The math doesn't add up - page 6
I'm a math person, so it really bothers me when my manager asks us to do an additional task or duty without subtracting a current task or duty. The math doesn't add up. Our current duties take up... Read More
14Dec 10, '12 by Altra, BSN, RN Guide"Dear Patient A:
I'm so very glad that we got a chance to know each other after you fell down 6 stairs and broke your femur. I hope that you can recall your excellent stay at Most Awesome Hospital with fondness ... the surgery, the pain, the joy of personal hygiene with immobility. Please visit us again at your earliest convenience.."
"Dear Patient B:
How thoughtful of you to make your hospital stay so memorable for nurses, physicians, ancillary staff, other patients and visitors, and everyone who came within 20 feet of you. Your colorful descriptions of your planned actions if you didn't get pain meds "on time" were so entertaining! And the Oscar-worthy performance when your out-of-town children arrived ... brilliant! We look forward to your repeat performance of Noncompliance: The Trilogy in the near future."
If y'all need more ideas I can keep writing ...
8Dec 10, '12 by VICEDRN, BSN, RNQuote from trueblue2000I tell my patients my name twice during room orientation and while they can describe me and tell you nice things about me, they NEVER remember my name. In fact, I was just warned that I needed to get the patients to remember my name or I would face discipline even though they can clearly describe me. Please come back and reflect more on this thread when you are out on your own and caring for own patient assignment and discover that thank you cards are a meaningless and demeaning gesture for everyone involved.It is a personal touch. Pharmacists and housekeeping could write them but it would be meaningless to the patient since neither of them personally cared for the patient. Us, on the other hand, the patients remember, and would recognize the name on the card.
8Dec 10, '12 by HouTx, BSN, MSN, EdD GuideOK - this thread cinches it. Nurses are not only the funniest people on the face of the earth, but the most discerning.
This whole concept is just wrong on so many levels. It is also another clear indication that these managers are failing badly. Their primary responsibility is to ensure that the environment (resources, staffing, P&P, etc) provides optimal support to those who are actually delivering the care. A good manager would fall on this grenade rather than burden their staff with additional nonsense. As pointed out originally, adding additional tasks to maxxed out staff is absurd. Particularly when that task is so . . . strange.
What in the world are we thanking patients for? They are in our hospital either because a physician chose to admit them to the hospital where s/he has admitting privileges or it was the closest/most appropriate E.D. If administrators insist on this bizarre task, it should at least have some authenticity - so, change it from "thank you" to "Please, please, please (etc) give us high marks on the patient survey so our reimbursement won't be dinged"
IMO, this also undermines the professional image of nurses. AIDET is a much better practice - whereby each nurse introduces her/himself to the patient and provides them with a business card. There are too many issues with maintaining appropriate professional boundaries... patients 'friending' their nurses in social media sites, etc. We are not their friends, we are professionals who can be relied upon to deliver high quality nursing care whenever they need it. Just think of the potential ramifications... patients (not having been informed of this new marketing scheme) may think that that cute nurse is trying to establishing a social relationship (eewwww).
If anyone should be thanking patients, it should be accounting.... when (if) they pay their bill.
6Yeah, what kills me is that people are *paid* to come up with this garbage. And very likely paid more than most of us here. And it's not as though this is some brilliant new concept. Stores and amusement parks and casinos have been doing it forever. They just applied it, inexplicably, to a hospital.
Seriously, I know I'm no expert on the business end of these things. But I just don't get the thought process here. In my grandpa's day jobs like this didn't exist. "Risk management", "patient relations" do we really need entire departments of these people? Wouldn't one or two people be enough? I'm convinced 90% of these people are purely superfluous. We need more nurses, aides, doctors, social workers, housekeepers. People who do tangible work. Fire a few riskmanagement specialists and hire some more nurses!
12Dec 10, '12 by BostonTerrierLoverRNTo me it just screams: Please Don't Sue Us, or Talk Negatively about Your Stay...
What's really SICK is the dissection of this idea.
That society trusts the nurse- not the Corporation.
They are writing the card through your respect, your NAME, and your reputation that you earned by your sweat, your earned trust, your sacrificed back, sore muscles, and sometimes even your tears,...all because:
They've damaged their reputations as uncaring profit driven, procedure delaying, unethical deciding, money grubbing, chess playing, jet-setting, mafia like, god complexic, and irresponsible brats. They can't even pretend to be "human" anymore.
This is mind blowing obvious- they can't write the cards because they know it will be laughed at- and they'll probably send it with their bill which they know would be hypocritical.
The patients know the hospital makes their money by diagnosis, and gets them discharged ASAP ready or not!
"...So we'll mask the monster we are by the precious, caring, and trusted name of our Nurses!"
It's all about Preventive Damage Control- NOT GRATITUDE!!! Do you think their trying to promote our name,... Or theirs? Don't tarnish my name- it's mine! You are renting my knowledge and service- you have no right to my name.
I'm NOT a Marketing Agent, a Damage Control Agent, or a Rented Reputation- I am a Nurse(who can decide all by myself where to sign my John Henry!).Last edit by BostonTerrierLoverRN on Dec 10, '12 : Reason: Format
5Dec 10, '12 by MJB2010With a staff meeting coming up I am so tempted to use this thread for reference. When they tell us all the new tasks we will be adding on, and you know there will be several, I would like to raise my hand high and ask "which tasks will you be taking away?" to allow for the time of course since we are already packed to the brim and rarely get to take a lunch break. I am going to start a "math doesn't add up" chant. I love it, because it is SO SIMPLE AND TRUE. Don't even get me started on the Thank you cards, that is preposterous. Perhaps we could tell them that we haven't given them out yet since we are waiting on the Doctors to fill out their portion. Or we could do a nice photo card of all of the nurses smiling holding a thank you sign like people do after weddings.
1Dec 10, '12 by mama_dWhen my then-13 year old received his thank you card, his reaction was along the following:
"Thank you for getting appendicitis, have your incompetent ER nurse miss my veins, and getting emergency surgery? What's wrong with you people? I know you've all got a sick sense of humor, but this is bizarre."
He did however appreciate the added on message from his nurse that thanked him for being so patient waiting for pain meds and being "more polite than my grown up patients usually are".
What I find ridiculously stupid is that my floor sees a lot of oncology patients with poor prognosis who we end pre-printed cards to referencing our sincere desire for an uneventful recovery. Wha??? Those I absolutely refuse to sign.
1Dec 10, '12 by trueblue2000Obviously, there a different opinions on this issue. My hospital system sends thank you cards to patients and none of the nursing staff seems bothered by it. Actually, on our post discharge telephone surveys, patients mention the card and say they appreciated the gesture. I have never heard any of my colleagues complaining that signing those cards it is too much work or it is an asinine idea. I don't know, maybe we are just not bitter about our professional choices and happy with our work. Relax people, it is OK for nurses to disagree on issues.
0Wouldn't a follow up phone call a few days after discharge from the charge nurse make more sense? They could go over discharge instructions and make sure they were understood. They could answer any questions. Adress any concerns. Stuff like that. Or do they want this AND a thank you card?
0Quote from trueblue2000Well, if it's just signing a card, yes I'll do that if I have to. That's not a big deal, time wise. But it IS asinine, make no mistake about that.Obviously, there a different opinions on this issue. My hospital system sends thank you cards to patients and none of the nursing staff seems bothered by it. Actually, on our post discharge telephone surveys, patients mention the card and say they appreciated the gesture. I have never heard any of my colleagues complaining that signing those cards it is too much work or it is an asinine idea. I don't know, maybe we are just not bitter about our professional choices and happy with our work. Relax people, it is OK for nurses to disagree on issues.
0Dec 10, '12 by MullyI recently heard of a hospital automatically sending a thank you card to a patient who had died their. I'm sure that boosted his still living wife's satisfaction survey scores...
5Dec 10, '12 by samadams8Quote from madwife2002The worst part of the thank you cards included a tear off piece where you could name the best nurse you had during your stay.
If it was your name then you got a $5 bonus for each one, it was soooooooo embarrassing plus there were nurses who would actually 'force' the pt to write their name so that they would get $5 plus if they had the most at the end of the month they got a bigger bonus!
It was almost like prostitution I felt
Really? Wow, that's just. . .eeewww, as in yuck. . . as in tacky, tacky, tacky. . .
8Dec 10, '12 by Caffeine_IV, BSN, RNNext they will include a coupon for 5% off your bill if you send in survey within a week of discharge and refer 2 patients or maybe a free bag of normal saline next stay.