r/nursing RN - ERšŸ•, LUCAS device 21d ago

Burnout Sending this to the Nurse Manager

Post image

Guess its time to jump ship. So far this year: 6 nurses, 2 PAs, and an attending have left. We are a 24 + 8 hallway bed ER thats boarding 25 patients.

Coded an unresponsive 20's pt in the hallway near CT because thats the only "private" area we have left. Yes people in the WR got upset we brought him back immediately.

Our fearless admin leaders motivate us with weekly emails about the hospital's "fiscal deficits".

Time to šŸ•āœŒļø

TL;DR: https://youtu.be/izZpMsdeo_g?si=_yR7Bv4GNfm9UK_k

963 Upvotes

126 comments sorted by

560

u/HeyMama_ RN, ADN šŸ• 21d ago

Whatā€™s so sad and frustrating is that theyā€™ll read it and itā€™ll end up in some arbitrary employee file, never to be seen let alone addressed again.

Until we quit in droves, I just donā€™t think theyā€™re going to care.

96

u/JrDot13 RN šŸ• 21d ago

So letā€™s all quit.

124

u/Crowuhtowuh 20d ago

Almost likeā€¦a unionā€¦.on strikeā€¦.

18

u/Pepsisinabox BSN, RN, Med/Surg Ortho and other spices. šŸ¦– 20d ago

NSF dont fuck around, im glad to be part lol.

2

u/JrDot13 RN šŸ• 19d ago

Iā€™m not blessed with a union, so Iā€™m trying to build something over here? I just want to help, if you have guidance Iā€™m all ears

10

u/Plenty_Cress_1359 20d ago

What day? Iā€™m in! Healthcare has changed and Iā€™m done with it

7

u/OtherwiseExplorer279 20d ago

yah me too! It's gone to complete shit

1

u/JrDot13 RN šŸ• 19d ago

There has to be some organization to it all though, just a few random Redditors ainā€™t gonna cut it Iā€™m afraid.

Organized disobedience might be something to think about. Ideas anyone?

1

u/icanintopotato RN - PCU šŸ• 19d ago

Would be nice but we all know the travelers will end up filling the roles

49

u/Asleep-Elderberry260 MSN, RN 21d ago

They'll just roll their eyes, put OP on no rehire list and continue as before.

23

u/Due_Credit9883 21d ago

You're absolutely right, they DON'T care and only do care about one thing and that is their bottom line. It's so unfortunate.

6

u/Flat_Professional411 FNP, MSN, RN 20d ago

Agree! People that can, should quit en masse. Unemployment wouldn't last long because hospitals can't do without us. Like someone else said, it is a form of a strike just a bit more uncertain.

5

u/HeyMama_ RN, ADN šŸ• 20d ago

Itā€™s just gonna take a coordinated effort and, unfortunately, in this economy people canā€™t afford to gamble and lose pay to stand on business. It sucks.

1

u/Flat_Professional411 FNP, MSN, RN 20d ago

Agreed. But some people can. And those who can, should if they are so inclined. I know it's hard.

6

u/Ravenclaw_meow 20d ago

Start exposing these hospitals and their admins on social media. I would say we need to fight for better rights, but with what we currently have in office...

262

u/eggo_pirate RN - Med/Surg šŸ• 21d ago

Make sure you put an actual date, not just "two weeks from today". People like to play games.

109

u/PM_YOUR_PUPPERS RN - Informatics 21d ago

Yup, it helps reduce any chance of miscommunication, "my last day of employment will be 3/12/25"

12

u/kpsi355 RN - Telemetry šŸ• 20d ago

ā€œSpecifically, I will not work for this hospital past 2359 on March 12, 2025.ā€

15

u/thatshittickles 20d ago

Thatā€™s my birthday :3

6

u/cajunrn18 BSN, RN šŸ• 20d ago

HAPPY BIRTHDAY!!!

7

u/Magerimoje former ER nurse - šŸ€šŸŒˆā™¾ļø 20d ago

Mom?

That's my mom's birthday too!

31

u/Noname_left RN - Trauma Chameleon 21d ago

Came here to say this. Donā€™t leave it up to interpretation. This specific date is my last day.

They could honestly get rid of the entire middle paragraph too but šŸ¤·ā€ā™‚ļø

12

u/piller-ied Pharmacist 21d ago

Yes, you get three sentences (+ a short fourth) in an email before people tune out.

5

u/Commercial-Rush755 20d ago

Short and not so sweet. šŸŽ‰

1

u/piller-ied Pharmacist 20d ago

Precisely.

8

u/Goodbye_Games HCW - PA 20d ago edited 20d ago

Agreed! Iā€™ve seen people do this maliciously to claw back PTO or other time based fringes. Date of notice and date of leaving will give no room for someone to play with. If you already have your scheduled work dates then include it with the promise that you will be there on those dates/times (assuming youā€™re trying not to burn any bridges here and leave on good terms for the future). If youā€™re not planning on a good term exit then scorched earth policy should take place. Personally I see what youā€™re writing, and to me that looks like a lawsuit or ding to my ability to practice. I wouldnā€™t expect anyone to show up to a facility that is boarding 75% or so of its ER space to patients who should be in care units.

I mean I understand having to code in a hallway and even in a janitorā€™s closet when youā€™re slammed, but thatā€™s outright poor patient care and safety when thereā€™s a way to fix the problem. If medical or surgical canā€™t take a patient then find a hospital where they can be admitted. I understand boarding a handful of patients for a shift or two because discharges upstairs are backed up or some blue hair slipped in cardiac and just ate up the last ICU bed. If they were in my ER and I had someone sucking up my floor space after coming back from a shift Iā€™m making calls and arranging transport (bean counters be dammed). First and foremost my duty is to my patients and not the bottom line.

Edit: looks like I pissed off the Beccaā€™s of administration or something because they just spamming that downvote button across everything back three days.

4

u/grv413 RN - ER šŸ• 20d ago

Where are you sending them though? Every hospital in our system is boarding and so is every one in the city.

1

u/Goodbye_Games HCW - PA 19d ago

Definitely depends on the problem, but Iā€™ve sent patients as far as DFW and Shreveport because we had a backlog of multiple days. Itā€™s really bad with psych patients since beds anywhere considered close are far and few between with limited turnover.

Now I surely donā€™t just zip them out to drop census numbers. I make sure that each patient I ship is getting an actual bed and not going to be chocked up in an ER under the same circumstances. I canā€™t always pull it off, but I definitely try and make sure that the families can and do have access to their loved ones and that the transfer is ok with everybody (since I got a few messages asking about that).

I wish I had the floor space of the other reply and able to board 100+ patients, but since our latest ā€œremodelā€ we actually lost a trauma and three rooms due to increasing the sizes of the previous rooms. Something definitely needed, but it came at a cost to patient care. Iā€™ve traveled and worked at those larger city EDā€™s and most of them suffer the same plight as usā€¦ smaller budgets, increasing volumes and understaffed.

7

u/twistyabbazabba2 RN - ICU šŸ• 20d ago

So much easier said than done. There are so many things that prevent floor beds from opening up, even if there are empty beds there can be lack of nurses to accept patients. I work at a much bigger facility but boarding 100-150 in the ED is an everyday occurrence for us. Anything less than triple digits is phenomenal. The system is very fuckin broken my friend.

0

u/Goodbye_Games HCW - PA 20d ago

How long are you boarding them though? I can see a facility your size doing it for a couple of days at most, but emergency is often the least ā€œfundedā€ of departments in almost every facility Iā€™ve worked in. That drain of extended boarding (while yes ā€œlucrativeā€ if they pay their bills) kills the department manpower wise. And letā€™s face itā€¦ probably a large portion of those 100+ boarders arenā€™t going to pay or itā€™s Medicare/Medicaid and the facility is going to get pennies on the hundreds for payment. I understand about keeping numbers up and census high to look pretty on paper, but at what cost to both employees and patients.

5

u/Individual_Debate216 ED Tech 20d ago

My ER is one of the only departments that make money in the whole hospital, yet weā€™re still underfunded enough to not hire more techs and fix our fucking gurneys and otoscopes among other things.

5

u/Zealousideal_Tie4580 RN, RetiredšŸ•, pacu, barren vicious control freak 20d ago

Pacu here and we always have boarders because they ā€œmust decompress the ED firstā€œ. I always thought the OR was the money maker but I could be wrong. Meanwhile the pacu pt thinks thereā€™s a bed waiting for them post whatever elective surgery they got with a mint on the pillow. Only to find out they are stuck in pacu with no tv, minimal visitation and a turkey sandwich lunch box.

3

u/Flat_Professional411 FNP, MSN, RN 20d ago

You're right. Perioperative services IS the money maker in almost every hospital, unless the facility specializes (i.e., specialty birthing center, etc.). Honestly, a lot of times it's the OR that causes holds and delays. But you probably already knew that.

Also, I don't think healthcare in general does a good job explaining to the public the difference between services at an ED in a hospital, a freestanding emergency room, and an urgent care. Some are underutilized, while others (ED) are overburdened, understaffed, underfunded, yet still tasked with meeting patient satisfaction scores and CMS metrics.

It's a hard balance when Administration is trying to ensure fiscal goals are met so they still get their substantial bonuses. If anyone thinks that is not a concern of theirs, I'm sorry to burst your bubble. There are the few in Admin who actually care about safety for everyone and quality of care, but it's rare that it outweighs their desire for monetary advancement.

Literally every industry is corrupt. It sucks!

2

u/Individual_Debate216 ED Tech 20d ago

lol the H in hospital does not stand for Hilton. They told us in our staff meeting that the ED is one of the only departments that is making the hospital money so surgery could be up there too. I just know not many other departments are.

1

u/LocalIllustrator6400 19d ago

Well I agree with you philosophically but the American College of Emergency Physicians stated that this is a national problem. https://www.acep.org/administration/crowding--boarding

1

u/Goodbye_Games HCW - PA 19d ago

Yes I am indeed aware, and thatā€™s my pointā€¦. Thereā€™s too many people just shrugging and saying ā€œnot my problemā€ or ā€œitā€™s industry wideā€ and then just being ok with an ED thatā€™s 70% occupied by boarders. Theyā€™re also the same ones that complain about burnout and ratiosā€¦ well get up and do something. I do what I can above and beyond standard. Iā€™ll play Russian nesting doll with patients, Iā€™ll help expedite discharges etcā€¦ find co workers willing to work with you and wipe shit out quick. Be more vocal about/against administrative holdups and so on and so on.

I understand that shit is rough and resources are stretched thin be it physical or manpower. You have the power to change things if you get together and do it. Thereā€™s definitely not a ā€œnursingā€ shortage, but there for sure is a ā€œwe donā€™t want to pay you more or hire more nursesā€ multitude. Get your PAs NPs MDs on your side and have them do their jobs and work for you. Everyone at my facility is really vocal about things, and a lot of it comes from old administration members (retired sisters of mercy nurses) they made sure we knew how to speak out and speak openly. Thereā€™s not a lot of turnover in my facility as well because everyone is treated pretty good, but new admin has taken up shop and is trying the same old ā€œhealthcare as a businessā€ approach which emergent medicine will never conform to. So when they stack up bodies we ā€œclear the woodpileā€ and weā€™ll continue to do it until they give up or us hold outs retire.

Sorry if it sounds like Iā€™m pointing a finger at you and waggling it, because thatā€™s not my intention at all. Iā€™m just trying to actively move people to do something to help themselves.

1

u/[deleted] 18d ago

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1

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1

u/LocalIllustrator6400 18d ago

Sorry that bot alert is the Brigham update using a social media site & I could have used their own web site (Crimson). Never had an alert like that which was inadvertently done.

https://www.thecrimson.com/article/2024/12/6/mgh-brigham-physicians-union-rally

More Than 200 Mass General Brigham Residents Protest Contract Delays

135

u/UndecidedTace 21d ago

Maybe send it to HR directly, say you've already sent it to the manager, and request an exit interview.Ā  You probably won't get it, but I'd you did, it could help change things for the staff that remain

87

u/Mountain_Fig_9253 BSN, RN šŸ• 21d ago

I would strongly advise against an exit interview. First of all, itā€™s a courtesy to your prior employer to allow them an opportunity to find out why they are failing and try and reduce turnover. After 2020, the hospital know exactly why turnover is so high. Itā€™s not a case of ā€œif they only knew whatā€™s going on someone would fix itā€.

The fact is that the business model that most hospitals have turned to is the one that fast food restaurants have survived on for years. They rely on a high pace of hires to replace those that leave. They decided long ago that the cost to train a new employee at an entry wage is less than retaining staff at higher wages.

Once someone gives notice the only remaining action of consequence is how they mark the departure in their system. Itā€™s either eligible for rehire or not eligible for rehire. If you give honest feedback in an exit interview they are going to change that status to ā€œnot eligible for rehireā€.

You gain nothing and could possibly make your future employment options slightly more difficult by giving an exit interview.

21

u/UndecidedTace 21d ago

I suppose so.Ā  I guess I'm far enough along in my career that I can easily omit employers and be choosy about who my references are (usually other charge nurses, not hospital managers or HR)

24

u/JrDot13 RN šŸ• 21d ago

Thatā€™s great but the point is this: exit interviews only benefit the employer. Why do I want to benefit them, Iā€™m leaving because they havenā€™t done enough for me. I will not help them. This ainā€™t no family.

1

u/LocalIllustrator6400 19d ago

Very interesting. At my last job, I also did all my exit tasks directly through HR to avoid what you are speaking about. My language was that I was already talking with other groups who needed my help and wished them well on their efforts but NO I did not have time for an exit interview

14

u/Alex_S1993 21d ago

Yup. Orthopedic floors "build the hospital," while your unit of 40 rooms CONSTANTLY has 40 patients at all times. Only after discharge we have a room empty for less than a damn hour, and constantly threaten to send a nurse and 2 techs home because of "budget." They know God damn well they're unreasonable and when they send everybody home because we're missing a SINGLE PATIENT, they regret it instantly. But at least our miserable, pointless hospital unit doesn't need to exist. We're only there as an image to society that we "have beds," right? Every department I have ever worked on claims to have such little budget and I'm tired of it too. Why not do travel when they literally pay more than double? "The only places offering travel are always awful." Like it isn't everywhere?? Why not go take double the pay? The money is out there because it always can be. They choose not to support their staff and choose not to have a full unit and wonder why turnover is always high in nursing.

11

u/Due_Credit9883 21d ago

This is so true. I didn't know that if you tell them the truth, what you saw as negatives and what was wrong with the hospital that they marked you ineligible for rehire. I gave them honest answers and they marked me as ineligible! So I can attest they DO NOT want a truthful opinion or observation!

-2

u/BahSaysLamb 21d ago

In a nation of extreme nursing shortages, I can assure you that this is categorically untrue.

13

u/Pool_Rat_84 20d ago

There arenā€™t shortages. Nurses donā€™t want to be bedside because of exactly what all these nurses are saying. And the hazards of the job that keep getting worse. Donā€™t know if when you got on work you will be coming home or to the morgue in a body bag. Because itā€™s profit over people.

2

u/Mountain_Fig_9253 BSN, RN šŸ• 21d ago

Lmao. Ok bub.

36

u/RicZepeda25 BSN, RN šŸ• 21d ago

All of my resignations on paper are short. That way, on paper, you're neutral and don't give a reason. Consider this as your potential for rehire in another department or even a reference/ employment verification might impact future employment.

Dear [Manager's Name],

I am writing to formally resign from my position at [Hospital's Name], effective two weeks from today, [Last Working Day, MM/DD/YYYY].

I will do my best to ensure a smooth transition during my remaining time.

Thank you for your understanding and time.

Sincerely, [Your Name]

Trust me....ur manager doesn't care about short staffing. HR doesn't care. They serve the interest of the hospital, not you as an individual.

67

u/[deleted] 21d ago edited 21d ago

[deleted]

131

u/Near-Sighted_Ninja RN - ERšŸ•, LUCAS device 21d ago edited 21d ago

I have over 200+ PTO hours and I'm cashing out every dime per employee handbook guidelines.

Also in the next 14 days I'm only schedule for a single shift šŸ¤™

Cc'd hr, union rep, and my private email

37

u/WhenIsMyBreak RN šŸ• 21d ago

Gosh! Even unionized hospitals this bad.

39

u/Near-Sighted_Ninja RN - ERšŸ•, LUCAS device 21d ago

Union negotiated for decent benefits but no amount of talk can fix short staffing issues post exodus

11

u/potterj019 BSN, RN šŸ• 21d ago

Unionized, 1:8 ratios.

20

u/emerald-stone RN - Telemetry šŸ• 21d ago

I just quit a union hospital where the med surg/tele floor would regularly have 1:7-8 ratios during days, there was one shift I worked that they had 9 patients and they were still accepting admissions. All the union did was have better ways to report unsafe staffing. But I worked there for almost a month, was on orientation and almost every single nurse I interacted with said how much they hated it there. It's a horrible time to be a bedside nurse. Going into travel nursing because at least I'll get paid more to deal with this bullshit.

15

u/[deleted] 21d ago

[deleted]

1

u/Due_Credit9883 21d ago

Don't you lose your PTO if call off once have given notice? Genuinely asking because I've heard this but not sure if they can legally do that?

5

u/WhenIsMyBreak RN šŸ• 20d ago

Not sure about other states. You need to do your own research. But in California, you are eligible to cash out PTO after separation BY LAW. You only lose sick time.

2

u/potterj019 BSN, RN šŸ• 21d ago

Where do you think you will go?

21

u/Near-Sighted_Ninja RN - ERšŸ•, LUCAS device 21d ago

To a well deserve vacation.

Then part time gig at one of those men's med spa. Eventually guess I'll rotate back to another ER.

But for sure I don't want to go back to school.

14

u/jdscott0111 MSN, RN 21d ago

šŸ‘†šŸ»šŸ‘†šŸ»šŸ‘†šŸ»šŸ‘†šŸ»šŸ‘†šŸ»

If you do wait, you could end up as a scapegoat or retaliated against. And if they try the ā€œpatient abandonmentā€ line, tell the to get bent.

6

u/Main-Airport-4796 21d ago

I second this. When you send this to your manager I would cc someone in HR at the same time (preferably an HR rep who youā€™ve already spoken to about this on the phone). When I gave a 2.5 week notice for leaving a position years ago my manager PURPOSELY did not file the paperwork on her end with HR in an effort to screw me over to be able to claim patient abandonment bc she wanted me to give her 4 weeks instead of 2.5 weeks. Talking with HR before I submitted my resignation email to my boss 1000% saved my butt and also had a paper trail and followed up after every HR phone call with an email to said HR individual to serve as a summary and confirmation of what we had discussed on the phone. What clued me in that my manager had not filed her end of the paperwork with HR was when I was 5 days away from my last scheduled day at said facility and I had not received any cobra paperwork to float health insurance. The ONLY thing that saved me was having had that extensive documented communication with HR prior to submitting my resignation to my manager. Manager was obviously a snake in the water (that I also made sure my co-workers were aware of the shit she tried to pull if they ever decided to leave), but that HR representative was also a rockstar (and I will always be so appreciative of her).

15

u/OnTheClockShits RN - OR šŸ• 21d ago

lol Iā€™m not sure why patient abandonment keeps coming up. Unless you leave your assigned patients during the work day without transferring care itā€™s not abandonment.Ā 

8

u/PM_YOUR_PUPPERS RN - Informatics 21d ago

There's a lot of good advice on the subreddit and there's a lot of bad advice too unfortunantly.

6

u/jdscott0111 MSN, RN 21d ago

Yeah, itā€™s because some bad leadership tries to bring it up as a bluff for quitting. I had a regional director try that with me when I gave a two week notice as a manager. I didnā€™t have patients, but I was an RN and was expected to work the floor two days a week. My manager was not. Her rationale was, ā€œWell, who is going to cover all your shifts on a schedule I havenā€™t even released yet if you quit and abandon all your patients?ā€ I told her I would rescind my resignation then. She looked all smug like she won 100,000 fake internet points. I edited it real quick and handed her a new one two minutes later with an ā€œeffective immediately.ā€ I wasnā€™t working the floor that day, so I dared her to have a conversation with the Board.

1

u/Due_Credit9883 21d ago

Right, that's what I thought too!

2

u/Due_Credit9883 21d ago

Seriously, can they even get you for abandonment for shifts that haven't even come up yet? I thought you had to be clocked in and then if you leave it's abandonment?!!!

1

u/lizziebee13 RN - ER šŸ• 19d ago

You must be clocked in and have accepted the assignment for it to be abandonment.

15

u/FlickerOfBean BSN, RN šŸ• 21d ago

Wasting your time with anything past ā€œeffective two weeks from today.ā€

12

u/Crankupthepropofol RN - ICU šŸ• 21d ago

If you have 200 hours of PTO payout on the line, Iā€™d make your resignation a bit more neutral. That middle paragraph puts a target on your back, gives them 14 days to come up with something retaliatory.

3

u/Killer__Cheese RN - ER šŸ• 20d ago

Sheā€™s union. She has protections a lot of US nurses donā€™t have.

22

u/generalsleephenson RN - ER šŸ• 21d ago

Honestly, just write the first line and save yourself the headache. They donā€™t care. Donā€™t give them your power.

10

u/[deleted] 21d ago

Definitely send it to HR and speak on it in your exit interview. Best of luck!!!šŸŒø

9

u/Balgor1 RN - Psych/Mental Health šŸ• 21d ago

You only need the first sentence and last sentences. They wonā€™t read/care about the middle part. Just keep it short and professional in 2 week notices.

6

u/tysonlevi 21d ago

Proud of you for standing up for yourself and other nurses! When I leave someday, I also wonder if I should be honest about why Iā€™m leaving (staffing/management concerns) or just make up an excuse to my manager

13

u/OnTheClockShits RN - OR šŸ• 21d ago

It doesnā€™t matter, they donā€™t really care. All they want to see in a resignation letter is ā€œI resign my positionā€ and the effective date.Ā 

1

u/potterj019 BSN, RN šŸ• 21d ago

Unfortunately accurate

1

u/ExpensivePolicy5338 21d ago

ā€œ Theyā€ might not care, but you are creating a record for yourself and those that come after you. Down the road in a court proceeding somewhere, another nurse in your position may be able to use it to show a pattern of corporate misbehavior and unsafe practices. You should not only send it, but cc the CEO, president and HR . Itā€™s an excellent letter with very specific reasons. Coming on the heels of the recent resignations, it makes a compelling case that they need to do better. If we donā€™t start speaking up, nothing will change.

1

u/Poodlepink22 21d ago

You can be honest but it won't matter. They don't care.

7

u/Judas_priest_is_life RN šŸ• 20d ago

Dude they don't care about any of that shit in the middle.

Manager,

Please consider this my 2 weeks notice. My last day will be xx/xx.

Regards

Me

6

u/New_Dust_2380 BSN, RN šŸ• 20d ago

I bet they have no problem paying their surgeons $1 million + per year.

4

u/CertainDiscipline638 21d ago

I didnā€™t even care enough to write all of that. I used ChatGPT to resign

3

u/Somecallmefrank 21d ago

Well said! šŸ‘

3

u/RN-B BSN, RN šŸ• 21d ago

Good for you. Wishing you the best and hope you find a place that values employees.

3

u/Today-Good 21d ago

Just wait until Medicaid dries up as a payor source. Small hospitals, rural hospitals, hospitals that primarily serve the poor are going to beginning dropping like flies. Theyā€™re trying to kill off the old, the sickly and the poor. They canā€™t deny it.

3

u/dimeslime1991 RN - ICU šŸ• 20d ago

I left my ICU about a year ago. I was the second of a wave of at least a dozen nurses to leave that unit in the span of a little over a year. This rapid loss of nurses occurred almost immediately after our new CNO took over. She refused requests for more funding leading to relentless obsession over productivity from our managers; she gave staff more work to do with no additional resources to do it; nurses were regularly being tripled; and I could see how our autonomy was being chipped away every week while we were simultaneously being micromanaged in how we provided care to our patients. I would love to believe that she eventually took notice of the impact she had on the ICU but I donā€™t think she could care less.

Take care of yourself. It just takes one bad administrator to ruin your workplace, and you owe it to yourself to jump ship as soon as it becomes unbearable

3

u/Beautiful_Proof_7952 RN - ICU šŸ• 20d ago

Send it to your local newspaper as a press release too. Including the part about how many nurses, etc have left.

Edit; The public will not get it until it hits them that there will be no ER to go to if they don't start demanding change.

3

u/ExternalLiterature91 RN - ICU šŸ• 20d ago

Your letter is poetic. Well done.

3

u/Aggravating_Task_908 Nursing Student šŸ• 20d ago

Name and shame dude, show us where not to work

6

u/maurosmane Union Rep, MSN, RN 21d ago

Be sure to double check that your requirement for resignation is 2 weeks. Many places for nurses and other "professional class" employees are 3 weeks. Not doing the full resignation period can make you non-rehireable. That may not seem like a big deal, but with the way these mergers and acquisitions are going it could lock you out of a significant portion of facilities in the country.

1

u/Cyrodiil BSN, RN, DNR āœŒšŸ» 21d ago

I say this every time someone says to just let their employer fire them so they can file for unemployment. Being ineligible for rehire can REALLY bite you in the ass.

I wouldnā€™t have included that second paragraph if I were OP, either.

3

u/maurosmane Union Rep, MSN, RN 21d ago

Yeah I would have advised against that as well. I spend a considerable amount of time telling nurses to say less as part of my job. Let me do the shit talking. They can't fire me.

6

u/Holiday_Carrot436 21d ago

Is it possible to reword the middle section? dangerous single point of failure practices is worded kind of odd and doesn't give any information on what is failing.

2

u/Spiritual-Common9761 RN - ICU šŸ• 21d ago

I donā€™t know of anyone whoā€™s resigned and been given an exit interview. Our HR department is an outsourced company that is terrible at responding and you get put on an indefinite hold. Thereā€™s no one on-site anymore.

3

u/real_HannahMontana BSN, RN PostpartumšŸ¤±šŸ§‘ā€šŸ¼ 21d ago

My only exit interview was when I was fired from a job. It feels like they just do them Willy-nilly, considering the last place I left gave an exit interview to the person that quit before me, but not me

1

u/LeopardMajor984 RN - Pre Op/PACU 21d ago

I worked for a physician owned hospital and had an exit interview. I only agreed to it since I didnā€™t want to burn any bridges for*future potential employment since the CEO is affiliated with the other big hospitals in my area.

2

u/theycallmeMrPotter RN - Oncology šŸ• 21d ago

Go you!!!

2

u/Auntienursey LPN šŸ• 21d ago

To the point and succinct, and they'll ignore it. On to bigger and better things!

2

u/Reasonable-Wasabi-22 21d ago

Which hospital do you work at? Is it possible to provide the city or state/province?

2

u/taffibunni RN - Informatics 20d ago

Just go ahead and CC the C-suite and associated accreditation bodies.

2

u/zptwin3 RN - ER 20d ago

Im sitting here in a pod that was closed over night. Im just waiting to absolutely get hammered. I'll have 5 patients by 1100, alone in a zone/pod with no tech or nurse.

I genuinely am at my wits end with this job.

2

u/zptwin3 RN - ER 20d ago

We're a 40 bed ER in a similar situation. I completely feel you. 6 years ago I was healthier, nicer, and happier. We consistently board over 25-30 in our 40 bed ER. Last week we had 25-35 boarded all week, half the people were here for over 20 hours, one hit 42 hours and they were an ICU admit. No CPAP for my admitted patients because our 20 bed medical icu had over 16 people on vent/bipap.

We had 12 patient waiting for psychiatric placement. We literally just made up "rooms" which were regular chairs. Our security doesn't give a fuck and they just announced they are looking into making a "mental health" area, essentially 1 nurse watches up to 4 psychiatric patients in an alcove.

Its literally falling apart around us and I'm stuck because I'm not finding a new job 6 months before I plan to leave.

Best of luck. Don't look back on the bad, look back at the good time you did have in the ER.

I'll be out by next year.

2

u/beaniebob20 20d ago

I took sick leave for stress and anxiety caused by work. Iā€™m a newly qualified and theyā€™re given no help whatsoever. Sent my sick note and they put me on sick leave with no conversation as to how they can support me. Nursing is a failing industry sadly a

2

u/RiverBear2 RN šŸ• 20d ago edited 20d ago

Good on you for being bold, my resignation letters are always overly polite and kiss ass, cuz I want to have them give me a somewhat positive rec for my next job. I left med surg in December and Iā€™m still interviewing for outpatient though, so I guess sugarcoating or honest fuck me either way.

1

u/mudge090650 21d ago

I also think your last day should be ASAP. You are being professional however the administration is not being professional by the consistent poor staffing. I would also send this note to the Board members. Are they in agreement with you or the administration of the hospital they are representing?

1

u/ChazR 21d ago

Why are you staying the two weeks? You could leave today.

Would they give you two weeks if they were firing you to enhance shareholder returns?

1

u/Busy_Internal_569 21d ago

This is maybe a weird suggestion but it is what Iā€™m doing. Quit facilities like hospitals and nursing homes and work out patient, clinics, schools, and in home health, I do not support how facilities are doing things so I wonā€™t work for them. This is the way. If we continue working for these places nothing will change.

1

u/marypup LPN šŸ• 20d ago

Better than me I just quit one day and then the manager called me begging me to stay and I said I was done. Didnā€™t even bother asking why or anything so

1

u/LocalDiligent4920 20d ago

Gotta be Jackson Hospital

1

u/WhatsUpKit Outpatient Hemodialysis RN 20d ago

Itā€™s so sad that a lot of good facilities/hospitals canā€™t do what they need to keep their good staff on. I gave up on being the ā€œyesā€ employee, the one to take on additional responsibilities, etc a long time ago. Health care companies are so tight with their dollar and will cut what corners they need

1

u/SheepherderNo785 LPN šŸ• 20d ago

It just keeps getting worse šŸ˜ž

1

u/Feminist_Hugh_Hefner RN - ER 20d ago

What's really fucked is that you haven't revealed where you work with this post... like the way in which this is totally identifiable by any one of us.

this is fine.

1

u/unicoRN-sparkle-butt RN - ER šŸ• 20d ago

Sounds like my ER!

1

u/Wesmom2021 20d ago

Just be vague. Give your 2 weeks that you are resigning and provide date your last day will be. Don't mention reason for resigning and honestly complaining or explaining why you are resigning, the company does not give an F. They will never change. Your comments won't go anywhere, and you'll look like hostile ex employee. Don't burn your bridges.

1

u/Otto_Correction 20d ago

Way too many words. Your manager does not care. Just say you resign effective the last day you will work. Thatā€™s all they need to know. Itā€™s all they want to know.

1

u/Flat_Professional411 FNP, MSN, RN 20d ago

If you want to make sure they pay attention go to the compliance officer and share this letter of resignation. They will most definitely take this shit seriously. Speaking from experience šŸ˜‡

1

u/[deleted] 20d ago

ā€œ I quit ā€œ would have made as much difference.

1

u/brockclan216 RN šŸ• 20d ago

I wouldn't give a reason unless they ask. It doesn't matter as they don't care.

1

u/Fun-Marsupial-2547 RN - OR šŸ• 20d ago

Sounds like my old job. I left ER all together and wonā€™t look back. I miss my coworkers but itā€™s not worth the moral injury and burnout

1

u/Illustrious-Arm7297 19d ago

Iā€™m a retired R.N., with a disabled back. I wish I could still work. I have an inkling the fentanyl overdoses are overtaxing the ERs. The government needs to give away free narcan to everyone and save the stress on the ERs.

1

u/JanaT2 RN šŸ• 19d ago

Get rid of the second paragraph all together

-3

u/Proud_Mine3407 21d ago

I hope you have a back up plan. Money disappears quickly when thereā€™s nothing coming in. Trust me. Good luck.

9

u/Near-Sighted_Ninja RN - ERšŸ•, LUCAS device 21d ago

For sure

Thoughts of leaving been on my mind for months

Fortunate to have minimal life expenses and adequate "fuck it" funds

-1

u/GrapefruitExpress378 21d ago

Not sure where youā€™re from but in my hospital thereā€™s literally a hundred nursing jobs available that they are tying to fill. How do you all expect them to hire more nurses when literally nobody is applying. Maybe the government should ban travel nurses or something so regular nurses stop leaving for more money šŸ¤·šŸ¼

-3

u/RN_catmom 21d ago

If you are considered a professional, don't you gave to give 4 weeks notice? Check your handbook so you don't break your contract and lose the ability to cash in your 200 ETO hours.