dinorn 668 Views
Joined: Nov 23, '99;
Posts: 10 (0% Liked)
We have these same problems in our Women's services dept. Our hospital is very big on patient satisfaction. If we have a family complaining they want a comp tray, extra chairs, or even an extra bed in their room, the nurses will tell them it is not allowed but if they complain to our nurse director, they end up getting fruit baskets, complimentary movie tickets, comp trays with every meal, and we have even moved them to a suite so that they can have a room large enough to have an extra bed in it. So we end up looking like the bad guys because we try to play by the rules, while our nurse manager keeps reminding us that we want our patients to be VERY SATISFIED!
I am always gracious and try to accomodate reasonable patient/family requests, but my name tag yesterday must have read 'Handmaid' instead of RN. I was instructed (not asked) by several different patients/family members the following:
"Go get us about eight or ten chairs so everybody can sit down in here."
"The baby's father hasn't had anything to eat today, can you make him something?" (This was 1930 and FOB who missed the 0915 delivery had just shown up).
"Can't you get the kids sandwiches?" (I was happy to bring graham crackers and juice, but was met with "Well, that's not enough for dinner.")
"I can't use a taxi voucher because that way I have to go right home. Don't you have a petty cash fund? I need to stop at my friend's house and the store first."
"My boyfriend wants a set of the baby's footprints, a copy of the baby's picture, and that test to make sure he's the father."
This, of course, all in addition to the usual "The baby's diaper needs to be changed," "Bring me another Percocet. Somebody here (a visitor, not the patient) has a headache," "Take his (another visitor's) blood pressure," and "He needs some scrubs to wear."
Sorry for the rant. Yesterday was a long 14-hour day and I just needed to get it out. :angryfire :angryfire :angryfire
i work in a closed unit (women's services)we do not get pulled to other floors. we are cross trained to l&d,postpartum,nursery and these are the only units we are required to work. we do take call 2 to 3 times a month.i have worked open units in the past and was dissatisfied being pulled to med/surg or telemetry. being on call a few times each month is well worth not being pulled outside my specialty area. we do not get paid for being on call unless we are called in then we get an extra $50 for each shift we work and can work a max of 16 hours. the call schedule usually works out well and our nurse manager tries very hard to find coverage so that she does not have to utilize the call schedule. you would need to have your core staff otherwise you would be taking call more frequently.
on our postparum/gyn surg unit we often get overflow from other areas. we are a "clean" unit, therefore our hospital policy states we can not accept infectious patients. we NEVER accept a pt requiring isolation. our administration is aware of this policy however there have been occasions when they have tried to give us an infectious pt, we also ask about the pt's lab results if available (wbc's, cultures...)and will refuse a patient who is infectious. there have been a few times when i have had to call our nurse manager in the middle of the night to get her support. if we have a patient on our unit who we find to be infectious after admission then we transfer that pt to another unit. our infection control nurse and nurse manager are both very supportive of this policy and all us nurses do our best to enforce the policy.being consistent and firm about infection control has reinforced the policy and administration realizes we will speak up if we feel they are going against policy. sometimes if the other units are filled, administration will transfer clean cases to our unit in order to open a bed for an infectious pt to be admitted to another unit.
i would suggest talking with your infection control nurse to develop a hospital policy on infection control on your unit, and be consistent in that policy.good luck!
contact the nursing program at your local college, there are several nclex review classes available for a small fee. i also agree with the above response the review books are a great help and since it has been awhile since you were in class the book would be a good refresher course for you.good luck to you.
i went back to college to pursue nursing at age 33,had two school age children and then became pregnant with my third. i was taking my 2nd semester of a&p when he was born. difficult? yes but with good family support and my own determination i made it through the nursing program and graduated with honors. you will be surprised to see the number of "mature" members in your nursing classes.i think it is great that at 38 you are pursuing your dream. keep your goal in sight and go for it!best of luck!
the hospital where i work all rn's are allowed to change the epidural bags,change the pump settings,and administer bolus doses. we do take a ceu course on epidurals.
try www.medcom1 they have numerous medical supplies. good luck
our hospital also has pto time which can accumlate quickly. we have a max on the number of hours we can accumulate and also have a buy back policy in which the hospital will pay 75% of your salary if you want them to buy back some of your pto time. if we use pto on a weekend we are scheduled to work we have to make that weekend up by working the next weekend.(it's mandatory that we work every other weekend)goodluck in revising your sick leave policy!
darlene please get more experience! i have been nursing for four years and recently started agency nursing at a large teaching hospital. i have found the regular fulltime staff resent agency nurses - they feel we are making the big bucks and therefore give us the most difficult patients. if there is a patient on the unit that is most likely to code we get him...if there is someone in isolation we get him...someone who is confused,in restraints,having dt's... yep we get them. we have complained to our manager to no avail. we have some nurses that refuse to go to certain units where they feel they have been abused. we are on our own - the fulltime staff are not there to train us. so please get more experience. if your hospital floats nurses to other units, volunteer, it is a good way to expand your knowledge.i work fulltime at a different hospital and do agency nursing a few nights a month. the pay is great - $33.00/hr for nights,no benefits except 401k plan.as an agency nurse i have worked on med/surg, neuro, postop, and ortho units. good luck to you!
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