Is anything at your work that puzzles you

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Is there any things about your that puzzles or confuses you?

Specializes in Med Surg.
I'm always puzzled as to why the evening ANM has to take an assignment when we're short staffed but why the day ANM can let us drown with 5 patients a piece but NEVER take an assignment.

If my NM would answer that question for me, that'd be fantastic.

I would guess it's because the day ANM can't handle a patient assignment.

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Specializes in critical care.
Is there any things about your that puzzles or confuses you?

Why the effffffffffffff don't the computers EVEEERRRRRRR work?!?!?!?!?! (Add a rage face or twenty for dramatic effect.)

Why the eff hasn't that one doctor been fired? My god he is useless.

How in the heck have we hired so.many.new.people.holy.crap! But we STILL have too few people scheduled so frequently?

Why do they keep launching new things without teaching us how to use them? And when they do decide to teach us, why do they keep showing up when it's time for the biggest med pass of the day?

Why do I have so much PTO that I'm not allowed to use?

Why does that one spot in the hallway smell like poop? That one, little spot. It's not a patient. The floor and wall is clean. Why???? Is it the ghost of poopmas past?

That's it for now. God knows there is more.

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Specializes in Family Nurse Practitioner.

How can I be punished for being legit sick?

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Specializes in LTC Rehab Med/Surg.
Nothing about my work duties puzzles me...

Rather, it is the intangible aspects of the job that perplex me. Workplace politics, favoritism, invisible social boundaries, shift wars, and passive aggressive behaviors will never fail to puzzle me. I'll never fully comprehend human nature.

Me either. I can interpret body language, and nuance. I can feel tension when I enter a room, without knowing I've interrupted a fight. I recognize any given emotion my coworkers are feeling, but most of the time I can't figure out the why. Even when they say it out loud.

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Specializes in Med/Surg/ICU/Stepdown.
I would guess it's because the day ANM can't handle a patient assignment.

You may or may not be totally onto something.

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How we are understaffed or using agency nurse's because the SNF does not want to pay incentive pay to their own employees (which would be less than paying an agency) but when it's state survey week we are suddenly brimming with incentive pay. Why not hold the same standard of care year round???

Are you really perplexed as to the reason why?

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Anything to do with any kind of insurer. How they will fight tooth and nail to avoid paying for every other week home nursing visits to keep a patient stable on a long term injectable medication when the entire year of services costs less than one night in the psychiatric hospital, should they insist on taking him off his meds causing him to deteriorate.

Wife is a utilization nurse for an insurance agency that has the state contract for mental health.

She says, "Why can't nurses and doctors document the needs of the patient so that she can provide a justification for releasing funds instead of just getting mad and keep requesting the same things over and over while charting that the patient is fine."

Facility - "Patient needs X, Y , and Z! Why aren't you giving it to me!"

Wife - "I am looking at the chart from the past two months, according to the 10,000 pages I just had to read through there is no documentation that the patient is having any problems? Can you send me something that shows that the patient is having a problem with A, B, and C so that I can authorize X, Y, and Z? You know the same exact documentation you had to send to me the 48 other times we talked about this?"

Facility - "Oh, its not there?"

Wife - ":facepalm:"

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Specializes in critical care.
Wife is a utilization nurse for an insurance agency that has the state contract for mental health.

She says, "Why can't nurses and doctors document the needs of the patient so that she can provide a justification for releasing funds instead of just getting mad and keep requesting the same things over and over while charting that the patient is fine."

Facility - "Patient needs X, Y , and Z! Why aren't you giving it to me!"

Wife - "I am looking at the chart from the past two months, according to the 10,000 pages I just had to read through there is no documentation that the patient is having any problems? Can you send me something that shows that the patient is having a problem with A, B, and C so that I can authorize X, Y, and Z? You know the same exact documentation you had to send to me the 48 other times we talked about this?"

Facility - "Oh, its not there?"

Wife - ":facepalm:"

Oh, man, I had this problem when I was in property management. In fact, I was let go from one job because I would tell my boss what things prevented me from doing my job, and she wouldn't relay those needs to her boss. So when her boss came down on HER for things not getting done, guess who got tossed under the bus? Me, of course. Biggest blessing ever because the next job I had, I had a boss who listened, and knew stuff wouldn't get done if you kiss the owners butts and pretend everything is perfect to make yourself look better.

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I'm puzzled when some patients (or family) think they are above using the call light, and come out of their room to find you, and interrupt you (even tho they apologize for doing so) to ask you for something.

It's a system people! We have a system ! Go through the proper channels ! Please I beg you! Your call will e answered in the order with which it was received !

Also, I'm puzzled by how little blood is actually coming out ( of wherever) when a patient calls you to come to them right away because they BLEEEEEEEEEDING!

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Specializes in critical care.

I'm puzzled why patient family members don't understand why it's not acceptable to raid the linen cart or nutrition room, and why some staff tells them it's okay.

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Are you really perplexed as to the reason why?

Yep. I don't understand how it is beneficial (from a patient care or financial standpoint) to pay an agency $50+ per hour instead of paying a staff employee (who is familiar with the standards and practices of our company and know the patients and staff well) $40-45/hour to pick up extra shifts.

This SNF is great in the way that they would rather be overstaffed than understaffed, but they don't want to "spoil" the employees by offering incentive pay. (That is not speculation, I have been to administrative meetings where that was said).

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Why do I need 4 different passwords- all complex, all need to be changed every six months?

My bank account with access to thousands of dollars is protected by the same 4 digit password I've had for years.

Gotta be more people interested in taking my money than charting under my name.

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