Don't You Just Want To Scream? Don't You Just Want To Scream? - pg.3 | allnurses

Don't You Just Want To Scream? - page 4

I've had it with nurses not doing what they are supposed to do! There was an order to 'encourage fluids every shift and monitor intake on Caretracker" For 3 days the nurses signed off the order, but... Read More

  1. Visit  Illinurse2010 profile page
    2
    I don't feel I have any lack of use of my critical thinking skills when I send a Resident to the hospital at 4am for sats in low 80's, irregular heartbeat, and diminished lower lobe lung sounds. I may not get to fix them, but sending them out before they get real bad or die is enough for me.
    My only complaint about nurses in LTC are the ones just sitting around to get a paycheck. They don't do what they are supposed to do, help other nurses or CNA's, and they definitely don't do anything extra to make work more pleasant (stocking carts, cleaning, auditing lab sheets, calibrating accucheck meters-- in down time on nights) Some of them even brag about their ability to do "nothing"... I take a certain amount of pride in my work and it shows. I just wish I could come to work without all the undone things from the lazy ones making my night harder. I know sometimes things get crazy and some nights are bad, but its always the same people doing nothing.
    SE_BSN_RN and lindarn like this.
  2. Visit  whereisrebecca profile page
    2
    I totally agree with Polly, there are so many rules and regulation that it becomes counter productive. We are so consumed with legalities and repetative documentation that we loose time with pts. It especially bugs me when I have a question regarding pt. care people ask me "are they medi-care".......I am not treating the pts. insurance policy or payer, I AM TREATING THE PT!
    SE_BSN_RN and paddler like this.
  3. Visit  rnto? profile page
    0
    I'd really like a discussion about how to make nurses think. I took over as don in a facility where it seems no one knows anything. I've educated, I've put processes in place to streamline their work, I've yelled. I have some good staff, but there are some who just don't seem to want to take responsibility for their care.
  4. Visit  SE_BSN_RN profile page
    0
    Quote from rnto?
    I'd really like a discussion about how to make nurses think. I took over as don in a facility where it seems no one knows anything. I've educated, I've put processes in place to streamline their work, I've yelled. I have some good staff, but there are some who just don't seem to want to take responsibility for their care.
    I think it depends on your approach. If you come in yelling, expect crappy work. If your staff feels like they can't come to you, give suggestions on how to improve care, and are ignored, expect crappy work. Maybe its been the way of the facility for so long to do the thinking FOR the nurses, and they feel they aren't ALLOWED to think......my facility does this. We can't even have collaborative practice orders for simple things because someone has screwed it up too many times.
  5. Visit  rnto? profile page
    0
    Lvn2bsoon - I totally agree with you in theory. The thing is, though, that it doesn't seem to make a difference when I praise, give constructive advice, etc. That's where I get frustrated. I'm not talking about minimal errors here. I'm talking missing 2doses of phenobarbital because we didn't have a script for a pt admitted with seizures. It's patient's lives here, and staff have the same license I do. I'm frustrated, it's been a bad month.
  6. Visit  SE_BSN_RN profile page
    0
    Quote from rnto?
    Lvn2bsoon - I totally agree with you in theory. The thing is, though, that it doesn't seem to make a difference when I praise, give constructive advice, etc. That's where I get frustrated. I'm not talking about minimal errors here. I'm talking missing 2doses of phenobarbital because we didn't have a script for a pt admitted with seizures. It's patient's lives here, and staff have the same license I do. I'm frustrated, it's been a bad month.
    What's the protocol for a script? Does your facility have a number straight to the pharmacist for a VO so he can make sure the meds are sent without a script if it is a weekend? Did the pt come in from the hospital, and, if so, why didn't the ER send a script? Or was the med just not reordered in time? I'd go through pharmacy on that one.....

    I know its frustrating, but have you asked staff for input? What about corporate? Surely there is a nurse consultant who can come in and evaluate things. Did you just take over DON from being a floor nurse in the facility, or did you come from another facility? Does the staff know you well?

    I can only give you advice from my experience with working at an awful facility that has me thinking all LTC and all DON's are the same. I spent too much time being taken advantage of and walked on, and passed up for promotions....so if I come off as harsh, I don't mean to, but that may be how your staff sees you....but maybe something I mention (or someone else on here) may be something you haven't thought of....

    Have you had your state survey yet? If not, that may be adding to the stress and oversight.

Visit Our Sponsors
close
close