ER. I'm supposed the company posts what they pay lol
Sue them. Personally
I REALLY NEED TO LEAVE THIS COMMENT.... FIRST OF ALL REALLY LIKE YOUR CHANNEL AND I AM A SUBSCRIBER TO YOUR CHANNEL. YOU HAVE VERY GOOD INFO THAT YOU SHARE WITH US. I AM A FORMER PRACTICAL NURSE SPECIALTY GERIATRICS AND SUB ACUTE UNIT STAFF AND AGENCY NURSE. I AM CURRENTLY DISABLED. I LIVE IN NEW JERSEY AND I AM SO SHOCKED TO FIND OUT THAT ER NURSES ARE REALLY ONLY SUPPOSED TO BE ASSIGNED MAX 4 PATIENTS. I HAVE NEVER EVER SEEN THAT TYPE OF RATIO OF NURSE TO PATIENTS. OUR ERS BEING MOSTLY IN THE CITY ARE SO CROWDED THAT AN ER NURSE CAN EASILY HAVE UPWARDS OF 10 PATIENTS PER 8 OR 12 HOUR SHIFT. I HAVE LITERALLY SEEN AN RN BREAK DOWN IN FRONT OF THE ER CRYING AND HEARING HER SAY SHE DIDN'T WANT TO GO BACK INSIDE. SHE WAS VERY OVERWHELMED WITH HER ASSIGNMENTS. I HAVE ALSO BEEN A PATIENT IN ER NUMEROUS TIMES. IT IS NO LAUGHING MATTER. I HAVE LITERALLY BEEN TRANSPORTED INSIDE BY EMS WORKERS ON A STRETCHER AND WE WERE JUST WAITING AND WAITING FOR THE DESK NURSE AND SHE WAS STEADY JUST TALKING AND TALKING TO ANOTHER MEDICAL STAFFER ABOUT NOTHING RELATED TO THE JOB. I LITERALLY HAD TO SPEAK UP AND YELL EXCUSE I'M A NURSE ON A STRETCHER AND CAN I GET SOME HELP HERE. IN GERIATRICS AS A STAFF NURSE MY ROUTINE RATIO WAS 30 PATIENTS TO MY WING. IF I WORKED OVERNIGHT MY RATIO WENT TO 60 PATIENTS ON 2 WINGS UNLESS I DID OVERTIME IN THE 10 BED SUB ACUTE UNIT. WHEN I WORKED AGENCY I WAS ABLE TO WORK IN A FEW SURBABAN NURSING HOMES AND WHEN I WAS ONLY ASSIGNED MAYBE MAX 7 PATIENTS I THOUGHT SOMETHING WAS WRONG WITH THE ASSIGNMENT. SO I ASKED THE NURSING SUPERVISOR OF THE FACILITY WHERE WAS ALL MY PATIENTS AND SHE ASKED ME WHAT DID I MEAN. I TOLD HER HOW MANY PATIENTS I USUALLY AM ASSIGNED AS A STAFF NURSE AT MY OWN FACILITY. THE NURSING SUPERVISOR LOOKED AT ME VERY STRANGELY AND SHE STATED TO ME.....
"WE DON'T DO OUR NURSES LIKE THAT".
SO I THANKED HER FOR THE ASSIGNMENT AND WENT ON ABOUT MY SHIFT. HOWEVER THAT HAS STAYED WITH ME SO MANY YEARS LATER. SO I AM VERY AWARE OF THE DISPARITIES IN NURSE PATIENT RATIOS AND IT IS SURPRISING WHEN YOU FIRST FIND OUT.
ANOTHER THING I WANT TO POINT OUT IS THIS...
THERE ARE MANY PRACTICAL AND VOCATIONAL NURSES THAT WOULD ABSOLUTELY LOVE TO WORK IN ER AND REALLY PICK UP THAT EXPERIENCE HOWEVER WE HAVE BEEN CONTINUOUSLY SHUNNED FROM WORKING ER DUE TO THE RN NURSES NOT WANTING THE US TO WORK THERE. WHEN I WAS IN NURSING SCHOOL WE WERE TAUGHT THAT BASICALLY ONLY 2 PROCEDURES SEPARATE THE NURSING SKILLS LEVEL BETWEEN AN LPN AND AN RN NURSE.
SO LPNS, LVNS, CAN AND SHOULD BE ABLE TO WORK IN THE ER AND EVEN OUT THOSE PATIENT RATIOS AND HELP TAKE THE LOADS OFF THE RNS....BUT IT'S UP TO THE RNS....BECAUSE PRIMARILY EVEN WITH THE LPNS AND LVNS HAVING THEIR OWN NURSING LICENSES THEY WOULD ALSO BE WORKING UNDER THE RNS LICENSES WHICH WOULD COUNT THEM AS SUPERVISOR NURSES AS WELL. SO THE RNS REALLY NEED TO ALLOW THE LPNS AND LVNS TO COME UP IN THE ER AND HELP THEM OUT. DOING THAT WOULD MAKE IT A MORE PRODUCTIVE AND SAFER EXPERIENCE FOR THEM AND THE PATIENTS.
SO KEEP UP THE GOOD WORK AND I TRULY HOPE YOU CAN CONVEY THIS MESSAGE BETTER THAN ME. I HAVE NOT WORKED IN THE FIELD SINCE 2006.
Are you aware of a little thing on your keyboard called 'caps lock?' No one wants to read yelling text
Liz please consider getting your own radio show. Do you have a podcast?
I suppose thats what happens when you have profit based medicine....Patients will always come second behind the $$$$
Sounds like nurses need a union.
I live 180 miles from my OBGYN. I scheduled an appointment for a physical and then had to get blood test done. So blood test results came in but I had to drive home so I asked if we could change that to a phone/zoom appt. The time of my appt. I was told that the doctor had an emergency surgery that afternoon that she would call later that day, the doctor never called. So then they rescheduled the appt for a week later and we talked cause we could not connect by zoom talked for about 10 mins. Then I saw they charged $200.00 for that call. I didn’t call to fine out why? But I wanted to. I just found another OBGYN. What do you think? It’s only been a few months since that happen. Any suggestions? Thank you, Norma
Grow a spine. Would it have really caused that much stress to make a phone call?
Where is the level one trauma center around or close to missouri
Where ??
Please help !
Nursing homes are terrible as well
ALSO THE FACILITY DID RIGHT TO HAVE THEM GO HOME. BECAUSE AS LONG AS THEY WERE THERE ON THE FLOOR IN THE FACILITY MANAGEMENT WOULD NOT HAVE BEEN ABLE TO ASK ANOTHER NURSE MAYBE GOING OFF SHIFT TO STAY AND TAKE THE ASSIGNMENTS AND / OR CALL IN AN AGENCY NURSE TO TAKE THE SHIFT.
IF THEY WOULD HAVE CHOSE TO STAY AND WORK THE SHIFT THEY SHOULD HAVE CAREFULLY DOCUMENTED FOR THEMSELVES HOW MANY PATIENTS THEY WERE ASSIGNED, THE DIAGNOSIS OR PROGNOSIS OF EACH PATIENT, THE CARE GIVEN, AND ALL 4 NURSES COULD HAVE FILED A COMPLAINT WITH THE STATE. THEY WOULD HAVE BEEN PROTECTED BY THE WHISTLE BLOWER LAWS SO EVEN IF THE FACILITY RETALIATED THEY WOULD BE ABLE TO SUE THE FACILITY IF NECESSARY.
BUT TO REFUSE THE ASSIGNMENTS THEY WERE SUPPOSED TO LEAVE THE FACILITY BUT DOCUMENT WHY THEY LEFT OR WAS TOLD TO LEAVE.
Do these religious based hospitals still claim some tax exemption because they claim religious non profit
Providence is another hospital in WA that has crazy high paid CEO
Plus crazy high annual bonuses OMG😮
Kinda EVIL in my opinion