NURSING JUDGEMENT. - page 2
The other night I went to work (3-11) shift. I got report from dayshift nurse. I asked about a specific resident who had been on antibiotics for a UTI for a few weeks now, was told that she was OK,... Read More
Mar 27, '13You know, I'm really shocked at the amount of people who think that RNs have just never done any kind of bedbath or hygiene care, much less changed a dirty brief or ambulated a patient to the bathroom. Lol, I guess all we are is glorified techs if all we do is pass meds and change a few dressings! Of course, let's not forget all the time we spend sitting on our butts charting...ugh...I wish there would be a little more understanding of EACH OTHER'S roles. How about we stop talking about how much more work we do than each other and try to WORK TOGETHER?
Mar 28, '13well, I was an aide for 17 yrs before I went to.. so i know how hard they got it. If I know my aides are doing there job, I don't haggle them to do something. If I'm passing my meds and a resident needs to go to the bathroom. I will get them up and do it myself, cause in the amt of time it takes to find my aides and interrupt them putting someone to bed or while they are doing there rounds, i could have that resident in the bathroom and taken care of. It comes natural to me I guess to just go ahead and do that. what doesn't come so naturally to me is my nursing process, I guess in time and with more experience it will. I'm like a baby nurse. I'm learning thru trial and error as I go. I just wish my facility was better at mentorship than throwing around "it's your license!!" I have heard that a lot lately. (not just towards me) and It's really making me question if I still want a be a nurse. I've only had my lic for 6 months.
Mar 28, '13To be quite honest, the dayshift nurse may not have known about the change in condition. Many factors could have come into play; resident may have slept for a while that afternoon, dayshift nurses and aides may have simply been too busy to spend much of the afternoon in that residents' room... if your facility is as understaffed as many, then chances are good that truly no staff member got to spend as much time with that resident as they are supposed to. Furthermore, sometimes condition changes can come on very quickly. Anyway, you did do a very good job and you should be proud that you used your critical thinking and nursing judgement, so kudos to you. At the same time, be careful with having an attitude of "oh the dayshift nurse just ignored the situation and now she's covering her ass" because you don't know that for sure. When nurses make assumptions like that about each other, that fosters the cattiness that runs all too rampant in our business. Good luck!
Mar 29, '13Good job! I know exactly where your coming from, I to have used my nursing judgement and sent a gentleman out just the other day. The nurse I was working with said to me "your sending him out for a cough? you must like the extra paper work. They are just going to send him back...but you do whatever." Well I sent him out, and he was admitted with CHF exacerbation! He is also in the ICU. Sometimes us 'newer' nurses do know what we are doing! Keep up the great work and continue to use your judgement!