amen ----- Original Message ----- From: "Melinda de la Cruz" <[EMAIL PROTECTED]> To: <[EMAIL PROTECTED]> Sent: Sunday, November 16, 2003 8:52 AM Subject: Re: simple question
> You cannot be jack of all trades. Some employers are > so stingy, they combine 2-3 positions into one and > talk you into it. What happens work is not done well, > patients suffer. Wake up! > > > --- Colleen Wolf <[EMAIL PROTECTED]> wrote: > > > > My job description has the heading of "MDS > > Coordinator/Supervisor" and I > > was hired with the understanding that it may become > > necessary for me to fill > > in as a charge nurse if needed. As a coordinator I > > work 7-3:30 pm M-F and > > every 5th weekend. I feel blessed because I also > > share weekend rotation > > with 4 other nurses; The Medicare Coordinator, Staff > > Development, Rehab. > > Nurse and the other coordinator. These other nurses > > come in and generally > > work 8-4:30pm M-F; with the Staff Development person > > working 10-7 pm a > > couple days a week. Each of us has had to work the > > floor for a shift or so > > now and then, but there is no one to take our places > > when we do and our work > > gets behind. We each struggle to get our work done > > and have way too much to > > do; as well as supervise the LPN's on the floors. > > > > > > ----- Original Message ----- > > From: "Brenda Chance" <[EMAIL PROTECTED]> > > To: <[EMAIL PROTECTED]> > > Sent: Friday, November 14, 2003 7:51 AM > > Subject: RE: simple question > > > > > > > I'm not saying you have to be a martyr but > > sometimes you have to work > > > extra. In my building, I am part of nursing > > administration and I do > > > work the floor some to help out. If the > > resident's needs are not met, > > > then what we are putting on a piece of paper is > > not worth a flip. And > > > actually, for me, it is refreshing to get out > > there and be with the > > > residents in a care giver aspect. I truly love > > hands on nursing and > > > enjoy this part of it. It also helps in the > > assessment process. > > > > > > I am not saying I do this everyday, but I do > > probably 1-2 days per > > > month. Also, I have occasionally worked a Sunday. > > It is not a every > > > weekend experience. I have decided a long time > > ago when I nearly worked > > > myself to death that a job would not be my life. > > But, I do want my MDS > > > and care planning to be done timely, so sometimes > > it calls for going > > > above and beyond. > > > > > > I went into this profession to take care of > > people. Sometimes, it is > > > called biting the bullet. I too became a nurse > > during the nursing > > > shortage and have worked many long hard hours. I > > just believe that > > > nursing is a calling not just a job and I will do > > what I can to ensure > > > my residents are taken care of. I am not saying > > you need to be a > > > scapegoat. The original question was, "Do any of > > you have to work > > > Sundays to get the job done?" I only stated yes, > > it comes with the > > > territory. I am sure at least 75% of nursing > > administration > > > occasionally has to work a Sunday to get the job > > done. > > > > > > Brenda W. Chance, RN, RAC-C > > > MDS Coordinator > > > > > > > > > CONFIDENTIALITY NOTICE: This e-mail message, > > including any attachments, > > > is for the sole use of the intended recipient(s) > > and may contain > > > confidential > > > and privileged information. Any unauthorized > > review, use, disclosure or > > > distribution is prohibited. If you are not the > > intended recipient, > > > please > > > contact the sender by reply e-mail and destroy all > > copies of the > > > original > > > message. > > > > > > -----Original Message----- > > > From: Corey [mailto:[EMAIL PROTECTED] > > > Sent: Thursday, November 13, 2003 6:46 PM > > > To: [EMAIL PROTECTED] > > > Subject: Re: simple question > > > > > > Wow, please forgive me Brenda, but this is one > > that you and I will > > > forever > > > disagree on! > > > > > > I have worked many a place where I was "expected" > > to do whatever was > > > needed > > > to get assessments done on time, despite being on > > call for a week at a > > > time > > > at the same facility, and not getting overtime for > > working the floor > > > because > > > I was "administrative staff". I have worked 24 > > hours in 24 ( one as > > > MDS, > > > and the next two as the floor nurse to cover the > > "call-ins") and then > > > told I > > > was expected to work that next day because the > > Medicare meeting still > > > had to > > > be done and we were having 2 admissions that day, > > and I was the MDS > > > nurse. > > > So I did it. Guess what? It became expected, and > > the next time I > > > refused > > > to work the floor for the next 16 hours after > > getting up from the 7 > > > hours I > > > had just worked as the MDS co-ordinator, I was > > fired. After all, the > > > home > > > just wasn't making that much money, y'know? But > > they still had the > > > owner's > > > personal Persian rugs from home brought into the > > facility every 3 months > > > to > > > be cleaned and billed to the facility. > > > > > > When I first became a nurse, in 1971, I was > > required to kneel in my > > > dress to > > > the DON for my first week to prove my skirt > > touched the floor. We were > > > not > > > allowed to wear pants, and lipstick was an offense > > for which you could > > > be > > > expected. I was expected to kneel in the hallway > > when the priest > > > passed, or > > > to go into a patient room and stand behind a door > > until he passed (that > > > was > > > because I was Jewish.) I was expected to stand > > when the doctor came to > > > the > > > nursing station, so he could have the seat I was > > using to chart in. > > > Nowadays, most of the younger nurses stand there > > with their mouths open > > > in > > > shock to hear it. Why? Because, judged by > > TODAYs standards, it is > > > clearly > > > unreasonable. At some point, we become > > responsible to make our own > > > decisions and standards. > > > > > > Things change over time, as did the concept of > > slavery. I may need to > > > work > > > a weekend, AT MY CHOICE, but because I am not a > > slave, I flatly refuse > > > to > > > allow anyone to tell me my time, unpaid, is > > expected. I will stay if no > > > nurse shows up to care for the patients, because > > there's that neat > > > patient > > > abandonment law, but not otherwise, not any more. > > I live in Michigan, > > > and > > > this state just had to have the Board of Nursing > > not too long ago pass a > > > resolution stating that no investigation would be > > made as to revoking a > > > nurse's license for refusing to involuntarily stay > > for overtime because > > > the > > > facility was "short" and couldn't find another > > nurse. (You see, a > > > number of > > > hospitals were telling nurses at 2:55pm and > > 10:55pm that they HAD to > > > === message truncated === > > > ===== > Melinda de la Cruz, R.N., B.S.N., RAC-C > MDS Coordinator > > *******CONFIDENTIALITY NOTICE******* This message and any attachment are confidential and may be privileged or otherwise protected from disclosure and solely for the use of the person (s) or entity to whom it is intended. If you have received this message in error and are not the intended recipient, please notify the sender immediately and delete this message and any attachment from your system. Please be advised that any use of this message is > prohibited and may be unlawful, and you must not copy this message or attachment or disclose the contents to any other person. > > __________________________________ > Do you Yahoo!? > Protect your identity with Yahoo! Mail AddressGuard > http://antispam.yahoo.com/whatsnewfree > /---------------------------------------------------------- > The Case Mix Discussion Group is a free service of the > American Association of Nurse Assessment Coordinators > "Committed to the Assessment Professional" > Be sure to visit the AANAC website. Accurate answers to your > questions posted to NAC News and FAQs. > For more info visit us at http://www.aanac.org > -----------------------------------------------------------/ /---------------------------------------------------------- The Case Mix Discussion Group is a free service of the American Association of Nurse Assessment Coordinators "Committed to the Assessment Professional" Be sure to visit the AANAC website. Accurate answers to your questions posted to NAC News and FAQs. For more info visit us at http://www.aanac.org -----------------------------------------------------------/
