and still, the question remains:
how does one address bad practice of an experienced nurse?
i agree that a new nurse shouldn't be addressing it...unless it was put in the form of a question, i.e., "why are you doing it this way?"
but if a nurse is doing a task that puts the pt at notable risk, should we be looking the other way...minding our own business?
this question is for all (experienced) nurses...
how do you handle it when you know pt harm will likely be forthcoming?
i'm not a brand new nurse, and i have some advantages in the part time teaching position i hold. i educate. if i see enough people doing the same thing incorrectly, i educate the whole unit. if i run into someone who won't be educated, i have a talk with their preceptor or evaluator.
there are some experienced nurses whose practice you're not going to be able to change. if the practice is dangerous enough (pulling chest tubes, pacing wires and central lines while the patient is sitting up in the chair, for example), i go up the ladder as high as the vice president for safety. they educate, put out new policies and procedures and educate some more. and the experienced nurse may persist with the unsafe practice. then it's documentation and more documentation. but there's no way to absolutely ensure that everyone complies with best practice every time.
i save my education, however, for occiaisons when the patient is at notable risk, not just for those occasions when someone is doing something differently than i would. (i've learned a lot over the years from nurses who do things differently than i would, and have changed my practice accordingly.) an experienced nurse who won't use gloves may be disgusting to most of us, but the person she's endangering the most is herself. it's probably not worth making an enemy to force her to use gloves.
Last edit by Ruby Vee on Jan 31, '12
: Reason: Added the quote
Jan 31, '12 by FutureRN_NP
Pertaining to some people who says YouTube something you shouldn't be trusted. I use it to confirm what I've learned from school. Actually, it is a good place refresh what you already knew. I remember you suppose to replace everything, not just tecaderm. I am new and the person is also new. We both new but I am newer per se, but I already knew the technique was not correct. That is all!
Last edit by FutureRN_NP on Jan 31, '12