Doctors speak out on staffing levels

The Australian Medical Association (AMA) has called for more nurses to be employed in aged care homes.  They say that this needs to be done to prevent dangerously sub-standard medical care from occurring.

Of course, many of us have known this for years. We have seen our family members sent back and forth in ambulances to emergency departments for minor complaints because there have been no trained health professionals on the premises.

We have sat with our mothers and fathers as they have waited for stressed and harried staff members to attend to them. We have seen the reliance of homes on agency staff who don’t know, or understand, our family member’s care needs and we have noted the increasing dependence on immigrant carers who are unable to communicate adequately with the residents in their care...

My latest example of the mess that aged care staffing is in is when a frail, diabetic patient I know was given pavlova for a dessert. Might as well have given her rat poison!

Fortunately a family member was present at the time and disaster was avoided. But it is sad when families can’t depend on reliable systems being in place to ensure compliance with dietary needs and preferences. Evidently, mistakes such as this are not uncommon at that particular facility. 

Having your father, mother or spouse in care is stressful enough without feeling that you have to be there every minute of the day to ensure safe and reliable care. 

Dr Peter Ford of the AMA says that having one registered nurse for 120 patients reduces standards of care. Sure does! And the worst of it is that such a system loses the best and most caring staff - those with professional pride and who value job satisfaction.

It is hard to understand why we have allowed aged-care providers, our politicians and aged-care bureaucrats to get way with this. None of us would like to find ourselves in such a place - dependent on others for our basic needs and with too few staff to provide adequate care.

Of course providers will always resist calls for mandated staffing levels. Staffing costs take up more than 75 percent of their budget. And more and more providers are in the business of aged care in order to make a buck.

But we should all demand better. The doctors know it is wrong and have spoken out. The nurses have been complaining for years. Those of us who have people we love in nursing homes find our hearts are breaking. Modern life is complex and, mostly, we can’t provide home care for our very frail loved ones. But do we deserve to have just one trained nurse to care for 120 dependent people. I think not! 

 
Posted on  Thursday, 04 June 2009 19:04
by  Carina
I am an RN and have been working in aged care for 32 years now.I trained to be a nurse and I so want to be the nurse that a patient/resident deserves...but it isnt possible...not with the way aged care facilities are run now. The role of the RN is now endless paperwork justifying why we need x amount of dollars for the care of these patients/residents etc and the care that I was trained to provide is carried out by carers most of where I work, are untrained.These are persons who have come from working in supermarkets for example and thought they would give aged care "a go"...I am supposed to mentor and supervise these 'carers' and be accountable for their actions, who after 1 days orientation and 2 buddy shifts are let loose on the floor! This has been happening because we are so desparate for staff where I work that its almost like we will take on anyone just to give us 'hands on deck'.. In all fairness...we also have carers who are absolutely dedicated and very experienced but they are few in our staff. I left my job last year because I couldnt cope any longer with the demands and expectations of me...I have always been a very capable and organised,responsible and dedicated nurse...I love caring for the eldery but my sanity and health were at stake.I took 6 months off and am now back working in the same place.There has been no improvement...the facility has expanded and they are admitting more residents and we are still working with the same staff ratio...Ive reduced my hours this time...to keep my sanity in tact and have had to take the attitude ..its just a job because it was my genuine caring and concern for these people that nearly done me in last year...its a very sad situation for both patients/residents and staff.

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