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NurseAdida 3,541 Views

Joined: Mar 23, '08; Posts: 130 (48% Liked) ; Likes: 188

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  • Oct 18 '11
  • Oct 18 '11


    I got to that point in computers, where I was miserable every single day, to the point where I didn't want to get out of bed to go to work, just all the back stabbing, the complaining, the constant worry that your job would be outsourced, downsized, "right sized"or there would be a "force correction," all of which meant that you'd be out of a job.

    So, I made a radical change. I still see the back stabbing, complaining, whinning, etc., and now I have the added treat of possibly coming down with HIV, HepC, meningitis, and a host of infectious diseases if something goes wrong with a combative patient (nothing makes your shift like being told you have a HepC pos patient who's demented and likes to bite).

    I came to terms with it. People are going to disappoint you, drive you nuts, and hurt your feelings. I can't change that. But I can keep their stupidity and ill manners, and "lack of good home training" from making me nuts. It's a job. You are paid to be there for X hours. Go in, do your job, and leave. Those special days where you really feel like maybe, maybe you helped someone one are the special days, most days you just grunt thru.

    I have a yellow post-it note on the mirror in my bathroom. It says, "nothing that happens at work is personal unless you let it be." It's kept me from running screaming down the interstate many a night....

  • Oct 18 '11

    Quote from MrChicagoRN
    Many visitors are old & frail, and under emotional stress. I"ll check their BP, give them some juice and crackers if they're feeling a little weak (then direct them to the cafeteria), whatever.

    Possible outcomes:

    You check their vitals, WNL, write it down for them & say, "if you're still not feeling well, you may want to f/u with your MD. Don't discuss meds, diet, or anything else. They're fine, they're happy that the staff cares about someone even if they're not being paid to do so.

    You check, BP elevated; recommend f/u with MD or ER, depending on severity. After that it's up to them, but at least they are making an informed decision. They say thank you, and make their decision

    You don't check...patient and family decide the staff here are caring & unfriendly. Chilling effect on the way they interact with you during their stay. They say so in their surveys, to their friends and neighbors, and maybe on their FB page.

    You don't check...30 minutes later family member collapses on the floor, maybe needs CPR. Deep down you wonder if this could have been avoided if that dangerous BP had been noted.

    It's much simpler to just check the BP, provide the data and direction, and move on.
    5th possible outcome - you check their BP and is it WNL. They are happy. They go home. They have a massive stroke unrelated to BP. The family says "the nurse checked their BP and said is was OK so we went home instead of ER like we planned. It is all her fault." If she hadn't said the BP was OK we would have gone to ER.
    You are sued. The hospital is sued.

  • Oct 18 '11

    They just intubated Bed 7, but they look funny and their belly keeps going up and down....

  • Oct 18 '11

    "Thank GOD you are here! This has been the night from the deepest depths of Dante's hell!"

    "Oh you got rm 111? He hasn't stopped having diarrhea all night!"

    "Can you take report early?"

    "Ring...ring...ring...ring...ring...ring...ring... ring..." (phone or call bell or both at the same time!)

    "There is a family member on the phone of the patient that was admitted 15 minutes ago that you are going to have today."

    "Sorry but you have two admits coming."

    "Sorry for the assignment."

    "Don't kill me for the assignment!"

    "You don't have a tech/CNA/PCT"

    "Can you call the doc on this troponin of 2.37?"

    "Your first of four units of blood will be ready in 15 minutes"

    "Sorry about the insulin drip"

    "We have a lot of precaution patients"

    "The floor is so heavy!"

    *Utter silence as everyone is too busy to even make eye contact when you walk on the floor*

    "Code One/Blue!"

    "You have room 112? She's a total PITA"

    "We can't get a sitter for your patient"

    "Joint Commission is here."

  • Mar 25 '11

    At a hospital where I used to work, the staff on one floor was notorious for both incompetence and laziness. One night, paramedics from the county fire department showed up at the nurse's desk on this floor. It seems a patient, having rung his call light and waiting for more than an hour for his nurse to bring him some pain medicine, he finally dialed 911 to ask for an ambulance to take him to a "real hospital" before "these imposters" killed him.

    Kevin McHugh

  • Mar 22 '11

    Just so you know, three or less can often be a whole honkin' truckload of work!

  • Mar 22 '11

    I can't stand all these people who are responding, "how do you feel if it where you" or "oh it makes the patient feel so much better". Hello?! The OP is just saying that it isn't a top priority. I work on a med-surg floor where it's me and the 6 to 8 patients. No aids, the other nurses have their 6 to 8, and I just have more important things to do. She's not saying that she wouldn't LIKE to do it, it's not a priority. Frankly I wouldn't want a nurse who made my bath more important than being safe in passing meds and checking orders. Family needs to pitch in; in todays nursing you are seriously disillusioned if you believe that we actually get to take holistic care of a patient. I can barley get by with 'safe' care and cover my butt charting. That's just the effing facts people, get off your high horse.

  • Mar 22 '11

    Although I hear what you are saying..........I pray that you, or a loved one, are never so sick or in pain, not allowed or unable to get out of bed, urinating on a bedpan, sweating from medications, tied to an IV pole,SED's and whatever other equiptment a hospital can dream up to place on a person........for 24 hours or greater with bunched up wrinkled sheets, bad breath, furry teeth and BO trying to find a cool comfortable spot on the pillow all the while feeling like crap just wishing you could rinse your mouth, brush your hair,wash your face,pits and privates and try to start the day.

    Do you..............take a shower everyday? brush your teeth and wash your face-everyday? put deodorant on and brush your hair-everyday? Do you stay in bed for 24 hours straight never leaving it.....not even to go to the bathroom-everyday?

    I will concede that not every patient needs a full bath every day but a P&P (pit and private),swish and spit should be done at least once a day. I also feel that fresh sheets and pillow case go a long way to making somone feel emotionally better which in turn goes a long way to getting them physically better. It makes you feel like someone cares..........

    If you feel that if any loved one of yours is recieving the best care they can recieve if they were on the recieving end of your care then that is OK for wouldn't be OK for me or my family.

  • Mar 20 '11

    Plus you could play "Angry Birds" when no one was looking!

  • Mar 20 '11

    Quote from Flo.
    This has nothing to do with education and everything to do with staffing. That unit was dangerously understaffed.
    I agree with above poster. This has nothing to do with BSN vs ADN education. The unit sounds like it was chaotic and understaffed.

  • Mar 20 '11

    This has nothing to do with education and everything to do with staffing. That unit was dangerously understaffed.

  • Mar 20 '11

    Maybe it's because I have only worked with BSN prepared nurses in recent years, but somehow I don't think education is related to what is clearly an understaffed unit.

    As to your final question, I suggest you find out who is on the health and human services committee at your state assembly and right to them requesting minimum staffing standards be addressed in the legislature.

  • Mar 20 '11

    Pet Peeves:

    1) The nurse who won't get off his a$$ all day except to eat and gossip.

    2) When said nurses gives report and has a LONG list of excuses why his work didn't get done.

    3) When said nurse gets reported to management for being lazy and then takes an attitude with everyone he works with, since he didn't know who exactly reported him.

    (OK, so it's been a bad week working next to this lazy a$$, and my back is KILLING me!)

    4) Families who want to know how "Uncle Jimmy" is doing, become incensed when I quote HIPAA laws to them, and then claim they don't know how to get in touch with the patient's family to as them how he's doing. (Excuse me, but if you don't know how to get in touch with "Uncle Jimmy's" family, perhaps you don't know him well enough to be visiting him in ICU.)

    5) People who lie to me about their relationship to the patient. Listen, I really don't care if your divorce was the biggest mistake of your life or not, but if you're not CURRENTLY married to the patient, you have no business signing the surgical consent.

    6) People who lie to me about their relationship to the patient part 2 -- I don't care if you're engaged, not engaged, living together or just having a really hot and heavy fling. If the patient gives you POA, you're in. If not, NOT. Period.

    7) Families who insist that their needs supersede everyone elses. Even the needs of the patient next door who is coding. Even the needs of their loved one, who hasn't slept in 3 days and really wants a nap right now.

    8) Managers who insist that "In my day, I could do more with 50% less staff." Yes, and your day was 20 years ago. Patients weren't as sick then. I remember. I was there then, too.

    9) Managers who believe that anyone who works in the ICU for a decade must be mediocre. And managers who then announce that belief to everyone at a staff meeting. And then laugh and say they really didn't mean it THAT way. Of course you did. And it shows.

    10) People who lie about their drinking or the patient's drinking. Believe me, we're not asking because we're gossipy or judgemental. (Well, most of us aren't). We really want to know how likely it is that we'll be wrestling with DTs. Literally.

  • Mar 6 '11

    Old nurses seem to forget that they once were new grad back in the old days. And, they had to look for a job just like today new grad, so you guys have to support us, btw the degree is not free, u know!
    Gee- my degree was free. NOT.
    Jobs were hard to come by when I graduated. So I went to where there was a job - to a small town in an area I really didn't want to live. But there was a job so I went. Stayed 3 years, learned a lot and got experience. Then I got a job where I wanted to be.

    Sometimes you have to work in an area where you don't want, or live in an area you really don't want to be before you get to where you want to be.