Scripting Nurses? - page 4
I am an RN on a telemetry unit where the ratio is 7:1 at all times. We are technically the step down unit also. We get all of the d/c's down from CCU and ICU. Last week in our staff meeting, we... Read More
Mar 6, '07I too ask my patients if there is anything they need and offten trow in do you understand everythign we are doing ? do you have any questions?
scripting is demining to our professtion and makes our honest concern for patients seem like a hollow gesture to make managment happy.
"do you have any speical needs?" = "would you like fries with that?"
Mar 8, '07We have been doing this for about a year. If want your job have no choice.
Have change quote to Is there anything I can do for you. (everyone had a problem with ("I have the time" )because that was a lie. No we don't have the time. The RN as well as the nurses aide, also explains to the patient that one of us will be back in an hour. This helps cut down on the call lights.
Mar 8, '07Quote from Kathy732What an a$$. So why does he not think nurses will have problems with their managers if they make them say these stupid things? He should be shot!This sounds like the Studer Group in action. Quint Studer is a hospital consultant who makes millions preaching this crap to hospital administrators who buy his book "Hardwiring Excellence" like it's the new "One Minute Manager." His group advises the use of these robotic messages. He goes to hospitals willing to throw their money at him (and there are plenty that seem to want to be a part of this) and gives them advice on moving from "good to excellent". He does not address staffing issues but seems to think that personal thank you notes and a bit of paint here and a toaster there will make nurses happy. His biggest fraud is to insist repeatedly in his book - I kid you not - that nurses leave their jobs because of problems with their managers. Google his name and read about him. His group has already started their "I have the time" message on a couple of the floors. From what I hear it is being ignored for now.
Mar 8, '07We are required to say is there any thing you need ? I have the time and that we will be rounding on you every hour. along with signing a paper in the room. every hour we go in to the room and to ask the three p"s (potty pain and position.) and our rounding time is a pain in the a--! we round at 8 ,give meds at 9 ,round at 10 give meds at 11 and so on so there is no time to do much of anything like oh I don't kow CHART, PEE, EAT most people just started to sign the board in advance but if they see that the board is sign early your in trouble. even 15 min ahead. not only that we use computerized charting (sucks!) the computers are always breakinng down and we have assigned parking I about had a panic attack last week over were to park my c.o.w. As if we don't have enough to worry about. What happened to using your nursing judgment giving care to the pt. some days I wonder if it is all worth it, and now were trying to go magnet will this make thigns better or worse? anybodyknow would love to hear you in put
Mar 8, '07Well, if you do have to toliet your patient or do anything else on rounds, doesn't it throw off what time you actually see your next patient? And what if one patient requires much more of your time, then your others? Sounds very unrealistic and like setting you up to fail. I bet your unit feels pretty stressed. You all might have to band together to stop this, but that is a challenge. Sometimes what seems to work is when the nurses get passive-aggressive about it and just gradually stop doing it. Then these policies fade away.
Mar 8, '07Quote from Kathy732He's not apparently following his own advice. From what I googled about him one of his principals is to make sure management gets employee feedback after and before policies are implimented, that it is important for employees to be 'heard'. I wonder if he realizes how resentful employees feel saying scripted stuff. If I have time I do always ask my patients if they need anything, but I could never imagine saying "I have the time", truthfully I probably won't.This sounds like the Studer Group in action. Quint Studer is a hospital consultant who makes millions preaching this crap to hospital administrators who buy his book "Hardwiring Excellence" like it's the new "One Minute Manager." His group advises the use of these robotic messages. He goes to hospitals willing to throw their money at him (and there are plenty that seem to want to be a part of this) and gives them advice on moving from "good to excellent". He does not address staffing issues but seems to think that personal thank you notes and a bit of paint here and a toaster there will make nurses happy. His biggest fraud is to insist repeatedly in his book - I kid you not - that nurses leave their jobs because of problems with their managers. Google his name and read about him. His group has already started their "I have the time" message on a couple of the floors. From what I hear it is being ignored for now.
Mar 8, '07That would be nice but what is happening is the good nurses are leaving the average life span of a nurse on my unit is 6mo. we are a teley step down unit (should be and IMCU with the type of pt we get). even the vets are getting fed up it 's turned into a trainin ground for new grads they put in their six months and poof out they go they are now preceptoring new grads with rns with a year or 8mo experanice. unfortunitaly soon I will be at the top of the food chain the way people are leaving and I can ornate new rns I only been a nurse for 4mo.!
Mar 8, '07yesterday, SNAFU.....3 persons in leather restraints, almost 20 ambos in 12 hours (14 bed unit). Fast track not open..... firemen all over unit, restrained person SCREAMING "come on! come on!" for hours. Multiple overdose patients, suicidal patients, crying, vomiting.....mayhem. As I said SNAFU. AND they want us to do the stupid scripting...."is there anything else I can do for you? I have time! "
I NEVER have time, anymore. You do what you can, and pass the leftovers to the next shift with apologies.
Mar 8, '07Oh bruther...
Last year when our manager was running around like Chicken Little....she was all in a dither because the hospital paid a woman who does this for a living to test all of us for the "magnet" stuff....she ran around telling us what to say to this woman....(the hospital paid this lady over $250,000)
We were told how to introduce ourselves...."Hi...my name is.....show our name tag.....and mention our level of education." We were also told that we were supposed to mention ??Donna Bedian?? (I think that is what the name was...I already erased most of this nightmare from my memory banks)
Supposedly this was the name were were all supposed to mumble to this woman when she asked us what methods we use at our hospital for patient care...blah blah blah.....our manager even wrote it all out on the blackboards in our units....for all to see....like we are six years old...
It never did occur to her that the person they hired for one quarter of a million dollars might not be fooled by the fact that EVERYONE repeated the same canned phrases....duh.
Apparently, though, the money paid out was 'well spent'....the hospital received magnet status....despite the canned phrases...and practiced introductions....
I thought it was completely demeaning to me as a nurse...to be told how I should introduce myself....and what I should say...
How can you REALLY judge a facility when you have all the Stepford Nurses lined up repeating the same old thing?
Isn't Magnet supposed to be about celebrating the skills and abilities of wonderful nurses...ie those who are very very good at what they do?? high standards...etc???
I thought this was a farce...
And what does it say about a manager telling us what to say....obviously she doesn't believe in her staff that much....that she had to write it down for us....
I just shake my head.
Mar 8, '07I agree with all you have posted. My husband, when I tell about this kind of thing, asks, "Are you in Kindergarten?" because that's how they are treating you? And I guess some will stand for it, and I'm not going to. I'm not going to become or be forced to become a Stepford Nurse, and that is a perfect description. In fact, DH suggests we just carry a tape recorder with a message loop that plays the phrases over and over and over. We'll never have to say a thing!
A co-worker of mine, who is married to a teacher, heard a voice mail left by our manager regarding a needed TB test and the manager's tone was that of an adult speaking to, well, a kindergartener. The teacher husband commented that if his principal would speak to him in such a tone, he'd have to have a discussion. I agree. Don't treat me like a child.
Oh, and those buttons that say "ask me if I've washed my hands". How uttterly demeaning and insulting is that? I'm not wearing one, and if there's any stink about it I'll pin in inside my pocket.
Once again, I am so happy I'm nearing the end of my nursing career. It's not getting better, none of it.
Mar 8, '07Quote from CindylufusI am an RN on a telemetry unit where the ratio is 7:1 at all times. We are technically the step down unit also. We get all of the d/c's down from CCU and ICU. Last week in our staff meeting, we were told there are key phrases that we are being required to say to our patients....much like scripting that sales and telemarketers use... Things like "I have the time for you" each time you are in the room with every patient. Does anyone else think this is a joke? I told my manager I refuse to be scripted...I don't have the time for this and I think I provide the best care I can for my patients. But most days each nurse has 3-4 discharges, and gets 3-4 patients back, either direct admit from the MD's office or from the ER. Anyone else having this problem?
I work on a busy Oncology unit where we are required to be chemo certified, check, hang, monitor and check blood returns hourly and depending on what chemo we do Q 15min vitals. we will take med surg patients on our floor if we do not have enough oncology patients to fill our census. I hang more units of blood and platlets each night then I care to count and we all know how time consuming each of those can be with all the vital checks and monitoring. We may have anywhere from 6 to 9 patients per RN any given night. We are not scripted (thank god) but I have found that I have my own script that helps me from running back and forth for unnecessary trips to the patients room. I always ask "Is there anything I can get for you before I leave?" and "If you need anything, please push your call light". I KNOW many of you are going to say that they will be on their call light all night for little things and some patients are going to be anyway but I have found that if I take the time to ask when I am in the room and take care of those things then and there that simply shows them that I am listening and care about their needs that they will be less likely to be demanding later. It does save me some steps in the long run with the added bonus of gaining the patients trust.
Mar 8, '07Seems like the real problem is in management insisting that we say things that are morally wrong because they are simply untrue.
Maybe we should point them back to their own Code of Ethics?