indimom
Are We There Yet?
- Joined
- Jul 18, 2008
It's hard to hear the card playing thing without thinking of all the times I've had loved ones in the hospital and watched the nurses busy going from room to room working their tails off. I will say though, that I went and read the statements and I do feel like this whole thing might have been sort of misrepresented since she was apparently talking about people who work in very rural settings with few patients. There could be down time if you only have a few patients and they are sleeping. I can see how different break rules might apply there. In any career there is a variance based on the specific job assignment that needs to be taken into account, so I can see that one size doesn't fit all. The card thing just seemed so callous because even if there is down time while allowing a single or very few patients to rest, just their presence at the ready is so very important.
In general, I feel any working person deserves breaks. I know I always wished for them when I was teaching! In my current job (not teaching) I feel kind of silly taking breaks because I have freedom built into the position.
Let's face it, that state politician really put her foot in it and the backlash is to be expected.
I work for a small rural critical access hospital. We have 15 private rooms on med-surg and 3 beds in "special care" (our version of an ICU). OB has 8 or 10 beds. I don't actually work on the med-surg floor, but I'm aware of how staffing works. There may be "quiet nights" on occasion, but what fewer patients typically means is fewer nurses and no aides. It often means combining the staffing needs within the three areas (which are located adjacent to each other). It means nurses can be called off work due to low census, or walk into a full floor and the need to locate a nurse willing to take an extra shift because they did not anticipate the sudden surge in patients. It also means they are not provided with additional staff like respiratory therapists, nursing aides, phlebots, transporters, even pharmacists to prepare iv meds - but are required to perform those tasks on night shifts.
When I worked nights at a larger rural hospital years ago, it was really only "slow" between 2-4 a.m. Beyond that, nights were crazy busy because we did not have most of the assisting staff members I mentioned above... and patients are almost always more confused at night. With IVs beeping, bed alarms going off, required hourly rounding, lab draws, pain, nausea, fever, IV fluids increasing trips to the bathroom for patients who are unsteady on their feet or are unable to get out of bed at all, very few patients slept all night and we were kept hopping.
I think breaks need to be protected. There may be nights when the nurses can get a break easily. But, there are many MORE nights when breaks are hard to come by and those breaks should be protected.
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