Nurse is a nurse is a nurse - page 7

We really need to do something about the publics understanding of nursing. I'm starting to get really ticked about this and I'm far far from a prideful person. I'm just tired of people not realizing... Read More

  1. by   healingtouchRN
    I am a Certified Nurse (in Cardiac Vascular nursing) but the CNA should have been upfront! She/he was riding that horse!!! (oh, I was a CNA in college as well & proud of it!).
  2. by   NurseJacqui
    Furball...I don't know...I once worked on a floor where the 7-3 nurses would come in, take an hour to get report, then sit down and eat breakfast together, talk to their husbands and boyfriends on the phone, give a few meds, take a 20 minute break, give a few more meds, chart on patients they never asessed, then go to lunch for an hour. I doubt they shared popsicles with their patients, though. But that's another story..I saw "Wit" and actually was touched by the popsicle scene. It was sweet
  3. by   NurseJacqui
    When I was in nursing school, I was studying for a pharmacology test and a friend asked me, " Why do you need to know all that stuff anyway to be a nurse"? So I said, " Ummm...because I need to know what I am giving" He said and I quote, " Why do you have to just do what the doctor says, " So I said , " Well, I need to be aware of side effects and adverse reactions. And doctors can make mistakes so I need to know the correct routes and dosages, " He said, " That's the doctor's problem...not yours, " Sad, but true.What is even sadder was that he was dead serious!
  4. by   NurseJacqui
    We had a tech once who recorded every single pulse she took as 80. Feeling that that was impossible, I asked her to take my pulse. She took it using her thumb. So basically, she was taking her own. Another time, a doc came to asess a pt and found him with a pulse of 23. EKG showed 3rd degree heart block. Tech recorded pulse as 76 only an hour prior. Doctor was FUMING. While many techs are wonderful, some bad ones slip through the cracks.
  5. by   gwenith
    The Australian perspective - we do have Enrolled Nurses but the scope of practice for the Enrolled Nurse clearly states they are an ASSISTANT to the registered nurse. They can only give out and check medications if they are endorsed and that endorment is through our state registration board. Nuring Assistants are actually not allowed to give direct patient care finito! end of arguement! We do have some "techs" who do limited functions such as ECG's or other clinical measurements but usually they are trained personell. Phlebotomy - it depends - varies from laboratory staff to "retired nurses" to Registered nurses. There is state legistlation outling who can and cannot administer drugs and even enrolled nurses can only administer drugs under direct supervision of a registered nurse.

    What I have been reading here is making my hair stand on end. Talk about role erosiion - if you are not careful you will find that the nursing shortage will be cured - they will have done away with nurses!

    But honestly doesn't your state registration board have a scope of practice for nursing? Competancy standards? Anything?
  6. by   Agnus
    Originally posted by Jen2

    I worked in a large specialty practice in my area for four years. Gave injections, vital signs, variouse tests, and phlebotomy. I loved my job. Then the physicians decided that they were going to start doing remicaid infusions in the office. I was then taught by the PA how to do this. I loved the learning experience until I began to learn about the high infusion reaction. I then went to the physicians and told them that I felt very uncomfortable with this and was not qualified to by left alone and monitoring a patient recieving any infusion, especially one such as this. They told me not to worry and that they trusted my judgement. Til this day I do not feel that they trusted my judgement, but that they could hire me as an MA and pay me $8.00 an hour to do this kind of work (illegally of course).
    Sadly it was not illegal. A physician can hire anyone with or with out credientials or education to do anything. The way it works is that you are neither paracticing nursing nor medicine. You are working under HIS license and you can do anything he trains you to do or tell you to do.
    MDs do this because they can get people cheap who are not nurses. I also think that they do not understand the debth of a nurses education knowledge and abilities and feel they can train anyone just as well themselves to do a task. Unfortunatly nurses are not simply trained to do tasks.
  7. by   charissa
    There is that huge lets get people into nursing public service campain, how about a this is what nursing is campain?! TV Spots, flier, real education! We worked our butts off in school, and are the moment to moment decision makers on the floor. I have a great doc personally, but if i were admitted i would be looking at my nursing staff for the night, they are the ones making my care decisions, and it doesnt matter how great my doc is if he is not in house every second, which no one could expect. ITS ALL ABOUT THENURSES. I also work in a teaching hospital in the regional burn unit, I always have to brace myself when the new residents come in, so come july first my catch phrases will resemble, "Would you like to review that order?" "Would you like to give me a useful pain control regimen or would you like called in an hour?" and so on and so on
  8. by   healingtouchRN
    I loved that!!! I do the same when these newbies breeze in & order 25 demerol IM on a cardiac! uhh, NOOOOOOO!! try again! or shall I call the chief resident on call? The docs have the nerve to say "don't call me again" so I tell my nurses write it as an order & they'll never tell you that again! lol!:roll If the patients only knew.
  9. by   NicuNsg
    DayRay, OMG med certification classes????????? What's up with that? Very scarey isn't it? One question though, if an error is made who is ultimately responsible legally and who would get it from the powers that be at the hospital? Could it be the RN who oversees all of the pt. needs? Where I am located now, the hospital is attemping Team Nsg on the Med/Surg floors. 1 LPN is the med nurse for all the pt.'s. That poor LPN, what a way to save a buck!!!!!!! Respect your nurses and they'll flock to your facility is all I can say!! Thanks for the warning.......