What is the dumbest most degrading, most unprofessional thing... - page 9

by Chico David RN

10,125 Views | 114 Comments

that you have heard of a hospital requiring nurses to do? I was in a meeting with a group of nurses yesterday - most of us with more than 25 years as RNs - and was hearing about the lovely new practice of "scripting". What... Read More


  1. 9
    Quote from medsurgrnco
    When the hospital where I worked started hourly rounding, I was so tempted to say to each patient, "I'm here to do rounds. Do you have any needs regarding pain, positioning, and POTTYING?"
    The "pumps and pearls" set is at it again. POTTYING? During our hospital's annual "skills lab" this year, they actually had a "skill validation" station with candy kisses and little souvenir laminated cards with bullet points for "commode chair etiquette." -"insure privacy", "place call light within patient's reach", "stay with unsteady patients," "use proper body mechanics when transferring patient from bed to commode."

    What an insult! Yeah, it's going right in my pocket next to my ACLS algorithms. NOT!
    Where do they get these consultants from? I'd venture a guess and say they're not licensed RNs, so why are we letting them get away with insulting our practice as professionals. Our so-called nurse leaders and change agents and champions ought to be ashamed of themselves for not being able to stop administration from cramming this STEPFORD PR garbage down our throats.
  2. 5
    Oh, I almost forgot...here the administrators go again, trying to chip away at the nurse's credibility as patient advocates. Anyone else feel insulted by this poster/button campaign?

    "It's O.K. to ask if I've WASHED MY HANDS."
  3. 8
    Quote from RN4MERCY
    Oh, I almost forgot...here the administrators go again, trying to chip away at the nurse's credibility as patient advocates. Anyone else feel insulted by this poster/button campaign?

    "It's O.K. to ask if I've WASHED MY HANDS."
    Considering study after study has shown that physicians are worse about this than nurses, there's no way I'd agree to wear them unless the MDs had to wear them too.
  4. 0
    well im still a student nurse and a newbie here in this forum. anyweiz, yeah, i agree thats stupid. i never thought that theres such thing as SCRIPTS that nurses use in the hospital. its plastic. and truly degrading.

    but actually in some country, (i wont mention the name) instead of being caring to the patients, they actually never care. student nurses often see that to staff nurses. they dont make rounds, dont even give the medicaions on time and violates the principles of sterile/clean technique. poor patients.
  5. 2
    Quote from RN4MERCY
    Oh, I almost forgot...here the administrators go again, trying to chip away at the nurse's credibility as patient advocates. Anyone else feel insulted by this poster/button campaign?

    "It's O.K. to ask if I've WASHED MY HANDS."
    Not only is it 'ok', but our posters say "PLEASE ask me if I've washed my hands"! I think I'd keel over backwards, dead and stiff, if I ever saw a doctor wash his hands before entering a room, after entering a room, upon leaving a room....or, frankly, EVER.

    I don't do buttons. Ever.
    sissiesmama and wooh like this.
  6. 6
    Quote from Michigan RN
    It's not so fun when its mandated. I would have told them to shove their paper hats.
    Or, being the PITA that I am, I would have drawn little pictures on them and passed them out to patients!

    How about writing "I'M WITH STUPID" across it, and an arrow pointing to the left....and then cutely standing next to the nearest suit?
  7. 3
    Quote from gnu2thezu
    I think administration feels the important stuff is tidy rooms and public relations. I, on the other hand, am thinking the important stuff is meds, procedures, titrating drips to keep the patient alive--could be wrong though!
    Ah, but if the patient dies, they're pretty sure the family will be MOST interested in finding out if the COUNTERTOPS were dusted that shift....right? Priorities, after all.
    correctlywrong, sissiesmama, and wooh like this.
  8. 16
    Here's my issue with scripting (aside from the obvious that I am a highly trained and skilled medical professional and the English language was a pretty much a prerequisite to my program) When our NM introduced the idea, she actually had the gall to use her recent to trip to a drive thru resteraunt as an analogy. "Would you care for any condiments? How many napkins would you like? Will you need any silverware?"

    This ol girl almost fell out of her chair!! I stood up and said, "Are you actually comparing an overworked, understaffed, underpaid ER to Denny's???

    My theory is I know I don't "have time", NM knows I don't have time, the patient I just told "I have the time", doesn't know any better in most cases. So when I promise the moon and then don't return for an extended period of time because I've been pulled into a code, an acute MI or a crashing kid, the patient is simply left to believe that I
    A: Don't Care
    B: Am incompetent
    C: Am lazy

    Because after all, I told them "I had time" to attend to their every (trivial) need.

    I out and out refuse to set myself up for that. If hospitals want us so desperately to deny that we are busy and insist on us lying to patients, then they need to make it so we aren't busy by hiring and paying for more of us.
    Aurora77, gnu2thezu, RN4MERCY, and 13 others like this.
  9. 3
    Ok, I totally agree with everyone....but here's my question.

    What are we going to do about it?

    We talk about quitting all the time because of stuff like this. It's usually my first response also, but seriously, that isn't going to help. When are we going to stand up for ourselves!!!

    Just REALLY needed to get that out.
    Cindy-san, sissiesmama, and Ludlow like this.
  10. 10
    I had a hard time paring down my list but to summarize:
    I was asked to do the following as an Nurse Practitioner under managed care planning:

    1) Don't sit down in the exam room during a patient visit. It gives the patient the expectation that you have unlimited time to spend with them to get to the reason of theand don't ask open ended questions.
    2) Went to a "efficiency/improved team work" seminar that wanted me to
    wear a headset during the patient exam to listen to staff in charge of clinic flow to keep the clinic flow going. I said I couldn't listen to the patient and they got mad at me. I eventually got tossed out of the seminar due to my attitude that seemed to want to pick and chose their program. One of my best ideas was to throw out eligibility altogether and just have one, single-payer instead of multiple insurance plans to pay for the visit. That is where a lot of clinic time is wasted in my current job in public health.
    3) Same seminar session would have a "scribe" take my charting notes while I am examing the patient, write my note and do my plan for me with my dictation to speed up the thru-put time.
    4) Answer to a "Dr. Black calling" signal that was proposed if a clinician was in a room with a patient too long (longer than 20 minutes). It was a way of getting the clinician out of the room to answer a fictitious call and end the visit.
    5) Buy my own clinic equipment. If you can't get your management team to buy you clinic equipment (like a simple weight scale) to save time buy it yourself at WALMART.
    6) If a patient can't pay for their visit to save time and the clinic money and save your job, send the patient to the neareast VERSATELER and have them withdraw the money needed to pay for your fee before you treat them.
    7) Don't write a letter to an MD regarding a patient clinically mis-mangaged by the said Doctor that you are refering the patient to a specialist (to diagnose the damage done) and then send it and chart you are sending it to the said doctor. NP's are not suppose to write letters to doctors.
    8) Asking me to use the new "ATM" card reader installed in my homeless clinic to charge some homeless patients a fee. They don't have credit cards in addition to not having a home. That's why they are called "homeless"

    Just a short list of some of the dumbest and most un-ethical ideas from management who bought into "damaged care" theory of increasing revenue at the expense of quality care and nursing ethics.

    Nancy Lewis, RN FNP


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