FLArn 9,949 Views
Joined: Jan 6, '02;
Posts: 532 (62% Liked)
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You're right; if you are being asked to pay for it, it's not a "gift." I wouldn't find it "insulting" (v. little that healthcare employers do surprises me anymore ), but I wouldn't be interested, either. I don't much care for the whole "Nurses' Week" celebration thing, anyway -- my attitude is, treat me like a valued employee the other 51 weeks of the year, and you can keep the cheesy mug and tote bag, thanks v. much.
That's what a lot of us nurses don't appreciate sometimes......physicians are often treated as badly by the "customer service" model of healthcare as we are, and the average doctor has no more power to fix this broken system than we do.
Like us, their time is also wasted on ridiculous exercises which make administration happy, but cut short the actual therapeutic time that used to be spent taking care of the patient.For example, every three months when I see my psychiatrist, he has to ask me about my blood sugars because I'm a diabetic who's taking a type of medication that can raise them pretty significantly. Then he has to "educate" me about the risks of taking the drug---something he knows I understand every bit as well as he does since we're both clinicians---and fill out a form that we both have to sign to prove that we've gone over the material.
Now you know this obviously had to have come from some "unsatisfied customer" who developed diabetes while taking one of these meds and claimed the doctor never informed him/her of the risks. In the meantime, it's cutting into MY 50 minutes for therapy and med management, which makes ME an "unsatisfied customer". The difference is, I don't blame my doctor for it.....he's only doing what he has to do, just like we nurses do. And while he may not have to serve Coke to the fifteen family members in one patient's room, he does have to put up with verbal abuse and threats of violence and lawsuits, and there's nothing he can do about it. (Which is why he's going back to private practice.)
Good article. Thanks for sharing it.
You sound like a great charge nurse! Of course no one ever likes an admit, but having help makes it so much better! As does not whining about it.
Wow. You essentially do everything for an admission. Assess, hook-up, medicate if needed is about the only thing the care nurse has to do. Not sure there's any room for moaning about that!! And If you have CNA's and you turning and repositioning q2hours, then the only other thing left is to medicate and treatments.
Perhaps it is just the "thought" of an admission? I agree--it is a gift that a charge does all this, so lets just get er done already.
My answer would be a slow code is NEVER ethical, but is often humane and compassionate.
What makes a scary nurse: someone who assumes they know how to do everything, one who never asks questions, one who thinks they know all policy and procedures, one who tries to talk about things they have no clue about. I still ask questions and constantly learning. No one knows everything
Learning how to properly provide personal care to patients IS a core skill for nursing.Any nurse worth her salt will not be afraid to roll up her sleeves and provide care when necessary.Assuming that you don't need to do so as a nurse is incorrect.I still bathe, toilet,clean up, feed patients and answer call bells as a nurse. Even the charge nurse on floor does this.ADLs are our responsibility ultimately.You can delegate to an aide but do not assume that because you are a nurse you are "above" wiping butts.You will learn and practice more skills in clinical but everyone starts with the basics.Plus if you end up somewhere with no aides you WILL be doing it yourself.Don't assume that because you are a nurse you don't have to do patient care.
Wow this is a systems issue....the more that is involve the higher the chance of a mishandling information. 2 computer systems that don't talk and one you can't access at the bedside to verify orders????
A recipe for disaster.
Since you received the patient from OR, already on the drip, then you HAD an order; it simply needed to be written or placed in the computer. Sometimes I think our computer charting makes it easier to make mistakes. Before computer orders, we walked around with the doctor and wrote down orders as he/she talked. I have worked with doctors who never wrote anything, they expected you to listen to them and write the orders. It is ridiculous that you can't access computer orders in the recovery bay; you probably would have noticed the neo was not there, and could have rectified it.
I have had pts with them and we continued with it until they could not tolerate the food.
I feel very badly for your patient. No matter how many of his synapses weren't firing, he definitely did not deserve to be viewed as the "comic relief" for a bunch of hospital employees. Can't believe that not one nurse in the bunch didn't object to this scenario.
I'm also quite disturbed to see from previous postings that you're a clinical instructor?? I hope you will learn from the first few responses to this thread which no doubt were NOT what you expected.
Just a guess, but maybe the new person is getting the hours because they cost the least to the owners as far as hourly pay.
I wouldn't put an NGT in a person with known varices...if a doc puts in that order, he can do it himself. That whole scenario makes me shudder. What a gruesome way to die...
There are studies that show that cancer patients with pain are frequently undertreated precisely because of the type of behavior you described...health care professionals that are ignorant about appropriate pain management protocols.
Thank you for treating your patient and not your own biases about opiates (as too many professionals do).
Oncology pain is nothing to screw with.
I used to **** off the upper management by giving my patients dilaudid (when ordered, of course) because a lot of them knew that was the only thing that adequately controlled their pain and that in order to stay in control, they needed the dilaudid even at a 4/10 pain. Management would get in a tizzy over over-medicating patients (never happened) and try to take it out on my immediate supervisor. "Oh, JCAHO won't like this! You're going to have to reeducate your nurses!" Yeah, sure.
All the while, the patient dying of bone cancer was resting peacefully.
I sleep well at night.
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