TJ'sMOM 2,842 Views
Joined Sep 17, '12.
Posts: 13 (46% Liked)
How do you guys "bladder-train" your patients prior to removing the Foley catheter?
Yes! I work in a hospital setting and this is 2016! We are still charting on paper and it SUCKS! So inefficient and I feel it interferes with time that can better be spent with the patient! 8-10 pages of ********. No kidding. Sorry for the profanity- thought this was Reddit. OK I'm done now.
I love watching my son play football and I love spending time riding and training my horses.
Can I be totally honest?
I like reading the threads started by nurses whom have somehow gotten themselves into a hot, hot mess. I like to think about, what would I do in this situation? I like reading the replies. I like offering advice, if I can.
Nursing ghost stories!
You did nothing wrong! It seems the unit manager needs educated. And she seems like a bully.
[QUOTE=Esme12;6979460]Yes well.......corporate America is alive and well in healthcare. Healthcare is about 20% of the GNP and BILLIONS of dollars are spent and made....in healthcare. Drug companies, insurance companies, for profit corporate buyouts, conglomerate facilities run by corporate America, and CEO/CFO exorbitant salaries. Nursing schools churning out quantity and not necessarily quality to an over saturated market to supplement a non-existent nursing shortage. Is all about corporate greed. Hospitals that can no longer milk medicare and insurance companies, maintain profit margins by the same tactics that govern corporate America....that is why CEO/CFO's are mostly, exclusively non medical.....and that is why they cut from their largest, non revenue generating expense......nurses at the bedside.
While nurses talk about forced overtime and short staffing.......the hospitals say that there are no nurses to hire......which is a bold faced lie....they just are filling the vacant positions to maintain their profit margin.
It's all about the money.
I think this project is more about the members in the groups failure for teamwork....which is necessary in nursing....and not necessarily about the content of the project itself. It's about learning how to play nice in the sandbox........which is an issue in healthcare. It's about the treatment of nurses by physicians, it's about the treatment of nurses by other nurses, it's about the LATERAL VIOLENCE that is present in nursing...but I don't think nurses are the biggest offenders of this kind of behavior.
I am sorry that your partners in a group project were disrespectful and mean spirited....but I don't think that it makes a statement about nurses in general. Are there doctors that are bullies? Yes. Are there mean girls in nursing? Yes. Are there spiteful, ambitious nurses male and female that would sell their mother to advance in their career? Yes. It's no different than the grind in any other profession. It's about being the most popular, with the biggest car and the best toys.
I think you knew this would get a passionate response by nurses by your Title alone inferring that nurses don't care. For a majority of us care...and we care A LOT. That is what always get a rise out of nurses....we may moan, groan, complain, and vent. But have someone else criticize the profession and we come out fighting.
It has to be difficult to be at the top of one field that offers six figures.....and find yourself at the bottom of the food chain in the role of a student....to fulfill your dream.
I guess in every profession you will find undesirables and people with the personality of door knobs that have sharp nails and teeth. The skill lies in avoiding these people and succeed around them.....don't participate in their games and navigate to calmer waters.
I don't think the bad attitudes of a couple of nursing students are reflective of the profession as a whole........ that there are nurses "who ACTUALLY care"
We can all agree to disagree without begin disagreeable. We can debate a subject but not personally attack each other. Let's lead by example.
I beat myself up EVERY DAY over a medication error that cost me a job that I loved. I was ordered to administer a bolus of normal saline because the patient was having hypotensive problems. I confused the line-A and line-B on the IV pump and the patient ended up getting an undetermined amount of potassium. (She had maintenance IV fluid of D5 and 1/2 Normal Saline with 20 Meq of KCL per 1000 ml bag which was supposed to be running at 40 ml/hour on the A-line.)
I beat myself up EVERY SINGLE DAY over this error. I filled out an incident report, called the Doctor, took orders. The Doctor ordered to check the patient's postassium level in one hour and call him if abnormal. The potassium level was within normal limits. Her blood pressures had stabilized. The nurse that took over her care had confirmed to me the next day that she had been fine the entire night after I had gone home.
I reported myself, because I was the one who caught the error, and the potassium level could have potentially even been fatal for the patient! I don't think I could have lived with myself if something adverse would have happened, or if the next nurse would have gotten
in trouble for something that was my fault.
To this day, I do not know HOW this happened! How I confused Line-A and Line-B of the IV pump!?! I consider myself to be much more consciencious than this. I beat myself up over this EVERY DAY.
A few weeks later, I reported to the on-coming RN that I left the scheduled Ativan and Haldol in a hospice patient's room. The patient was a hospice patient who was in Isolation for Clostridium Difficile. I should have prepared the meds OUTSIDE of her room, then took the prepared meds in to administer them. Not use the built-in medication dropper to administer the meds accurately! DUH! I had placed the medications out of sight high on the cabinet to the side of the patient's bed, not at the bedside within her reach. I was told that a family member COULD HAVE stole those meds and used them and overdosed. A visiting child COULD HAVE climbed to the top of the shelf and overdosed. I agree, these things COULD HAVE happened. Thank God, they did not.
I was brought into the office and told because of these "medication issues", they had to "let me go." They then offered me the option to resign.
I beat myself up EVERY SINGLE DAY over this. EVERY SINGLE DAY.
Of course, If the nurse hadn't "thrown me under the bus" and tattled on me, I'm sure management would have found another issue to get rid of me. Why couldn't the nurse have questioned ME about why I hid the medications in the room?
I have learned from these mistakes, I admit I did the wrong thing. But I learn from managers/co-workers being upfront with me, telling me that I made a mistake and offer suggestions to improve my performance. I thought management was very unfair to "let me go."
Congratulations Sunny! Good luck with your career!
I think a career as an LNC would be rewarding and exciting!
However, I am fearful that the attorney-client would present me with a case and I would be unable to find anything relevent to report!
I have had six years experience in hospital/med/surg nursing and four-plus years in long-term care.
What about the obnoxious family members with a pen and paper who write down EVERYTHING the staff does; hoping for a mistake, so they are able to sue the hospital?
Congratulations! Good luck with your new job!
I had to give a new IV to my patient, but I couldn't get it, so I left.
However I forgot to get the touniquet out from patient's arm, and I found it out 1 hour and 30 minutes later...
He was a confused patient, so he couldn't communicate with me. Besides the tourinquet was white, so I probably forgot, because it was underneath the white bed linen and patient's gown.
Anyways I got rid of the tourniquet as soon as I found it. His arm was natural normal color, positive capillary refill less than 3 seconds, able to move his arm and squeeze my hand, strong wrist pulse (THANK GOD!!!!!). Intern checked the patient with me, and he told me that the pt would be fine. I filed a incident report and made a nursing note about it.
He was complaining of sore arm, and I felt extremly sorry and stupid and almost near to cry. I kinda still wanna cry but too tired and too angry with my self to cry. At least I found it during my shift and didn't leave him on tourniquet longer, and it seems like the patient is fine, but I just feel like I will injure my patients one day seriously and want to quit clinical nursing...
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