Monday, May 16, 2011

My (perhaps) Self fish and Limited views, on what nurses managers, and Directors should be doing.

After the previous post, my brain hadn't stopped thinking. I'm thinking over and over what is the situation here. I do feel that something has to be done, from the top. I've been trying to analyse the situation, (with the much limited capacity of my brain) why is nursing in Singapore so not comparable to other developed countries with flourishing economy like ours. I know, I will cause controversy yet again, but is it not through comparison, that we see where our weakness lies and we do something to overcome it, formulate a solution and improve? I believe that is what it meant to be constantly changing, not only in terms of medical technological advance, new pharmacological knowledge, but also how the system will flow.



There are probably people who are comparing me to the voters in the recent election in Singapore, who all wanted to see some changes, and got accused that they are ingrate, forgetting all the present system and government had done for them. Before we proceed to condemn such people, we need to understand, there will not be smoke if there is no fire. If we get complacent and contented, then changes will never occur, we will lagged behind, we will be overtaken. Is that how Singapore was founded on ? We moved from a third world country to one of the top economies in the world. Singapore has nothing, not natural reserves, yet in the span of just merely half a century, we have one of the strongest economy in the world, how is that possible ? Reason is simple, we choose to change, and keep changing and moving forward and that was how we achieved what we have now.



So what makes nursing that indifferent? We're satisfied with how things are, things are much better compared to olden days etc. The older nurses will always say that today nurses life are so much better. Comparison. Why compare to the past ? We cannot change what has happened in the past, so there is no use comparing, we should compare it with the "future". "Future" in the sense of how others are doing better then us. The others will feel that our current practice and system is in the past, so to us, their practice and system is the future. When one starts to get complacent and conceited, they will not seek change. A lot us are very used to our comfort zone, thus not many are willing to leave that comfort zone, and explore a brand new zone. If you do that, you have to start from scratch, you have to try hard and work harder again. If we are all that selfish, then nothing will ever change.



Nursing has so many great virtues values etc. Are we really that great ? One of the thing that people will agree about nurses; selflessness. They put patients before themselves, all for the patient. That is the mark of a supposed good nurse. Yes, the catch here, SUPPOSED good nurse. Why do I say so ? Are nurses only selfless when it comes to their patients ? So it means that nurses should and can be selfish when it comes to their colleagues ? How many of the nurses are guilty of making a din and complaining that the other staff did not finish their previous shift work ? How many of us are guilty that we go and find that staff involved and probably gave her or him hell on earth ? Frankly speaking, I'm guilty at times. I'm not saying that nurses should be perfect, I'm not, I'll be the first to admit. At the very least, we can just try. I tried to be tolerant and selfless, I help you, you will help me back. Not that I am demanding or expecting you to do it, but it is just a natural response.



I still remember when I was a new staff, this SN helped me a lot during my adapting period, therefore, there was once where I was on morning shift, she has yet to finish her things from the previous night, and it was already 7.30 am, her shift was over by 30 minutes. She passed the report to me and we served the medications, and she continued to stay on till 8 am plus, I shooed her home and force her to hand everything she had not done over to me and I get it done for her, even though it is not necessary my duty. Nurses, we should not just only be nice to our patients, just to show nurses care, this is just like a facade. How you treat others privately, out of the public view, is who you really are. So have you just proven you're an angel or had you just shown that you're a devil walking on earth ?



Why has this situation occured ? Our upper authorities allowed it to happen. They will always claim that they are unaware of what is happening on the ground, then if that is the case, why are you a director, or manager? What is your job scope ? Your job scope is one that also covers what is happening on the ground, understand what is happening and help to change for the better. And all you people, of all people, said you DON'T KNOW? You don't know can solve everything? Your "I DON'T KNOW" can probably bring world peace now. I believe strongly is not that you're unaware, genuine unaware, but selectively unaware. Argue for all you want, but that is how I sees it. If you have to intervene and manage, implement change, it is going to be hell load of a work. Of course, if you're receiving a big fat pay now, you would rather do less and get more. Typical Human mind set, unavoidable for some poor people. I simply cannot understand how some people can take such money, claimed it as their hard earned, when it cannot be justified by common people like us that it should be given.



Accepting a title is another ridiculous issues I want to talk about. Adjunct AP? (Associate Professor) What rubbish is that ? Is either you're a Associate Professor or you're not, what shit about Adjunct ? Come on, read the word adjunct and understand what it means. If I do not hold the necessary qualifications and I am being awarded such a title and salutation, I will gracefully reject it. This does not makes me someone better or greater, in actual fact, I take it as an insult. Are you implying that I do not have what it take to become an AP ? That I have to be an Adjunct AP? I'll rather commit suicide then accept such rubbish. It is either you show to people you did it with your hard work, or you just humiliate yourself thinking that you're somebody great. Sadly, there are certain of such air heads around.



Precisely of such air heads around, we are suffering. In my previous post, I've mentioned something about nurses pay, so there you go. I wont say Director of Nursing needs to be slap, no, Nurse managers should be slapped. For condoning bullying in the ward. How many new staffs are not being bullied ? A lot of staffs are being bullied by senior staffs. It is an evil cycle you idiots. You (senior staff) bullies me (Junior/ New staff), when I become senior staff, I bully the new and junior staff. So when will the damn cycle break ? Nurse managers, do you have cataract or are you seriously needing help with your vision ?



Director of nursing should not be slapped, what did they do to deserved to be slapped ? They don't, just crucify and burn them on the stake, that is all. Yes, you of all people, should be fighting for the nurses, and you end up being some whiny pussy and did nothing for your people. It is like Abraham is supposed to lead his people to the promised land, he did according to the bible, but the DON didn't, they lead you to hell instead of the promised land. You want to deny ? Take a look at your staff turn over rate statistic before you talk crap. How many local staffs you have compare to foreign staffs? Don't bull shit me that local don't want to do etc, I'm a local, I hold a pink IC, I did 2 years of NS to protect some useless piece of junks. I love nursing, yet I wouldn't want to do it locally as much. Why, you think you can and should treat us like those foreign staffs from overseas. Hello? Which part of your brain is not working ? Occipital? Parietal? Cortex or Brain dead ?



Enough talking about DON, we can go the whole night and still come out with more reasons why they should be crucified and burned. Next up. SNB. Totally another organisation that I do not know what should I say. I won't say much, but Nurses, you want another alternative voice ? SNA (Singapore Nurses Association) should be your next choice. I strongly urge nurses to join SNA, and probably kick the directors there, and form a new young team, be like the opposition, create a presence that cannot be neglected, and you will be able to fight for better benefits, a brighter future for the coming generations of nurses.



Our healthcare reforms need to change further, if not we will lag behind. I've been reading up on the changes in Australia and things seems to be very promising and happening there. I do understand of not copying wholesale, but at least model after them, which we are not seeing. I am here by going to EMPHASIZE, you get complacent you're screwed. Look at your APN and Australia's, USA, Canada's etc APN, our APN are simply a joke as compared to theirs, yet qualifications for APN from those few countries are not recognised in Singapore when they have APN earlier then us, doing better then us. THAT IS A RED TAPE issue, so what more do I have to say, our healthcare system will lose, and collapse, and it will, and who suffer the most ? Not us nurses, we can run, but where can our DEAR and MOST PRECIOUS patients run to ? It is about them also, so what are you doing ? Do you think it is time for some reflections here ? Or are you still going to be a stuck up stubborn old fellow ? Your call.



I will and will become someone of importance, where I will implement change without hesitation. I will axe all those useless crap and get things going. I'll not hesitate firing all the old guns if I can. Your only choice now, is either you make sure I die, or if I do survive by chance, you will all be getting a free one way ticket to writing a new resume for a new job, or end up unemployed. I'll have a team, and make sure they go out all over the country and carry the change that is needed.



I'm proud to be a nurse. It is one of my greatest goals accomplished.

God Bless the Nurses, (and blast those losers away if possible.) =)

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