Are you sick of nursing numbers game ?

  1. i work er. we have the usual new polic. and proced. but, it's getting rediculous. we are a "chest pain center"....whoopie !!!! one of the millions of policeis is that the pt. is taken to cath lab within 15 min of dx of acute mi. hence, lies the problem. had a pt with co midsternal chest pain. initial 12 lead showed nsr, ? elevation in a couple leads. gave the 12 lead to our attending, started the usual labs asa etc. before i got the ntg etc.. (approx 5 nin.) the pt went in vfib/vtch. so i got the pt to cath lab. the cath lab team was called in as i left, got the the lab. me and a medic were stuck with the pt in unfiamiliar teritory, the dr. agreed this was all stuupid but at least we have documented that we got the pt to the lab in 15. it took the cath lab staff 20 more min to arrive. so numbers don't lie , but liers make numbers. i'm sick of putting numbers before pt. safety. also, we were very short staffed (usually 9 nurse, 4 tech, charge nurse), down to 3 nurses 1 uc and no techs. we had a 33 day baby code and the usual 35 people waiting to be seen. our admin calls in the middle of all of this to be sure to let us know the ohio state football score and to tell us people are going to be getting irritated with the wait, so be sure to offer comfort cart items to them and dvd player to prevent bad pres-gainy scores! trying to figure out how i can tell the parents of the baby and the lawyer that , i know the baby was coding but.....i had pres-gainy to worry about stupid!
    what was she smokin'!!!!!
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  2. 7 Comments

  3. by   PANurseRN1
    I feel your pain. I had a baby in the ED the other week who was there for resp. distress. Eagles v Cowboys was on (this is big Eagles territory). Darned if the sup. didn't make sure I got the portable TV for the father so he wouldn't have to miss any of the game.
  4. by   Simplepleasures
    The lying in healthcare just to either hide the truth or reduce the impact of the truth is sickening, when will it all stop?:angryfire
  5. by   RunningWithScissors
    Wouldn't it be refreshing for a hospital to market it's experienced, certified staff instead of relying on nonsense surveys to gauge "how well they're doing"?

    Have you ever read the questions on pres gainey surveys? The temperature and decor of the room gets more attention than questions about direct interaction with nurses.

    All of which is nice in the hospitality industry, but guess what, suits? We're all about improving/saving our "customer's" lives, not hoping they have a nice stay (that's just icing on the cake!).

    I can envision it now....."Here at ***Community Hospital, we care about your life and the lives of your loved ones. That's why we employ highly experienced and specialty certified staff to be on top of any change in your condition, so your healthcare needs are exceptionally met. And we send our professional staff to conferences regualrly to keep abreast of the latest changes in their field. Make your choice with us, and you'll be in the best of hands."

    Ahh, it was only a dream!
  6. by   NurseCherlove
    Absolutely amazing!

    I wish that some powerful consumer group with sense would see posts like this one and formulate some kind of lobbying effort against healthcare administrators across this country.

    Kinda like the legislation that came into effect a few years ago about frivolous lawsuits...have to draw the line and lose the stupidity somewhere.

    And while JACHO started out as a good thing, I wish there was some kind of force that could crush them so we could all just get back to the basics...utilizing sound nursing judgement, not always having to follow cookie-cutter protocols that never quite fit our individual cookie patients. Checks and balances are definitely needed in all arenas of healthcare, but I think this cycle has come to an end/worn out its welcome. What I mean is that the power needs to go back to the PROVIDERS, actual hands on providers (i.e. not the administrators). While this is the era of the consumer, look at who ends up suffering because of the bureaucratic BS that keeps getting piled on to ensure that we're doing our jobs right....yep, that's right...the consumer (or patient). And then we (nurses at least), many of us, end up feeling guilty because we were not able to be more thorough with our patient care (because we are too busy justifying our positions/actions on paper).


    Sorry, didn't mean to go off on a rant...just makes me sick.
  7. by   911fltrn
    Wow, you usually have 9 RN's and did a shift with three. Get the heck out of there. Unsafe! No job is worth losing your liscense over!
  8. by   GardenDove
    Nursing is an art, not a bookeeping competition, in my opinion. I hate this type of dreck.
  9. by   lauralassie
    Quote from runningwithscissors
    wouldn't it be refreshing for a hospital to market it's experienced, certified staff instead of relying on nonsense surveys to gauge "how well they're doing"?

    have you ever read the questions on pres gainey surveys? the temperature and decor of the room gets more attention than questions about direct interaction with nurses.

    all of which is nice in the hospitality industry, but guess what, suits? we're all about improving/saving our "customer's" lives, not hoping they have a nice stay (that's just icing on the cake!).

    i can envision it now....."here at ***community hospital, we care about your life and the lives of your loved ones. that's why we employ highly experienced and specialty certified staff to be on top of any change in your condition, so your healthcare needs are exceptionally met. and we send our professional staff to conferences regualrly to keep abreast of the latest changes in their field. make your choice with us, and you'll be in the best of hands."

    ahh, it was only a dream!


    all i have to say to this is ..... :smackingf :kiss :flowersfo :icon_hug: :bowingpur

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