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Kooky Korky 18,252 Views

Joined Feb 12, '10. Posts: 2,980 (52% Liked) Likes: 3,974

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  • Mar 29

    I don't think any of these questions are weird. They just reflect the information or lack of it that the particular patient has. They show a need to speak the patient's lingo. They reflect the need the patients have for a good nurse who isn't looking down her nose at them.

    The patients might be experts in other things that we nurses know little to nothing about.

    Be nice, be glad you have the skills and knowledge to help people in their time of need.

  • Mar 29

    I don't think any of these questions are weird. They just reflect the information or lack of it that the particular patient has. They show a need to speak the patient's lingo. They reflect the need the patients have for a good nurse who isn't looking down her nose at them.

    The patients might be experts in other things that we nurses know little to nothing about.

    Be nice, be glad you have the skills and knowledge to help people in their time of need.

  • Mar 28

    Quote from SmilingBluEyes
    The whole concept of a mandatory staff meeting gets to me. MOST of what is covered can be done in communication books or minutes that each staff member sign that they read and understood....... FEW of such meetings are that urgent that require people waste 1 or 2 hours of precious time (and money for the company to pay people to attend). Such staff meetings can be accomplished quarterly and we could get away with it, easily. If I ran the world, that is how I would do things

    And general commentary from staff would be held until after all the important bullets were covered. I hate nothing much more than 45 minutes or more of people complaining, arguing or going on when the meeting itself could be accomplished in 1 hour or less. Let those who have issues stay and discuss them then. The rest, go home.

    That is how SBE would do it if she ruled things anyhow.
    If I ruled the world, I'd cancel work altogether.

  • Mar 28

    The easy answer is for them to hold the same meetings twice or more. Once at the end of Night shift for Night and Day staff, once at the end of Day shift for Day and Evening staff.
    Also, the Minutes should be circulated and the staff must read them and sign that they have read them. This should have to occur within a week because it's important to keep up with procedural changes, new equipment, meet new staff, policy changes, etc.
    Evening, Weekend, and Night Staff should have to attend meetings at least 3 or 4 times per year. Oth

    What is so hard about coming into the modern era with regard to these meetings? The only fair way to do this is for meetings to be held every month at 0200 and 1400 if they're not going to take the other suggestion above.

    A meeting could be videotaped with audio so it could be viewed along with reading the minutes amd said video could be viewed as often as needed so that all staff are actually "there". The meetings could be on Skype so nurses could at least watch and participate from the comfort of their jammies at home.

    Any situation that threatens the sleep, health, life and limb of staff who must jerk their sleep schedules around to be at these meetings must be stopped. The only thing I know to do about that is to present a cogent response to the manager, DON, HR, and Legal/Risk Management about the benefits of regular and sufficient sleep vs. the dangers of sleep haphazardness. Provide scholarly documentation. Have a Sleep doctor and an attorney in as guest speakers. Serve bagels and cream cheese.

    I hope things work out well, OP.

  • Mar 27

    Quote from Capa Jensen
    Oh my gosh, I'm also a Brit living stateside and I have experienced this, too. :/

    "Which boat did you come over on?" "Are you a citizen? Why not" (also a GC holder and will always be)
    I am sick to my back teeth of people saying "'Ello guvna!" or asking if I want a spot of tea; it wasn't funny the first time, certainly isn't funny the 500th. Oh! And mocking the chav type accent too... and cockney rhyming slang... ugh x_x'

    People faking a British accent is super annoying; as you said, it'd be really offensive if I started imitating an Indian accent, or Chinese for example... So I'm not sure why people think it's okay to do it for British folk too. :/

    I also had to fake an American accent while at work - a lot of the older people in the rehab center that I worked at couldn't understand my British accent, but I noticed that as soon as I started dropping my native accent, the mockery went down - I still let it slip if I say words like 'water', 'awful', or mention 'tap water' haha (seriously, it's not faucet water... what the heck!) My inlaws have asked why my British accent isn't heavy anymore and I tell them "Well, it just fades over time, I've been here 10 years." but the truth is, every time someone mocks the accent it gets harder and harder to hide my annoyance. People don't realize that this kind of stuff builds up, so the general reaction I'd get is "Jeez, don't over-react." (uwotm8.) So really it's just easier to hide it if I can, which takes a lot of conscious effort.

    I've had to deal with this a lot in college - thankfully not the professors, but definitely from the students... I am also royally sick of being asked if I like Dr. Who, Downton Abbey etc. and then when I say no, they look at me like I have 3 heads. "But why not? It's British TV!"

    /rantover haha
    No offense meant, but it really is hard for me sometimes to listen to, for example, the BBC news programs. Or hearing the royals quoted. It's just hard to understand sometimes. As I'm sure it must be for others to understand some Americans.

    "Wooder" for water. "agin me" Boston accents, Southern drawls, having New Yorkers think that anywhere south of there is "the South". Again, no offense is meant.

  • Mar 27

    Quote from SobreRN
    I assure you, addicts know we are judged harshly, we are not stupid although perception seems to be given healthcare providers make certain their disdain is obvious. I have been clean and sober since 1989, no opiates and, except for one time, I never went to a hospital for anything just for this reason.
    Ended up in an ER once; the doctor hated addicts as did nurse; they really wanted me to know this; I never would have gone to a hospital for help of any sort for this reason. Congratulations, your message gets across.
    I know it's scary to be at the mercy of someone else, like in the ER or hospital, but you need to make it known that you feel the disdain and hate being directed at you by those who should know that you are battling an illness, a real illness. Ask how they would like to walk a mile in your shoes.

  • Mar 26

    Quote from Natkat
    I recently became the manager of a very small group of people and I want to set a positive tone, while at the same time establishing my role as leader. This is my first management position and I would like to start off right and deal with the situation effectively.

    My position was vacant for a long time before I got here - that's a different story - but in the meantime there is a person here who has appointed herself the boss. She bullies the other nurses by being rude and abrupt. When they confront her she retaliates so everyone is afraid of her. She acts like a martyr - "I do everything around here!" - and anything that goes wrong it's a REALLY BIG DEAL! Every morning starts off with her fuming about something, stomping around, rolling her eyes, slamming things around and being physically and verbally intimidating. She works hard and she does a good job but she is making everyone miserable.

    She is brown nosing me like crazy. I've only been there about three days, and every day when I first walk in she jumps at me, ranting about some horrible problem or other. She is trying to get to me before everyone else and try to be the "beta" person. Sort of like teacher's pet. She wants me to see what's going on from her point of view and try to stay in control and keep everyone from having access to me. I know the rest of the staff are watching her brown nose me and they don't know, or aren't sure, that I can see through it.

    I need to do is get her to back off and at the same time, build up the morale of the rest of the staff. I know this person is seething with envy that she didn't get the job, but they wanted someone with a BSN, which she doesn't have. i feel that once I start exercising more control and coordinating things she's going to get really angry and try and retaliate against me somehow. I'm not too worried about it except that she might go to HR and try and make me miserable too. I'd rather have her cooperation if possible, but that might not happen. I want to work on building up the confidence of the rest of the staff. She will see that as me undoing all her hard work of getting them in line. I'm afraid she'll go behind me and try and tear them down again. I want there to be open communication but that's going to take time. They don't trust me yet. I want the team to feel empowered to do their jobs because she has them feeling like they're incompetent and she's the only one who can do anything right. Hopefully she'll let go of the illusion that's she's the boss and let me run the department, but I doubt it. I might have to let her go.

    What at are you thoughts? Can this situation have a happy ending or am I expecting too much?
    If she is slamming things and being physically and verbally intimidating, that might be a good place to start. You sound intelligent and thoughtful and I think you will figure out a way to get her in line. If she refuses to line up or can't do that, get rid of her. Document everything, starting now. Best wishes in your new role.
    Stop letting her jump on you at the second of your arrival. Tell her to come back in 15 minutes because you need a few minutes to take care of some things at the start of your day. That might make her realize she doesn't want to wait around.

  • Mar 26

    Quote from macawake
    Many professions are exposed to an increased risk of threats and violence and healthcare is definitely one of them. Others are for example law enforcement, social workers, judges, the military. Perhaps also convenience store clerks? Bank tellers? I'm sure that you agree that other professions also run a risk of encountering aggressive behavior.



    I'm not a U.S. nurse so I accept the fact that there might be cultural/policy/legal differences at play here, but what exactly did your employer mean when they said that staff "could do nothing" if a patient assaults them? Did they mean that you can't run away if someone attacks you? (in the cases when that's a viable option). Did they mean that you are not allowed to physically defend yourself or a coworker? Or did they mean that you have no legal recourse once an assault has taken place?

    .
    What they meant was that we could not haul off and slug the person. We had to confine our response to the techniques we'd been taught and authorized to use. If you are a black belt in Tae Kwon Do, you must not use that skill. you must only follow, as one person called it, CPI. You can involve coworkers and use chemical and physical restraints after exhausting all non-physical approaches and techniques.

    If a pt spit on me, as described by the OP, I would have talked to her and let her know that I was dismayed, after caring for her through the labor and delivery. I also, depending on her response, apologetic or not, would have seriously considered doing a police report. I'd have possibly changed assignments, too. And I'd have let her know that what she did was assault/battery and that I would bring police in if she ever did anything like that again, anything physical. She can say things but she had better not ever touch me again. An employer would not condone me involving police or letting a patient know that I would not tolerate future physical violence.

  • Mar 26

    Quote from SobreRN
    I assure you, addicts know we are judged harshly, we are not stupid although perception seems to be given healthcare providers make certain their disdain is obvious. I have been clean and sober since 1989, no opiates and, except for one time, I never went to a hospital for anything just for this reason.
    Ended up in an ER once; the doctor hated addicts as did nurse; they really wanted me to know this; I never would have gone to a hospital for help of any sort for this reason. Congratulations, your message gets across.
    I know it's scary to be at the mercy of someone else, like in the ER or hospital, but you need to make it known that you feel the disdain and hate being directed at you by those who should know that you are battling an illness, a real illness. Ask how they would like to walk a mile in your shoes.

  • Mar 26

    I just wanted to say a hearty Thank You and God Bless to all of our colleagues in London.

    I know they did their absolute best to help in the face of this terrible crisis.

  • Mar 26

    Quote from workingot
    at my psych ward full of murderers and rapists ( am I supposed to say " alleged" murderers and rapists?), we get verbally targeted 24/7/365. nothing is done or can be done I suppose. nothing much is done even when patients grab staff, by the throat, crotch, breasts, or spit on staff, or break staff legs etc. the administration say its part of the job, and local magistrates almost never call it assault and when staff do try to push it management pressures them to drop it. the local courts basically say its a mental patient you know where you work.
    So if a judge or other court staff are hurt by these people, they know where they work, too. They have Marshalls, Sheriff's deputies, or other security to protect them.

    It's not acceptable for a pt in the ER to assault staff. Why is it acceptable on a psych ward?

    Our society has let the mental health issue go too far. A sick person can't be allowed to hurt others just because he or she is sick. We need to get the laws changed. Let's start contacting our legislators.

  • Mar 26

    Quote from vintagemother
    I also recall that while orienting in a psych facility, during med pass, a pt with an axis I dx grabbed the water pitcher and threw the water on us while calling me an n@gg@r and calling her a "commi" (communist) this was a seasoned nurse, but after med pass, while documenting, she was crying. [emoji29] I didn't know what to do except tell her I'm sorry and ask what I could do to help-which was nothing. [emoji29]
    Verbal and physical assault need to be reported to Administration and Management. Incident Report. There are legal ramifications and rights of staff, not just patients.
    Managers and Admin must follow the law in protecting patients. Call the Police and make sure you get a copy of the police report. Psych patients can be prosecuted. They do not get the right to hurt others, especially physically such as you described, just because they are psych patients. They might not go to jail, but I have seen them locked up on occasion.

    Talk with some employment attorneys, the ACLU, and with EEOC. You do have some rights and Management does have some responsibilities. You are not a punching bag for a psych patient. I have never met a psych pt who didn't know right from wrong. That doesn't mean they didn't have other problems, but they always know right from wrong - in my experience.

  • Mar 26

    One thing that has always bothered me is when people at work converse in a different language than the rest of us. Many people, including me, are never quite sure that they aren't saying bad stuff about us.

  • Mar 26

    Quote from SmilingBluEyes
    The whole concept of a mandatory staff meeting gets to me. MOST of what is covered can be done in communication books or minutes that each staff member sign that they read and understood....... FEW of such meetings are that urgent that require people waste 1 or 2 hours of precious time (and money for the company to pay people to attend). Such staff meetings can be accomplished quarterly and we could get away with it, easily. If I ran the world, that is how I would do things

    And general commentary from staff would be held until after all the important bullets were covered. I hate nothing much more than 45 minutes or more of people complaining, arguing or going on when the meeting itself could be accomplished in 1 hour or less. Let those who have issues stay and discuss them then. The rest, go home.

    That is how SBE would do it if she ruled things anyhow.
    If I ruled the world, I'd cancel work altogether.

  • Mar 26

    Quote from SmilingBluEyes
    The whole concept of a mandatory staff meeting gets to me. MOST of what is covered can be done in communication books or minutes that each staff member sign that they read and understood....... FEW of such meetings are that urgent that require people waste 1 or 2 hours of precious time (and money for the company to pay people to attend). Such staff meetings can be accomplished quarterly and we could get away with it, easily. If I ran the world, that is how I would do things

    And general commentary from staff would be held until after all the important bullets were covered. I hate nothing much more than 45 minutes or more of people complaining, arguing or going on when the meeting itself could be accomplished in 1 hour or less. Let those who have issues stay and discuss them then. The rest, go home.

    That is how SBE would do it if she ruled things anyhow.
    If I ruled the world, I'd cancel work altogether.


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