Nursing Issues In Nursing

One of the issues within my organization that I for work that remains unresolved is assigning patient to nurses based on acuity. This issue has been ongoing within the hospital and no one has been able to come up a reasonable solution on how it can resolve. As this problem rises, the hospital has been faced with several challenges due to the unsolved unfair assignment done by the charge nurses. Favoritism has been identified as the major cause of this ongoing problem whereby the charge nurse favors some staff with lesser acuity patients than other staff. As the hospital continues to face with this different challenges on daily bases such as difficulty in staffing on different shift and unit, conflict among staff members, increase in budget

Secondary, in a case where a nurse disagrees or refused to accept an assignment that is justify by other nurses that a particular nurse is assigned with a high acuity patient. In this event that the complains about the assignment gets to the director of nursing or manager, the nurse does not get an opportunity to have one on one discussion with the charge nurse to find out where the mistakes were made so that correction can be made for future references. This type of case is usually considered as a patient abandonment if the case ever made it to the disciplinary committee meeting and the manger usually represents the charge nurse during the meeting and in most case is usually the charge nurse word against nurse due to their authoritative type of leadership within the company. Due to this ongoing unfair assignment, a lot staff has been dismissed or punishment when they speak up about the assignment given to them. Another incident where patient acuity ratio has been a problem is when nurses get floated to a different unit other than his or her regular unit. Anytime a nurse gets floated to another unit they get assigned to the most acuity patient on that unit and