Dumbest rule in your hospital?

Nurses General Nursing

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OK, here's a good one: Same psych hospital I mentioned in the "called on the carpet" thread allows discharged patients to fill out a "satisfaction survey" before they leave. Now, in all fairness, some of these patients were more than complimentary, and we would get a little note in our mailbox if they mentioned us in a positive way. On he flip side, if someone said something negative, we would get a reprimand. Remember, now, these are certified PSYCH patients, and the management would take these things seriously! I had more than a few talkings to because (GASP!) I would not give 4 Lorcets to a patient at a time because "that's the way I take them at home!"

The crowning indignity was this one woman who put on her paper that I "made faces" at her through her admission and that I "called her names". The faces I made were at her 2 year old that she BROUGHT WITH HER while she was being admitted, and the name? She overheard another nurse and I discussing music, and later put on her d/c papers that I called her an "All American Reject".

This case was very interesting, simply because, during an admission, the first question you asked was "Why are you here?" She replied "I just found out I have HIV." I asked when she was diagnosed, and she said, "Oh, my family and friends told me I have it." No doctor visit, not bloodwork, nothing. And management took these people seriously.

So, my question is: does your facility have anything in place like this? I'd be interested to hear about it. Thanks for reading.

Specializes in LTC, med-surg, critial care.
Nurses arent allowed to draw labs. We start IV's, do ABG's....but if lab is taking a year for those stat labs, we aren't allowed to draw them. I've had a Dr who had to in the middle of the night because we couldn't get a phlebotomist up to do it.

Really?

We only draw stat labs and peak/trough. Sometimes I forget and sit there thinking "Where's the lab? Oh wait! That's me!" Because I was a phlebotomist at another hospital and we did all the stat draws. Thank goodness it only takes me a few minutes to realize that.

Urgent and routine are drawn by a phlebotomist. That totally doesn't stop me from drawing an AM lab if, say, the central line decides it wants to flush well but I can't draw blood off of it to save my life and lab has already been on the floor. Or when the PICC decides to clot off.

We do not draw ABG's only lab. Not even RT draws ABG's.

Which leads me to another dumb rule: Nurses cannot administer inhaler medication in my hospital. I'm not talking breathing treatments(we can't do those either except in ED) I'm talking metered dose inhalers like Advair, Proventil and Qvar.

This is not a rule where I work, but I have heard of dumb L&D managers wanting to start one of those idiotic "time outs" for lady partsl births.

PLEASE. Time outs have become a complete farce and completely useless at this point.

Specializes in Emergency/Trauma/Education.
All the customer service BS.

We are supposed to lie to our patients "What can I do for you, because I have the time"

Maslow's hierarchy of needs apparently doesn't apply anymore. It is now more important to have a pianist in the lobby and the smell of baking bread in the unit than have enough staff to provide the patients with basics, like a bath.

And that's the tip of the iceberg :(

Don't you dare have the smell of baking bread on my floor if I'm NPO!!! :nono:

Specializes in Tele, ED/Pediatrics, CCU/MICU.

Our director has made it a policy to ask patients their pain level, on a scale of 1-10, hourly, and document it.

So that means if you have a patient with pain that isn't going away anytime soon (chronic or otherwise), and the MD is aware of it, and there's nothing anyone can do until the pt receives the appropriate treatment, surgery, etc..... you are reminding the patient every hour that they hurt.

Also, if you have a patient that happens to love their narcotics, you are reminding them every hour that there's more to give them, even if they look completely comfortable and have VS that are wnl. "The patient's pain is what they say it is"......

I am ALL for making patients comfortable and facilitating rest and wellness..... but this is not appropriate for every patient, every hour.

Specializes in Med/Surg.
Our hospital came up with the brilliant idea that EVERY patient should have a red allergy band applied, if they have an allergy or not. If the patient does not have an allergy, we write NKA on the band. Great alert, huh?

We figure a pencil pusher who has not taken care of patients in a very long time came up with that idea! GRRRRR!

We have the same policy debx that and everyone gets a pink fall bracelet so essentially everyone is on fall precautions.

We also have pts fill out surveys and the bigwigs take what they say to heart too...personally I think customer service has gone too far. Fact is people are still going to come to the hospital refardless they are always gonna be sick.

Specializes in Emergency.
This is not a rule where I work, but I have heard of dumb L&D managers wanting to start one of those idiotic "time outs" for lady partsl births.

PLEASE. Time outs have become a complete farce and completely useless at this point.

Is this to prevent the delivering mother from giving birth to the wrong baby? :eek:

Specializes in Emergency.
I'm also sick of the patient satisfaction phase as well! Some of the dumbest ideas include: hourly rounding on patients, have patients grade the nurse on a scale of 1-5, and "what is the most important thing that I can do for you today?"

I'm SICK of it! I can't do my job!

Crispy - you're totally missing the point. Patient SATISFACTION, not patient care is your job now!

Specializes in LTC, Med/Surg, Peds, ICU, Tele.

I don't know what's wrong with being pleasant and making patients feel satisfied. They will be more satisfied if we do a good job and are nice. If we are curt and hurried they will feel less satisfied.

Specializes in LTC, med-surg, critial care.
I don't know what's wrong with being pleasant and making patients feel satisfied. They will be more satisfied if we do a good job and are nice. If we are curt and hurried they will feel less satisfied.

But if we were staffed appropriately I wouldn't be so curt and hurried. When I have four or five relatively stable patients I'll chat all ya want. When two post-ops roll in 15 minutes apart and I only have two CNA's for 36 patients, the other four patients are gonna deal with a hurried nurse. I'm still nice but I can't sit down and chat like my facility has now mandated.

Think about this: if you don't sign the hourly rounding sheet you are not following hospital policy. If you do sign it and have to wear a locator badge, the hospital can easily check whether or not you were actually in the room when you said you were. Of course it's obvious that this would be a very easy way to fire a nurse for false documentation. It's a lose lose situation.

And oh yeah....this JCHAO emphasis on "pain management" has created an entirely new genre of medicine....just about every patient I admit has a pain doctor. The first thing I tell patients when I admit them is that it might not be possible to eradicate all their pain, especially if they are having surgery. Seemingly one of the biggest complaints from patients is that their pain wasn't controlled. What I think this means is that they were not completely pain free.

Specializes in ER.

Full name on name badges for anyone, but especially those who perform direct pt care. WHY is this necessary??

I tried an experiment once- I noted the name of fellow coworkers, went to the hospital library for lunch, and in less then 1/2 hour had a basic address or phone number for all of them. In most cases, I also found a google map to their house, a list of possible relatives including their kids, previous address, and a list of their neighbors. With a little more time, I could find out more. All free and on the internet. All in less then half an hour.

Why MY safety is of lesser importance then my pts right to harass or stalk me is a concept I'll never understand.

I eventually managed to get my last name off of my badge D/T a 'if you are threatened' and I work in the ER loophole. Great- every nurse is threatened eventually! Most of the ER staff have done so as well but the floor nurses are almost always denied- which bugs me for the theory of it.... my MedSurg coworkers don't have the same right to saftey? It's just wrong on many levels.

Specializes in Critical Care.
Our hospital came up with the brilliant idea that EVERY patient should have a red allergy band applied, if they have an allergy or not. If the patient does not have an allergy, we write NKA on the band. Great alert, huh?

We figure a pencil pusher who has not taken care of patients in a very long time came up with that idea! GRRRRR!

OMG, we just finally got away from doing this. I have been with this organization 13 years and we have always put a band on the patient even if they had no allergies. :jester: We stopped this just this past summer when someone decided that if they weren't allergic, we didn't need to be alerted to it.

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