I will not defend nurses anymore

Nurses General Nursing

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My wife has been in the hospital 4 times in the past 2 months. During this time I have seen terrible nursing care. It seems that nurses are just robots who need to stay on a schedule of giving pills. There is no thinking at all. Every thing is by route.

A good example is that my wife is a diet controlled type 2. (diabetic) She was on glucose checks AC and HS. At HS she was 85. That was at 2100. I left to go home at 2300. When I arrived at 0700 I found out that the night nurse treated her low sugar.... This blew me away.. I asked her why she would treat some one with a normal blood sugar and on no hypoglycemics, and asymptomatic........ I honestly think she did not even understand the question.

Her next admission was for only 24 hours. She arrived in the er at 1900. They did blood work. I found out that her glucose was 75. (normal) Remember this was at 1900. She was sent to a room and I met the nurse. It was routine for her. Just fill out the paperwork. I left to go home at midnight. I arrived at 0700 the next morning. I was told that the nurse treated my wife's low sugar. Again, the same idiocy. She did not even due a finger stick, even though it was several hours after the blood work was done.

If they actually thought they were doing the right thing, they would have checked her glucose after they gave her the food and drink, to make sure her bs was normal. I am sure that if they did that, she would have been high and they might have given her insulin....then they could recheck, and she would be low, and round and round they would go......

I am adding this as an edit, as I may have not been clear. What is below has noting to do with her glucose. They gave her juice and crackers to treat the "low sugar"

I was with her for 16 hours a day for 2 weeks while she was in the hospital. What I saw scared the hell out of me. I had to constantly fight with the nurses to get her care that she needed. They would give her pills that made her vomit on an empty stomach. Then they would not learn and try to do it again. I had to fight for them to give meds with food. I had to dig the pills out of the puke to show that she did not ingest them.

I had this one nurse who wanted her to drink salt water to treat hyponatremia. I finally had to call the pharmacy and ask, or beg, for a pill. Who the hell wants to drink salt water? I pill is just as effective.

dont ask about the pain pills.......

I could write a book about all this. I am sick over health care.

When I was at the university, I was told "patients get well in spite of what we do to them" I had no idea how prophetic that was.

Yes I as well was wondering why your wife simply did not explain her situation to the nurse before she gave her the insulin. She could have simply said that reading is a normal reading for me and I don't take insulin. Or before you left your wife you could explain it to the nurses so she could put it in her chart.

I have a normal low blood pressure. When I was in the hospital recently I saw the face of my nurse looking a little concerned over my B/P readings that were low 90's or high 80's for systolic. I simply told her this can be completely normal for me and her face relaxed and went into my chart started to type things and I over heard on one of the shift changes a nurse telling the oncoming nurse my B/P is running consistently on the low side. By giving them information like this to your nurse you are helping them so that alarms are not raised in the thinking something is wrong with you and have to react to the situation when frankly the poor nurse does not have all the information. What is normal for your wife could be a problem for many other people and it makes sence to give them a little insulin.

I haven't the slightest clue as to whether your wife received proper care as I'm a student myself. However, I will say that there are bad eggs in every profession, and so, there will be bad nurses too. This doesn't mean every single nurse is incompetent, bad, or lazy. Why would you post the statement "I'm done defending nurses" on this site? The All NURSES site?

Specializes in ICU, LTACH, Internal Medicine.

Dear OP,

I am sorry about your negative experience and so of your wife. Next time, please keep in mind that no nurse or doctor is capable of knowing your own body as good as you do, as well as of mind reading. If your wife normal blood sugar is low, just make everybody aware of the fact. If she vomits after certain pills, post a note on the wall asking to give all meds with some food unless contraindicated. Better yet, bring a box of her favorite crackers so that she always may have some, or order saltines with every meal. It is that simple.

Regarding "care your wife needed", you have to be health care professional with some experience in particular area to understand what care is really needed, not what you think it might be. The fact that you live in the same household and even provide care doesn't imply that you know it all. I, and at least every other nurse here, can tell you hundreds of stories, hilarious or sad, about people fighting furiously for the "right care" for their loved and dear ones while doing it all wrong for years, barking at all the wrong trees or just doing things about which they know about as much as of ancient Chinese.

And yes, I also cannot believe thing about salt water. Did the cafetetia run out of V8? (that I saw once, for a patient without any IV access whatsoever in a very rural place, whilevwaiting for airlift).

Bottom line is that yes, nurses are trained in a different way these days. Very "computer is always correct" line of thinking, scripting, the "customer" needs scripting as to free form discussion. Patients move in and off of units quicker, and nurses are encouraged to do that. If you are questioning anything that is being done, ask to speak with the charge nurse.

I'm a nursing student, and I've noticed this a little bit in some classes. I'm hugely against scripting. I actually got points off in one of my health assessment practicals over it. That was stupidly stubborn of me, but I really think that it's not right to treat patients as if they were customers at Applebee's. Most, though, of my instructors also dislike scripting. I had one professor dedicate 5 minutes of class time to telling us why "having a script" was impersonal and ultimately wasn't good for patients.

I have a classmate who I don't want to speak badly of because I really like her, but she more or less has a script. At the end of clinical, she was wondering why she never felt like she bonded with any of her patients.

I haven't seen nurses script in the real world at my job or clinical, and I hope it's rare if it happens at all. It's just always bothered me a lot.

Specializes in Med/Surg/ICU/Stepdown.

OP, you're frustrated by the nursing care your wife recieved. That message is loud and clear. However, to play Devil's advocate, you are not on the other side of the curtain. You are not in the nurses' shoes. This presents a difficult problem for you as you are unable to fully comprehend the rationale for the nurses' behavior. This paints a clear picture for me: you (and possibly your wife but most assuredly YOU) were not "well informed" when it came to your wife's care.

To address the issue you had with the nurse treating your wife's blood sugar, I only have this to say: each hospital operates under different parameters. Perhaps in the hospital in which your wife was being treated, her blood sugar results are considered hypoglycemic, and in spite of your not feeling she was "symptomatic," the nurse may have assessed something entirely different. I feel that unless a family member is present for 24-hours a day during their loved one's care, it is impossible for them to continually account for all behaviors and all symptoms. It just isn't possible. If you weren't there and didn't witness it then it becomes impossible for you to know every nurse the move made. Hell, it's impossible for you to know every move your WIFE made. Patient reports are sometimes inaccurate even under the best of circumstances.

There are many, many more examples you provide of what you percieve to be inadequate care that would take me eons to explain to you as to why they are not poor care. I'll leave you with this food for thought:

Nurses, like any other human beings, are not perfect. We are prone to mistakes. Occasionally, we operate based on our assumptions, and prior experiences. Perhaps for this nurse, medications (like the ones she was administering to your wife) on an empty stomach do not produce vomiting as you describe. And yes, in this case, trial and error makes sense. They had to learn the lesson first before not repeating it.

I think the public perception is that we're Nightingale incarnate in a white dress ready to heal the world with a touch of our finger. This is not the case. Please understand that while nurses are well versed in critical thinking and their ability to operate autonomously in their own nursing practice, there are guidelines by which they must operate including protocols and physician orders. The mark of a TRUE critical thinker is knowing when to question what is inappropriate.

Please avoid generalizations. And as prior posters have said, we do not need you to defend us. We are quite capable ourselves.

Better luck to you and your wife in future hospital visits.

Was there an order for "salt water" instead of a pill? Did the nurse have a choice?

The nurse always has the choice to advocate for their patient and ask the doc for a change. Furthermore, I agree with everyone else that salt water PO is an odd order, and I'd ask for clarification on that - it's entirely possible they wrote PO instead of IV by accident.

If the doctor refuses, then no, the nurse doesn't have a choice (though the patient has the right to refuse).

But we don't know what happened in this situation. Maybe it was robotically carrying out orders without critical thinking. Maybe it was uncooperative doctor. Maybe it reflects the nurse having a workload where things like this simply don't take priority.

I think the OP is either trolling or suffering from some bizarre personal fable. Either way, his opinion doesn't interest me.

I actually assumed "salt water" to be something like gatorade, pedialyte, etc.

Specializes in ICU, LTACH, Internal Medicine.

I think that the OP just hugely misinterpreted care his wife received, on top of experiencing quite some inconvenience during her hospital stays.

I work in LTACH and with patient's who mostly were discharged from ICU because they overstayed what they insurances and Medicare were agree to pay for and then some more. They and their families tell most fascinating stories how patients' "teeth were torn out without anything for pain" (Stat intubation or severe periodontitis), "pushed thick sugar syrup into" (for CBG of 15 or so), "belly was open and just left like this for a week" (wound vac) and "pounded till their ribs crushed and blood poured from the mouth" (code).

Specializes in PDN; Burn; Phone triage.

Oh god. You dug through her vomit to retrieve pills?? Blegh.

Specializes in Pediatrics, Emergency, Trauma.

I wonder if the OP will come back and respond-probably not since he doesn't want to "defend" us anymore...

Specializes in Pediatric.
Oh god. You dug through her vomit to retrieve pills?? Blegh.

Unless he's trying to vent, he's preaching to the choir. Rolls eyes, grabs popcorns.

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