Do you cut corners in your daily nursing practice? - page 9

by madwife2002 Senior Moderator | 27,545 Views | 109 Comments

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


  1. 0
    Quote from Kooky Korky
    Is anyone helping her to realize what she needs to change in order to carry a full patient load?
    She had a very extended orientation. Now that she's on her own, it's a real problem. I think she has trouble multi-tasking and prioritizing, and may be a little OCD. But she is really stuck on the nursing school way of doing things. Managers are aware, and insist she is doing just fine.
  2. 0
    Why can't you just use the hand sanitizer provided on most walls instead of washing your hands when you are in a rush? JUST WONDERING, mkay? I'm not a nurse yet.

    As in - use sanitizer if you haven't contacted the patient but have gone into another room to touch a button on the IV monitor?
    Last edit by nanerz13 on Dec 9, '12 : Reason: clarification
  3. 2
    yes i do. especially when i have 40 pts and i am alone on weekends
    wooh and BrandonLPN like this.
  4. 0
    Quote from Kooky Korky
    Wish you could get those "secret shoppers" to pitch in and actually do some work!
    They do work. They are not management, but nurses. We have low census hours and if you get called off you can come in and do many projects. This can be one of them. Don't come down on them. They are only doing what they are told to do, and quite frankly, some nurses need education on simple handwashing.
  5. 0
    Quote from Michigangirl
    She had a very extended orientation. Now that she's on her own, it's a real problem. I think she has trouble multi-tasking and prioritizing, and may be a little OCD. But she is really stuck on the nursing school way of doing things. Managers are aware, and insist she is doing just fine.
    If your username wasn't michigangirl, I would swear you worked in my hospital.
  6. 6
    Quote from tokmom
    They do work. They are not management, but nurses. We have low census hours and if you get called off you can come in and do many projects. This can be one of them. Don't come down on them. They are only doing what they are told to do, and
    quite frankly, some nurses need education on simple handwashing.
    I dont blame the nurses, i blame the people implementing such nonsense. If hospitals are going to pay extra money for nurses to come in and work, they should just put them on the floor in an assignment. God forbid there actually be an extra nurse on the floor once in a while... Sounds like more imaginary jobs thunk up by more clueless people whose jobs, by all rights, shouldn't exist in the first place....
    monkeybug, anotherone, martinalpn, and 3 others like this.
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    Quote from BrandonLPN
    I dont blame the nurses, i blame the people implementing such nonsense. If hospitals are going to pay extra money for nurses to come in and work, they should just put them on the floor in an assignment. God forbid there actually be an extra nurse on the floor once in a while... Sounds like more imaginary jobs thunk up by more clueless people whose jobs, by all rights, shouldn't exist in the first place....
    Seriously...if someone is not doing things the right way...like washing their hands...on a regular basis then it needs to be pointed out TO THEM. I don't like the fact that the best nurse on the floor could be written up just because they stepped into a room, remembered they forgot to grab something, and were "caught" not washing their hands leaving a room...even though they didn't touch anything. While on the other hand...someone who is a repeat offender gets away with it because they weren't working the day the hygiene police stopped by. It's just one more of those passive aggressive policies nursing is famous for. God forbid managers actually approach someone who is doing wrong individually when they can just threaten everybody big brother style.
    FineAgain, monkeybug, anotherone, and 2 others like this.
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    Our rooms have the gel dispensers inside the room as you walk in. And there are sinks in every room.

    I think revisiting this issue about cutting corners is simply a good way to step back and look at our behavior. Not to say we all must be perfect.

    We have an inservice on boundary issues about once a year - not to point out that we are bad people but to remind us to pay attention to the hair on the back of our neck raising when we do something that might be crossing a boundary.

    This seems like a good thread to hash out this idea of cutting corners.

    I was interested to read WHICH corners were cut.

    I always wash or gel my hands between patients - I'm one of those folks who uses the antibacterial wipes on shopping carts and keeps gel in my car. I wash all the fruits and veggies I purchase.

    As someone said . . when you program that IV pump, you can't be sure the person who touched it before you washed their hands after wiping their tush.

    NRSKarenRN and tokmom like this.
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    This drives me insane; The OP is a manager; well my manager has added a new job function this week, ortho tech to assist PT ambulating pts, oh yes, I am already unable to do the ridiculous job description we already had, I have taken over as UC, pharmacy tech, my pts have to be discharged in 1 hour and I have to have meds out on time, I won't even go on, as its so ridiculous. Protest, sure, they say we are doing it anyway. Of course we cut corners, do we want to? No. Do we have to to survive, hell yes.
    monkeybug and janhetherington like this.
  10. 3
    Quote from Spidey's mom
    I always wash or gel my hands between patients - I'm one of those folks who uses the antibacterial wipes on shopping carts and keeps gel in my car. I wash all the fruits and veggies I purchase. As someone said . . when you program that IV pump, you can't be sure the person who touched it before you washed their hands after wiping their tush
    I use hand sanitizer every time I exit a room, and after touching a resident. It's a good habit to get into. But saying we "need" to wash our hands because we don't know who touched that IV pump is taking it too far. We don't know who touched that chart. Or that keyboard. Or that doorknob. Or that elevator button. If we follow that line of thought to it's logical conclusion, some "study" will dictate it's "best practice" to wash before touching a chart or table or chair or telephone. And then some policy will dictate that we all sanitize our hands in between *every* single action like OCD crazy people.
    SleeepyRN, wooh, and TheCommuter like this.


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