Content That LadysSolo Likes

Content That LadysSolo Likes

LadysSolo 4,057 Views

Joined Dec 17, '06. Posts: 164 (71% Liked) Likes: 407

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  • Jun 22

    "Patient calling out of room, repeatedly, for nurse. Upon looking in on patient, found patient in no distress, lying quietly in bed. Upon physically walking into room and engaging patient, patient began to writhe in bed, screaming, and demanding 'something better than toradol!'" Patient is a drama llama, also should get 4 cc's of NorSal, fast push or titrated to nurse comfort.

  • May 21

    Quote from lnvitale
    I guess sexual assault is hilarious to some people.
    Oh, come on!!!

  • Apr 27

    Quote from Altra
    Emotional intelligence, or the lack of it, is not the reason that Nurse Amanda's manager is extremely unlikely to offer to cover 4 hours of a shift on a Sunday morning.

    I believe you are attempting to describe the role of what is currently buzz-termed "EQ" in assertive, effective communication skills. But tangentially connecting it to solving staffing shortages by having the manager/director work staff shifts ... is not particularly helpful.
    If the OP's goal was to educate bedside nurses on the role of EQ in improving our lot, perhaps a more realistic scenario would have been helpful. The scenario used was so unrealistic as to render the entire post laughable rather than to provide useful nuggets for reflection. It only served to remind us that the nurses who write about topics such as this are so disconnected from the actual job of working the bedside as to have no idea how to help us problem solve.

    The problem as defined seems to be that Amanda says "yes" to overtime without bothering to think about her own needs first, and then is exhausted both mentally and physically. Perhaps the more emotionally intelligent answer would have been to have Amanda think ahead about the family event she wishes to attend this weekend and negotiate with her manager for the time off rather than just working the overtime. A manager who is desperate to cover Monday's night shift may be willing to give Amanda time off on the weekend, knowing that she still has five days to find coverage for that weekend shift. Or perhaps Amanda could have negotiated with co-workers to cover that weekend shift in exchange for another date down the line. The OP's decision to "solve the problem" by having the manager work four hours so Amanda can "sleep in" is so far off the mark that the rest of the article seems silly.

    Perhaps the original poster needs to spend some time in the trenches before seeking to advise those of us who work the bedside. Or at least make the effort to define and solve the problems in a way that is meaningful and makes sense.

  • Mar 27

    Quote from Roy Hanson
    aw babygirl! you are acting as that! Your post about being ignorant about Alz is rude. Open your eyes AND your mind. ALZ is a cruel progressive/degrading disease. At this point, you need to educate yourself beyond the internet. There are way to cope, but like most families, ignorance is bliss and sometimes profitable.
    Are you kidding me, Roy Hanson? Did you not read that we have lived through this as caregivers and nurses???? Your responses are RUDE, dismissive and ignorant. So, what is YOUR experience with Alzheimer's, and how many of your 25 years have you taken CARE of the Alz pt ? How did your bad attitude work for that pt? What did you do for them? My guess is that you just treated them as an annoyance or ignored them? It sounds like YOU need to get an education. Go volunteer. I dare you.

  • Mar 26

    Thank you for sharing this! I care for my grandmother with Alzheimer's and it is refreshing to hear from people who are going through or have gone through this terrible disease. As a new RN, I feel that a lot of my education has allowed me to give her the proper care she needs and better manage her care. However, it sometimes feels so overwhelming, I feel that my moods are just as labile as hers sometimes. At the end of the day though, seeing her smile is what makes me want to do everything I can to give her the highest quality of life. And to Roy Hanson, how dare you tell people who are sharing their person experiences with Alzheimer's to "Study Up" and "Not Pamper them". Like LadySolo mentioned, trying telling someone who has NO IDEA that they are confused and have ALZ that "this apartment is the same apartment that you have been living in for the past 30 years"... it doesn't get more direct than that but yet each time you get the same answer, "Why are you doing this to me, I want to go home!" You don't have the first clue what Alz is, I don't care wether your an RN or an MD. My grandmother soothed me when I was ill, raised me when both parents were away at work, and loved me and my brother uncondonitionally... if it weren't for financial constraints that restrict us she would be getting the best care possible. For now I can only do the best I can with what I have and "pamper" and love her the way she "pampered" and loved me.

  • Mar 26

    "With that said, ASK the ALZ patient, what ARE they confused about. Stop pampering them. Often the confusion can be easily solved, by asking. If they tell you, about someone that died 20 years ago, give me a rational answer. Be creative, and your ALZ Patient and their family will be able to cope."

    You cannot be serious with this post. You are completely ignorant of this disease. I've been working with this population for over 10 years.

  • Mar 12

    I don't tell my mechanic how to fix my car. Sure I have some knowledge and I change my own oil but I've never done a cylinder compression test or a full engine swap (though I would love to learn!). I don't think it is rude to have a statement like that, infact I think its more rude when I have patients/family/friends coming in and acting like they know what they heck is going on when they have no clue. We call them Google MD's. While they might be able to swap an engine, they do not know how to take care of a DKA patient or manage an acute larygospams in a child. To each there own. Leave the ego at the door, leave google at the door, and let everyone do what they are here to do, provide you with the service you showed up for!

  • Mar 12

    Interesting perspective. I see it as a "poke" at the patients and families, who come in with a litany of requests for meds ie the "purple pill" because I know I have XYZ. Right or wrong, I think it is a light hearted attempt to remind folks that indiscriminate"googling" can have very negative outcomes. There are those who think every sign or symptom is a death sentence and those who ignore the REALLY BIG things, 'cause- you know, they read it on Facebook, Pinterest, Twitter etc.

    I don't think it is specifically aimed at the MD/RN/PT/OT etc relationships in the hospital/medical arena.

  • Feb 20

    I am pretty empathetic.
    But some days family and interested others should be grateful that I have run out of places to hide bodies and the bears are asleep.

  • Feb 6

    Husband says it's a turd honking for the right of way.

  • Feb 6

    The operative term in "nurse-leader" or "nurse manager" is nurse. I really don't see how one can effectively lead a team of nurses without having been on a team of nurses.

    Consider some real-life issues nurses face:

    Skeleton staffing. Med-surg nurse already has 6 very sick patients and is then given an admission. Nurses are so busy that it's difficult if not impossible to get a proper meal break. Or if they do, it means that they will be staying late (incurring OT) to chart because they spent 1/2 hour of their shift eating and putting feet up. Every nurse on your unit is swamped, and need the manager to step in -- this is an allusion I've made before, but nurses not needing a boy king, but needing Earnest Shackleton (you can Google his story if you're not familiar with it, to learn how his leadership style contrasted with a boy king's.) What do you do?

    Difficult families. The type who nobody can please and has resorted to verbally abusing staff, or even threatening staff. What do you do?

    Similarly difficult patients who manipulate and will complain about everything. Maybe the nurse didn't ask "how high" when said pt said "Jump," because the demand to "jump" does not align with best practices. But the satisfaction survey, oh the SATISFACTION SURVEY!!! What do you do?

    Self-important MDs who think the RN is there to help them, not the pt? Maybe who resorts to toddler tantrum behavior? What do you do?

    How do you decide which nurses are the best candidates to hire for the floor, if you don't know what it takes to be a nurse on the floor?

    I could go on all day.

    Just because a school agrees to confer a master's degree to someone who hasn't even been a novice, doesn't make it a good idea. In my experienced opinion. I really do think the hoop you NEED to jump through is time in the trenches where you hope to be a leader.

    ETA: I really don't mean to sound nasty. It's just that like many (most?) brand-new nurses and students -- of which you are both -- you haven't been around enough to know what you don't know. There's no shame in that; it's just how it is.

  • Feb 6

    One time when I was still in pre-nursing classes I got a horrible case of gas during chemistry lab. It was all I could do to hold it in until the class was over. So I made it outside to the courtyard and since no one was around (or so I thought), I let a "test fart" sneak out just to relieve the pressure until I could get to the car. Unfortunately, it was more explosive than I expected and it rang out like a shot, echoing throughout the courtyard.

    That's when I noticed the two people standing in the corridor of the top floor of the building, laughing hysterically. Suffice it to say that I ran for the car, putt-putting every step of the way, and sat there letting the gassss esssscape for something like 20 minutes.

  • Jan 30

    Here is what I will say about this posting and nothing else. Far too many nurses whine, moan, and complain about their work situation. We all need to realize that we are a "highly valuable" commodity and begin to act like it. If your facility doesn't fit your needs, go somewhere else. if you are an excellent nurse with good skills and abilities you can go almost anywhere and work. If you don't like the atmosphere in your facility leave and find one that has an atmosphere you do like. Don't threaten to leave...just leave and find work elsewhere. I am a travel nurse and can unequivocally tell you that there are hospital based nursing jobs everywhere in every state in the union. If we voted with our feet, more and more places would be far less likely to try to push us around. Many in managerial positions would be extremely hard pressed to fill our shoes if push comes to shove and know it whether they would admit it or not. We all have reasons why we can't, won't or shouldn't move or look for that elusive "other job" but the fact is we would do more for nursing and nurse by doing so then allowing facilities to play games with our heads about how "altruistic" their values are and how much patients mean to them. We let them push us into corners by believing their lies about "we care about you and our patients" when in fact CEO's CNO's, CFO's and the like make triple what we do and only care about HCAP scores because they translate into how much reimbursement the facility receives. Stop pretending we are different than them, we all work for money and while we do care about patients and helping others if the pay was not there neither would we be. If you want to help you patients in the long run stop letting yourselves be run over by management. Stand up and say NO, I will take my skills and abilities and go somewhere else. If the small little hometown hospitals knew we would not tolerate it, and we would stop taking their guff and come in anyway it would be immensely better for us all. Staffing ratios would be better, patient outcomes would be better, and nurse satisfaction would be better as well. I would far rather work for a place that was honest with me and others about why we are there... i.e. making money then all the namby pamby we are caring for others. To the original poster I do think it's incredibly unfair for you to have a check that is short when you clearly tried to make it in,but do something more then whine and look for commiseration on a message board for nurses. Go find a new job and tell them why you are leaving, let the cost of having to train a new nurse eat into their facility bottom line and maybe help change things for nurses who will follow after you there. Trust me I have worked staff positions as well as travel assignments and know the power of leaving when you let them know. It won't get your PTO at that moment but it can help stem the tide of poor nurse treatment. I'll leave you all with one thought which I was told a long long time ago...Patients die despite our very best efforts and patients live despite our very worst efforts. We can and do make a difference but life and death isn't anymore in our hands then it is the arrogant, self centered surgeons or "name your Physician here" who believes it does. Stop all the bull about sharing and caring and holding hands to sing "Kumbaya" You are a professional nurse and lets stand up and insist we be treated as such rather than being ran over and treated like children who can't be trusted to know when to come in out of the rain. Physicians garner far more respect and proper treatment because they unequivocally refuse to be treated that way and so should we.

    I am sure several will jump on this and tell me I am a terrible nurse and person and do not belong in the profession but I do belong and will continue to also, but I will not coddle or pamper professionals who can't or won't stand up and be what we should be in today's healthcare world. So don't bother attacking me because I know the truth and you will only be wasting your time and fingers typing back. And I most certainly do not care to respond and engage in your tirades. For its senseless drivel like what I am most sure will spring forth from my comments that have allowed nursing to continue to be the only healthcare profession that remains bundled in the cost of the room in payment to the facility, OT, SLP, PT etc they bill for their services and can directly prove their value to a $ driven world called healthcare. We remain where we are because we have buried our head in the sand of "oh we are nurses and we care about the patient" So much so that we fail to document and give credit to what it is that we do. We have made our beds in which we lie, but I am just saying.."it doesn't have to be that way." Yet alas it does not come without a cost. I ask who is willing to join me to pay now so that the profession is improved and in the long run patients are truly cared for as they should be and can?

    I realize this thread is about Bad Weather - Hospitals couldn't care less... (edited for correctness) but honestly isn't it really about nurses being treated as professionals? Never gonna happen until we pull up our big boy/girl pants and play with the adults as adults rather than whiney children... (just my 2 cents!)

  • Jan 30

    The reasons that nurses are essential personnel are obvious. I wish, however, that they were not treated like cattle (in some hospitals) to meet their essential job duties. I don't live where there are many snowstorms, but I've lived in places with other weather events that we are told aren't excuses for missing work. I've heard stories (online and in person) of nurses sleeping on the floor, being woken up during their sleep to give their cot to a physician, being told they aren't allowed to sleep in empty patient rooms, eating from vending machines, having to book hotels just to ensure they make it to work, not having adequate shower facilities or linens/towels.

    I just feel like if I am SO essential, then the hospital should do what they can to facilitate having me there. Give me a meal voucher, give me a stipend to cover at least part of my lodging costs for my hotel that I had to stay at. Provide me a decent place to sleep so I can get real rest. If you need me to stay to keep your facility running, set aside some funds to facilitate keeping essential staff on hand.

    Maybe this is how some hospitals handle it, but I wish ALL did.

  • Jan 30

    Quote from JoseQuinones
    It is my considered opinion that we nurses need to grow up and stop considering ourselves saintly because we are expected to show up to work. The girl who runs the cash register at the 24/7 Walgreens has the same weird hours we do and does not get paid half what we do - certainly no PTO. She has no guarantee of 40 hours either; her shift changes constantly. Have you noticed how many 24/7 gas stations, Subways, McDonald's, and other minimum wage places are open to serve you as you huff and puff to your PTO-paid job? The days when only cops, firefighters, and medical personnel had to work weird days are over, people. We are blessed to have steady jobs that offer benefits.

    My wife speaks four languages fluently, has a Master's from an Ivy League, and scrapes here and there for a few associate-professor hours between several schools. A friend of mine has 13 hours per week between three different retail stores. Not worth the gas. Pretty much everyone we know is in the same boat. You truly don't know how hard it is out there for people outside the medical field.
    "A High Tide Lifts all Boats." (John F. Kennedy)
    I believe, it is great to have empathy for low paid workers. However, that does not mean we settle for crumbs. It means a nationwide "Fight for $15/hour." In addition, adjunct professors are now being organized into unions due to their pathetic wages.

    When you look at wages and working conditions in the US, it is clear the union nurse fares much better than the "right to work for peanuts" nurse.