When you get a 75 year old obese diabetic smoker that quit last week (50 pack year habit) with A1C of 9.2 and expects everyone to instantly fix every single thing wrong with them, it is just not realistic. This is reality - not TV. You abused and destroyed your body. The hospital does not care how many patients the nurses have because the only thing that matters are the hospital's customers - the physicians. The physicians are the customers because they perform the billable procedures on the product - the patients. If the physician can perform the procedure, they hospital gets paid. The highest expense for a hospital are the nursing salaries. The sicker the patients - the more procedures can be done. The problem is that the economic model promotes unhealthy lifestyles and incentivizes physicians to treat symptoms but not to improve health. Guess how many times the RN really wanted to tell a patient - ' you self-entitled, insufferable, condescending, stupid fat bastard, you did this to yourself over the last 50 years, it is not getting fixed in one day'. Doing the best we can with what we have. If you love your family, encourage them to be healthy and never leave them alone in the hospital.
🤔 I am nurse and very critical about the health care system and delivery in my country but it never occurred to me that Doctors somewhere are having mental issues to the extent of taking their lives. This is really very sad and unfortunate 😢 Thanks Rachel for bringing this to light. I am also delighted with the observations in the comments by @sunlightlotus. and @rachealkhoury6943. All I can really say is that in every industry/institution we have the good, bad and the ugly. I have been in the service for long, worked with many doctors and nurses most of whom have gone on retirement and I can confidently say the best health personel are those I came to meet who are now gone. Most of today's health personal join the system for just the lack of job or the pride often associated are often disappointed and find it difficult to adjust when their expectations are not met resulting in some venting their displeasure on the innocent patients when they fail to get the government to do their bidding. I'm sorry some go to the extent of committing suicide.
NPs are providers. Very different from working as a nurse. Better hours, more autonomy and ability to provide appropriate health care. Plus lots more pay.
Healthcare in which patients see a provider in the office is 10 minutes, can only be treated for 1 symptom per visit, have to wait for authorization for treatments or medications has changed the health of Americans. CEOs of insurance companies are paid millions per year. Patients are paying for insurance that is denying treatment. Delays in treatment worsen outcomes for those paying for healthcare. People are working more hours to survive, options given for healthcare are more expensive and less comprehensive and when patients get ill, they are expected to be cared for by family members that also must work. We aren’t demanding changes because the quality has been declining slowly and aren’t aware until a crisis occurs.
Create humane and reasonable conditions for nurses. We will not be ‘nurse-less’ because they bring foreign nurses to US so they can abuse them and pay them pennies.
I’m not a nurse but my heart goes out to them because when I get sick I’d rather have a nurse than a Dr. I’ll never forget my dads side of the family tried to push me to be a nurse and I refused because I just knew how stressful that job was. but I’m in the medical field and unfortunately medicine is reaching its worst worst possible state. Corporate doesn’t listen and they sure don’t pay enough! And as someone who works in nephrology 17:45 was absolutely correct! Please if you have a loved one and are able to take care of them please do so it’s really heartbreaking seeing ppl just waiting til their family member gets in their worst state
All patients are now complete care but unfortunately no one helps any patient to bathe. I have experienced this at multiple hospitals in different states. It is appalling that a person can have major surgery and lay in bed for a week with not even an offer of a toothbrush.
I think also we need to look at how nursing staff are treating new nurses coming in. (Not all nurses by the way, and I’m talking about UK). I spoke to quite a few people who dropped out of university and their response mainly was because they were treated awfully by other nurses, who wasn’t interested in engaging with them or anything. I’m quite lucky, so far I haven’t experienced that. The only “bad” experience I’ve had is a RN tell me I shouldn’t have career aspirations to progress, I should stay as a RN because that’s what I’m training to do. But why shouldn’t I have career aspirations to progress, you can progress in pretty much any other career?!
And the interview questions are something like "show you are willing to do after hours"... 😂😂Hoo yes man, I'm super happy, I'm eager to remain working after my ordinary dam shift without eating, resting, breathing, living, of course !!! I'm your potential best employee!! " 🤭😅🤣🤣
So basically we all need to become thorough nurses so we can properly take care of our own families. Lets not forget that MUCH of the leadership EVERYWHERE IS GARBAGE.
Nursing and being a Doctor has to come from within your heart not just to do it for money you need to have a good heart and l don't see that in that woman my dad was a doctor my mom a nurse and l'm also a nurse and for me it's more of saving life's healing helping and treating I don't see that in any of you two and it's a disgrace why are you in medical field???????? It's definitely not your field.
yup went to be a pharm tech before i went to nursing school and emt school cause i didnt wanna be a cna could never do it too much work and i didnt wanna work in a nursing home they just let the racisit patients slide cause age dementia etc no hold them accountable or give them the white cna sheesh
I am a Sr Medical Laboratory Scientists over multiple sections in the laboratory (16yrs now) and keep getting pulled to draw blood on the floors because we are so short staffed. I regularly work 50-60hrs a week as a single mother. The management in the lab and hospital doesn’t care what it’s doing to the employees. I am coming in at random times every day and leaving at random times. My body is wore out and they kept trying to get me to work 3rd shift on Saturday night. This is my first weekend off in 2 weeks. I am on multiple antidepressants just to be able to work. It got so bad that I couldn’t eat while at work and my GI system completely turned against me the moment I pulled into the parking lot. We get attacked by patients all the time. Every single phlebotomist I have ever worked with that has done the job pregnant, has been intentionally kicked in the stomach while pregnant by patients. Intentionally and they can go to Walmart or fast food and get paid more. I had a child kick me while yanking the needle out of its arm causing me to get stabbed with the dirty needle. Yes I had help holding the child and yes the mother was making the child’s behavior considerably worse. The entire medical system needs to be overhauled and all of these insurance companies need to be taken out of the picture and people need to become the focus.
As an ex-critical care nurse who LOVED the ICU. Felt right at home. Worked in the ICU as a tech for years first and I still loved it. . . I NEVER recommend anyone to follow in my footsteps. I have since left the bedside after the pandemic with scars some you can see and a lot you can’t see. I took a MASSIVE pay cut for my sanity. Totally worth it. My new career doesn’t require an RN license however my extra skills are a bonus. I don’t identify as a nurse anymore. I never worked med-surg. I don’t know how those nurses do it!! Bless them all! We need to take care of the backbone of the medical system: the nurses who are the largest professional group in healthcare worldwide
Oh great topic, i worked as a certified 1st Assistant to Surgeon for 10yrs, from 95 to 2005. Trained by US Army, and then went into the commercial settings being an OR Tech, the 1st Assist, later I started PA school, but then the world of IT came along. For me, i worked at some Trauma 1 ORs in the DC area, but the worst experience for me were the nurses, female, white nurses. By 2002, I was tired of it, joined Information Technology, and by 2005 I was gone and never looked back. I mean, i do catch myself watching Surgies on YT, especially brain, GI and vascular. Later many other 1st Assistants and OR nurses left either the hospital or the field altogether. I may join in a Doctor missions to South America to get my help others badge, but IT has been good to me, joined the DOD, i am now a GS15 earning over 200K a year. And yes, there are bad apples everywhere, but i loved the Dr's and the worked, but hated the majority female environment. I'm not a bigot, i have worked for many smart women, but the hospital setting was the worst for me. I'd never go back to the world.
This is a good video, Now I don't feel alone. I am a nursing assistant, a patient care technician. I recently left bedside as a tech from a hospital in Scottsdale AZ because I would either be assigned 28 patients by myself on a shift or 16 patients during a 12 hour shift. Nurses were assigned 4 to 5 patients only. The Patient care techs are always given a higher ratio. I left bedside care because I was overwhelmed. I would drive home crying with back pain, painful feet, and pain in my hips. One night I was assigned 16 patients. I had more than 4 calling me to go to the bathroom I could only take 1 at a time. One patient couldn't wait for me any longer to go to the bathroom, they got up on their own, fell, busted their head open and died. The hospital stated the patient died from a heart issue but that was not true, the patient died from the fall. Although the patient was in the unit for a cardiac related condition it was not how they died and I didn't feel safe working as a patient care technician at this facility. It was just heart breaking. :(
Agenda 2010. We knew and were told as student nurses that on January 1, 2011 the oldest Baby Boomers (not Gen X). Actual Baby Boomer Generation would turn 65 years old. We were told at Ventura Community College and Santa Barbara Community College and CSUCI California State University at Channel Islands that Baby Boomer are living longer and with a minimum of TWO comorbidities a piece! Heart issue with diabetes, Cancer with diabetes, Respiratory Disease with diabetes and throw in Crones, ESRD, etc. Living longer with a minimum of two comorbidities. We were told that we had a nursing shortage and schools needed to hire more instructors in order to bump up the crop of new graduates. In souther California we have: Moorpark Community College 2-3 year ADN, 18 mos LVN Oxnard Adult Education CNA’s (less than one year) CSUCI 4 year BSN, 2 year ADN-BSN (fast-track 14 mos) Ventura Community College 2-3 year ADN, 18 mos LVN Santa Barbara Community College 2-3 year ADN, 18 mos LVN Goleta CSUCI Extension ADN-BSN fast track 14 mos. Every six months a new graduating class of approximately 36-50 new nurses graduate from each of these programs. We do not have a shortage of new graduates we have a shortage of VETERAN, EXPERIENCED Nurses. The veteran nurses were not retiring after the 2008 housing marking crash under the Obama Administration. Veteran nurses lost their homes, retirements. The subprime market crash and the too big to fail banks were getting bailed out but people like nurses or SEIU employees lost EVERYTHING so they stayed in the workplace and did not leave space in the corporate for pro-fit hospital systems for new graduates. Those veteran nurses who did stay. I applaud them BUT this also exacerbated the dirty disgusting secret within the nursing profession. Veteran nurses who have no business being preceptors became preceptors by being voluntold or because they needed the money. And this has lead to the systemic toxic mean girl tribes of Nurses Eat Their Young. New grads are being thrown into assignments with no support. The ILLUSION that HR protects new grads and the No tolerance for bullying polices are straight up BS! HR mitigates lawsuits for the hospital. The second you report an issue to them they HR start a file on you. To fire you. HR is NOT your friend. Preceptors are venerated for doing a thankless job, because it is just exhausting to train a clueless new grad or a new grad who “knows it all”. These are young women and some older women looking to come back to the workforce and rolling up their sleeves to WORK but they are treated like TRASH. I forget the number of new grads that leave within the first year but its pretty large. Ratios. Ratios mean nothing to for profit hospitals and even worse for county (government funded) facilities. Because of the policy, DISCHARGE BEGINS AT ADMISSION. Which means that you are CYA on the computer records at a break neck pace. On the record you only have four patients assigned to you in the ER because you are discharging as you are admitting. At least on the official record you are discharging but you actually have six patients. And do not even think about going to the bathroom when you have your monthly cycle or think about staying home if you are sick. You get three days of sick days per quarter. This is for nurses in the ER. When you come into contact with sick people all the time you are bound to get sick at some point. Especially when not everyone has the same immune system. Hear me out…. MILLENIALS AND ZENNIALS We know it’s provable that the healthiest people are those in families. With children and pets. When your immune system is bombarded you are first to catch whoever is circulating and are in a constant state of allergies, colds, stomach bugs etc. these are your more hardy nurses. If they are young they are strong to fight the bombardment. GEN X This group no longer has children at home. They may not have pets. As older nurses they might have experience but their immune systems are not in a constant state of bombardment as Millenials or Gen Z. When working in the ER they get whatever comes in the door. And they may take longer to get past a bug. Boomer Gen nurses it’s a bigger concern because they are those who are compromised and may not survive the next pandemic. In the midst of all these issues are the previous issues with body mechanics in particular… CNA’s this group of nurses are getting cut out of hospital budgets. Fewer and fewer hospitals are hiring them. Example: St John’s Hospital in Oxnard CA. They do not have any CNA’s if they do it’s because she’s been grandfathered in but once she’s retired she will not be replaced. Santa Barbara Cottage Hospital has CNA’s and PCT (Patient Care Techs) and ER techs. What’s the difference besides the different hospital system? TAX PAYER BASE. Oxnard is predominantly poor, sick, immigrant and minority. Santa Barbara, is affluent, middle class and upper crust Richie riches from Hollywood elites on up to venture capitalists, hedge fund etc. they have their wealthy enclaves of Montecito, Hope Ranch etc. it’s MONEY HONEY. The push has been since 2010 to move away from the hospital and long term care facilities and back to home care and dying at home. The push has been to build the Home Health Care system. Visiting nurses. We even have the ability to administer dialysis at home if the patient has the room and a willing spouse or caregiver. The nursing profession is trying to grow. The leadership is pushing for more Advance Degrees to back fill the Primary Care Setting. Doctors are in extraordinary debt and can’t pay back the almost million dollars in debt accumulated so they are not going into Family Practices. With the invention of robotic surgery the need for open heart surgeries and many orthopedics specialties are limiting the places where doctors and surgeons can practice and pay off their debts. This has created a culture of resentment between doctors and nursing professions. Nurses who have seen the opportunity to go back to school and get away from the madness of the bedside are going back to get advance degrees and taking up those PC jobs. Getting a Masters to gain a PA for a PC Family Practice or working in an Urgent Care or leaving the insanity of inner cities and headed to rural community’s is the wave I see happening. Doctors may not like it but I don’t see them stepping up to address this issue. We also have an enormous problem with medical errors and throwing exhausted, understaffed nurses under the bus. Their have been a few cases where medical errors have stripped nurses of their license and freedom. This has set a precedent where going back will not be possible. Who wants to go work for a hospital or facility where you are set up to fail and wont be protected when an error occurs. My guess is not many. To compound all of these issues…Covid. The way things were handled was ATROCIOUS! Absolutely CRIMINAL. the public was losing faith in the medical community. Medical Autonomy was trashed and now what is coming out with the congressional hearings with Dr. Fauci…the people will never trust health care workers the same. You know what also did not help. Tik Tok and social media influencers. All the dancing virtual signaling. I saw nurses actually threatening the public! “Don’t come to my hospital if you are not vaccinated”! I saw one nurse whistleblowing, he gave an accounting of horrific behavior, “Two nurses were overheard saying, “Let’s vaccinate this unconscious patient, they won’t know they have been vaccinated”! I saw a doctor in the ER running away from a Mother and her teenage son. Neither were sick. They needed a physical for the school insurance requirements so he could play sports for school. I saw a doctor in NYC and one in Florida refusing to take care of people waiting for organs because they wanted them vaccinated. HOW! HOW did that ever make sense! In the end. I left both my jobs. I was an ER and an OR RN. I refused to comply. I refused to be an enforcer for a tyrant passing illegal draconian mandates. I left my jobs, my church, selling my home and moving back to my red home state. I’m taking my experience and my advance degrees and I will pursue rural health care. My intent is to open up a practice and go door to door helping people and building trust one person at a time.
Totally agree w u- I’ve been a nurse for > 30 yrs ( critical care) new nurses are going into profession for security of job- not for love of profession , bed pans & emesis basins are out of question, the don’t want to contaminate their claws 🦞 or 3 inch fingernails-nursing is just a step towards NP or CRNA - without nursing experience? These idiots are bound to kill those they come across .
These are just my opinions from my perspective. I understand we all have different experiences. 1) the acuity that the med surg level takes is higher than it should be. This is due to inappropriate ICU downgrades. I would rather take a pt from the ED with no report than a pt from ICU that was inappropriate for the floor. 2) 100% the reason we cannot recruit or retrain CNAs is because of work load vs pay 3) the reason why people are holding on when maybe it’s better to let go is because of the lack of communication and trust the patients are experiencing from the providers. Those hard conversations are not being had and on top of that, the doctors/nurses are not communicating with the patients/families in a language they can understand…. This leads to a lack of trust of the providers… 4) prevention is key!!!!
I wonder why everyone is getting spread thinner and thinner... Pretty ironic you're for capitalism when it's exploiting you and your colleagues whilst also providing worse care for patients. Do no harm, gnomesayin?
My mom was a CNA/STNA and she retired. She couldn’t believed her old employer called her back to work last week. That’s terrifying to think they desperately need a 63 year old woman.
When my son broke his back I basically cared for him at the hospital. So many times I had to track down nurses to give meds on time, etc. That was so a really nice hospital before Covid…
I agree w the two of you, you and the RN 100% let’s all improve our health and be healthier. Our public health officials, big pharma and big food want us to be chronically ill and dependent.
