smoke coming out of my ears!!! - page 3
alright everybody....i came across this in the paper and the last 2 paragraphs have me fuming....:angryfire as usual, i was turning to you guys to find out your thoughts on this. for those of... Read More
Jul 12, '02Joined: May '02; Posts: 82; Likes: 142Of course, we will all believe Mr. Snyder's clarification.
I worked 3-11 on a Med-Surg/telemetry floor in 1985 when DRGs first hit. The hospital panicked about reimbursement and cut staff drastically--they left 2 RNs and 2 LPNs on: for 36 patients. Of course, we had no computers then. That helped, I guess.
I transferred to the 8-bed ICCU: still only 2 RNs, no LPNs or aides, but less walking as there were no long halls. On days, we had the luxury of a unit clerk.
I went into anesthesia; more money/one patient at a time.
Sounds like the Suits' attitudes haven't changed a bit.
Jul 12, '02Occupation: RN Joined: Jul '01; Posts: 35; Likes: 9Just a thought about the number of RNs, LPNs and assistants (aides).
Are they talking number of persons, full-time (40hour/week) equivalents, or something else?
If I count all the zero-based, prn staff in our unit it sounds like we have a huge staff when actual FTE is 6.
Jul 13, '02Occupation: Legal Nurse Consultant/Defense Med Mal Specialty: 30 year(s) of experience in OB, M/S, ICU, Neurosciences ; Joined: Dec '00; Posts: 398; Likes: 19Originally posted by sweetnepenthe
Of course, we will all believe Mr. Snyder's clarification.
Sounds like the Suits' attitudes haven't changed a bit.
Thanks for writing.
Unfortunately, not all of Andrew's comments made it to the final version of my story, and the one that did was taken a bit out of context.
Andrew's brief comment was meant to reflect how a "bunch of (ratio) numbers" in a study can in no way replace a doctor's referral, or word of mouth advertising for a
hospital. It had nothing to do with the importance of RNs.
And I'm making attempts to contact Andrew, too.
Thanks for your time.
Thank you Shannon for posting the "clarification". I just have to share with all of you what happened to me on Thursday that fit right along the lines of Mr. Snyder's statement. I was taking care of a VIP (G*D, I hate that term--all my patients are VIPs in my book!!!!!) who is a big benefactor to the hospital (and of course made sure that EVERYONE knew it). I was trying to teach this man how to give himself injections, since, at the last minute, the attending decided to send him home on Lovenox. The attending walks in dring the middle of my teaching session and says, "If you'll excuse us, I need to speak with Mr. X and his wife." I was LIVID!!!!! It turns out that they were making plans for when the patient and the physician were going to fly down to another state for a baseball game! I couldn't let it go, especially after I went back into the room and the patient told me what they had discussed. I saw the physician on the unit later that day and asked if I could speak with him. I said, "I was very angry and felt as though I was being dismissed when you came to see Mr. X earlier. I was in the middle of teaching him how to give himself the Lovenox injections that you ordered. I think that held a higher priority than making social plans to go to a baseball game, don't you?" The physician, who is someone I have never had a problem with, just looked at me incredulously, and said, "You're right, and I apologize. I didn't dismiss you, but I see why you thought I did." I went on to explain that my time (I had 3 patients in the ICU, and was BUSY!) was no less valuable than his, and that I, too, had a lot to do that day, and perhaps the conversation he had with the patient would have been best held outside of the hospital. He apologized again and thanked me for bringing it to his attention.
I think I accomplished what I needed to with this physician, although the patient and his wife are still walking away with the belief that the nurse is subservient to the physician. It is this sort of behavior from docs that we must NEVER tolerate--no matter how innocuous. If we are to change public perception, then we have to do it by correcting this kind of behavior when it happens so that patients and families never see this sort of interaction between a doc and a nurse.
I don't think most people, and evidently this includes hospital "suits", have any clue about the things that nurses and other members of the healthcare team do to deliver and support patient care, so I guess that makes it OUR job to educate them!
Enough said......over and out........
Jul 13, '02Occupation: RN/Risk Management Joined: May '02; Posts: 130; Likes: 2bestblondRN
Good for you. I've had to do that a time or two. It may be uncomfortable at first but it is necessary. I'm proud of you!!!!!!
Jul 13, '02Occupation: RN Specialty: correctional, psych, ICU, CCU, ER ; Joined: Jun '02; Posts: 620; Likes: 85He's a pig. What else can I say?
Jul 13, '02Occupation: RN Joined: Nov '01; Posts: 1,418; Likes: 25Until there is an increase in respect for nurses, and recognition for our intelligence and capabilities, ignorant, and irresponsible "quotes" like these will continue to appear. I can certainly see why you have smoke coming from your ears! Some of these newsfolks and hospital corporate-types should have to follow a floor nurse, step-for-step, for a week. I'll bet that their tune would change then!
Jul 14, '02Occupation: Legal Nurse Consultant/Defense Med Mal Specialty: 30 year(s) of experience in OB, M/S, ICU, Neurosciences ; Joined: Dec '00; Posts: 398; Likes: 19Thank you all for the support and encouragement following my last several posts.
Love ya' guyz...........