Dumbest rule in your hospital? - page 4

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,... Read More

  1. by   RNcDreams
    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.
  2. by   AuntieRN
    Quote from debx
    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.
  3. by   jojotoo
    Quote from Selke
    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 vaginal 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?
  4. by   jojotoo
    Quote from CrispyRN
    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!
  5. by   FireStarterRN
    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.
  6. by   not now
    Quote from jlsRN
    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.
  7. by   tipsplease
    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.
  8. by   RhiaRN75
    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.
  9. by   tvccrn
    Quote from debx
    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. 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.
  10. by   tipsplease
    The person who mentioned being able to look up nurses on the internet riled me about something I think should be illegal....in Georgia all you have to do is put in a nurse's (or any other professional's) name and you get their current address. I am finally working at a hospital which only puts our first name on our badges. In the past some of my co-workers were stalked because of the Ga. board of nursing policy.
  11. by   diane227
    Where do I start. Well, I came to work yesterday (I am the charge nurse of my floor) and found this HUGE sign on a tripod in front of my desk telling everyone about the flu. And I was given a package of bright yellow stickers with the day of the week written on them. If a visitor came up without a sticker I was supposed to screen all of them for the flu and then put a sticker on them before they could visit. My unit has 34 beds. I can't even keep up with all the stuff I have to do NOW, let alone screening visitors that are getting off the elevator in packs. Some of these people come in large groups of 10-15 family members. Policy says "only two visitors". So why is someone not stopping them when they come through the door downstairs. I am not the police. I just ignored it.
  12. by   TennNurse
    Quote from jojotoo
    Is this to prevent the delivering mother from giving birth to the wrong baby?


    :roll:roll:roll

    Am getting weird looks from co-workers laughing at this....
  13. by   PostOpPrincess
    There is ONE thing that I think will be a good thing coming out of Universal Healthcare/Public Option.

    The Press Gainey question--out the window.

    I'm going to start practicing--"We don't care if you choose our hospital. You had no choice. And Oh, you don't like the way the juice tasted? Too bad. You have no choice. And oh...if you don't like us, go up the street to the hospital there...because it's us or them...we don't care anymore. Good luck and get the heck out of here with your over-entitled, brat self."

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