navyguyhm3 1,706 Views
Joined: Mar 23, '11;
Posts: 51 (51% Liked)
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I have supported patients in their need for spiritual comfort. Although I am Jewish, I will easily hold the hand of anyone who wants to pray in their own way. When I worked at a Catholic hospital I learned the 'Our Father' simply because I heard it so often. When a patient asked me to pray with her, this prayer just rolled off my lips as though I had been saying it all of life!
When there was a Wiccan patient in our unit, I was one of the few that willingly took care of her. No one's beliefs have frightened or disgusted me, although I freely admit some curiousity. Don't expect my questions to mean I might convert, though!
Everyone is entitled to seek comfort in their own way. I hope that we can help them find it.
This, you need to stop asking, and start telling. No need to be rude. Just direct.
I have found that there are only 3 things to be done, and you kind of need them to be done in order. One, work your a$$ off. Let it be seen that you yourself are not lazy. Two, communicate with the offenders what you expect and don't do it in the form of a question or a choice. Just say it. "I expect you to have your patient cleaned up before you go on another smoke break." Or, "I need to get out of here on time, make sure you can go on time as well." Three, if behavior doesn't improve, document objectively with real numbers and events, and pass it up the chain. Repeat as necessary. If offender questions you about the documentation, respond with "yes, and you were aware it was a problem because I spoke to you about it prior to writing anything down."
I don't know any other way to do things. People will be the way they want to be, and some folks just don't want to work.
First, the title of your post was am unfortunate choice of words.Second, as team leader, you simply say (IF they are sitting around), "I need you to..."I work w a fabulous group of LPNs and Aides; we cover one another. I always recognize their contributions, and they appreciate mine. I don't really have this problem. But if I did, a simple " I need you to..." will suffice. They will then have to explain why they cannot, or do the task.I don't really understand the issue here...
I am the charge nurse responsible for a busy unit with a team model and I encounter this on almost a daily basis, as do many of the other RNs in charge. It really disgusts me how SOME of the LPN staff members can be so lazy and be grudge me because I have a pile of paper work and things to coordinate or otherwise over see in the nurses station, while still finding time to help many patients on the floor. These LPNs can't appreciate the level of stress and responsibility that goes onto the charge nurse, particularly after hours when we are the go to person for policy questions and issues. I would love for one day see these staff members just try and run the unit; they would crash and burn and panic in any emergency where they had to make decisions.
I cannot imagine "acting unimpressed" when families approach you with "silly stories".
Or being"pained" by a visitor.
Review the new CMS guidelines for reimbursement.
As discouraging as it sounds in this economy its WHO you know not what you know. I had no luck for 5 months then my aunt and my friends mom started pushing for me at their hospitals and now I have 3 job offers. This is the sad truth of this economy. Hang in their something is bound to open up
Any nurse administrator worth their salt is able...and willing...to do the above. I was speaking exclusively of those nurse administrators who, themselves, think that to help pull a patient up or roll up their sleeves and pitch in when we are swamped on occasion is beneath them somehow. If I can't find another staff member and ask the DON to help...whether it's to hold a patients thighs while I cath or help roll a patient off a bedpan....the difference between a real nurse and a fake one is their willingness and ability to jump to it with a minimum of attitude and eye rolling. Patients come first people! I know pushing a pencil is important to our profession too but sometimes being in admin means willing to do whatever it takes to get the job DONE!!
I have had DONs that don't mind getting their hands dirty and nurse educators with students that were awesome teachers and real nurses...I have also seen the worst fake nurses...in all fields who could give two sh$&$ about patient care and had the not my patient, not my hall, not in my job description attitude. You tell me...can they call themselves real?
We must all remember, that without those "unreal" nurses in education, we would have never become "real" nurses. Nurse educators are the foundation of nursing. They lay the groundwork for all of us bedside nurses who will one day orient a new grad.
As a school nurse I get the same thing. "Don't you want to work in a hospital and be a real nurse?" I got the same thing working in family practice. Funny, I sure felt like a "real nurse" for the last 27 yrs since graduating! Silly me.
Some of the attitude you may be getting stems from the current climate that seems to say if you "only" have your BSN and are working at the bedside you are the bottom feeders of the nursing profession. I can't imagine how bad it must be for
ADRNs, Diploma grads, or LPNs. I cannot tell you how many times I have been told I should go back for my MS in ....... Nursing. "You are too smart to keep working at the bedside" seems to be the general attitude. Well, I hate to break it to everybody out there- smart, tallented, skilled, thinking bedside nurses are contributing to good patient care. Nurses who work the bedside are not just those too dumb or too lazy to go back for a MS. I like what I do most days, and there is nothing else in Nursing that currently attracts me. I think you may be getting some flack from those of us at the bedside that are beginning to feel like we fell asleep in the back of the
"nursing career bus" and everyone else has jumped off at the last stop.
It's just a common courtesy. My docs appreciate it and respond in kind. But then, you'll always get the few that act like buttheads regardless. It's then that you show your true professional self by rising above it.
It's just pleasant and social....kind of like asking someone, "How are you?" when you really don't care. It also gives them at least a few seconds to get oriented to what's going on. No one wakes up from a deep sleep at 3AM ready to have a question thrown at them like a brick being thrown through a window.
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