SilverBells replied to SilverBells's topic in General Nursing
There are many things that will need to be addressed or completed including:
-Assisting with acute medical situations
-Completing admissions and discharges
-Attending care conferences...
SilverBells replied to SilverBells's topic in General Nursing
Just learned that the patient who was going to move to my unit is very upset because we haven't been able to accommodate this move yet. I feel bad and as if I have failed her. It's frustrating that...
SilverBells replied to SilverBells's topic in General Nursing
Just found out that I'll have to cover for my colleague once again for most, if not all, of next week for medical reasons again. It doesn't sound as if they're able to find a replacement. I'm not...
SilverBells replied to SilverBells's topic in General Nursing
I'm already feeling that, although I'm not entirely sure why. For some reason, it's one of those situations where it doesn't necessarily feel good that I got what I wanted. Maybe it's because I'm...
SilverBells replied to SilverBells's topic in General Nursing
I would agree. I think what I need to do is figure out what needs to happen so this doesn't occur again. A few things in mind including getting my own anxiety under control, being a better listener...
SilverBells replied to SilverBells's topic in General Nursing
Yes, our admissions coordinator is primarily responsible for room assignments, but does take feedback from others. Room changes are frequent in my facility since most of our patients are short term...
SilverBells replied to SilverBells's topic in General Nursing
Anyway, I'm kind of surprised this is actually moving forward. In all honesty, the other manager was very unhappy when she heard the news. Her initial response was "No, this patient is a nightmare,"...
SilverBells replied to SilverBells's topic in General Nursing
With everything said, it may be best to stay quiet. Although I frequently cover for her during the day, my colleague has been known to help out in ways I don't. For instance, she has come in during...
SilverBells replied to SilverBells's topic in General Nursing
It's hard to explain why so many room changes need to be made, other than it has to due with financial reasons. Some of these patients have insurances that require them to be in semiprivate rooms...
SilverBells replied to SilverBells's topic in General Nursing
So, I ended up getting the assignment that I wanted--the tough male patient went to the other unit, and the "easier" female patient is coming to mine. Note: I am starting to designate gender to make...
SilverBells replied to SilverBells's topic in General Nursing
In a sense, I may have spent too much time insisting that someone else could do a better job with the challenging patient and not enough time figuring out how I could make it work. I think I let my...
SilverBells replied to SilverBells's topic in General Nursing
I can see your point. The other manager definitely wasn't happy about receiving this patient. She is stronger and does better with the more challenging patients, but that doesn't mean she wants or...
SilverBells replied to SilverBells's topic in General Nursing
Patient is manipulative. He'll tell nursing staff one thing and then call family and state another. For example, he'll state his pain is at a 0, then call family and state that no one is doing...
SilverBells replied to SilverBells's topic in General Nursing
As an example: This patient had not been here at the facility for more than 10 minutes before issues had already escalated. A nurse was actually sent home today because the patient and his family...
SilverBells replied to SilverBells's topic in General Nursing
Not true. I just was trying to find an incentive for them to readmit a patient known to cause problems extensive enough to cause problems with state. Sometimes, they readmit patients solely because...
SilverBells replied to SilverBells's topic in General Nursing
And I would agree in regards to the finances. My thought process with that statement was trying to figure out the benefits or the incentive of readmitting a patient who is never satisfied with...
As nurses, staffing seems to be a widespread problem, but it's one that we shouldn't have to accept. Lately, I've been trying to come up with ideas to help better staff my own unit.
Today, I...
SilverBells replied to SilverBells's topic in General Nursing
This makes me so angry. I would never expect a floor nurse to fill in on a Care Conference. These meetings can take an hour or longer, and are often scheduled when noon medications are being given,...
SilverBells replied to SilverBells's topic in General Nursing
Yeah. Obviously, if a patient needs urgent medical care, I'm not going to refuse to help them just because the other manager is gone. However, I think it might be time to step back on non urgent...