Real Nursing - page 2

It's one of the most satisfying activities that my job entails. Last night, I noticed that an A-Fibber had refused Coumadin. That's bad, because A-Fibbers are at a very high risk for stroke and... Read More

  1. by   Brian
    Angio, thanks for sharing your experience. Kudos for making a difference in your patients life!

    Great patient education is an extremely valuable asset for a nurse to possess in her bag of tricks. To bad it's not measurable by the bean counters standards.
  2. by   SchoolNurseBSN
    Thank you for the post. As a school nurse, sometimes it is perceived that I am not a real nurse because I no longer start IV's, do tube feedings, or even wear scrubs.

    Tell that to the family I spent 2 weeks working with and educating their adolescent on her need to take her Advair as prescribed - she hasn't had to use her rescue inhaler once when I finally got her to understand.

    Tell that to the little boy who told me he had not been able to see "for years". I found the free services and hounded his parents until they took him. His grades have improved and he now smiles much more!

    Tell that to the 14 year old student who I spent 3 hours on the phone making arrangements for her to go somewhere to detox from her 2 year heroin habit.

    What is "real nursing" or a "real nurse"????? I think it is being a patient advocate and that can encompass MANY different interventions!!!
  3. by   sassysteph7
    I love educating my patients. Nursing is sooooo much more than passing pills and unfortunately too many shifts are consumed away by passing pills and chasing after docs to get orders. I love home health and hospice nursing because I can take the time to educate my patient's and their families. I'm currently working at a hospital and hope to be back into the field soon.
  4. by   samer
    Very important
  5. by   cyndiangel13
    Thank you x 1,000!!!! As a new nurse, I am reassured by this thread. To elaborate, I work in a state hospital on a fast-paced trauma-surg floor. When I started 3 months ago I was told that 'real world' nursing is different from 'utopian/NCLEX world' nursing. And I have found that it is indeed different in many ways. BUT this story illustrates how it doesn't HAVE to be 'different' all the time. I realize that time management skills are crucial to being competent in regards to pt care, policy and standards. I have been told sooooo many times by the experienced nurses that I spend too much time in my patients rooms; that I need to cut back/there simply isn't enough time for bedside visits. I clock out late every shift. I am sometimes torn between being competent in the sense of getting everything done on time (meds, interventions, charting, etc.) and being a 'real nurse'.

    I know I have a lot to learn and there has to be SOME degree of compromise at times. I know that experience will guide me in making decisions in prioritizing. However, I love teaching my patients. I love the feeling I get when I see the 'expected outcomes' and how it positively affects every aspect of my pts care and well-being. I am reminded of the importance of holistic nursing every time. Yesterday I was wheeling one of my d/c'd pts to his waiting ride and was told that I was a great nurse and "they don't make them like you anymore." Wow! What a compliment! I've only been an RN (Real Nurse) for 3 months!!! I reflected back on my interactions with him. I realized that aside from the usual interventions (assessment, meds) just taking a few extra minutes to answer his questions in a way he could understand probably made the difference. He was s/p MVR pt. He was a very active older gentleman and was ready to get back to normal ADLs, etc. I explained to him that his was a pretty serious surgery so he may need to give hisself some time; you have to eat an elephant one bite at a time. As a matter of fact, I have been told by my patients that I spend more time with them than most other nurses. But they appreciate it. Apparently it has made the difference for them therefore I have accomplished what I set out to accomplish. And so far I feel good about what I do, however slow I may be. I am learning that sometimes I have to compromise efficiency for the sake of efficacy.
  6. by   Journey08
    Thanks for the inspirational thread.
  7. by   helicoptergal
    Thank you for reminding us one of the most important things in Nursing is educations. Things like charting, getting off on time, avoiding overtime is the "devil in the details." Sometimes the "detail devils" distract us from whats most important.
  8. by   TuTonka
    Quote from davidthestudentnurse
    Thanks so much for your post, Angie O'Plasty, RN. You have really emphasized one important aspect of nursing - patient education. I know from my experiences on placement - including aged care, surgery, high dependency and rehab wards, patient education is often lacking (or at least where I did my placements here in Australia). Sometime the buddy nurse I am working with is in such a rush that she does not take the time to explain simple, but important things to the patient - such as deep breathing and coughing after surgery, etc....

    I hope to make an impact on nursing by being the best nurse that I can, and giving the education that my patients need, along with the TLC. !!

    I cannot help but share this with you all...Do you know how many times I have asked a pt if they know how to use their IS and they tell me they do not? I educate them on the usage and what this blue and plastic thing is that is sitting on their bedside table almost every time I see one. I explain the benefits and potential problems if they do not use it. I then have them demonstrate the use of it. It may seem a small thing but 90 percent of the pts I ask never know what they are for. I find that amazing. Nurses so often instruct pts without thinking about it. It is second nature to us IMO. So if I am called be it. Angio and to all the nurses here KUDOs. Keep up the good nursing. The pts need you more now than ever.

  9. by   natusia84
    Such a great article...educating patients brings healthcare to their level, in a way they understand. Better informed patients usually make happier patients!
  10. by   pantheon7
    Great article! Very interesting. Thanks
  11. by   www.angel29
    Thanks for sharing your thoughts on this, it is so true communication is key in nursing, I'm not a nurse yet, but even @ my job where I deal with customers all day, they always appreciate when I go that xtra mile for them, to truly give assistance. Most people are touched in their heart that "someone cares about me and how I feel, they truly understand" that to me is a very gratifying feeling, just like u said even if it may delay "the more important tasks" we "should be really focused on" this was an excellent point to be raised. Thanks again angie.
  12. by   Orca
    Let me echo the sentiments of those who said that they want someone like you taking care of them. Many lives could be saved or improved, and many bad situations avoided, if more things were explained to patients in a clear, understandable way. In our rush to get things done it is easy to forget that sometimes.

    This is something hospitals should put more of an emphasis on. Handing a patient reading materials at discharge can be good to reinforce information already provided, but as a total patient teaching strategy it is bound to fail. If all we do is give patients handouts as they go out the door, there is no way to know if they even understand them.

    Never once have I heard a hospital administrator say that a facility makes patient education a top priority. They are too busy throwing around the catchphrase "quality care" - while at the same time doing things staffing and salary-wise that make delivering it pretty much impossible.
  13. by   UM Review RN
    Never once have I heard a hospital administrator say that a facility makes patient education a top priority. They are too busy throwing around the catchphrase "quality care" - while at the same time doing things staffing and salary-wise that make delivering it pretty much impossible.
    Well said.

    I have also been a patient. Education was minimal, if at all. I've left hospitals too sick to have absorbed any information, with a stack of papers in my hand. Most of them were about who to call if I wasn't satisfied with the hospital "service."
    Last edit by UM Review RN on May 29, '09