3 Big Issues?

Thanks Davey for sharing. Your Psych Doors should have sensors for staff trays. Haha. Love the Cayce quote!

Thanks Farawyn!

Well, Matt, I'd have to say the three biggest Practice Issues I that I have to face are:

1.Balancing my breakfast tray, so it doesn't spill, in order to unlock the Psych Unit doors.

2.The reality that I am not King of the Universe. Heck! I'd settle for King of the World! Anyone want to nominate me? Anyone?

3.The Hospital doesn't come crumbling down every time I take a day off. Well, it does- but only in my dreams!

Thanks for asking, Matt. I feel as tough a real catharsis has taken place here!

Okay, Farawyn- your turn!

Figured you would say work cuts into your AN posting time. But, we can see that's not true.

I'll be straight up.

School Nurse? Parents. I'm a parent, I get it, our kids are great. So are yours. Love 'em.

The enabling that goes on from wanna be cool parents is beyond belief. You are setting your child up for Special Snowflake Status. Stop it.

HH job? Lack of communication between staff and also computer glitches which have been the bane of my life this weekend.

Hospital? Staffing, staffing, staffing. It always comes down to staffing.

We only get to choose THREE? :^)

Problematic CNA's.

Too much to document (or worse, having to document the same thing 3 diff. ways).

Too much to do (often).

Supply problems (too often, anyway).

We only get to choose THREE? :^)

Problematic CNA's.

Too much to document (or worse, having to document the same thing 3 diff. ways).

Too much to do (often).

Supply problems (too often, anyway).

*counts 4 and reports you*

Parents (SN here)

Teachers (SH here)

Kids (SN here)

1. Lazy co-workers who never get called out for it.

2. Duplicate documentation practices, writing the same thing in three different places.

3. Repetitive strain injury in hands, wrists, shoulders. ( dialysis nurse here )

Hospital:

1) Staffing. We're so often short-staffed on night shift/weekends and ratios seem like they keep pushing higher and higher. Especially short on support staff, like CNA's, so they're run ragged.

2) Lack of supplies/equipment. There is so much time wasted hunting for a vitals machine or an IV pump, it's mind boggling.

3) Patients who are placement issues and are on the acute care floor for months, particularly ones that need constant supervision and contribute to the lack of staffing.

School Nursing:

1) School staff. I'm the only medically trained staff member in the building and often times, an "emergency" to them and me are not the same thing. They want me to jump through hoops to get things done, but don't want to communicate with me before the "emergency" occurs. Also, being the only nurse makes me feel kind of isolated.

2) Parents that don't answer calls or don't provide the care that I think is probably necessary for their child (e.g. dental/medical/eye appointments, basic hygiene, just picking them up when they're feeling ill). Also, parents who are the complete opposite and will get angry if you don't call them for every single thing.

3) Still ratios. Would love to only take care of one school and be in one building all day than float back and forth. But, it could be worse--I only have two schools!

Staffing, also, they are perpetually hiring new grads on our unit. Which is great, but they have yet to replace half a dozen experienced nurses that left with anyone with, well, experience...!

I second the patient satisfaction scores... we are going completely the wrong way with fixing healthcare.

The clogging of the emergency department with more and more and MORE non-emergent cases. Every year it is getting worse. (Or I'm getting less tolerant)

Students that want their homework done here. Oh wait. PRACTICE-RELATED!

Hello fellow nurses,

Just a quick question. What are the 3 biggest issues you face (practice-wise) that really drive you crazy?

Thanks!

1) Other parts of the hospital pushing for transfer because "It's 1900 and I need to get home." Well, I have four other patients to get report on. I wish we would have a no fly zone. Either transfer someone by 1700 or hold them until 2100.

2) STAFFING, always having four busy floor patients plus an admission, sometimes right at 630. Ugh!

3) The hospital telling patients "You will be toileted as soon as you ring the call bell. Your pain will be addressed as soon as ask for medication." MD told me the other night "Well, you have narcan" when I had reservations about what I was giving. Help!

I agree with the problematic CNAs. If I delegate something it's for a good reason. Please don't start rabbit-trailing to the doctor when he shows up thinking you are me. Just point him to me. Running into codes when we have 20 other people in the room and ignoring your other patients. Telling me what to do in front of the patient. Respectfully, you have no idea. I was a CNA and had no idea then either.