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Lupan 4,610 Views

Joined Sep 1, '09. Posts: 58 (45% Liked) Likes: 60

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  • Jan 18 '11

    No, it is time to call a professional a professional.

    1.) A profession is a vocation founded on specialized training. You insult us all when you state, "CNA's catch on"
    I have never seen an assistant calculate IV drips to mcg/kg/min and understand the effect on the human body at the cellular level.

    2.) A professional has obtained a degree. I worked very hard for mine. I am subject to rigorous credentialing by the state.

    3.) Professionals engage in challenging and intellectual positions. We all know how challenging it is. We are subjected to constant:spbox: input and must make immediate decisions based on evidence based practice. Sounds pretty intellectual to me.

    4.) By the personal and confidential nature of their work, professionals require a great deal of trust from the clients they serve.

    For several years, nurses have ranked #1 as the most trusted profession in the Gallup poll, even ahead of the clergy.

    If we don't see ourselves as professionals, no one else will.

  • Jan 18 '11

    Yes, the plumber and electrician and chimney sweep don't spend as much time in school. Hmmmm.......could it be partly because their school curriculum is not flooded with silliness like "Chimney sweep diagnosis" or "plumbing toilet overflow careplans"?
    I have long thought about how expensive it would be if electricians and plumbers had to document every wire or hose used and explain why they chose that particular item and diagnosis for the problem, but also needed an order from the company before they could actually perform the task, and then document retrospectively what they had just done. You know, for safety, and in case they get sued for malpractice if the place burns down or floods. Nothing would EVER get done. We, as nurses, are VERY good at getting **** done, jumping through the obstacles set by administration. This is as bad as it' s ever been, and I feel we are nearing the tipping point as far as how many tasks can you pile on before it collapses.

  • Jan 18 '11

    If you have to punch a clock and wear a uniform, you ARE a laborer. Simple.
    Also, what "profession" do you know of has to leave the office early with a cut in pay for the day if work is slow?

  • Jan 18 '11

    I agree with you 100%! Nursing is ultimately blue collar work. We wear a uniform, we perform tasks, we clock in and clock out and follow orders. I have no problem with this and don't understand why so many people do! I love being a nurse. I feel fulfilled, I love my patients, but I don't feel the need to seek additional respect or make my job seem more glamorous than it is. I wish others would stop being so pretentious about nursing. All it does is create additional paperwork.

  • Jan 18 '11

    Quote from ZippyGBR
    To illustrate the above see discussions past on things like flushing catheters , getting therapy input, changing dietary status ... even doing a dressing - that said certain none stock dressings for us have to be 'prescribed' by a Doctor ... the reality of course is that the house officer ( intern for leftpondians) prescribes it on the basis of a communication note left in their 'things to do tray' with the Drug chart ...
    I think I've said before (and probably on this thread) that a lot of nurses do not WANT more autonomy. Me in report, "So I checked residual on the feeds and held it for an hour." Oncoming nurse, "Do we have an order for that?" "No, but I thought it was stupid to continue the feed for an hour when they have the last 4 hours still in their stomach, and since I have some common sense, I figured holding the feeds for an hour was better than them vomiting and aspirating."
    Lots of nurses want an MD order for EVERYTHING because that frees them from having to think for themselves and be held accountable for their practice. Autonomy leads to accountability, and it's so much easier to just do exactly as we're told.

  • Jan 12 '11

    String of bottles on prostate surg pts. This was ordered to watch the progression of bleeding usually 5 I believe each time the patient voided you emtpied it into a bottle or gave him several urinals. The surgeon usually came in later to see how he was and looked at the voidings for color and amount. I also remember a harris flush. Yes I also remember in training we never used gloves for colostomy patients or cleaning bm's that would make the patient feel dirty. We were told simple hand washing will take care of everything that was in the early 80's

  • Jan 12 '11

    I'm a male RN and yep, all the time, and its not a tech job!! You will find that people treat ya better if you help them out!! A good tech is worth their weight in gold!!

  • Jan 12 '11

    Yes male nurses wash male and female genitalia why wouldn't they? Female nurses bath and change their patients routinely, we should expect to do the same. Also most patients don't care who is cleaning them as long as someone is doing it, I'm sure you wouldn't want to sit in a pool of your own urine or stool because a female nurse was not available.

  • Jan 12 '11

    I don't think any nurse or tech actually wakes up everyday and says the great part about my job is wiping a**. I know I don't. However, when I'm doing perineal care I usually become OCD-ish and nothing bothers me more than to walk ut the room and think dang I think I missed a spot. Ugh . Iva had more women that did not want perineal care than men. Either the men are old and sick and realize it's my duty and allow me to care for them, or their sick and still maintain some form of independence and do it themselves. Women on the other hand are different. They may be old and traditional and let me clean other parts of their bodies and I hand them the wash cloth to clean down there, or they are sick and just need the care totally, or their husband is there and out of respect I allow him to clean the perineal and genitalia. Different people desire different ways of treatment.

  • Jan 2 '11

    Well, back in the day we had 8 hour shifts, much easier to manage time-wise. There was a clear division of labor back then. You had nursing assistants, not CNA's or PCT's. They knew what their job was---taking physical care of the patients---and they just did it. Every patient got a bath and bed change every day, no exceptions. You had orderlies to bathe and shave males and help with heavy lifting. The charge or head nurse made rounds with the doctors and notified you when you had new orders. The unit clerk took off your orders and put new charts together. The charge nurse made patient assignments and occasionally the nurse might have to take a few patients for total care but generally had the patients who were less time consuming to do B/B because the nurse had many other duties also. NA's could do vitals and would report them to you. Every patient got fresh ice water every shift. You made rounds every 2 hours and you had time to such things as back rubs which also gave you a chance to check for red bottoms. Nursing was not chaotic back then when patients were patients and not clients or customers.

  • Aug 23 '10

    Quote from TheCommuter
    Unfortunately, only specific job titles such as 'registered nurse' and 'licensed practical nurse' are protected by the law. Therefore, someone without a nursing license is still legally able to refer to oneself as a 'nurse' because the person is not claiming to be an RN or LPN.
    Wow... you're right. Was sure that 'nurse' was protected too, and looked up the legislation online for my state, so I could site my source when I disagreed with you... nope, I was wrong. At least in my state, the protected titles are: Registered Nurse, RN, License Practical Nurse, LPN. Well, thanks for teaching me something new!

    I still hold that this may vary by state, and I definitely agree that it is wrong to identify yourself as a nurse if you are not one, and the individual(s) involved need to be corrected.

  • Aug 23 '10

    It is not legal to identify yourself as a nurse, no license no nurse. I have in the past called the BON about it. I know it might sound petty but these people are practicing nursing WITHOUT a license and to do so and that is fraud.

    If the docs are calling them nurses they should be re-educated and explain the fraud issue and ask them to call non-nurses assistants or at least not a nurse. BTW if the doc is refering to an MA as a nurse he could also be libel for fraud representing his staff as nurses. The doc could also be sanctioned.

    My doc has an MA in his office and he has never called her a nurse, he'll usually call her by name or say my assistant.

    One last question aren't these people wearing ID/name tag with title???? I've worked in some very rural clinics and even then we'd wear a name tag stating Firstname last initial LPN or Firstname last initial MA or Firstname last initial Assistant.

  • Aug 15 '10

    I do not participate on FB, Twitter, etc. Too much risk involved, IMO.

  • Aug 6 '10

    In the last staff meeting, NM states Dr. A has complained because the female nurses make eye contact with him. We were instructed to respect his (and other doctors) culture and NOT make eye contact or appear assertive. When asked to clarify assertive we were told assertive was "asking or suggesting something for the patients".

    Excuse me! I am American and I am living in America! How come these doctors don't have to respect my culture? How come they don't have to respect me (I am a woman)?

    Of course I will continue to make eye contact and I will continue to request things my patients need and I will continue to suggest things that the patient needs. I will continue to advocate for my patients. If the doc doesn't like it... tough crap. I live in America and have the rights afforded American women. I am not giving them up to stroke the ego of a bigot.

  • Aug 6 '10

    I wonder what happens to people with a different bachelors degree and an ADN...? I'll have a BS in psychology this December so I have no desire to do another bachelors. I've had enough general education and don't see why a 2 year degree wouldn't be sufficient for someone in my position. I guess they would expect us to do the more expensive 2 year accelerated BSN programs... The 2nd degree BSN in my area isn't liked by many students b/c it's full of "useless fluff" that doesn't help them with the NCLEX. The ADN programs have similar pass rates.


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