So the boss says "When a call light goes off, consider that an error" - page 4
So the hospital where I work is infatuated with customer service and improving survey scores. However, they still love to give us 6 and 7 pts each on a busy really BUSY med/surg/tele floor. With only one tech for the whole... Read More
- 2Apr 7, '13 by jadelpn GuideIt will be all well and good until the surverys come back that:
Things were NOT quiet, due to a nurse and/or CNA hovering and asking is I needed anything every 5 minutes. And they were staring at me while I slept right outside my door. And they kept asking my visitors to leave so they could assess me over and over again. It was annoying, unprofessional and rude. I had a call bell and was educated on how to use it. I was constipated due to the fact that I can not have bathroom privacy while the nurse sits and watches me. My family was upset thinking that I was far worse off than I was because the nurse never left a moment for peace. Ya'll better not be charging me more for such overbearing attention........
The list could go on and on.
And I agree with the pp--take all the call lights out then, and hire enough staff to cover each patient 1:1. (and call it ICU)
- 4Apr 7, '13 by BARNgirlQuote from TheCommuterWith all the Lomotil going around how can one ever anticipate when a PT might actually have the urge to produce a BM...and hit the light for assistance??? Maybe your facility should implement a defecation schedule, for example: PTs whose last names begin with A-D can only bear down from 0700-0915, and so on. Just ask your boss for input on this, as he is probably himself on such self-imposed regimen!No matter how much we anticipate patients' needs, we do not have crystal balls to read their minds. Therefore, call lights will always be needed, and it should NOT be considered an error if a patient calls.
Your boss needs a reality check very soon.
- 1Apr 7, '13 by Teresag_CNSOh, my, the PHARMACY. Yes, we have missing drugs. Yes, we have to look in 5 different places for drugs before we conclude that it hasn't been sent yet. Yes, a nurse is expected to remember where every drug is likely to be found (refrigerator, Pyxis profile, Pyxis override, at the bedside, in the pharmacy bin) and not phone the pharmacy to find out. And no, there is no way to determine where a given drug might be hidden unless you remember it from the last time you gave it (or bother a colleague to ask.)
This is but one broken system that helped me make the decision to leave the hospital. I couldn't take not having a voice in the midst of so many inefficiencies and so much potential for error. And don't even get me started on the electronic record....
The new-found emphasis on patient satisfaction, nurses should know, is because hospitals cannot take part in "value-based purchasing" (meaning cheaper supplies) if their patient satisfaction scores are too low. It is about money, in other words.Last edit by Teresag_CNS on Apr 7, '13 : Reason: left out a word
- 2Apr 7, '13 by eatmysoxRNAbsolutely ridiculous. In my charting I sometimes put "call bell within reach with use encouraged." and I do encourage them to use it. Naturally I ask before I leave if I can get them anything, but needs happen when I'm not there.
~ No One Can Make You Feel Inferior Without Your Consent -Eleanor Roosevelt ~
- 3Apr 7, '13 by Jessy_RNA little off topic, but I wanted to say the mgmt is truly losing it more than ever. The heat is being felt even up the ladder. CMS is here to stay. At one of the facilities I work, mgmt got canned (5 directors to be exact) and they went by what units had the lowest satisfaction scores. The ones that survived were forced to take on an additional unit for no extra pay and double the responsibility.
Some nurses verbalize how they are incurring additional debt to go back to school and move away from bedside. No one is safe these days. So sad.
Nursing is insane
- 1Apr 7, '13 by Jessy_RNSpilled my drink laughing at the pharmacy comment and it's 5 possible places to look before wasting more time calling pharmacy. So true!
Just the other day I was precepting a new nurse and she couldn't find 5 out of the 8 meds due. She was needless to say overwhelmed when I asked if she had looked:
Med pyxis, override pyxis, med fridge, tube station 1 and 2, around the nurses station in case someone emptied the tube, in the pt's med box in their room and every single computer on wheels with drawers in the unit.
Then management wonders why so many meds are late ha! Or my favorite, when you call pharmacy to inquire about a missing dose and they tell you to send a communication down. That will take additional time to be sorted out of the pile and into a productive person's hands. Still management cannot and will not understand. It's all your fault
- 2Apr 8, '13 by vintagePNWhen I hear about customer service scores and scripted greetings I am so glad I live I. Canada. We don't have to deal with that here...at least where I am. if my manager handed me a script to say to my patient I would laugh so hard. Gotta love that pt care is #1!!!
- 0Apr 8, '13 by CodeteamBQuote from vintageandreaShhhhhh! Don't give them any ideas! But for real, I'm with you, long live publicly funded health care!When I hear about customer service scores and scripted greetings I am so glad I live I. Canada. We don't have to deal with that here...at least where I am. if my manager handed me a script to say to my patient I would laugh so hard. Gotta love that pt care is #1!!!