do you make sure your pts - page 9
Hello fellow nurses;-) my DH and I went to visit his mother in the hosp today...this was her 2nd day, dx dehydration. she is pleasant late 80s with pretty severe dementia. Very nice hospital, quiet,,,no one rushing... Read More
- 2Dec 9, '11 by Esme12, BSN, RN Senior ModeratorRight on the nose Leslie. I didn't call any bedside care giver amoral. I said it was the FACILITIES that lack the morals to ensure care can be carried out effectively. FACILITIES....THE BUILDING...THE ADMINISTRATION. and before anyone comments I have been amongst the "insider group" of upper management and in my personal experience they do lack the morality to care about the patient.....it's all about the bottom line...MONEY.
I made a personal choice, stopped complaining and made sure my patients were cared for....even if it meant no break or lunch. I have been accused of being too unsocial and not a team player because I am always in my patients rooms. As a supervisor and manager I have never passed by a patients room with a light on and I roll up my sleeves with the CNA and get as many patients done as we can when I can....if that's 3 am then it's 3 am. Patients deserve descend treatment that's all.......when did patient care become only an CNA responsibility and the last priority of the day. I know patients are sick, I know it's busy....but if that was my loved one what would my expectation be for them is how I care for my patients.
I'm a relic I know.....but a proud one!!!!
- 27Dec 9, '11 by woohQuote from leslie :-DAnd generally I try to as well. But if one patient doesn't get a bath or any of their personal care, it's not for lack of trying, it's generally because I've got other patients that are crumping.anyways, esme had made a personal and professional decision to ensure her pts were at the very least, bathed.
And you know what? I realize there are lazy nurses out there, just like there are lazy anything else. But I'm going to give a nurse the benefit of the doubt until I know better. And none of these posters that come in "I didn't get this, I didn't get that..." have any proof other than, "I heard something, saw something, I was miserable" that can be explained pretty easily. Unless you WANT to call the staff at the time lazy. And I refuse to sit among my colleagues here and bad mouth them when I have no proof with which to bad mouth them.
I used to complain about this nurse that I had post-op one time, before I was in nursing. And obviously I had plenty of knowledge to judge her with, as I was working in a business that was similar to carpentry and was in management. And well, on top of that, I had a lot of fast food experience. Then a few years later, after I became a nurse, I realized that I was completely wrong in my post-anesthesia haze, as she was trying to make sure I didn't quit breathing.
So I take everyone's "patient experiences" and definitely take everyone's "student experiences" with a grain of salt.
Especially since after my surgery, the last thing I would do is go to a site full of nurses to bad mouth one of them. But we apparently WELCOME that here. It's uncaring to not listen to every woe is me story and agree, "THAT NURSE WAS HORRIBLE AND STUPID."
THIS is why nursing won't get anywhere. It has nothing to do with being mostly women or level of education. It's because we're stupid enough to fall for every hard luck story in the name of compassion and throw our colleagues under the bus at the whim of a patient that says, "My hair wasn't brushed." And if we dare say, "I'm sorry, I didn't have time," our time management skills are called into question. And we get things like, "It only takes a few minutes." Yup, lots of things only take a few minutes. Those few minutes x number of patients x number of things that only take a few minutes + all the stupid stuff we have to do on top of patient care = around 15 hours for most of us. Yet we only work a 12 hour shift that's supposed to also give us time for a lunch and a couple breaks.
So you know what? YES. I'm proud to assume the best about my colleagues until I know better. And yes, I'm going to side with a PRACTICING NURSE over a student (I don't care how many years of management experience they have, because honestly, my fast food experience was better preparation for nursing than my management experience). And yes, I'm going to side with a nurse over a patient. Because I've been on both sides. I was a patient quite a few times. And I know the stupid assumptions that I made back then because as the nurse, I know what's going on across the floor. As a patient, I didn't know anything except what was happening to me. I didn't know the nurse that was "just sitting there" was waiting for a call back. I didn't know the nurse in front of a computer screen was charting, not playing Angry Birds, or if they're playing Angry Birds, it's during their break that they can't take off the floor because there's only two staff members on the floor at the time.
And even as a student, I had no idea. Until you have a full load, that you are 100% responsible for, no matter what happens. Yes, I'm going to make sure all of my patients are breathing before I spend any time doing oral care or brushing hair. If I get the chance, sure, I'm there. But if I don't, oh well. There's only so many minutes in a shift. And if there weren't enough to do everything that "takes just a few minutes" then I'm going home knowing I got the most important ones in. And I think there are a LOT more nurses like me than one would assume the way everyone is so quick to judge on the "That's just unacceptable!!!" bandwagon.Last edit by wooh on Dec 9, '11 : Reason: my grammar sucks when I get riled up!
- 10Dec 9, '11 by Fiona59What I'm seeing more and more of is the elderly coming into the hospital looking messy. Then the daughter (and it's always a daughter) telling us that Mum needs nall care, and a "proper" bath. It isn't going to happen.
I work a short stay unit, usually an overnight stay at max. Our patients 99/100 times walks in and lives independently. Don't expect the nursing staff to fix the problems that the family have allowed to exist at home. Yet the families suddenly decides that Mum/Dad need assistance with everything. Where are they in "real life" when it comes to nail care and bathing?
We encourage them to rub in lotion and help with the grooming but they usually give us a look of such disgust...
- 6Dec 9, '11 by leslie :-Di appreciate your perspective, wooh.
i've always respected you.
i'm sure i'll get flamed with the following, but hey, it's never stopped me before.
unlike you, i am not as confident about all my colleagues, as you are.
i won't automatically side with a nurse over a patient.
YES - most nurses take their profession seriously - i get that.
yet i've also had experience with those who just shouldn't be nurses...
the ones that make you scratch your head and mutter "wth?"
and it is this reason why i have advocated in raising the bar into nursing.
there are just (too) many that should not be.
they either do the very minimum, hang others out to dry, make frequent mistakes w/o realizing (or even caring) the extent of their errors...
it goes on.
why would i want to give them the benefit of the doubt?
and perhaps, i am too protective of our patients...
fully knowing how manipulative some of them can be.
what i'm saying, is i won't immediately side with the nurse or the pt...
but do recognize that as in any profession, there are duds.
i also disagree with you, about most of us taking pt's side.
if anything, i've guesstimated it to be split - with approx half protecting 'their own' and other half siding with pts.
fwiw, i would never, ever have any doubts about you.:redpinkhe
i'm hoping you know that.
- 9Dec 9, '11 by SuesquatchRNSomeboday needs to feed him! He can't feed himself!
What, your hands are broken? There are three of you in here! You're gonna wait until all 18 trays are passed and his food is like ice before any of you lift a bloody finger?!
- 1Dec 9, '11 by MomRN0913In the ICU, me and most of my coworkers made sure our patients were in presentable and clean. one nurse made sure her patient was always shaved. I liked to do hair, nothing is worse than matted hair where you have to cut out the knots. There was the nurse who made sure there was no gunk in the belly button. Another who made sure the women's legs were shaved and ummmm, if on the younger side, groomed down below. Not saying we had all this time on our hands. but we all found dignity and cleanliess a very important part of the healing process.
- 1Dec 9, '11 by SandraCVRNQuote from ChixieBut...how much time is spent chatting???? A LOT!!!We had this issue at our hospital. The patients relatives complained that the staff were 'chatting' at the desk. Once this was investigated it was found that the nurses were actually liasing with the physiotherapist about patients or getting feed back from the doctor in regards to the patients plan or having a catch up handover and not idly shooting the breeze.
Appearances can be deceptive.
We all think we are doing all we can but stop and really listen to how much time is spent just visiting and catching up on what happened over the weekend etc.....
Be completely honest....
- 1Dec 9, '11 by nursel56 GuideQuote from caregiver1977I do so agree with you. When I returned to nursing after a kiddie-hiatus in 2004 I was so naive about the realities of LTC. On that note here's another of Suesquatch's great threads . . .I wish hospitals, nursing homes/LTC facilities, etc., would hire people like me to do things like this. This sounds a lot like what I do for my older relative that I do caregiving for. I would love to brush teeth, comb hair, wash faces, listen to their stories about what they did in the 50s/60s, etc., while your more experienced people do the specialized medical care.
But with all the staffing problems you all talk about on this site, probably won't happen.
Describe Your Dream LTC
I'm very linky.