What is your biggest nursing pet peeve? - page 54
Nurses that are brilliant but do not know the difference between contraindication and contradiction! :rotfl:... Read More
Mar 8, '09[QUOTE=happthearts;1489931]Quote from benthereseenitI know this post is old, but... seriously? Is THAT what I'm supposed to be doing? And here I was all this time running my butt off because no RN ever took the time to read off my job description to me and gave me that amaaaaaaazing advice! Who knew that dementia pt's can do self-care? Or that you can set multiple people up at once? Toileting people? I never thought of that! Now that someone else figured it all out for me, my job is going to be so much easier!.
To CNA to keep the RN off your back follow this.
CNA You are your nurses eyes. If you want to be a good CNA take notes of changes on your PT's and hand them to your RN. Be organized like when you get on shift. Toilet your PT's, pass water, get linen cart stocked lay out clothes for Pt who can dress them selves. Set Pt's up in front of sink with wash rag and tooth paste on there bush Its amazing how may dementia pt's can do self care if you set them up. Then do your showers.
Do this and your days half over. Just making rounds (toileting ,making beds) and answering call lights. If you would toilet your Pt's you will not have the mess most aides have when they goof off.
The routine you described is pretty much what we do, with exceptions made for residents who are assist of 2, have bed and chair alarms, are total care, combative, anxious, frequent bell-ringers, particular about the whens/wheres/hows of their care, or any combination of the above.Last edit by fuzzywuzzy on Mar 8, '09
Mar 8, '09Nurses who think they are above CNA work. Remember we are the ones who are responsible for seeing to it the patient is cared for. Yes, we still have to wipe butts, empty commodes, answer call lights, fetch water, etc. Treat your support staff great and they will bust ass for you! Also, hate the RN's who won't help a patient that isn't their own. Example: call light goes off- Patient: can I get some water please? RN on call system: let me find your aid/nurse. Meanwhile patient and family wait 1/2 hour and get ******! Why didn't you just get the water--lazy ass? We are a team, remember?
Mar 19, '09One of my biggest pet peeves is when you have a patient in a critical care unit and they are intubated and they have all kinds of lines here and there and the previous nurse has everything tangled up , going across and under the patient. to the point you have to rearrange the bed because the IV tubing is in front of another IV pole. That drives me crazy when everything is so tangled up! Not to mention when the room looks like a tornado hit it. Sometimes, the patients can look like a tornado hit them but some patients , no matter what you do they can look like that. but a room should be kept clean and neat Also when the family comes in it gives a good impression, if you keep everything nice, your patient will look good too. Another pet peeve is nurses who think that they know everything, or know more than you until you work with them and then you realize they haven't changed too many patients because they seem to be lost. I don't put them down, I just continue doing what I'm doing. I cannot stand to see a patient who hasn't had oral care to the point where everything is all petrified,dried up , disgusting yucky! And a patient that needs to be suctioned but no one has done it because either they don't know how or they just don't care. Or nurses that call resp everytime their patient needs to be suctioned, I mean not an emergency type thing! And as far as patients are concerned I hate it when you try to give them something to wash their hands after they use the restroom and they take the washcloth and wipe their privates, then you give them another washcloth and they do the same thing even when you tell them this is for your hands. I give up! The biggest pet peeve anyplace is when people do not wash their hands after they use the bathroom esp after a BM! That just grosses me out! When a family member comes in and instead of feeding their family member they insist you do it not realizing you have to feed 3 other people that don't have any family.(And their family member isn't the type that is a aspiration precaution pt)I think that about covers my pet peeves!
Mar 20, '09This is the cause of the vast majority of everyone's pet peeve in this thread: passive aggressive attitudes.
Recurring theme: Nurse comes in at shift change, but grabs a coffee and starts chatting for xx minutes before reporting on. If you see them doing that, tell them that you need for them to start working at their shift starting time, or track them down when you are ready to report off and report off to him/her. Getting upset about it and venting about it on a forum isn't going to help much.
Call out nurses that are late. You're always going to be at least partially responsible for the environment in which you work, so don't sit and stew about little things, because they do become big issues the longer they stew.
Mar 20, '09I work in a hospital that has a "medicine" er and a "trauma" er. Trauma er thinks they're the only nurses that save lives. They're the only nurses that are qualified to save lives. I guess no one ever dies from a heart attack, head bleeds, stroke or organ failure. There are GREAT nurses in every department. !!
Mar 20, '09Quote from NursesRmofunI must disagree with #2. I'm sure there are pts that just want to "listen to things that are not to be heard", but, in my experience as a pt (actually, my wife was the pt while she was pregnant), I went to the desk because we needed assistance with something or wanted some info. I realize that nurses are busy and time does seem to go by faster, but when you're waiting in that room for 15 minutes for the nurse to come for whatever reason, it can get annoying really fast. I know that I'll get a response faster if I wait patiently where I can be seen.Interesting answers. <scratching chin> I think #1 the biggest of pet peeves is when patients or their families think the smallest of things is very, very important and you should stop what you are doing immediately to do what they want. I know, they don't know any better and to them it IS important, but it still BUGS me. #2 has to be when the family or the patient stands at the desk and waits to either speak to you or the doc taking in any and all conversation. Of course, I always ask them to wait in their room, but I can usually see they dislike this and want to listen to things that are not to be heard. It is just annoying. That's my 2 cents. <g>
Mar 20, '09The parents who can afford iphones, incredibly long acrylic nails with art on them, cigarettes, expensive bags, etc, but not the copay medicare requires for their child's asthma inhaler, then ask if you can cover it, since "you're a nurse, you're rich." Um, not last time I checked!!
Mar 20, '09Professional nursing organizations that continue to squabble over "nursing issues" such as BSN entry to practice, instead of partnering with other professional organizations - such as Physicians for Human Rights - and raising nursing up there as caring about the wider world.
Any nurse who breaks the patients' or families' trust.
Nurses who act ditzy in front of other healthcare professionals.
Nurses who do not understand, or care to understand, the "why" behind the task
Nurses who are not open to research and professional development, such as pain med tolerance vs. addiction
Nurses who discuss patients or personal matters within earshot of the patient.
Nurses who let me get their lights because I cannot ignore what might be an emergency
Nurses who leave pills at the bedside and the patient doesn't take them, and then I find them later - 6 pills in the sheets - no clue what they are, everything is signed off as given.
Nurses who talk over A&O intubated/trached patients like they aren't there...
Ok, done for now
Mar 20, '09My son was admitted frequently to Children's Hospital Boston, and while I met A LOT of great nurses, I also met a decent amount of ignorant ones. My biggest pet peeve was having a nurse that did not listen to me. As a stay at home mother to my son, and the one that did all of his cares, I knew best. However, because I am young (22) they did not listen to me. For example, my son did not have "good" veins for blood draws and IVs...I would tell them that he needed the IV team to do all vein related things. (In just a 2 week visit he was stuck over 20 times...heartbreaking) They did not listen to me, and in the mean time my son had to suffer because of it. Also, one time my son had an IV in for a couple days recieving antibiotics. The IV was flushes frequently, and after a day he cried every time it was flushed (he was not doing this the previous day)...I told them to take the IV out bc there was clearly something wrong with it. She told me it was fine...and hours later it stopped working and my baby boys hand was swollen.
Mar 20, '09family member who constantly try to inform me of their "medical" backgrounds, attempt to use "medical" terminology, and constantly try to rationale everything that I do or don't do. This is usually continues until I ask if they have a "medical" background and they answer..."i looked it up on webmd..."
Mar 20, '09Quote from ccu nrscalm down....i'm smelling neg.nurse thatwill not answer a call light and just let it continue to beep, even if you look at them an say hey that is your room they say yeah i know s/he is always on the light i will get it in a little bit. which i will go answer, i usually just go answer them anyway but if that nurse is sitting there jabbering or even doing paper work , i guess i am old school but i still think pts come first!
Mar 20, '09Quote from ShamrockStrangers that find out you are a nurse and start asking medical questions AND expecting answers!
I got that all the time, but as a HHA! And then the pt or family would get ****** and asked where I was educated and why I could not give medical advice! Now as a MA, in a Cath Lab at a teaching hospital, we get alot of med. students who ask me medical questions that are beyond my reach and I so want to say "just because I wear doesnt meant I went to Med School!" Also I wear my AAMA pin and my Medical Assistant tac which is big enough for everyone to see!
Mar 20, '09Quote from NS_RNI know it can be frustrating to see patients suffer but some people don't believe that you should just roll over and die because you've passed a certain age. Me personally, I'm going out kicking and screaming..it's the principal of the thing.Full code patients who are terminally ill , have end stage disease or are over the age of 80!
My grandmother was in the hospital, and you would not believe the number of times they came to talk to her about DNR..she was sharp as a tack at 89 and was polite at first, and then told them where they could stick it when they persisted. Everyday, I see patients who are criminals, drug addicts, etc and their life is more valuable, why? Because they're young? Many of these people contribute zilch to society.
I just think just because someone is sick or old doesn't necessarily mean they are ready to die. It's one thing if the person is unable to make their own decisions and the family doesn't want to let them go. But, there are plenty of people who are with it mentally, and don't think advanced age automatically means you are less valuable.
I have a living will, even at 37..in it, I state I want everything done, unless I am brain dead. I also spelled out the fact that I am NOT willing to donate my organs.