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AMU nurses report recruitment problems


Nothing wrong with acute medicine, in fact it is very important area of healthcare. But AMUs feels like a very tough place for the patients staying there and staff trying to deliver care there. Patient acuity can be quite varied and may have complex issues underlying their acute symptoms. When patients' deteriorate, it has a knock on effect on all other patients' care. Then they could deteriorate too. Nurse:Patients ratios at that point goes right out of the window and the whole ward is potentially unsafe. Its not uncommon for two or more patients to deteriorate at the same time. It might be better reducing the numbers of beds to about same as the number of A&E trolleys. Patients shouldn't stay in AMUs for long. Enough time for their acute symptoms to be brought under better control, before moving onto specialist care beds relevant to their needs and rehabilitation. It would be far better for patients to go straight into the right department or discharged back into community if appropriate. However due to the lack of proper investment and resources, this government's plans of patients care in the community is just rhetoric. It feels like compassion and care are being beaten out of the nurses clinical practice, and now too apathetic to do anything about it - such as raising concerns when required. Hence the burning out and turnover of AMU nurses. If they want recruitment and retention, much better all round support and development of frontline hands-on nurses is what's required. If senior nurses aren't also regularly hands-on, but stay in the offices due to increasing amounts of administration, they will soon lose touch with direct patient care + needs and less visible to their colleagues, which in turn reduces effectiveness to deal with staffing and resourcing issues. If the nurses aren't looked after, then who's there to care for patients? the auditors and politicians? Well ran AMUs are a great place to deliver excellent patient care, meeting patients needs, loads of learning and development opportunities and a much less stressful place for staff to work in.

Posted date

10 May, 2013

Posted time

1:00 pm