Are you able to provide "ideal" nursing care for your patients? - page 2

by Anita_novice 1,842 Views | 12 Comments

I am curious how the reality of the kind of nursing care you can provide for your patients compares to the standards of care set up by your organization or that you learned in nursing school. Do you have any specific examples of... Read More


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    I have been an LPN for two years and I am now in RN school and I have always longed for more time with my patients. I work in long term care and I have thirty patients. By the time I do what needs to be done I have very little time for one on one care. If I see someone who needs a little extra attention I try to get back to give them some. I try to remeber that I am there to care for people, not to try to fix the broken computer or do miles and miles of paperwork.I wanted to help people feel better and it is hard to remain focused on the patients and not the crazy stuff that is in every facility.
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    Ideal care in nursing? Maybe in some places, let me know where you are so I can check myself in. Especially in need of pysch unit. My "macho" husband got kicked in the head by a horse, (thought he could tame him)- shud a known, he couldn't tame me. But anyway, he got pretty good treatment in the ER, but he was admitted overnite for observation. He was supposed to get neuro checks every hour. He got to the floor around 9 pm. (I told no one I was an RN). Do you know no one gave him a neuro check all night? I was there all night, doing my own checks on my husband, including B/P, etc. and just waited to see who would do the checks. Rarely, someone would open the door and close it. Pitiful, very pitiful. I am only telling my own personal experience, but I hear this everywhere now from friends and family, about poor nursing care. Maybe it's a Southern thing. Not too many people on this site from the south. (Florida doesn't count.)I would like responses from Arkansas, Alabama, Tennessee, Mississippi).
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    I have been employed in all aspects of long-term care. I started as a CNA in 1989, when I finished LPN school in 1995 I took a position as a relief charge/treatment nurse, when I got my ADN in 1998 I took a position as a Clinical Nurse Manager and quickly was promoted to Staff Development Coordinator. I train CNA's. I love what I do. It is very easy to fall into the old buzzword trap "burnout" to avoid this pitfall I ask myself daily--"What can the Staff Development Coordinator do to overcome what the staff will not do. Then I refer to a passage in Corinthians "precept upon precept line upon line, here a little there a little"
    that is how I make it through my day. I seem to fill many positions, somedays train staff, somedays pass drugs, somedays employee health nurse, some days CNA etc. I am concerned about the anticipated nursing shortage. At our home I developed a career path for CNA staff. The path is called CNA Specialist. It is a training program for a mentor. This has helped me to feel pro-active. Administration approved this program because in the "Power Point" plan I presented I spit their help wanted ad back out at them--progressive environment-- Our CNA Specialist upon completion of this program earn $1.00 more per hour. They assist newly trained CNA staff to get their 'groove on' and do interpersonal review with the CNA's so we know what areas of dissatisfaction exist and I am able to address their thoughts and feelings. It has helped. I am in the process of developing another career path for CNA's I will call it the "Hydrotherapy Team" I think I can sell it to Administration because if they allow this team to function there will never be an inhouse aquired decubitus without full awareness of the staff and immediate attention. Also there will never be an inhouse contracture without immediate PT/OT intervention and we can possibly drive the "part B" reimbursement up. We have a restorative CNA department who will be free as a result of this new path I'm planning to implement more restorative dining interventions and more aggressive ambulation programs. I have seen many hard days in LTC in my career, but I love Geriatrics and staying pro-active has helped me stay in the field. It is sad to hear so many new nurses feel so disappointed. In long-term care you must look for the small rewards! GET PROACTIVE!


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