I must agree that this bill has not helped on the Acute Surgical ward in Wales that I work on. We are most shifts short staffed and have recently lost more staff thus making safe staffing levels impossible. We have been provided with agency staff for some of the shifts but this is so inconsistent, and as our more experienced staff have left the skill mix is appalling. I have worked on this ward for almost 20 years but am now considering leaving later in the year,as I feel more and more pressure being put on the nursing staff, I have suggested that we need to close beds short term to ensure the safety of the patients and also the staff, but to no avail. I cannot see any answers at the moment to help save the NHS in Wales and feel fearful for my grandchildren future health care.
What people forget is that nursing is not like any other job, and student nurses find it very difficult to supplement themselves with a part time job as they are rostered onto the wards, working shift work, weekends and don't perhaps get their off duty until a few days before the previous months has finished, thus making it near impossible to plan the following month. I know this as a Ward Sister who is finding it increasingly difficult to even do the next roster due to lack of staff. This not only effects my own staff with their childcare planning but also the students to. To remove the bursary is ludicrous, but just another nail in the coffin for the nhs under this government. I use to worry for my grandchildren about there being no nhs for them but I think it will be sooner than that and will effect me in my lifetime.
Figure of speech really. as I do know that our enhanced recovery patients are being audited, as I questioned about this at the last meeting, and was told that there is somebody who is auditing readmissions, so hopefully this situation will be resolved, and maybe it will involve a review of the discharge policy. I agree with you that anecdote does not do the patients any favours, and can only hope that the audit will give us the reliable data to ensure this happens.
I work on a ward that has patients following major colorectal surgery, and we also have enhanced recovery, which in essence in the discharging of most patients between 3 & 5 days. I have lost count of the number of our patients who have been readmitted following discharge, and some have even gone on to have further surgery. We find that the majority of our patients if they are going to have complications develop them around about the 5th day, this is when most of them are going home, and yes I think the euphoria of going home makes them feel well enough to do so, but unfortunately it only lasts about as long as the time it takes for them to get home. Yes you are always going to get the odd person who does very well in a short period of time but the majority don't. It's false economy as when they are readmitted it usually takes longer for them to be discharged due to their anxiety levels and fear of events occuring as did on the first discharge. A few more days in hospital at first and they are then truly ready for discharge.
Comment on: NMC fee to rise to £100 in February
Sold down the river yet again, but as previously said they have us by the short and curlies. We need to insist that the unions fight this and take the NMC to task, otherwise in 2 years time what will they be putting our fees up to then. Come on nurses and nursing unions, have some backbone and fight them all the way otherwise eventually it wont be worth working as a nurse as all your wages would have gone to other people.