Kooky Korky 18,252 Views
Joined Feb 12, '10.
Posts: 2,980 (52% Liked)
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.
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.
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.
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!"
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 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?
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?
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.
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.
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]
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.
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