Understaffed and dangerous nurse to patient ratio. High turnover rate. PTO denied due to understaffing, but high turnover rate due to being burnt out from PTO denials.
Very high workload and emotional demand on Nursing Department, which leads to compassion fatigue and burnout. Transfer of new, non-critical patients to Nursing had only been stopped a single time in all of my shifts.
Very poor communication between Clinical Manager and Nursing Dept.
Most staff who receive TLC awards are employees who keep their heads down, smile, and don't question methods/try to make positive changes. Employees who are extremely hard working and go above and beyond to implement positive change are overlooked for awards due to trivial matters that do not affect patient care.
Those who try to make positive changes are met with resistance, which many times has led to the staff making the change themselves and management never even notices. These occurrences lends insight into how absent that CM was considering it was them who denied the change but then never noticed when we implemented it anyway.
ER staffing is favored over Nursing staffing, which leads to high hospitalization rates and subsequently lower standards of care due to unsafe nurse to patient ratios.
The cost of the care given is skewed beyond recognition. I would never take my pet to MedVet without a discount because I wouldn't be able to afford it, and knowing the low care administered to non-critical patients, I know the value of care couldn't hold a candle to the final bill. This is not because the nurses and doctors don't care, in fact, they care so much that they skip breaks to take care of the patients. It is the unsafe and unattended-to high nurse to patient ratio.