I think its a difficult one. its top heavy on management. we need our old cottage hospitals back for those recovering or awaiting care home provision.. processes need to change, we need far less paper work and to step away from a culture where we need to prove we have done a job by writing we have done it rather than just believing that we didn't leave Agnes unfed in her bed. Today I had to document 3 different places that I had carried out one task.
Families need to be much more realistic in their expectations. we cant magically make Gary walk and eat all of his food. if he hasn't done so for a few years. Shouting at us isn't going to work either. Nor was the punch to the face I got a few months ago. I really don't mind when patients have dementia or delirium attack me, because they are unwell.
If we paid staff better, made the environment feel nicer and had better staffing then we would probably feel better about going to work.
As it is I have to work with a huge variety of deteriorating health conditions and know how to implement care.. dementia, stroke, delirium, haemorrhages, end of life, seizures. I need to know how to keep someone safe, give medications that wont interact.
We don't just make beds and write notes.
I cant do my job without having been to uni, 2300 hours i had to work for free, I'm expected to carry out continuous professional development which i then need to do in my own time. I need to revalidate every 3 years, pay a fee yearly and have a union fee to cover me legally if I step the wrong way.
I'm tired as are a lot of us. still plodding on. I really want paid breaks, so if i don't get a chance to use them I don't feel as salty