To preface this post, I currently work in a level 1 facility on a Med-Surg/Tele and detox unit. We also take unstable BH patients that can't be admitted to BHIP. I've been with the organization for three years since obtaining my license in 2023. The relationship between upper management and the NMs and ANMs has been worse than usual in recent months. I was aware that the lower-level managers were being pushed to their limits in terms of compliance; however, I did not expect the situation to unfold as it did. The hospital's medical care center is set up into Gen Surg, Medical Oncology/Palliative, Ortho/trauma, Comprehensive Medical/Neuro, and General Med/Med BH/Tele "lite" (my unit). Out of all of the units, the NM and ANM from Comprehensive Medical/Neuro, Medical Oncology/palliative, and now my home unit have all resigned. Interims have replaced both of the other units, but the positions on my unit have not yet been filled. Last month, I learned that my nurse manager had resigned. I received an email recently that my ANM is on PTO until three days before her last day. This was expected. Needless to say, about six months ago one of the nurses on our unit drafted a (non-formal) letter to upper management outlining all of the nurses' frustrations. The letter made its way around all of the entire medical care center, PCU, cardiac, and ICU. Of course, management didn't receive the letter well. Nurses from all over the hospital had signed the letter. The letter totaled more than 300 signatures. The letter spelled out that if upper management did not address unsafe ratios and other issues, the Joint Commission would be contacted. Shortly after, our ratios got better. This lasted for around three months. It's been about 8 months since management addressed the letter. Recently, the nurses on my unit have been pushed to their limits with the acuity of the unit, among other things. Upper management has had our NM purposefully overschedule so that one or two nurses can float to other units. We now folat at least 1x/week. Not what we signed up for. The assignments on our unit have gotten increasingly dangerous. We have been running 6:1 on both days and nights (4 RNs and 2 LPNs). The LPNs have a broad scope and are largely autonomous, taking their own assignments, and get charge to do their education, care plans, or any meds that they can't push. You're lucky if you get to see your patient 5-6x/shift. It's so embarrassing having to explain to your patient that you only have 10 minutes for them in any given hour of your shift. I am aware that this is the same I've been researching what automatically creates a discrepancy with the Joint Commission in terms of large-volume management resignations in a facility; however, from what I have read, this situation would not necessarily flag as an issue. Do any other nurses feel that the Joint Commission should get involved at this point?   submitted by   /u/30for31 [link]   [comments]