Do you feel like the administration making decisions for those providing direct patient care truly understand what it is like to work at the bedside?

As a CNO, I have required myself to round daily and talk to the nurses, techs, housekeeping, and whomever else I contacted. I also would help in OR, PACU, Med-Surg, and whatever other floor needed help. I also read the nursing P&P. No all leadership does this and I understand your feelings. I would ask that you engage your Supervisor, Manager, or Director. If the policies do not match the practice being performed, then, you as a nurse are breaking a policy and if a patient has a bad outcome...you could be found in the wrong, even if you were doing the "normal" practice or the way you were taught during orientation or unit education. READ policies to make sure they match practice. If polices do not, the help rewrite and present to your supervisor.

Sometimes, you must ENGAGE your leaders over changes. Your leader should also be ENGAGING you prior to changes. Communication is a 2-way street.

Questions for this group:
1. Do you have a shared Governance unit council?
2. Do you have a unit policy review committee? (To make sure Policy and current Evidenced based practice is being used.)
3. Is there a hospital wide policy committee to make sure that all Med-Surg units, for example, are follow the same practices? (Variation leads to errors when nurses float to other location.)

Very obviously not. I know they don’t because they’re not at the bedside. You have to be there and see it to understand it. And working bedside pre-pandemic was much different, even more so for the admin who left the bedside 15 years ago.

Absolutely no!! They have no clue!!!

Absolutely not!

Nope. Full stop.