Do you cut corners in your daily nursing practice? - page 7
by madwife2002 23,272 Views | 109 Comments Senior Moderator
Do you cut corners in your daily nursing practice? Or do you do everything according to the ‘book’. Do you police yourself in your everyday care of a patient, what do I mean by police yourself? I mean always follow the correct... Read More
- 1Dec 9, '12 by FLmedQuote from MullyGreat post!!!What a bunch of buzzards! Squack, squack, squack.
Good job OP for making everybody think! Granted I think you might be one of those nurses that's just a little too by the book, but I'd rather have one like you than one that's a little too by the break room.
The great thing about being a nurse - we are critical thinkers (not robots). We have the ability to say, "I know how it should be done according to the book, yet I also can assess that for this particular patient at this particular time, it is not necessary." If one thinks I'm going to make the patient say their birthday every time I see them in my 12 hour shift because I supposedly am not able to remember what they look like, one would be mad. Does that leave me prone to error in some wild situation where I might mistake some other person for my patient? Maybe. But making such a rule would be like reducing the speed limit to 10 mph so there are no crashes. It's just not logical. We do things how we do them and we do our best.
But you betta be washin yo hands!
- 4Dec 9, '12 by janhetheringtonHow in the world do you not cut corners?? I am a perfectionist; it has slowed me down all my life. But NOBODY can follow all the rules in a typical shift. Another thing about all that hand-washing; if you don't get them perfectly dry (who has the time), then you have trouble getting the gloves on for the next patient. Since nobody can handle the patient loads we get, staff get cynical and get slacker and slacker until they hurt someone or break some huge rule and get caught, then they're fired. How about some reality in the mix, management?
- 3Dec 9, '12 by woohQuote from Paco-RNBut you might touch something and not know it! You never know when you'll be in a patient room and lose control of your bodily functions, and you have to be wearing full isolation gear just in case!!!!!!!last I heard C. diff is not airborne.
- 4Dec 9, '12 by FinkThrowing stones at others when you are also guilty? Really, who has not shaved an occasional corner? We nurse under the gun constantly. Things are time stamped in some charting systems. Being late on meds, even routine, is not acceptable! Time and performance equal revenue these days...your facilities paycheck and yours. The higher "ups" will not tolerate any lags in your performance. You will be terminated if you can not keep up. You do what you have to do to care for ALL your patient and what you have to do to keep your job and your sanity. I function on the priority of tasks and the acuity of my patients. The one that continually rings the call light for pillow fluffing and pulling the covers up when they have two good hands does not equate with the one on life support, multiple pressors, and chest tubes down the hall! I call us the"Stepford Nurses". Maybe we need a headset and a pair of skates! Oh, and "would you like fries with that"?Last edit by Fink on Dec 9, '12
- 4Dec 9, '12 by noyesnoI don't do thank you notes. Rarely do care plans. No AIDET for me. Sometimes, I skip a hourly round (gasp!).
Turning doesn't always happen q 2 because I'm not doing it on my own (I've got a back to protect!) and I can't always find someone to help me.
I waste a lot of IV fluids (if I'm in your room and there is 150 ml's left and I know I won't be back for a while because I'm getting an admission, I'm hanging the next bag NOW).
Sometimes, I don't wear gloves when I give people mosquito bites (aka insulin shots).
Hand-washing, alcoholing, and gowning for isolation are corners I don't cut.
- 0Dec 9, '12 by Ntheboat2Quote from BrandonLPNThe end.You were clearly in the right in the situation you descirved there,.
There was "no way" someone who is no weight bearing on one side and has an immobilizer on the other side can be transferred correctly by one person unless that person is slinging them over their shoulder.
And that's the situation I was talking about.
- 2Dec 9, '12 by tewdlesI suppose that we all cut a corner or two during the course of our care over the span of a career.
Keep in mind, however, that what we practice over and over becomes habit.
Do not practice bad nursing over time if you do not want to be a bad nurse.
- 3Dec 9, '12 by gonzo1I always try to do everything exactly right. However, I am human and sometimes fail. I do reflect back on the care I gave each of my patients and look for ways I could have done better. I always alcohol swab ports. Change CVC line dressings, foleys with sterile technique. I take a lot longer with my patients than some of the other nurses I work with do. But it works out for me because I would rather take care of my patients than spend work time on facebook.
There are some shifts where all you can do is keep them alive, but fortunately not so many. I am lucky to work in a place that is usually well enoughed staffed that things can be done in a timely manner. I love the ICU. I consider myself a work in progress and am always looking for ways to improve my patient care and outcomes.
- 7Dec 9, '12 by mazyQuote from woohPerfect nurses do not have bodily functions.But you might touch something and not know it! You never know when you'll be in a patient room and lose control of your bodily functions, and you have to be wearing full isolation gear just in case!!!!!!!