Doorgaans is het beeld dat ik wil neerzetten van de geriatrische zorg vrij positief, maar ontkennen dat er ook veel niet goed is is natuurlijk onzin. De volgende brief aan een verpleegkundig tijdschrift in Australië verwoordt dat nogal indrukwekkend.
Uit: Australian Nursing Journal Juli 2009 vol 17(1):3
Aged care nursing lament
After 20 years and with much regret, I am leaving the aged care workforce. I find I work at least four hours of unpaid overtime each fortnight. I can no longer be the RN responsible for 80 residents after-hours, without a second RN or EN to assist me because “there is not enough funding” to raise staffing levels. I find it too stressful. I can no longer work with a system which fails to provide adequate staffing to meet resident’s needs. I can no longer tolerate a system that implements continuous documentation changes as the government repeatedly changes systems, requirements and raises expectations of care without funding those changes. I can no longer work with managers who cannot provide much needed equipment, such as a full range of dressings and sometimes basic supplies, because “there is no money to fund them”. Aged care nursing is not charity work. Why do I earn significantly less than my peers in the public acute care sector? I am required to be highly competent and confident. I do not always have peers to consult with in an emergency. I do not have doctors on hand when a resident becomes ill. I have no immediate backup systems or instant access to teams I can call on when falls occur or pain management is not working. I sometimes have to wait two to three days for a doctor to write up drug orders after a resident is returned from hospital because there is no locum on call.
I can’t do this anymore and for the first time in 40 years of nursing, I could not recommend aged care as a career option to any young RN.
It’s just too hard.
Vooral de zin: […]for the first time in 40 years of nursing, I could not recommend aged care as a career option to any young RN.It’s just too hard.
I hope she’s dead wrong. (Or I’ll be in for a treat!)