Nurses oppose measure meant to ease their burden - page 13

SPRINGFIELD -- The ever-increasing demands of routine patient care are swamping some nursing homes in the state, and the Illinois General Assembly is weighing a measure designed to help them. But... Read More

  1. by   sbic56
    Quote from earle58
    i'll teach the uap's to do much of my paperwork and then sign it, per my satisfaction.

    but for ma's to pass meds? why on earth did i even bother taking pharmacology in school, and have to learn its' half-life, its' mechanism of action, its' pharmacokinetics, its' adverse reactions and contraindications, its' interactions and its' signs of toxicity? why? for those of you who view passing or adminstering meds as merely a monkey task, only serves to make me petrified at those nurses who would delegate this to the uaps that do not acknowledge or even understand the aforementioned.

    leslie
    I wouldn't call anyone a monkey. That's just totally rude. I know that the few minutes it takes you to pass that med is not the only consideration you give to it all day as that would be pretty irresponsible. Your pharm knowlege will be used despite the fact you did not pass the med. During your assessment of your patient it will be on your mind. You will still know what they have been given and assess accordingly
  2. by   Marie_LPN, RN
    Quote from SmilingBluEyes
    why don't they get this? It's not about teaching a 'task" any monkey can do, but the "whys and hows" of it, that we must know to keep our patients safe. UAPs dont' know what they don't know. Does not make them incompetent or "bad".....but it does not make them qualified to do something that took years for us nurses to learn to do safely and correctly, either!
    This sums it up for me.
  3. by   Marie_LPN, RN
    And i'm choosing not to read any further insults to opinions of people who oppose the UAPs, so i'm out of this thread.
  4. by   SmilingBluEyes
    I corrected my "monkey" reference, realizing it was not the thought I wanted to come across. I have no desire to offend anyone and I humbly apologize for that.

    . Please, do read the post for what I mean to say. It's not a cutdown to anyone at all.
  5. by   SmilingBluEyes
    Quote from SmilingBluEyes
    why don't they get this? It's not about teaching a 'task" anyone with something more than a brain stem can do, yes nursing duties can seem mundane by all outward appearances---------- but the "whys and hows" of it, that we must know to keep our patients safe. UAPs dont' know what they don't know. Does not make them incompetent, stupid or "bad".....but it does not make them qualified to do something that took years for us nurses to learn to do safely and correctly, either!
    Here is the corrected post for your reference. I don't mean to infer anyone is a "monkey"....just that some tasks that may seem routine and mundane, like passing meds ARE NOT! They are serious business.
  6. by   sbic56
    Ahem..."they" do get it. As I already said, too many times, is that I still know my patient, what they are taking and that I need to assess it's efficacy, side effects, etc...
  7. by   SmilingBluEyes
    Quote from sbic56
    I wouldn't call anyone a monkey. That's just totally rude. I know that the few minutes it takes you to pass that med is not the only consideration you give to it all day as that would be pretty irresponsible. Your pharm knowlege will be used despite the fact you did not pass the med. During your assessment of your patient it will be on your mind. You will still know what they have been given and assess accordingly
    Leslie did not do this; I did. Please see my response and corrected post, thank you. and PLEASE read the entire posts, and try to understand what we ARE saying....ok? Thanks!
  8. by   SmilingBluEyes
    NO, apparently many DO NOT GET IT cause they keep saying our fears are "unfounded" and "unreasonable". So I would say some don't get it at all.
  9. by   VickyRN
    We're losing bits and pieces of our profession, folks - slowly and insidiously, right under our noses. This is the lawmakers' and facility administrators' "solution" to the nursing shortage - to deskill and deprofessionalize nursing. The ultimate losers, of course, are the unsuspecting public.
  10. by   SmilingBluEyes
    Quote from sbic56
    Ahem..."they" do get it. As I already said, too many times, is that I still know my patient, what they are taking and that I need to assess it's efficacy, side effects, etc...
    It's about more than that. Do they know pharmacology? Are they qualifed to do complete assessments and PRN ones as needed to administer meds? REALLY? I just dont' think so.
  11. by   SmilingBluEyes
    Quote from VickyRN
    We're losing bits and pieces of our profession, folks - slowly and insidiously, right under our noses. This is the lawmakers' and facility administrators' "solution" to the nursing shortage - to deskill and deprofessionalize nursing. The ultimate losers, of course, are the unsuspecting public.
    I agree, and I would not say this is an unfounded fear. I see what sbic and others are trying to say, but I just think bigger issues are at stake. And the whole "passing measures to ease our burdens" rhetoric our lawmakers, special interests and hospitals/LTCs are trying to get us to swallow is a red herring, really. At risk of a bad pun, it's a bitter pill to swallow for those of us who spent years learning the "ins and outs" of nursing, to watch such people work so hard to erode our profession right before our eyes in the name of cost and corner-cutting.
    Last edit by SmilingBluEyes on Apr 25, '05
  12. by   merry nurse
    Quote from SmilingBluEyes
    I already discussed better solutions several posts back. I won't bore you or anyone else repeating myself. The answer to our dilemma is NOT to put UAPs in the position of doing increasing numbers of nursing tasks. And I find your insinuations about "stomping our feet" or being unreasonable off-putting. I hope we can keep on the debate w/o debasing one another as "unreasonable" or "dramatic" or some other such thing. I respect your input and insights, but just happen to disagree with them. That does not make me or anyone else "irrational" or mean our fears are "unfounded". We feel differently is all, Thanks!
    I guess I've said it all, my opinion anyways. I have to work tomorrow and need sleep, so i can't continue tonight. I will check in tomorrow to see if there is anything new being addressed. .....Our opinions ar'nt right or wrong- it is what it is. If we don't like it we , as nurses are fortunate we have a broard job (nursing) vacancy we can fill- if we choose to work with or without a med tech. Good luck to you all and I'll probably see you on another posted forum.
  13. by   SmilingBluEyes
    It was nice talking with you, Merry. Even if we don't agree, believe it or not, I appreciate your opinions, really. I thank you for the thoughtful debate.

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