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AIBU?

Share your dilemmas and get honest opinions from other Mumsnetters.

to think that our health service is going to shit?

15 replies

tiredandpissedoff · 08/08/2012 11:32

Speaking as a nurse.... so demoralised and fed up.

Just got off a night shift, one nurse and two healthcare assistants for two wards of 12 patients. 24 in total. All elderly and with a high level of needs. 22 of them incontinent, 10 of them with dementia.

No laundry had been delivered that day, as we had exceeded our budget for laundry and nobody had authorised another delivery, eventually we had to beg laundry to be taxied over from a nearby trust. There were only 30 incontinence pads in the stock room.

In between attending to patients, there was paperwork cleaning, a stock check, and the constant bed changes due to wetness. Our trust is one who has joined a pay cartel, and is trying to take away the enhancements for night working (currently you get paid your hourly rate plus one third).

Also have realised that due to the European working hours not allowing us to do long days anymore, I have been put on ten back to back earlies (7am-2.30pm) from my next shift which starts on Friday.

The breaking down of Primary Care Trusts means that I now work for a social enteriprise, and have not had dementia training, despite having to nurse people with dementia - the training is provided by the acute Trust, and the social enterprise would be charged for this, so we have been told we can't go.

Everytime you want to order something you have to go through management as you are not sure if your Trust provides it or not, so much time and effort is spent doing administration taks and chasing people instead of nursing. A health visitor had a go at me on the phone this morning, as they are being charged £70 an hour to use the clinic room in our hospital, as they now work for another Trust, and have been told they can't do this and have to "find" a room in one of their Trust's building.

At 6am this morning one of the nurses phoned in sick. We have been told that we have to exhaust every avenue before we get agency staff, this involved me going through the list of registered staff and systematically phoning them at 7am to ask them if they wanted to come into work at 7.30am (obviously they were all delighted at this) and due to the low staff morale and understaffing none of them want to work on their days off. This resulted in telephoning the bank, who did not have any staff who wanted to work so ended up gong to agency anyway which necessitated a visit to the managers office and getting treated like shit as if it was my fault nobody wanted to work.

On top of that you get the constant media slatings, I love nursing and look after my patients to the best possible standard I can manage (I would like to say the highest, but circumstances can prevent us providing the highest possible care, despite the fact we would like to), but you don't see any of those stories in the paper!

Just wanted to rant, as so wound up after my night shift I cannot sleep. At this moment in time if someone said do you want to stop nursing, i would probably say YES!

OP posts:
Olympia2012 · 08/08/2012 11:34

Blimey! Yanbu.

Had no idea that there was a budget for laundry.

tiredandpissedoff · 08/08/2012 11:36

there's a budget for everything.

I feel so fed up with what the government have done to the NHS, and how it is affecting the most vulnerable people, I could cry.

OP posts:
BagofHolly · 08/08/2012 11:42

Appalling. It's the kind of story that Andrew Lansley needs to take on board. What a disgrace.

theodorakis · 08/08/2012 11:53

They've stopped long days? What a shame, when I first qualified I did long days and my quality of life was great, plenty of time to myself, I remember just going for autumnal walks in the woods and sitting by the fire reading, things I have never been able to find enough time to do since. I treasure those memories. Also, 3 long days was brilliant for patient care, the patient would not suffer mistakes from handovers 3 times a day and I could send them to theatre in the morning, welcome them back in the afternoon and be the first person they saw when they woke up in the morning.

I have to admit I walked out of my job after finding an elderly lady in a corridor who I had been trying to find a bed for the night before. They assured me a bed was available and I went home. When I came back in the morning she had passed away during the night and nobody had noticed. I turned on my heel and walked out and never went back.

FutTheShuckUp · 08/08/2012 11:56

Are you with the RCN? They are doing a MASSIVE campaign right now about pay cartels and trying to abolish them. Get on board, the more people who just sit back and accept whats happening the worse its going to get

theodorakis · 08/08/2012 11:57

In defence of the NHS though, I have worked for some enormous corporations since leaving nrsing and am currently in a company with about 40,000 employees. I used to think the NHS way of doing things was barmy but i have learnt that this is how corporate policy works across the board. I used a comparison between the NHS and another company for my masters in business and wasn't surprised to find that the NHS is fairly standard in most of it's processes except for cost effectiveness and accountability.

Leverette · 08/08/2012 12:08

This reply has been deleted

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GhostShip · 08/08/2012 12:09

Oh this sounds far too familiar.

At our place we put an order in for some beakers and was refused by management. (40+ Emi patients, we get through beakers and cups quickly, especially as one fella liked putting them in the pond and down the toilet) I couldn't believe they refused so when the directing manager came on a visit I asked her personally, thinking she'd be ashamed. All I got was 'this place doesn't make enough money as it is without buying you more things'

Stupid bitch. That was the last straw.

Hope you're okay OP, have a good rant!

PenelopePipPop · 08/08/2012 12:24

Oh God please don't stop being a nurse. You and people like you are the only thing stopping the NHS becoming utter chaos, particularly for older demented patients who are probably the most vulnerable patients of all.

YANBU though. I have my own reasons for being fucking furious with the health service right now. Our lovely next door neighbour is dying of a perfectly treatable cancer which was only diagnosed once it had spread to her lymphatic system and was too late to treat. Her poxy GP who is chair of the Local Commissioning Board had refused to refer her to anyone for her chronic and severe abdominal pain because he thought she was just over-anxious and had indigestion. That had started in her seventies. Out of the fucking blue. And caused her to lose a stone and drop to a BMI of 17 in 6m. Cunt. When she finally ended up in A+E because a friend took her in the junior doctor could feel the tumour in her abdomen.

I'm sorry about the media slatings. You do not deserve them. Thank you for being lovely.

theodorakis · 08/08/2012 12:26

Sadly, I think you should leave the NHS. The only way things will change is when people walk away from unacceptable situations, just like they would in any other job. Also, other jobs are better paid and more likely to value their staff.

WillNeverGetALicence · 08/08/2012 13:30

Agree with theo

The only way things will change is when staff begin to walk away en masse.

The RCN are completely useless imo and do not do enough to support staff or to stand up and say the way the profession and patients are being treated is unacceptable.

I personally feel that nursing strikes [of elective, non emergency services] are the only way to make gov take notice. However this would require the unions to take some action and not just sit on their arses happily raising their fees year on year [whilst nursing wages remain static Hmm]

ENormaSnob · 08/08/2012 15:45

Yadnbu

CaliforniaLeaving · 08/08/2012 16:14

That situation sucks.
I sounds like the one I worked with here in US. Me and three assistants and 35 patients in our ward, most were incontinent, and about 32 were non mobile, bed and wheel chair bound, I did the late shift, three med rounds and two treatment rounds, feeding about a dozen, getting all to bed for the night. Completely impossible. All it took was one to get sicker, needing extra attention and the whole schedule fell apart for the night. It's no way to treat the sick and elderly.
I had to quit in the end for my own mental health.

Sunnystormyday · 08/08/2012 16:34

I honestly had no idea. Im not naive, i have
Constant rows with the Continency Advisory
Board to get attends (pads) for the people i look after,
They are given quotas above which they are not
"allowed" to exceed. These are people with
Learning difficulties who are denied fluids or
often left in soiled items
Because they've exceeded their allowance
Of continence pads. To me, Its basic neglect

Stories like this seriously need to be made
public, when We all pay £ to the NHS, how
come a health visitor Has to pay to use a
room at a hospital?

VolAuVent · 08/08/2012 16:42

YANBU. There has been a lot wrong with the NHS for years now. It's bad for many patients and all those staff who wish they were able to do a better job if it weren't for the situation. So many examples of lack of compassion from decision-makers and some other staff. And dishonesty going on with what really happens to patients, falsified waiting list figures and so on.

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