对新护士的培训是低于标准的,对治疗“哲学”的最低教育,没有计算机培训,没有培训手册可参考,没有入职检查表以确保完成培训的所有组成部分。我曾跟随过另一位注册护士她有一大堆病人要处理。没有时间坐下来复习。1.5周的训练,然后你就被列入计划了。这是不安全的做法。不鼓励护理人员亲自与病人互动——只要快速完成分配给他们的任务,不必费心与病人实际“交谈”。我被告知,如果病人来找我谈话,就告诉他们“和你的顾问谈谈”。护士管理是可怕的——她是新来的,受雇是为了促进变革,但她却在别人面前批评和训斥员工,说话粗鲁、居高临下,是个恶霸。员工们不敢站出来为自己辩护,因为他们害怕失去工作或得罪她。一位护士说,当她看到新经理贬低和欺负别人时,她决定闭上嘴巴,因为这样可以减少对她的关注。 Many of the nurses told me to do the same, just keep quiet and do your job. One evening the Manager was reprimanding an aide in the nurses office while we were giving report to the oncoming staff. The aide was so embarrassed, her face was red and she was on the verge of tears. All of us in the room, and there were 6-7 of us, just remained quiet. I was new, I didn’t know what to do, but after the incident I approached the girl and apologized to her for not opening my mouth. I felt horrible. As a nurse and a leader, I should have spoken up and told the Manager that type of behavior is not appropriate. I did report all of this to HR when I left, in hope of a change. Nurses and aides don’t get to take a full lunch. They eat in the nurses office and if a patient requires something then they must stop their break and attend to the patient. The Manager is aware and encouraged me to do the same, stating if I was a true team player that I would do the same. There has been a lot of staff turnover at Farnum. They hire inexperienced, brand new nurses without any experience in mental health or SUD. What I found most alarming is the day nurses don’t seem to really care about the patients. They tend to under-medicate the clients, treating them as “drug seeking”. During my training, I was told by a day nurse to change my patient assessment so that it reflected a lowered score. As a result, the lower score would not allow the patient to receive withdrawal medication. She didn’t “feel” that the patient looked “sick enough”. As nurses, we don’t get to decide who deserves medication based on our feelings. That is unethical. I refused to change the score, I medicated that patient. The day nurse then reported me to Management as “not understanding the training and not doing the assessments correctly” All because I wouldn’t do what she wanted. The nurses complain and talk negatively about the patients to each other. They don’t understand or they don’t care that these people are sick and trying to get better. In my opinion, I wouldn’t send my loved one to Farnum and I would hire a new Manager- one that respects and encourages the staff, fosters positivity and increases staff morale.