In your "perfect nursing world" what would you have?

[General E. Speaking, RN]

I would like to see patients micro-chipped with all their medical history. You know, like when the pacemaker's are interrogated and they wave that magical little wand over the device and POOF! all the data comes up nicely on a screen?

No more, "Mamma! Mamma! What was that little blue pill you take at night? Or, "Yes, I had a severe allergy to a medicine. It made my throat close up. What? The name...uh, I dunno".

No more, "Oh, honey, just call my doctor. He knows all my medicines."

I would like to see the nurses station roped off like the movie theater lines. Only so many doctors allowed in the nurses station at one time. We could serve popcorn for those waiting...

I would like to see a limit to how long they (docs) can stay in the nurses station. BUZZ! "Times up, doc! Oh, you are not finished? That's okay, kindly step back to the end of the line. When it is your turn again, you can finish up, k? Buh bye."

I WOULD like a crystal ball that tells me when you are rounding. This will help me immensely in planning my day, especially if you are coming in to do a bedside procedure since I have had the consent done and room set up, patient prepped for hours upon hours and still you do not show your lovely face... until shift change.

I would like a nurse satisfaction survey for management. I want to send out daily annoying color-coded emails about "getting your scores up". I want to see how you feel to be treated like a kindergartner that is changing colors for bad behavior.

In the managers/administration bathrooms, I want to put annoying Stop Sign stickers above their sinks that say, "Safe Staffing Saves Lives!"

I want to interrupt administrations lunch every 5 minutes for the duration of every single lunch they have.

I'm sure I will have more. Sorry for the rant!

[Sun0408, ASN, RN]

Oh the computer thing and pharm got me thinking... Wouldn't it be nice if all rooms had there own computer and scanner with a locked cabinet with ALL of that pts meds.. No COW to lug from room to room :)

[missladyrn]

Adequate staffing! That is all. Well, and maybe that movie theater line thing, that sounds good too!

[General E. Speaking, RN, RN]

Also, an unlimited/easily assessable supply of pens, paper clips, staplers, tape and stickies. I want the doctors to bring their own pens and stethoscopes!

I also want housekeeping, dietary and secretaries to stop wearing scrubs. My world, I can dictate.

On my most horrendous day (it's my perfect world so I can predict when this is going to happen ), I want the CNO to be my shadow. I want to have the most challenging patients, be short-staffed, not have my meds requiring a phone call to pharmacy all day long. I want to have to play post office (PCP says do this or that if okay with ALL the consults: pulmonary, infectious disease, renal, GI, podiatry, cardiologist, neurologist, etc...)

I want to have ONLY isolation patients (make that TB isolation) requiring us to wear N95s all day long while constantly gowning up and down in those horrible hot plastic blue gowns to answer the never-ending ring of the call bells. I want the dysfunctional family members to come of of the woodwork and hound me all day long. I want them to trail in minutes apart from each other requiring a new update every time a new 'auntie/cousin/mother comes in. I want to go on a road trip to CT with my ventilated patient that is on Levophed, Amiodarone, Propofol, Versed, Fentanyl. Oh, and those gtts? Please but them in tiny, tiny 50 ml bags so I have to send down requests every hour for Pharmacy to mix another and another and...

I want my other patient (I'm in ICU) to not speak English but some obscure language and have NO FAMILY around. And, I need to get a PRBC or surgery consent STAT.

Gotta stop. I'm getting dizzy. lol

[Altra, BSN, RN]

On my most horrendous day (it's my perfect world so I can predict when this is going to happen ), I want the CNO to be my shadow. I want to have the most challenging patients, be short-staffed, not have my meds requiring a phone call to pharmacy all day long. I want to have to play post office (PCP says do this or that if okay with ALL the consults: pulmonary, infectious disease, renal, GI, podiatry, cardiologist, neurologist, etc...)

I want to have ONLY isolation patients (make that TB isolation) requiring us to wear N95s all day long while constantly gowning up and down in those horrible hot plastic blue gowns to answer the never-ending ring of the call bells. I want the dysfunctional family members to come of of the woodwork and hound me all day long. I want them to trail in minutes apart from each other requiring a new update every time a new 'auntie/cousin/mother comes in. I want to go on a road trip to CT with my ventilated patient that is on Levophed, Amiodarone, Propofol, Versed, Fentanyl. Oh, and those gtts? Please but them in tiny, tiny 50 ml bags so I have to send down requests every hour for Pharmacy to mix another and another and...

I want my other patient (I'm in ICU) to not speak English but some obscure language and have NO FAMILY around. And, I need to get a PRBC or surgery consent STAT

:yeah: :heartbeat :heartbeat :smokin:

[sevensonnets]

One extra nurse per shift to help wherever needed. An entire floor of CNA's to well, take care of patients. Mandated and strictly enforced break and lunch times. A nice little break room just for us which can't be accessed by family members wandering around looking for the coffee pot. Pharmacists who never ever say "We sent that up an hour ago. Have you looked on the counter in the med room?" They should have to publicly admit that they sent it to the wrong floor BRING it to you.

[General E. Speaking, RN, RN]

Have a burn party in front of the hospital. Set fire to all the inexpensive trinkets, hospital cups/mugs, pens and t-shirts!

[canesdukegirl, BSN, RN]

OOhhhhhh, how I love this thread!!!

In my perfect nursing world, I would have aerosolized valium pumping through the vents in the Nurse Managers office. Then I would have two team leaders per service (our OR has about 6 different services) to do nothing all day but ensure that we have working equipment with all of the parts and pieces, set up and break down our cases, give us a morning break, an afternoon break and a 45 minute lunch (that is catered). I would have free CEUs offered every month along with guaranteed time during the working day to complete them AND have someone keep up with them for me, emailing the tally to both me and the BON. I would have a free shoe fair every year, with each staff member eligible for one free pair of shoes (perhaps for Nurses Day). I would want complimentary X-ray lead for each staff member with their name embroidered on it. I would have pharmacy hire runners to do nothing but deliver meds to each OR in a locked box with separate little drawers for each case in the room for the day. I would want shock collars on the residents/attendings who send their patients down for "emergency surgery" without a consent. I would like to rate the performance of my managers each week with a nifty little graph showing where they "need improvement" and have the graphs hanging in the hallways "for incentive to do better". I would like to see a portion of the administrator's pay to be cut each time there is a mistake in staffing requiring the nurses that have worked so hard already that day to work overtime (we could call this Pay Abandonment since they tell us that we are stuck and there is nothing that they can do about it because if we left, it would be patient abandonment).

Wow! I could go on! Thanks for the fun thread, OP!

[Up2nogood RN, RN]

Oh the computer thing and pharm got me thinking... Wouldn't it be nice if all rooms had there own computer and scanner with a locked cabinet with ALL of that pts meds.. No COW to lug from room to room :)

We do have a computer w scanner at each pt bed and a locked cabinet but we are only to use it for supplies, not meds. It would be nice to have a mini blanket warmer in each room and an ice machine thats accessible to family members so they can get their own dang ice water.

[OldNurseEducator]

:yeah:

[OldNurseEducator]

This is such a fun thread! :yeah::nurse:

[April, RN, BSN, RN]

I want a glucometer in every room! Or better yet, have the q1h blood glucose levels automatically checked by central line or A-line and show up on the monitor like other vitals.

[ayla2004, ASN, RN]

More staff, RN, ward clerk till 20.00 not till 13.30. more support workers(cna)

Nurisng staff levels increased if more dependent or unwell pt on ward.

less redundant work. /more cleaning staff instead of nurses cleaning everything but the floors(bar spills)

if jobs aren't getting done, mangers who don't just point the finger of blame instead work a shift and see what is getting done and why non pt care jobs are not achieved.

less checklists.