Changes in nursing

EmerNurse, BSN, RN · Nov 30, 2006

I'd like to see nurses stick together and back each other up.

I'd like to see safe ratios that do NOT including getting rid of ancillary help.

I'd like to see ALL nurses held to the same competency standard in a unit, rather than some folks "getting away" with things while others get written up for crap, without recourse, if they want to keep their job.

I'd like to see more men in nursing - their unique way of thinking (Mars/Venus) balances out a unit nicely.

I'd like to see the playing-favorites game banned from nursing... and healthcare.. and the corporate world. I guess that means I'd like to see people all act like grown-ups.

I'd like to see the public's face if it knew what we actually DO everyday.

I'd like a vacation.

jo272wv · Nov 30, 2006

would like to see:

1. legislation passed for minimum nurse/pt ratio with acuity built in.

2. LPN being able to do what they are tested on in any setting. (example: obtaining IV access, pushing IV meds) hospitals usually disallow this even though they have been trained and tested for safty. So I have been told since i am a RN and not familiar with the lpn state boards.

3. Mandatory for physicians to type orders (RNs should not be solely responsible to cut down on med errors, Drs. need to be held accountable for legible orders.

I think thats about it.. hope you have a good day.

fuegorama · Dec 1, 2006

1.I'd like to see nursing return to a patient-centered focus rather than a nursing-centered focus.

2.I'd like to see the recognition of the profession that what is required right now is clogs on the ground, not two additional years of theory to be "competent" to perform as a RN.

3. Echoing #2 I want to see full hospital and AACN support for AD nursing programs. AD grads perform well and are needed NOW!!

4. I'd like to see a complete suspension of direct route NP programs. E.G. you cannot seek a NP license without five years of verified nursing practice.

5. I'd like to see an iron-clad pronouncement of the limitations of the APN. Where does nursing stop and medicine begin? No mid-level on this board has ever described where they believe the limitations of advanced practice nursing lie.

6. I also would like to see legislated enforcement of ratios. However, if you are limited to 4:1, 5:1, 8:1 respective of your specialty you better do the job.

7. I'd like to see all nurses as independent contract agents. There should be review every 3-6 months with continued employment based on performance. This cuts both ways. The nurse is happy. The facility is happy.

That's a short start.

fuegorama · Dec 1, 2006

3. Mandatory for physicians to type orders (RNs should not be solely responsible to cut down on med errors, Drs. need to be held accountable for legible orders.
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As long as there is an Electronic Medical Record that sounds great. If there isn't one at your house please ask for it.