You are not my only patient - page 5
2 different issues I work in a busy unit with many pts that should probably be on step down unit and very time consuming patients. I go about tasks by prioritizing them. Sometimes that means someone... Read More
Apr 20, '13I've had a few patients call the patient advocate (on another nurse) for being 15 minutes late with pain medication. I seem to always get assigned to patient rooms needing "service recovery" for these things, and I think it's ridiculous. It is a PRN medication; it is not scheduled, therefore it is not really late. If their pain is truly so bad they need it on the dot, then they either need different medication or a stern talking to from a doctor.
Unfortunately, that will never happen. At least it's job security for me to do service recovery, since I'm apparently excellent at making upset people happy. I just worry I'm going to burnout faster attempting to make the most demanding of our patients happy every time I work.
Apr 20, '13They probably just want the pain medication on time so they can roll over and get back to sleep. If they go to sleep before you show up they'll never know whether or not you gave them pain meds! Seriously, the ones that complain the loudest always seem to be in the least amount of pain. (Yes, it is what they say it is, etc. etc. but that doesn't change the perception.)
Apr 28, '13Quote from caringfornursesIt's as simple as the laws of physics which dictate that a person cannot be in two places at once.Is it so wrong for a patient to expect you to do your job? Is it their fault that you have other patients? Think about this when you look to see if your check was deposited. Would you be upset if it were a few days late? Provide that patient with the care he/she deserves every single time. Do not wait for them to be upset. If you are in a code, emergency, etc., then your co workers should pitch in. Otherwise, it is up to you. If you are not up to the challenge, change fields. You are a professional. With great knowledge comes great responsibility.
Unless each nurse cares for one patient and one patient only, SOMEONE is going to have to wait and it's going to be the patient that the nurse is not currently tending to.
A very large part of a nurse's responsibilities (and one that I can tell you was a major focal point of the national licensing exam) is her ability to prioritize care.
When I'm in the room with a patient who'd had a major, unexpected syncopal episode at the end of the prior shift, so significant that he soiled himself while unconscious...then I'm going to stay in the room with him, make certain I get a thorough assessment performed, a fresh set of baseline vitals, and do my best to reassure him and his wife who had to experience the whole thing. No I am not going to stop what I'm doing to go help the 18 year old 24hour s/p lap appy down the hall to the bathroom. If that doesn't meet to your liking, fire me.
Slightly off-topic....your user name seems grossly misleading.
May 6, '14As a patient advocate, I would encourage nurses to utilize our services more often. Reading through this thread is almost breaking my heart. This cycle needs to stop. Just because you call in an advocate does NOT mean you will end up with a report filed - just the opposite. When we step in, most patients become much more compliant and they are happier and calmer. We can have these difficult conversations you don't want to have. We can hold hands, let people vent and get to the bottom of the situation and find out why they are really upset (it probably isn't because they didn't get their Colace in 20 minutes). This is what we are trained to do. I have a masters in psychology, I am an R.N and I completed a patient advocacy certificate. I am prepared to handle situations where patients are in need of additional support. PLEASE contact us - we are in many hospitals! It isn't just the patient who can call on us!
May 13, '14"so sorry I was tied up in an isolation room. Next if you don't get assistance ask the charge nurse to get your medication. I am sure that she wont mind."