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Sleepless In Canada 2,130 Views

Joined: Jan 22, '06; Posts: 9 (33% Liked) ; Likes: 4

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  • Aug 9 '10

    Dear patients,

    Your call-light is like the magical lamp in the Disney movie Aladdin only get three wishes. In this case you only get 3 times to use the call light per 12-hour nurse's shift. Please choose your times appropriately and for real serious issues only. In an effort to maintain the mental sanity of the nurse caring for you, your call light might need to be removed if you abuse the right of having one.

    If only life could work like that, hehehehe!

  • Sep 2 '09

    Quote from csw5048
    sorry, but i am an old school nurse. the "customer service" that you described, backrubs, nourishments, etc, were what we called nursing! yes, nursing is much more high tech today and there are much fewer staff for the number of patients. but that doesn't mean our patients don't deserve the best care we can give them. ( i do agree that the homemade cookies are a little overboard). when you say you just want to "do your job and go home." i wonder what your job consists of in your opinion? is it just giving meds and doing the assessments? or does it include the moral support, education, encouragment of each patient. sorry, but it seems to me that maybe a career change may be just what the doctor ordered for you. i am a firm believer that if you are not happy with what you are doing, find something to do that does make you happy. good luck and god bless!
    i'm an "old school" nurse, too. i've been at the bedside continuously since 1977 -- i remember back rubs, nourishment, etc. for the patient. these days, "customer service" means fetching a latte for the family member while simultaneously coding the patient next door, passing out blankets and diet cokes to all 8 members of the extended family camping out at the bedside and fielding threats and physical violence on the one hand while smiling and and being friendly to the same visitor who was waving a gun in your face mere hours ago.

    i'm thinking that perhaps you've been away from the bedside for awhile and you're perhaps a bit out of touch with what "customer service" means these days. at any rate, you were unduly harsh to those of us who believe our job consists of "patient care," not "customer service."

  • Sep 2 '09

    1) If you yell "HELP!" one. more. time. without a really, really, REALLY good reason for it, I am going to come down there, shut the door, and give you a good dose of pillow therapy.

    2) Sure, go ahead and sign out AMA. It's your choice. Just a reminder, though: if you leave, your insurance won't pay for your stay. Better yet, you won't be my responsibility anymore.........and believe me, I won't miss you.

    3) I don't give a rodent's rump that you're related to the hospital administrator! The AMI patient down the hall who just went into V-tach needs me more than you need another blanket.

    4) Thank you for asking me to check out your grandchildrens' photos, but I have a strict policy of never touching patients' wallets, and frankly, I don't have the time to breathe, let alone stand here looking at pictures of people I don't even know.

    5) Yanno, when MY doctor prescribes water pills, I take them no matter how much I hate having to pee every 20 minutes. That's why I'm not in here for CHF, and you are.

    6) No, "Mamma" is NOT going to get better, and if I were in her shoes, I'd haunt you for the rest of your days for keeping me 'alive' on a ventilator with my wrists tied down so I don't yank on the tubes coming out of my every orifice. She's had two major strokes and an MI, she's full of osteoporosis, and she has an advanced directive saying she didn't want any heroic measures if she ever got into a situation like this. What part of 'Do Not Resuscitate' don't you understand?

    7) Please don't come to the ER for a sore throat that you've had for two weeks, demand refills on your soda pop every five minutes, and then complain loudly to your companion about the "lousy service" you're getting.

    8) Yes, I have seen something like that before. In fact, I've seen things you can't even imagine that are a whole lot worse.

    9) It is NOT my job to: answer your phone/find you some napkins/take out your trash/send out for pizza/pick up after your visitors/run a message to your friend down the hall/go to the kitchen to fetch a tray for your brother/cater to your every whim. (I've done all these things and more for my patients; it's just not what I was educated and trained for, and you need to know that.)

    10) I apologize for my cynicism, but experience has taught me that multiplying the number of drinks/pills/hits you admit to having taken by three or more tends to give me a more accurate picture of what's really going on with you.

    11) I'm actually a very kind, compassionate, caring individual, but some folks make me wonder if God made man NOT in His own image, but so that skunks wouldn't think they've been given a dirty deal.

    Have a nice day...........

    Your Nurse

  • Aug 21 '09

    I was in your position several yrs ago I helped my tech by taking her down to HR every time evil nurse would attack her We also had a noncompliant manager as well. We started a paper trail that could not be ignored. and we also encougaraged everyone else to write anything this nurse did to the tech that they actually witnessed. Our tech was a delight too always at work always cheerful always did her job and more if she could. I don't know why evil nurse would chew up techs and spit them out. techs would always quit after just a few months We finally just got tired of that nurses behavior and did not want to lose such a good tech. Be her advocate and take her under your wing. We lost our tech because she went to nursing school after working with us for 6 yrs. I hear she is an outstanding nurse. HR can't ignor several complaints esp when you threaten EOCC. And EOCC won't ignore many complaints either.

  • Aug 19 '09

    [quote=BabyLady;3810651]I'm sorry, I totally, 100% disagree with you.

    Many people that have ONLY worked nursing as a career, and have never worked another job, don't really understand, nor comprehend, that there is not a job on the planet, where there is no customer service aspect to the job.

    The problem is not with nurses not understanding the concept of customer service, it is with the priority placed on the much needed service. Each person posting here understands the need for pleasing the client/patient. It is more that we know it is not the promary reason people are in the hospital. That need is reserved for the requirement of advanced nursing skills, not menu planning and errand running.

    Would you truly understand if you were crashing, my explanation that I could not come to your assistance because I was baking cookies so another patient would understand my compassion and feel more at home? What if it was your mother? father? sister? etc?

    Many times I have had to apologize to a patient for not meeting their immediate need for pillow-fluffing because I was in a Code situation. A very large part of nursing has been and always will be priority setting. My priority is your health and recovery, as it should be.

  • Aug 17 '09

    I've worked with one CNA that was dubbed "The CNA from Hell." For some reason, when I took the job on her unit, she took a liking to me. Because I judge people by the way they treat me, not hearsay, I gave her the benefit of the doubt, even though I was ostracized for it.

    Then one day we went to lunch together & she opened up to me, telling me all her dirty little any time she has to give a bath to a patient that appears to be unconscious, she rolls them over, straightens the sheets, powders their behinds & then settles in for her favorite afternoon soap.

    I've never been so disappointed in a human being in my entire life. I notified our DON, she planted a patient that fit the bill & sure enough, talcum powder & straightened sheets, that was it.
    She spent 34 minutes on her cell phone & watched All My Children.

    After she was fired, she threatened to have me killed & filed a discrimination law suit against the facility. Seriously, they had to drag her from the building kicking & screaming.

    That said, she's the only CNA I've ever had less than the utmost respect for, and I respected her until she gave me reason not to.

  • May 13 '09

    First, your ER should have a standardized length of orientation and it should definitely be more for the new grad RN. An orientation of 6-16 weeks is the norm, depending on your particular ER, number of visits and trauma level. Some things you want to accomplish while on orientation:

    1. Notice the climate of the ER? Is this a fast-paced, 75,000 visits/year level one trauma center with 30 nurses on duty at all times or is it a community based ER with 23,000 visits/year and all traumas, AMIs, sick kids are turfed out or is it a rural Critical Access Hospital where there is just one RN on duty in the ER and your help comes in the form of the nursing supervisor?

    2. Learn the basics first, then proceed to the more complex tasks. Basic tasks include learning how to operate the computer or learning the charting system, where are supplies kept, do you have the passwords needed to access supplies and meds if an automated system is used.

    Familiarize yourself with the lay of the land: where is the charge nurse, do you reach her by cell phone, pager or yelling across the room?

    What type of system is used for room assignments? Team or individual approach?

    3. Next, every ER has protocols on which to base your care. These are pre-approved treatment modalities for different symptoms. For instance, you have a middle-aged male who presents with CP, you would automatically place the pt on a monitor, provide oxygen at 2L/NC, give ASA 324mg and of course obtain an EKG. There is often a time limit for these interventions.

    You won't need to memorize these protocols but as you go thru your orientation, you will start to learn them and they will become second nature.

    4. As you get further into your orientation, start to scope out your fellow nurses: who do you admire, get along with exceptionally well or want to emulate?

    Approach them to help with mentoring. Your orientation will zoom by and soon you will be on your own and it is imporant to always have someone in your corner.

    5. And...finally, relax and enjoy the ride!

  • May 13 '09

    Quote from kwkrnc
    Ok, again I believe this has been asked and answered though some of the answers were not in your or anyone elses best interest. So, may I sugget this get closed out. We have some very real issues in nursing and health care that impact everyone and the entire system. I think it is time to turn to more important issues.
    Quote from Mrs.NurseAssistant
    I agree this has been resolved lets move on , congrats on the job!!!!!
    If you don't like the show, change the channel.

  • Apr 16 '09

    Quote from MIcrunchyRN
    I just wanted to quote you. I think your is right on.

    As someone who has gone thru the experience of the abortion "process", its heart renching. Its a hugely personal decison that no matter what someone will always says. Its not something any woman I know has entered into lightly. If you talk about your experience then people look down upon you or judge you for your decision...without knowing what went into it.

    I agree with other posters that the pre-abortion u/s is for saftey of the mother as well as to help encourage others to change their minds. They need to be aware in advance of ectopic pregnancies as well as potentially any physical abnormalities of the mother. (Abnormalties with shape and uteruses having septums can be fairly common). I believe no techs who are performing these u/s are describing a "cute little baby" as many describe. I believe they are required to say how far gestation, if a fetal pole or body is present depending on how far along and if there is a heart beat or if its in the uterus.

    I am thankful during my pre-abortion ultrasound we found out I had already lost the baby, just hadn't gone thru the physical process of miscarriage. A week later I did on my own.. but I still feel I had an abortion because it was the choice I made and the choice I was going to go thru with anyways.

    I hope many can learn to not be judgemental of other's choices because you've never walked in that person's shoes. You never will have to and to take that right to choose away from women will majorly be taking women's rights backwards in our country and make abortions unsafe. (Because they will still happen)
    thank you for your post.

    i too, have been through the abortion process. i had a pregnancy after rape and i was not and probably still am not strong enough to have a child conceived that way. nothing i am proud of. it haunts me. every day of my life.

    i remember the u/s tech telling me "its a boy". i jumped off the table and put my clothes on and left. i couldnt do it. i sat back down with the counselor. she was nonjudgement and wonderful. i sent her flowers after all was said and done, because she is a beautiful human being and her job is probably very difficult. she advised me on my options of adoption, help with raising the baby, etc. she also said to me, "can you look at this child everyday and see the man who did this to you?" and when i said "yes"... thats when i knew.

    i had to. i didnt want to resent that baby. he didnt deserve to come into a world conceived through hatred, with a mother who resented every day of her pregnancy. sometimes i wished i would have taken my chances. but i was scared to death, 17 and pregnant from a date rape. i did it. i aborted my pregnancy.

    i quietly remember the due date each year. it hurts me more than i can even explain. you can say that, it was your choice, you could have kept it, someone would have loved him. i loved him. i still do.

  • Apr 16 '09

    I work a busy Med-Surg unit normally but last night I was sent to CCU. Talk about being a fish out of her tank...LOL. Anyway I had a GI bleed pt which for me is second nature, but then they asked me what should have been a simple question, I later found citical thinking is truley my friend.
    "Why do I have to drink this when every time I pass stool it is nothing but blood, is the doctor trying to make me bleed to death?"
    After a long discussion and some re-assurance that the doctor's goal was only to prepare for a colonscopy my patient did begin the prep. They were on hemogram draws every six hours so when lab came I requested they wait until after a few BM's. Before the start of the prep the Hgb was 11.7 after two BM' s I called lab, results showed the hemoglobin went to 9.5, I had to notifiy the MD, thank goodness I asked lab to come back or there wouldnt have been a way to catch the drop, the next blood draw would have been long after the prep started working. Anyway the patient received 2 units PRBC' s and they were fine, but then I had to hear "I told you the doctor is trying to kill me" for fifteen minutes.
    I know that it is important for the colon to be clear, but I also understand why my patient with a GI-Bleed was scared to start the GoLytely prep. My patient finished the prep, had tons of stool so I hope they did well through the night. It was my first time in CCU. I have only been an RN since July of 2008, but it was one of those rare nights when I felt confident as a nurse. Even though I was the fish out of its bowl.
    Just sharing my experience, have a great day everyone.

  • Apr 16 '09

    Quote from truern

    The circle of life is such an amazing journey...we meet the most wonderful people and share the most intimate things with them.
    Isn't that the truth? I think as nurses, we are privy to so many special moments in peoples' lives that most folks outside our profession never get to see. It takes time to learn to appreciate it---and sometimes it really, really hurts!---but we are indeed blessed to be with patients in some of their best times, as well as their worst.

  • Apr 16 '09

    Quote from VivaLasViejas
    Well, they say the Lord never gives us more than we can handle. But like Mother Teresa said once, sometimes I wish he didn't trust me so much.

    Thank you for thinking of and praying for my dear lady and me. I don't think I'm especially gifted in the courage department---I'm afraid every day of my life!---but I appreciate your comments.
    Aw, now you know...Courage is not the quality of being unafraid, it is the quality of being scared to death and still not turning away from doing the right thing! Clearly, you have much more than you suspect : )

    We are so, so, so lucky to be nurses so that we can train in such qualities. I am with you though, so often I wish the training was easier!

  • Apr 16 '09

    Some days, it's just not worth chewing through the restraints.......

    I am a seasoned long-term care nurse. I deal with life and death matters all the time. My voice is often the last one a patient hears, and my hand the last human touch he or she feels. It's OK most of the time, that's why I was built strong enough to handle the load, and for the most part I feel blessed to have been given the privilege of providing solace and comfort to a soul preparing to leave this earth.

    But there are times, like now, when the burden becomes a bit heavy and my shoulders literally ache under the weight of it. We've lost so many residents this winter to pneumonia and other diseases of the age; on my unit and my shift alone, no fewer than eleven have passed on since November. Since we have several hospice beds on my floor, this is not a shocking statistic, but since I'm on a first-name basis with the local funeral homes........well, you get the picture.

    But now it's become personal. A very dear lady from the assisted living facility where I worked for 2 1/2 years has checked into one of my hospice beds with a gangrenous left leg; this woman is not only my patient, but my friend and colleague (she is a registered nurse with over 50 years' experience). She told me she "just couldn't do this any more" after undergoing a BKA of the right leg four years ago, suffering a stroke two years ago, and bouncing back and forth between the hospital and the nursing home for most of the time after that. She's been through she wants to let nature take its course, and to be kept comfortable until it does.

    I understand that; in fact, I support her decision, and would in all likelihood make the same one if I were in her place. I'm only fifty, but like my friend, I've lived a satisfying life, and I have few regrets---why on earth would I want to prolong the inevitable and suffer excruciating pain while doing it?

    Still, this is harder for me in some ways than all the previous resident/patient dying processes ever were. I'm seeing this woman whom I love and admire slip away a little more every day. I'm watching her become increasingly somnolent and confused. I'm changing her dressings every night and seeing the relentless progress of her disease. I look in her eyes, and I know that even in her Dilaudid haze she knows the truth, though her family is still holding out hope for a miracle. I don't know what to do with all of the emotion that's simmering just under my calm exterior. Some nights I wish I could just run out of the room and cry until there are no tears left.

    Now, being a spiritual person, I imagine that there is a lesson in all of this, some nugget of wisdom I'm supposed to glean from witnessing this slow, painful process. I also have to presume there is another one in the shocking, unexpected death of another woman I cared for during a two-month period, a relatively young patient who'd broken her ankle, been admitted for therapies, and gone home just a couple of weeks ago. In fact, she called me just last week to let me know that she was finally walking again and that she'd come visit me at work as soon as she got the doctor to release her to drive again. She reportedly had felt "bad" early yesterday morning and called her home health aide to take her to the ER, then collapsed in the parking lot and died before they could get to her. A bowel obstruction, the ER physician said..........Tell me, how does a 62-year-old die from a bowel obstruction in the year 2009? She hadn't had any bowel problems at all when she was in the NH, and all of a sudden she's dead?! Surely, doctor, you must be joking.

    But no, it's a sad reality, and I'll be attending her funeral Saturday morning. This is not my idea of a good time, but I'll be there.......just as I'll be at Eva's services when that time comes, no matter how difficult it may be to say good-bye. Part of me hopes she passes on someone else's shift; but then, if it happens on my watch, I know she'll have received the best of care. I owe her nothing less. And I pray the end comes soon, for her sake: she has indeed suffered enough pain and disfigurement for one lifetime.

    As every nurse who ever lived knows, these are the times that make one wonder what s/he was thinking when s/he decided to enter this profession. I could have done without this sort of heartache. I could have gone the rest of my days without understanding that death is not just at the end of life, it is all through it. But then again, helping people and families through this transition may be exactly what I was made for, and it may be why I'm always able to hold it together somehow, even when my heart is breaking. I only hope that someday God will explain it to me.

  • Apr 16 '09

    Thank you for this.

    As I spend more and more time with the dying these days, I am becoming increasingly convinced that those who are set free from the bonds of earth are indeed the fortunate ones. It's not that I'm in a hurry to leave life myself, but when I see the utter peace on the face of a person who has lived well and then passed on in as much comfort as I could provide him or her, I know that there is nothing to be feared in death.

    Losing a loved one is hard on those of us left behind, because we miss that person's physical presence in our lives. But I am certain that death is not the end; it's merely a passage from one plane of existence to another.

    There is a short essay on this topic that I love; I can't recall who wrote it or what the name of it is, but it speaks of standing on the shore waving good-bye to a ship whose appearance diminishes in our eyes the farther away it sails........we say, "There she goes". But on the other side of the horizon, the ship appears in all the same glory that it did on our side, and a joyful crowd takes up the cry, "Here she comes!" And that, says the author, is dying.

  • Apr 16 '09

    Quote from nerdtonurse?
    You'll never know what good may come from your post, what lives may be changed, what tired nurse may take a deep breath and find it in themselves to get up and do the next shift because of your words. A friend of mine once told me (when I was doing the "why is there evil in the world?" thing), that life is like a cross stitch where we just see the loose threads, the knots, the chaotic colors because we're looking at it from the underside. When we get to heaven, we see the topside, and can see the picture that was being stitched with our lives.

    You're a very, very bright thread in the picture. God bless.
    Wow.........I'm :imbar

    Thank you, you just made my week!!

    And that IS why I slog through life, trying to leave what few morsels of wisdom I've gleaned over half a century for someone else to find. I hope it really is like this---that someone who reads something I've written won't have to learn that particular life lesson like I did (the hard way), and at the end of the day I'll have made something better for another human being, even if no one but him or her ever notices.