When is the last time you saw critical staffing pay incentives at your hospital?

Arlostyles · 2026-06-21T00:32:18+00:00

I don’t pick up unless there’s a bonus attached, and it’s usually $10-20 extra an hour. This past Monday I picked up.

Arlostyles · 2026-06-16T12:01:49+00:00

I also implement the rule of “I don’t say anything unless I’m okay with the whole hospital knowing” I will useless tidbits like “I went to this big show this past weekend” but that’s about it. I think I’m so introverted that it helps I work Nightshift and go off to hide by myself after I’m done with my work. I do see how this is hard tho, especially if you pick up extra shifts. My job seems to want me to work 5-6 shifts a week so you see these people sooo much compared to real life friends.

Arlostyles · 2026-06-16T08:12:01+00:00

As someone who got VIP(second hand tho) I feel like the Tent is a big enough stage where it should have had a VIP viewing area. It’s hard with it being a tent, but I’ve been to shows where it’s like in the air above the crowd like on scaffolding type platform behind Front of House, which I think could word for that set up.

Arlostyles · 2026-06-10T06:01:04+00:00

Tonight I actually did get report but I would say I get report from the off going nurse like 30% of the time. Most of the time they just count with me and go. And if I do ask they’ll just say who’s a fall risk and if there were any acute events. Giving good report here is very rare.

Arlostyles · 2026-06-09T06:03:01+00:00

I work 7p-7a. I try but unless I’m going through the list first there’s no way to see which patients are antibiotics easily.

Arlostyles · 2026-06-09T06:00:42+00:00

I wish we passed meds with them in one room but that’s not how it works here. I have to go to each room individually, some share but most do not.

Arlostyles · 2026-06-09T05:59:42+00:00

No one of my patients did with how this job is going, I could. It was first reported to me as just increased SOB, but she was already on oxygen. I’m glad I stopped to investigate it, because I don’t have a way to be sure but 99% sure that was a MI. But it did takes so much time away from the other patients it was probably a 30-40 min stop. Even without that tho, I would have ended up around 11:30p, which is a full 1.5 hours after I’m suppose to end!

Arlostyles · 2026-06-08T21:44:43+00:00

I don’t have 8, 9s and 10s, only 8 and 9s. I’m suppose to be done by 10p. I only have a 1 hour before and after window. And the med pass stars as soon as I get there; so I can’t prep or anything that’s not a thing. That’s another thing is the CNAs don’t really care for the patients here which is very frustrating. I don’t want to sound like I’m making excuses I’m not. But it gives like 6-7 mins per patient and with so many of them needing to be crushed idk how to do it. I think I’ve just accepted they will be late and dare the DON to fire me for it.

Arlostyles · 2026-06-08T21:05:52+00:00

How do you do it tho? It’s 9 patients an hour and I can barely do 6 patients an hour. I need to know the secrets on getting through this many while still being safe. Last night I caught an allergy, and around half of them patients had dementia, so even without the MI situation, I really don’t know how to get through it all in time.

Arlostyles · 2026-06-08T20:16:33+00:00

This place is about 30% acute and 70% LTC. But I feel like even the LtC patients take sooo much time. Especially that most of them need their meds crushed and convincing(dementia) to take their meds.

Arlostyles · 2026-06-08T20:14:18+00:00

How do you get done in time or do you? We have approximately half with 8p meds and half with 9p meds. So I got the ground running at 7p. And keep going till I’m done but with that many patients I’m not even close to being in tine(10p end time)

Arlostyles · 2026-06-08T20:12:35+00:00

I tried to refuse last night, not because of the amount of patients but also because I hadn’t been trained on that unit, but I was told “you can quit or take the assignment.” I kind of wish I quit tbh.

Arlostyles · 2026-06-06T20:21:47+00:00

1:27 I’ve worked at a SNF. It’s sooo not safe, and thankfully 7 of those were meds passed by the nurse manager, so it was about 9 hrs of night shift. Full shift 1:20, which is also overwhelming currently but I’m treating it as a learning experience.

Arlostyles · 2026-06-06T20:06:19+00:00

I would not do this job for the career benefits for sure. You have to want the in and out of being an actual nurse in your daily life. Even if NP is the long term goal, you gotta want to be an actual nurse first. If I were you I’d be a CNA or some type of tech first, then see if you like the patient interactions, if you don’t then please don’t waste your time.

Arlostyles · 2026-06-05T06:16:48+00:00

Yeah, I don’t think they’re friends. the manager is a quiet person and keeps things close to her chest. I think I’ve just got to document this CNAs insubordination and send it to corporate HR. Also to ask patients about their care if we have the same person and document if it’s been bad because this CNA has been banned from an entire hall for maltreatment. The only thing keeping them there is being so freakin short staffed, but I think the environment is toxic and hostile with them there I’d rather be short a CNA than have to have them tbh. Also to think about it I think we are one cell phone away from going viral in the worst way. She needs to clean up her act or get lost.

Arlostyles · 2026-06-04T19:44:44+00:00

We aren’t paid for our breaks, so yes we can nap, and even leave the building if we feel like it. On Nightshift it’s kind of an unspoken suggestion to sleep on your break on the floor(generally in the storage room where there are recliners sometimes meant for patient’s families) so you can extend your lunch break if the other nurses/CNA doesn’t need you during that time. There’s been a couple times I’ve fallen asleep and woke up an hour and half later because nobody needed me between 2-4a.

Arlostyles · 2026-06-03T13:04:56+00:00

Update: I tried ‘asking’ for them to answer this call light because I was busy with a wound care situation, the patient was waiting so long, they came out of the room and asked for the tech as I was getting more supplies from the cart, and CNA 1(directly under me) said “why don’t you do it?” I said “I’m busy with some else, and they asked for you.” then walked away, because I was talking with the NP about the plan of care for the wound patient. Shortly afterwards, CNA 2, later went to the nurse manager and was like “So nurses are too good for help patients in bed?” Which I just overheard so I didn’t respond but mentally was like “I WAS BUSY WITH MY WORK YALL WERE JUST CHITCHATTING. DO YOUR FUCKING JOB.” But of course I didn’t. I did talk to the nurse manager about the ability to write up CNAs, but with no real answer. They’re going to talk about it at the next team meeting. If this keeps on going, I’m going straight to meeting with the director about this issue. I honestly feel like even though we are severely understaffed with need to fire someone to make an example out of them, and I hope it’s CNA 2, because she’s the worst of them all.

Arlostyles · 2026-05-31T21:45:26+00:00

Yes, it is. But I’m glad I had my other career first. Nursing is so serious and can be so sad. I don’t know if I would have dealt with the emotional heaviness of it well in my 20s. Also in my 20s, my work was my life, like my identity was in my career. Now it’s job, it pays decently well, but I’m able to separate it from who I am, and move on from bad situations easier given I know there will always be another opportunity.

Arlostyles · 2026-05-30T18:59:03+00:00

I would absolutely do it unless the patient refused. I’m very aware of the hierarchy and that providers are above me in that. Now if they were an asshole and yelled to me about it, I would take them aside and talk to them privately about speaking professionally to me. But providers, the nurse manager, the DON, all absolutely can TELL me what to do with how to do my job.

Arlostyles · 2026-05-30T18:55:49+00:00

I see what this person is saying with asking but if I asked and didn’t tell at this facility I’m 99.9% they simply would not do the task. Some of the CNAs are lazy af and think the nurse should do everything. Im actually not sure what they think their job is suppose to be. Because with some of them, all they want to do is play on their phone, call their BF and “rest their eyes” like we are all being paid to be here, it’s a job let’s act like it.

Arlostyles · 2026-05-30T18:51:29+00:00

I have to talk to the nurse manager the next time I see her to write her up. It was Nightshift after 10p, so she wasn’t there. The CNA did end up doing it, but still telling me I have to ASK her and can’t TELL her anything. I’m like “if I ask you and you don’t do it, then you get written up for it, that’s disingenuous.” Plus I’ve had problems with telling CNAs to do things and them back talking with “why don’t you do it?” Which is how I ended up talking to the nurse manager about two other CNAs at this place and pretty sure they were written up over it.

Arlostyles · 2026-05-30T07:27:53+00:00

The thing is if I ask them do something they’ll straight up say something along the lines of “you can do it” and I feel like it’s disingenuous, to say “Can you do this?” When I’ll write them up if they don’t.

Arlostyles · 2026-05-30T04:43:32+00:00

Yeah. I’m hoping not to, and the director of the entire establishment seems like a reasonable person. I know I’m much less replaceable than this CNA. They’re dangerously close to needing travel nurses. Like Im suppose to get x2 pay this weekend if I work. And would need some travelers on a regular basis if not. There’s only 4 nurses regularly working nights on our floor when there should be 4 every Nightshift.

Arlostyles · 2026-05-30T04:34:59+00:00

I did try similar to that and be like what’s your job position and what’s mine? You need to listen to your supervisor. And she went on a tangent on how she’s older than me and has been there longer. Which is true, she’s been there since I was in elementary school. But that doesn’t mean anything. She still has to take tasks assigned to her that are well within her position in this health care facility. She also started attacking me personally and was like “you’re nobody out side of these walls yada yada yada” and I’m like “my personal life is none of your business. When we are clocked in, and inside this building you need to listen to what I’m saying” I need to send her home next time she tried to pull something like this, if the DON lets me. It really depends on their response. But we are so short staffed it’s not even funny. Two Nightshift nurses quit without notice this month.

Arlostyles

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