Specialist nurse (band 7) and I love my role.
But my experience (within 3 very different specialties since qualifying 7 years ago) is there’s too much work (& constant pressure to do even more from management when you’re already working beyond capacity) for the number of staff available.
My computer went on today at 8.15am. I saw 5 patients, made obligatory referrals, phone calls, emails, undertook professional liaison meetings, supported a student, wrote my notes, updated the patient records & completed risk assessments & my computer went off at 11.00pm.
I get paid for 9.5 hours, today I worked for 14. This is a normalised unwritten, unspoken expectation. I had no lunch break, & I think 2 trips to the toilet in that time. I drove home so that took 35 mins out of that time but that was my only break. 5 patients took up 5-6 hours of time. The rest was admin. The level of documentation required is beyond a joke. But it keeps commissioners happy because it’s something they can count & quantify. Meanwhile I give free hours of my time because i don’t want to let my patients down.
And we had a delightful email today in red, bold and underlined from management telling us to improve productivity (measured by record keeping accuracy not patient experience) by discharging patients quicker so we can take on more patients from the waiting list. It’s broken. I’m on the verge of being broken. Staff are leaving all the time. A colleague with 26 years experience in this specialty is leaving & doesn’t have another job lined up. She’s too young to retire (late 40s) but she just needs to stop. It’s heartbreaking and horrifying.
I’m not saying don’t. Just think very carefully.
Oh also, Ive never personally experienced bullying. But I have witnessed it from senior members of staff towards junior members & I reported it. Sod all was done about it.