Golden handcuffs

[xiphoid2010]

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Right on. We all know these sicker patients can go bad, and need more intensive care. It's the preventable bad outcomes, as much as it's no fault of yours, it bothers you, like that patient.

The DON is doing her job. But the turn over in nursing is high, difficulty getting good nurses to work LTACHs vs medical centers, disciplining poor performing nurses vs losing them and using agency nurses which can be even worse. You can see she's trying, but can't slay the beast. I feel for her. Pharmacy is much easier to get into shape in comparison.

Well, a bomb shell dropped, the DON has tended her resignation. I guess the dragon has finally slayed the knight. I feel for the DON, caught between the cross fire of corporate and her nurses... She is taking a pay cut to go working as a nurse supervisor at a major hospital instead.

I successful fought off the corporate's demand cost cutting in the pharmacy department for this year. I guess one silver lining of the nursing woes is that they will serve as the lightning rod for corporate attentions, hopefulling keeping demands off of my departments.

 

[anewmanx]

Just was wondering if anyone has the same feeling and frustrations I'm increasingly feeling.

So I'm at this LTACH, the pay is good, quite good. The pharmacy department is now ship shape, but nursing, and direct patient care, is still significantly worse than where I had worked before. Documenting and reporting the nursing med errors, rather than resulting in changes, are getting push backs. Pushing any harder is not worth the risk when the size of the 2 departments are so unequal.

Over time, the feeling have gone from, "I'm going to help change them to be better" to "it's frustrating and hopeless". The easiest thing to do is close the window blinds and collect the good pay. Not sure I can feel good about being a part of something like that. But man, those paychecks...

I pray for a day when I'm faced with your kind of problems hahahaha.