Hygiene Queen, RN Guide 24,733 Views
Joined Sep 13, '07.
Posts: 2,369 (73% Liked)
Intervention is a must...KY jelly on the palms, stick a phone receiver in their scrub pocket - wake em up and tell there's a call for them, tape a sign on their back, or cotton balls, or a kerlix tail. Let your imagination be your guide.
A few weeks ago, the AN facebook page posted a meme of a nurse telling a patient, "Trust me. I can tell the pharmacist more about the medications he is giving you than he can."
I've been hesitant to add this because I totally respect some of the members who write these things and a few of the topics are interesting enough but I believe posts on a message board are and should be identified as nothing more than posts on a message board.
Elevating something to "Article" status adds credibility that has not been professionally vetted and the ones I have opened have been fairly light based on, if nothing else, the limited amount of space available. They seem to vary between an interesting commentary with a few relevant references and total self-serving grandstanding many of the latter which if I were a moderator I'd be tempted to censor rather than post with a fancy banner dignifying it as an "Article".
My ideal solution, so I don't get again bashed for just venting, is to select actual peer reviewed articles that are within the public realm and post a link to them in an effort to engage us in scholarly conversation. None of these topics are reinventing the wheel so why not utilize the actual comprehensive data that exists as a starting point?
YES. This is what gets me. Every. Single. Time.
I was working the second 8-hour shift of my double yesterday, and the second shift was on a different floor than my first was. I am a CNA. I received report from the outgoing CNA which was filled with "She is a nice lady" and "he is okay." (Not what I needed to know, but thank you). I find the supply room and all other rooms I will be needing, and start in on patient care for my section (was very heavy, 15 pts which most of were not independent).
As I'm coming down the hall, a nurse who I met briefly 20 minutes prior, asks me "Can I give you report?" In my mind my first reaction was "huh?" But of course I responded with a proper "Yes absolutely."
The nurse tells me which patients of mine are hers also, lays out their needs and all that needs to be done for them by me, important conditions and considerations, and exactly what she needed from me if out of the usual "routine."
This may sound strange to some of you that I've dedicated an entire post to something that only took this nurse <5 min to do, but it made a world of difference in the flow of my shift.
She was a seasoned nurse, very professional, serious yet kind, and a team player. I have had very great experiences with most of the nurses I have worked with, but none thus far have ever pulled me aside for a quick collaboration. I'm more used to getting called on my pager/phone throughout the day with piece by piece information or requests on patients. I understand nurses are very busy, I'm in nursing school and see more and more each day all of the things nurses need to do, to know, to see, to assess, to advocate for, to teach, to document, etc; But this really made for a smooth shift and facilitated great communication between the nurse and I.
Thank you for listening. (PS, I know if you're not a nurse yet your username is not supposed to contain nursing credentials in any fashion, but did not know this when I originally signed up and don't know how to change it).
I enjoy working as a nurse, I love being around patients and care for them; I like it because it is personable. But I also love being around nurses. I enjoy their presence because and I think of them as these wonderful caring human beings. I appreciate nurses because they feel comfortable in difficult situations and that says a lot to me. Compassionate and caring human beings are rare. But everything has a limit.
Because nurses handle important and difficult tasks they are expected to have great responsibility. If you recall what spider man’s uncle said in that movie “with great power comes great responsibility” then I’ll like to add - “with great responsibility comes great authority”. This authority will be put to work by employing - great prioritization, time management and critical thinking.
In other words: because nurses are required to handle great responsibility they also should have a great power of authority to rule their work life – but unfortunately this power is often neglected or denied to them.
Because nurses are amazing and able workers, they usually find a way out of most trying and challenging situations by simply powering through, always saying yes. Nurses will always find a way to complete their tasks. They stay after hours; they find a way to make ends meet, when there is lack of resources they compensate the system by overworking. This is all good but there is a high price to pay.
Nurses often lack the ability to draw the line between when they should sacrifice themselves, and whey they should simply say no.
Unfortunately, this super hero status is ingrained into nursing culture, so much so nurses need to learn how to get out and protect themselves. Self-preservation is also a form of health care; mothers should first protect themselves insuring they are safe so they will be there to take care of their children. A burned-out nurse is unsafe to patients, therefore defeating the whole purpose of nursing. All you should do is remember that day you were exhausted and how unsafe it was.
So, with that in mind I like to put forward the creation of a new program: just say no. Not angrily, not emotionally, but just say no. And to achieve the wonderful art of saying no, will take a lot of training and soul searching, so be patient. How you say no is also important. And I’ll leave that to your own nursing creativity. If you don’t know how to say no properly it could get you fired so be careful.
Say no to abusive patients
Patients at times can be manipulative; aggressive; disrespectful; vindictive; unfriendly and several other undesirable things at the same time. When a patient tries to abuse you, just say no. Let them know in known and certain terms that you’ll not tolerate any of it. Let them know that you are not their personal servant. If they threaten you by saying they will report you to the state, just say that likewise you’ll now have to stop giving him/her care because you’ll be busy writing a detailed report regarding his behavior. (no don’t say anything, just write the darn note). As a nurse, you must learn to protect yourself by saying no.
Say no to abusive staff
Confront your bullies; every workplace has one. Medical staff can be abusive and aggressive because everyone is under so much stress (or other reasons you might never know). But some individuals take aggression to a whole new level. They get pleasure seeing others fail. Special targets are the new nurses. Just say no. Report bullies immediate, confront them and if they happen to be your boss, do the same. If you end up being fired you just did yourself a favor, no one deserve to work in toxic environments.
Say no to unsafe assignments
Just like your patients, nurses also have the right to refuse treatment; that is to give medication or do anything he/she deem to be an unsafe assignment. New nurses are unaware of this. They think that any job given to them is an non refutable order. Think it through, if something is unsafe just don’t sign up for it. You’ll never get into too much trouble by not taking an assignment specially when there is a reason; but you’ll get into big trouble if you make a mistake or an error. Remember, nurses cannot fail so just say no.
Say no to being pushed into burnout mode
Sometimes nurses are thrown into the fire. Short staff can bring what I call the burnout cascade effect" as nurses try to do everything without proper staff then tend to get sick and as other nurses get sick you are required to work extra hours to cover for your poor unfortunate coworkers. One thing leads to another and soon you have what I call: workplace hell.
Don’t forget: nurses are powerful
Use your power. Remember that people demand a lot of responsibility from you. So, use your judgment and decide how you can better manage yourself so you can deliver what's expected of you. What is good for you is good for your patients. Learning how to say no is a good thing because it set limits to what you can and cannot do. And, set limits within people’s expectations of what a nurse can or cannot do. If you don’t say no, no one will. People will demand impossible things from nurses because they trust you’ll do the right thing in the end - so the power is with you, have a good nursing day.
Don't you hate when people post about something like this then they never come back to follow up? Drives me nuts.
Another thought...many of the 'older' nurses are found in less physically demanding areas such as group homes for the developmentally disabled, jail intake centers, adult daycare, hospice, occupational health, and methadone clinics.
In the aforementioned settings I have observed that most of the nurses are above a certain age range.
Soylent Green is people.
I don't get why this qualifies as an article- it's just a rant...
Everytime I click on the "breakroom" link or try to comment on a post in it, I'm automatically signed out. When I try to sign back in it redirects me to either sign in again, or create a new account. What am I doing wrong?
I work as a security officer now at a hospital (I start nursing school in may), my one advice when it comes to psychiatric patients is to never shower any insecurities. Once a patient knows your scared or you feel uncomfortable, they will mess with you. I see too many nurses who show fear and the patient toys with them like a game but once Security comes, their calm and collected.
I would also also ask if their are classes for self defense that Security can provide. There's a training I teach the med students and nurses call CPI that helps them feel more confident in serious patient vs nurse altercations. I would ask other nurse or your manager on ways to better yourself for that unit.
I admire your endeavor to be professional and therapeutic, kingvonn. Nicktexas gave some great advice. Learn from both your good and not so good coworkers. Avoid the techniques of the not so good, and emulate the good.
Do some self-examination. We may come across certain ways without being conscious of it. I have a tendency to be somewhat aloof when I first come in contact with a patient. I am civil, social, and to the point. I give appropriate leeway as the relationship progresses.
It's much easier going in either direction, if we start out neutral. Starting out in neutral allows us to become the hard-core business type, or the pleasant professional. As I've informed new, difficult patients: "I can be your best friend or your biggest stumbling block".
Good luck, and the best to you, kingvonn!
What troubles me about this type of religiosity is that, as an ideal, the devout religious person should want to draw others into closeness with the Lord. But, then, in trying to meets the requirements of prescribed observance, they call upon the less religious to work on these holy days.
It's like the churchgoers who make it a part of their Sunday ritual to eat brunch after Mass or Services, thus requiring, and depending on others to work on Sunday.
You're a strong person having to scale as many obstacles as you have.
There are a few regulars around here who worked as CNAs for years prior to nursing school. From my vantage point of being old I've observed there is a certain quality they have you can't get any other way. Maybe it's a true dedication to their jobs that results from having been in the trenches and emerging successfully on the other side.
Wishing you all the best!
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