[grannyNan]

Originally Posted by RNmom08

Forgive me if I'm wrong, but "back in the day" patients weren't as demanding. That generation is about gone. Now patients want things and they want it NOW!

Maybe more so with IV's that needed to be checked and people staying longer and they have always wanted things NOW! Patients will always be demanding. It's the nature of the beast.

[purple_rose_3]

I used to work at a hospital that had hourly rounds, hmmmm it wasn't fun. The techs did rounds on the "odd" hours and the nurses did them on the "even" hours. It was tolerable, but I'm definitely glad I don't work there anymore!

[NurseCherlove]

You guys wanna hear something REALLY stupid?? OK, yeah my facility has also bought into the whole scripting and hourly rounding crap, but the last time I worked, I actually saw these colorful, elaborate cards that we are now supposed to give patients on admission. These cards talk about hourly rounding and "how it can benefit you" and blah, blah, blah. The first words out of my mouth was, "OMG. I wonder how much $$ this cost the hospital!". I mean c'mon, always crying poor mouth and so can't staff adequately, but you can afford this!!!

Oh but wait...there's more! Not only did we also have to attend a mandatory hourly rounding meeting (ya know, we're too stupid to figure out how to do this on our own), but we are also having key people from admin who will be shadowing us to critique our style of hourly rounding!!! Yes, you heard me right. It really is like someone spitting in your face - so belittling!

What will this look like to the patient??? What message does it send to the patient about the nursing staff, that they have to have someone oversee their hourly rounding??? Amazes me!!

[Miami NightNurse]

They have been using that hourly rounding stuff at my hospital for about a year. I think the patients should be checked q1 hr. But I am not going to sign a paper in their room every hour. I work 7p-7a if I have a patient that is sleeping I look at them from the door and watch them breathe a few times. I flat out refuse to go in their room every hour and sign a paper-they need their sleep. As for the scripts those are from the questions the patients are asked in the press ganey surveys patients get on discharge which is the only thing administrators seem to care about these days. Sometimes I feel like they want us to act like we are on a hollywood set. I am not playing that game. I'm there to take care of my patients not play stupid games

[StNeotser]

How many patients do you have on this hourly rounding? Are night shift supposed to do it too? I know on my night shift it's enough trouble if people are on q4hr vitals, and even then some of the patients don't want to be bothered by us. We peek in on sleeping people but don't talk to them.

[Erianne1074]

Yes, I worked in an HCA hospital. And yes, we will be handing out those colorful cards any time soon, to announce to our patients and their families that we have all the time...( I wish!!!)

During the one on one interview with my manager, I told her that I always say to my patient "do you need anything else before I leave?" and it's no brainer asking that sort of question to your patient...But no,no ...she insisted that we should follow "Is there anything else I can do you for you? I have time." Ok fine! I'll follow the script because I am being evaluated on this role play(my manager as the patient and me as the nurse).

Nurses are not only caregivers, advocates, blame receivers,bellboys, shock absorbers, waitress, carpenters, electricians, customer service rep, maids, ....we are also ACTORS AND ACTRESSES..wow, hollywood here I come!

[ranaazha]

Originally Posted by VivaLasViejas

I can't believe this trend toward "scripts"........as if nurses are too stupid even to know how to talk to people. And that silly phrase "I have the time"---what happens when you DON'T have the time, do they just take you out to the town square and execute you?

I love this! I'm a new grad on days in med/surg. Although I've had several jobs before where I managed (see also: juggled) multiple projects / customers at once, it was nothing like nursing!

The other day, I realized that I don't really have a 12 hour shift to spend with 6 patients. I have (if I'm lucky, after report, lunch, "breaks" that I never take, orders, doctors, procedures, etc. ad nauseum) maybe 9 hours to spend with 6 patients... and their friends and family members!

I actually went into nursing (instead of medicine!) because I love helping people. I realized I don't have as much to do this as I thought (hoped?) I would though

[RNgonewild]

Holy crap, that was the exact same script they were teaching us to say at our hospital!! And that is in So. Cal. And now the big trend for managers is that they are being taught at there meetings "the Toyota Way" or the "Disney Model". And they have a new thing, it's called a "Power Minute", that's where the manager comes around and tells you something new, you sign that you learned it, or agree with it. I refused to sign one that I didnt agree with and they got all pouty on me till I signed. I'm about to go ballistic!! And the COO announced at a meeting with doctors that they want to get rid of the "old nurses"(not sure it was exactly worded that way) and bring in "new nurses" that can "grow with the company". I'm about to go postal!!

[Erianne1074]

[And the COO announced at a meeting with doctors that they want to get rid of the "old nurses"(not sure it was exactly worded that way) and bring in "new nurses" that can "grow with the company". I'm about to go postal!![/quote]

So they thought they can manipulate new nurses right in front of their nose!!! truly unacceptable. Without those "old nurses" or shall I say "full of wisdom nurses" there can be no good future nurses in the field!!!

[NurseCherlove]

Originally Posted by Erianne1074

Yes, I worked in an HCA hospital. And yes, we will be handing out those colorful cards any time soon, to announce to our patients and their families that we have all the time...( I wish!!!)

During the one on one interview with my manager, I told her that I always say to my patient "do you need anything else before I leave?" and it's no brainer asking that sort of question to your patient...But no,no ...she insisted that we should follow "Is there anything else I can do you for you? I have time." Ok fine! I'll follow the script because I am being evaluated on this role play(my manager as the patient and me as the nurse).

Nurses are not only caregivers, advocates, blame receivers,bellboys, shock absorbers, waitress, carpenters, electricians, customer service rep, maids, ....we are also ACTORS AND ACTRESSES..wow, hollywood here I come!

I actually recently considered applying for an HCA hospital. Forget it now!!!