Anna Flaxis, ASN 27,579 Views
Joined Oct 15, '10.
Posts: 2,884 (67% Liked)
I think it's appropriate to have patients expressing SI/HI dress down and to remove personal belongings from the room. This can include removing jewelry if the jewelry is of a nature where it could be used to cause harm to self or others. However, it is hard for me to imagine how the average nipple or navel ring could harm anyone or interfere with the plan of care in any meaningful way. As an ER RN, this is not a hill I'd choose to die on, and I'd err on the side of protecting the patient's rights.
I think it really depends on the way this is implemented. I see nothing wrong with an action plan, per se. If the director is participating in a supportive manner to assist the employee in coming up with an action plan, assisting with the formatting, suggesting references, etc., then it could be a potentially constructive intervention. If, however, the director is not providing any guidance, support, or assistance, and is letting the employee flail about in stormy seas, then no, I'd have to say it's not something I'd advocate for. And, I do not think the employee should be required to do this on unpaid time. It should be on paid time and in a supportive environment. Otherwise, it is punitive and may be actionable by the labor union if there is one, or if not, then by the State Labor Board.
In my experience, this is generally lip service.
Totally normal! If trial by fire works for you, you'll do well. Give it six months to a year before you don't feel like a complete idiot, cry your whole drive home, and lie awake at night re-living all of the things you did wrong. You'll do great!
"I get the feeling that she is socially starved."
Maybe find a way to compliment her once in a while. Find something about her that you appreciate and tell her so. Humor her kitty pics, but hold her accountable for unprofessional behavior. Remember that you never know what battles others might be facing, and try to be forgiving.
Really? Wow. Why is it being presumptuous to know that a patient with a UTI needs antibiotics?
Suggesting a specific antibiotic might be sort of presumptuous, but....
new grad here, noticed ALL the nurses on my unit (med surg) do not use their stethoscopes...and just compare their notes to the previous shift notes..... i just bought a new stethoscope and hung it around my neck and the nurse told me to leave it in my bag. so how am i supposed to do assessments???? patient hasnt pooped in 3 days but do you think any of the nurses would pull out their stethoscopes to listen to bowel sounds??..... im still on orientation and i feel like this hospital is making me crazy... i still do my full assessments regardless!
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