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

by CapeCodMermaid | 6,996 Views | 31 Comments

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 not one of them documented or... Read More


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    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.
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    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.


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