You guys sound like us! The rest of the hospital avoids us like the plague because we're so mean! LOL! We usually get 2-3 new grads each year & it's been 10 years since anyone of them actually stayed. I just love spending months training someone only to have them move on for more money, better hours, etc.
We have a lot of RN/ORT issues too. Most of us do work as a team, but you always have the few who make everyones lives miserable. We have a few that it's hard to assign because they can't work with hardly any docs or staff.
I've mainly been ENT for about 10-11 years. Last year, they put me in my current position of education/competency/materials management/ whatever else they feel like having me do. All the while, I've still had my ENT Specialty Coordinator duties too. Now with this big shortage, I'm totally swamped. Plus, our regular charge nurse had surgery so I've been stuck doing charge now for the last few weeks.
When we work overtime on star shift, it's regular time til you hit 40 hrs. After that it's time & 1/2. Our call pay is figured really strange--some big payroll formula that none of us can figure out. For an 8 hr call shift where you're not called out, an RN makes about $125. If you get called out, it's automatic 4 hrs time & 1/2. We do offer the best call pay in our area.
We've always had an ORT on midnights, but until recently the RN took it by call. They decided we need a 10 minute response time due to the c-sections, so now we have a midnight nurse. They do any emergency cases, finish pulling for the next days cases, check & see if all the supplies are there, get the rooms ready & open up for any big cases starting early.
We have a Prep Room & it's one huge HIPPA violation. We're trying to get things changed. It's just 1 big room with curtains you can pull. We have 5-6 patients there at any given time. There's no privacy at all plus you have family members in there listening & watching everything. We have a area adjacent to us that has individual cubicles that we want to convert to the prep area. Right now it's a short term recovery area for people having to stay 3-4 hrs post op.
Do you have a problem with surgeons behaviors? We have some who are absolutly crazy! We write them up day after day but administration won't do anything about them. They get a smack on the hand & told to be good boys! We have a couple we're actually afraid are going to hurt someone when they go off on these tirades.
I'm really enjoying our exchange here. It's great to know other people are going thru the same stuff.