The 'De-Skilling' Of Nursing - pg.3 | allnurses

The 'De-Skilling' Of Nursing - page 3

What should be our greatest concern for the future of nursing? We must fear the day if (or when) registered nurses (RNs) and licensed practical nurses (LPNs) will be less needed in healthcare due... Read More

  1. Visit  luv2 profile page
    2
    Sorry about your wife. I am surprise that nurse did that because most vns do not stay they are usually there for the treatment and other stuff and leave . I am appalled by what the nurse did to you and your wife. However, nursing is more than looking and having a feeling...I am glad you want to learn. I hope you continue down this path to become a R.N or LPN. As a CNA you should NEVER teach anyone anything. "When a patient is having breathing difficulties, who better to work with them until the RN arrives, coaching them to take slow deep breaths and urging the patient to try to relax, the CNA who is there." This exactly what irks me as a RN ...Do you see why we need to organize and start taking back our skills?
    Not_A_Hat_Person and lindarn like this.
  2. Visit  luv2 profile page
    1
    It is very scary to think this could happen right now ......RN and LPN we need to embrace the technology i.e EMR to have more time for our patients to make sure you know what is going on....Do you recall the med tech who gave pt hep C because he was allowed to give meds ....This is scary and sad
    Last edit by luv2 on Aug 25, '12
    lindarn likes this.
  3. Visit  tothepointeLVN profile page
    5
    Quote from wooh
    I think the real problem comes from billing. As long as another department gets to charge, and nurses continue to earn no more for the hospital bottom line than the curtains in the room (but cost a lot more than the curtains), hospitals will look to find ways to cut our numbers. Other departments have found ways to ADD to the bottom line. RTs charge for each treatment. PTs charge for each wound treatment or therapy session. But nurses continue to just be bundled in with the room. Until nursing can start BILLING FOR OUR SERVICES, we're going to be considered merely a very expensive piece of furniture in the patient room.
    This really is the key issue. If the hospital can't bill directly for nursing services then they need to figure out a way to provide the services in a cost effective manner. Enter deskilling. If the hospitals COULD bill for nursing services based on the service we actually provide you can guarantee they'd want as many of us in there as possible being cash cows for them. Home health can charge for nursing services correct? Why not inpatient nursing?
  4. Visit  tothepointeLVN profile page
    9
    I should also add as long as there is a steady stream of people willing to mop up our abandoned skills for less money and NO license then we will also continue to lose them. There is no shortage of people wanting to be medical assistants, medication aide or tech this or tech that all for the thrill of wearing scrubs and being in the medical profession and helping patients and doctors. Supply and demand. They demand a position and the powers that be dole out the skills just enough to keep them happy and barely enough money to make it worth it.

    (UAP's don't kill me for that comment I understand the drive really I do but it's a stick with two short ends. I still love you though mwah)
  5. Visit  ♪♫ in my ♥ profile page
    2
    Quote from tothepointeLVN
    There is no shortage of people wanting to be medical assistants, medication aide or tech this or tech that all for the thrill of wearing scrubs and being in the medical profession and helping patients and doctors.
    Probably more about the dearth of career employment opportunities than the thrill of wearing scrubs.
  6. Visit  tothepointeLVN profile page
    4
    Quote from ♪♫ in my ♥
    Probably more about the dearth of career employment opportunities than the thrill of wearing scrubs.
    Now perhaps but people were flocking to become MA's and such like even when the economy was great and I see them flounce around the Dr's office twirling their stethescopes etc and playing nurse.
    VICEDRN, mc3, Szasz_is_Right, and 1 other like this.
  7. Visit  amoLucia profile page
    4
    Quote from ♪♫ in my ♥
    Probably more about the dearth of career employment opportunities than the thrill of wearing scrubs.
    And the surplus of for-profit educational institutions all willing to provide that magic certificate of being desparately needed in the industry!!!
  8. Visit  DoGoodThenGo profile page
    6
    Said this before a long time ago.

    Nurses were quick to ditch caps, whites and all the "pillow-plumping" aspects of the practice along with quite allot of other things in favor of elevating the "Profession" (with a capital "P"). By and large everyone jumped at the chance to write scripts and or move into roles that were formerly reserved for physicans. Well on the way quite allot got dropped and or otherwise shifted to UAPs and others because now a nurse's time was too valuable.

    Ever single function/task not strictly mandated to be performed by a license is up for grabs, and everytime there is a "nursing shortage" yet more is chipped away.


    Everyone comes to work in their PJ's and patients are for the most part blissfully unaware that by and large there isn't anything the various UAPs and others coming in and out of their rooms do that a nurse cannot. Nor do they know that she or he can do things that the aforementioned cannot. Facilities and others love this little bit of confusion as to "who is a nurse" because what people don't know won't often hurt them. That is unless something goes south. I mean look at all the posts/reports of UAPs and others calling themselves "nurse" when they aren't and worse management or those running a facility backs them up. Twenty or ten years ago that just wouldn't have been tolerated.

    Something else one has said before, little by little the ANA and their little white paper are winning. Soon all nurses in most areas will have the BSN and will mainly be responsible for planning, assignment,evaluation, management and so forth of care. The actual implementation will be done by various other personnel who report back to the nurse.
    catlvr, Szasz_is_Right, elkpark, and 3 others like this.
  9. Visit  kitty13 profile page
    1
    De-skilling the RN, LPN, and hospitals drive to be magnet. Nurses!! the ANCC is getting money from the gov, making money off each of us, driving the hospitals to believe there will a rosy world if they see the light, all the time we are left to be at the bedside, running night after night, patients that are really sick and need one on one care!
    How many times do you wake up and panic wondering did i chart this or that, did i give that med. In-services while i run trying to get my meds passed on time, change my dressing

    Lets begin to make a difference, lets stand up and fight for our license and the years of knowledge we have!
    lindarn likes this.
  10. Visit  Asystole RN profile page
    0
    Quote from kitty13
    De-skilling the RN, LPN, and hospitals drive to be magnet. Nurses!! the ANCC is getting money from the gov, making money off each of us, driving the hospitals to believe there will a rosy world if they see the light, all the time we are left to be at the bedside, running night after night, patients that are really sick and need one on one care!
    How many times do you wake up and panic wondering did i chart this or that, did i give that med. In-services while i run trying to get my meds passed on time, change my dressing

    Lets begin to make a difference, lets stand up and fight for our license and the years of knowledge we have!
    The ANCC is conspiring to ruin nursing? Magnet status is somehow subverting patient care?



    I want whatever you're smoking.
  11. Visit  wooh profile page
    5
    Quote from Asystole RN
    Magnet status is somehow subverting patient care?
    I'll agree with THAT one. In addition to caring for the ridiculously high number of patients, we have to make sure to keep up with our career ladder points and participate in committees where the only point is to pretend nurses have a say when it won't actually make a bit of difference if anything the nurses say will cost money or effort on the part of non-nurses.
    VICEDRN, Szasz_is_Right, lindarn, and 2 others like this.
  12. Visit  Asystole RN profile page
    0
    Quote from wooh
    I'll agree with THAT one. In addition to caring for the ridiculously high number of patients, we have to make sure to keep up with our career ladder points and participate in committees where the only point is to pretend nurses have a say when it won't actually make a bit of difference if anything the nurses say will cost money or effort on the part of non-nurses.
    That would be an issue with the facility administration, not with magnet status.
  13. Visit  Cold Stethoscope profile page
    5
    Quote from Asystole RN
    That would be an issue with the facility administration, not with magnet status.
    What problems are magnet status supposed to solve? Are those problems being solved through a hospital's attainment of magnet status? Are patient outcomes better? Are nurses' working conditions better?

    Magnet status: What is is, what it is not, and what it could be

    Working Conditions for Nurses: Does Magnet Status Make a Difference?
    on eagles wings, Sun0408, lindarn, and 2 others like this.


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