ChristaRN 2,954 Views
Joined Aug 9, '05.
Posts: 74 (59% Liked)
Really? All medical professionals should be able to expect that their team members behave themselves professionally and ethically within their scope of practice as outlined by their nursing/professional board. Expecting that the vital signs recorded into the patients chart are true should be the norm, not the exception. Are you saying you delegate nothing? It sounds like you are implying that the delegation of VS to a CNA (all my CNAs are CNA2's, even more qualified) is inappropriate...
Thank you, Thank You, THANK YOU! I have to say the posts you were referring to actually kind of hurt, I try my best to provide great care for my patients and relieve as much pain and anxiety in my patient's as possible. It stings to basically be accused of child abuse when in reality we are the ones trying to put so many abused children back together if you will. Thanks again for your support! :heartbeat
I have a little brother who had ALL. I worked for most of my career in peds, peds clinics and the "shot rrom". There is quite a bit of difference between a child who must have repeated painful procedures done and a child coming in for scheduled immunizations. We need to pull out all the stops to make it as less horrible than it inherently is. I am so thankful there are now Child Life specialists and drugs that are appropriate for sedating a child (not oral benzos for a 6 mo old). :uhoh21:
I really have no idea why you would think it's funny to accuse nurses who are using best practice of child abuse and put little smily faces on your comments. I don't find it amusing that someone reading this may have a child who needs these procedures to stay alive. How callous it is to say that they are subjecting their child to abuse when they hand their precious child over to the team who is constantly researching and attempting to find the most effective and least traumatic way of getting it done because not having it done is not an option in many cases. It isn't funny. It isn't cute.
I don't know if you are a nurse or not, but I do know your comments may be causing needless pain in people who may already be hurting.
I love the idea of a Psychiatric Medical Surgical type unit and while they do exist in small numbers it's unfortunately unrealistic to hope for such combination units in all nursing specialties so I don't think we'll be seeing any psych-OB, psych-rehab, psych-oncology etc. It would be great if we had more nurses who are experienced both in the medical aspects of patient illness as well as psychiatric aspects. I think alot of medical minded nurses are uncomfortable with acute psychiatric issues and I understand that. For a non psych nurse I think treating mental illness is quite a challenge. We can't measure mental illness and target a certain number and aim for that as we can with BPs and glucose levels. We can give medications but that's not always really treating the problem. We can be unsure how to communicate with a patient who is acutely psychiatrically ill. I don't think those nurses who are uncomfortable with psychiatric care are talking about a patient whose psych illness is currently well controlled; they aren't trying to cast all patients with mental illness off to an island so they can be avoided. I liken it to placing a patient with an acute cardiac problem on an oncology floor - those onco nurses likely would not be comfortable because it's an acute problem which they are not familliar with caring for. I see acute psych problems in the same way. It is NOT a good idea to keep a psychiatric diagnosis from your treating physician as that disease process or any medications that one may be on to treat it are important pieces of information and can effect current medical treatment or even easily explain a problem that the patient is currently having. I sincerely hope the previous poster will keep in mind that while there may be few colleagues of ours who unfortunately may still stigmatize mental illness most will not allow that to effect the care they give and may actually be able to give BETTER care based on that knowledge. We need to advocate for ourselves in all nursing disciplines to ensure that we get adequate training in all aspects of care that would should be expected to provide and some psychiatric training is certainly something that we and our patients would benefit from us recieving. Perhaps offering a shift of shadowing in a psychiatric unit would do a world of good!
She went to rehab for several weeks after leaving the hospital and then eventually went home with her dad and sister. I assume she's doing well because we haven't seen her since!
I most likely would too.
Crista, my hat is off to you for your ability to stay with that toddler. What a heart breaker of a story. Do you know what eventually happened to her?
I posted this story in another type of thread a while back. I think of this a little more as a story of undying love rather than a ghost story but I do think it fits here. Last year, I cared for a 3 year old child who had been in a MVA with her mother and older sister. Unfortunately, mom died in the accident. The older sister broke an arm and was admitted to the Peds unit for a night or two with an ORIF. The 3 year old had multiple injuries including two broken femurs, a broken arm and more that I can't remember off the top of my head. She was initially in the PICU so never got to be with her sister after the accident. I cared for this little girl when she was transferred to Peds. Now she was almost always alone. She had not yet seen her sister and her father I assume was busy with funeral arrangements etc. This child had not even been informed of her mother's death. She was a very stoic child, would never cry despite being in obvious pain I'm sure. She never showed ANY expression of emotion, wouldn't talk to ANY of the staff, wouldn't eat or drink even when we brought her some of her favorite foods. She just broke my heart. I would park my chair and portable computer in front of her room at night when things would settle down just in case I did hear her cry or anything. One night I heard her quiet voice starting to talk, in obvious conversation. She was saying "Mommy, I'm coming too now? Mommy, why can't I go too? ". I got such chills! I walked into the room and that little baby was wide awake, holding her arms out as if in a hug and focusing her eyes on a spot in front of her face. I am SURE that her mother was in there at that moment, being with her baby just as she would have in life. I cried the whole drive home that morning, thinking of the terrified child being comforted by her literal angel of a mother. I just wonder, with her undeniably seeing her mom there in the room that night, did she then know that mommy was gone from this earth?
I don't know how much Peds experience you have but in MY years in peds and PICU they are NOT always easier to care for. Many of my patients are adult size teens who either are severe MRCP that create messes as big as any adult or could be a teen on a vent for any reason that is unable to participate in their own care. The worst two "code browns" I have experienced in my nearly 7 years as a nurse have come from teens. Don't generalize Peds as easy!
For the OP, just realize that what you describe as the behavior you see from nurses you work with is NOT acceptable and not what you should aspire to be. I work on a unit which does not use techs/nursing assistants and the RNs are it for patient care. If you can't accept that you are (or should be) expected to be VERY involved in physical patient care, even the tedious things, then you have some thinking to do. Decide either that you WANT to be a nurse and are willing to provide that care for your patients or trudge through school and some experience until you can get a no direct patient care job. If neither of those options sound good for you then you may need to consider another line of work. I wish you the best!
I'm sorry; it must be very stressful for you. I think you should try another area of nursing or another facility. Pediatrics might be a little easier because they're easier to lift if nobody is there to help you. I am a tech right now and have to deal with all the things you talked about but my unit has supportive staff with coworkers who always ask if I am doing okay, need any help...so it helps a lot. Maybe you should look into another hospital? Good luck with everything! As far as cleaning up diarrhea and stuff like that, if you think about how it helps the patient feel much better, relief, that should make you feel better.
I hope your boss never went home and said they had a bad day. Ridiculous!
I have a page on a social network site. Mentioned that I had a bad night, for three nights. Recently, I got called into my boss's office. There were COPIES of my page sitting on the desk. I was told to watch what I say, because by saying I had a bad night, it was bad for the company image. Then I was told that my page would be monitered closely for the next few months I went home and immediately upped my privacy settings to and took down my place of employment. I felt completely violated.
Just want to gently remind everyone, be very careful what you put up on websites. I don't drink, smoke or get high. I never post any inappropriate pictures. If I can get called out for posting that I had a bad night, it can happen to anyone. Oh, the world we live in....
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