Barb101

Wow where to start with this one. If imposting ones sense of moral right to another is not bad enough. I mean to say who are we to judge a persons spiritual status - did you go thru a check list or something! I know we talk holistic nursing but lets be practical what is the base line & how do you check your pt is ready to make the next step. We are on the whole not psych's or counselors or minister's of religion I think we are trained to nurse the pt to enable the pt to accept the out come of thier medical condition be that curative or palitive. We should ensure our pts recieve the best care to ensure quality of life - in this life not the next leave that to the professionals. This is only some of my thoughts as this ethical issue requires clarrifation across all nursing specialities. Barb

HI everyone check pts id, meds, illness symptoms reported by the pt. Never say I know when its a lie. Always use the experience as a learning opurtunity. Offer help when you can it will be repaid. With Drs orders always check if uncertain there is always someone who knows. Always great advice time to enjoy nursing.

I tend to agree with zuzi holistic nursing has more to do with theory than practical nursing. It is a concept best left to academics let us see if this theory does have legs in the end.

Hello as I am an Aussie I can only comment on what we have. We still have bedside charts mainly OBS medication & falls risk status. However we do have a allocation system. This allocates the amount of time to be given for each pt based on presenting complaints. Not a very accurate system as we can have really bad days where it all falls to pieces & the odd day where we can have lighter work loads. this system is basically a management tool& honestly does not reflect what is happening on the ward. Dont know if this helps Barb

What is it with number crunchers that care more for surveys than evaluating a patient's health status. Gee wonder if the out come would change if a few PGs occured as a result of stress induced hypertension & the pt really did require medical assistance. But I guess that doesnt really enter the equation

I soooooooo agree with MMOMRN thier is a pecking order the newbies on the bottom & the long timers at the top. The culture tends to revolve around the long timers & if they eat chew & shallow the young then the culture is one of dog eat dog & noone wins if thier is such a thing as winning in this situation. The other thing I have noticed is that thise doing the chewing tend to be insecure within themselves & this could be a form of power play on thier part. How to avoid this tangled mess dont go thier in the first place. stay true to your goals, dreams & above all any intervention be sure as to what you are doing. Any answer is better than saying I dont know!

well this takes on new meaning on cultural diversity when assessing our pts. It is a interesting read tho

I am about to start in a medical mixed ward with a 8:1 ratio which is fine until any number of things go wrong. Its at these times I know Iam doing it tough. So for you a ratio of 15:1 is crazy - most times youcould get away with it but then their is the what if senerio can you afford the permanent loss in this event. Sorry to burst your bubble but go with the rumours they usually have some basics. However the choice is yours - good luck take a less stressfull position if you can

I guess it will eventually be intergrated here to. Wonder if it will get to the stage of being a check list inventory and unless all items are accounted for it doesnt pass go Hmmmmmmmmm could produce a few holdups

[Thankyou Maledi for that beautiful euligy That story brought tears to my eyes and I would have you as a personal nurse. :blushkiss

Ps I am hopefully dating a fly boy thats about all my high altitude experience. But he does give me a lift each time I talk to him Hmmmmmmmmmmm Byeeeeeeeeee

HI fuzzie You have hit the nail squarely on the head. You have assessed the situation planed your response so well and clearly to this topic imparted home truths and evaluated the reponses of soooooooooo many imature people in this profession. What a psychologist you would make to us who scream out at this behaviour (sorry Aussie spelling) Love to all who want to shake the system for the benefit of our pts. :kiss

Thankyou daytonight I have allways watched other nurses DO a head to toe but it allways seemed like something was missing. I have a print out of the HA HA 5 min assessment. Now finially I have a guide that is to the point and reveals a true reflection of the pts condition at the time of assessment.

Hi spiceyqueen sure you are in the correct career lol

Great advise is allways taken on board & acted on. This site is allways full of it! HA HA patience is a virtue but humor goes a long way too. I guess the message is not to be too critical on yourself when you do stuff up and everyone does. Yes I am looking forward to my career starting on a good note but as I have read it really depends on my oun personal attitude. I like everyone else wonder whats it like that is the real fear not knowing and the longer a person can get experience the less the fear is evident

Is it safe to walk the corridors ALONE I wonder but really dont want my imagination to go very far - scarey

Gee Dee you should fit right in LOL

Hmmmmmmmmmm not being able to advance the catheter would really tick me off but some times getting the experts is the best answer even if it does cause initial embrassment. Hey it can always be justified as pt comfort and safety!

Ouch the truth not very many people can handle the truth. It tends to cut to the core of the person.

Holistic nursing is a term used for the bit that is always missed as assessment of a pts condition is partly subjective

I had a friend whos preceptor left her after 2 weeks so its the same down under

well done

In Australia its set rates for each state with incremental rises each year .It depends on your years of experience. Some Aust states do have a slightly higher rate but it all tends to average out in the end.

well future cnm I find its not the pts I need to worry about but the staff around you. For some reason beyond me I see health staff blame those perferably under them for some trivial reason with no adverse health effects to the pt to enhanse thier own status or power. I havent worked out which! Thats the real stress!!!!! Sure pts require more intensive care treatments but thats why we were trained. Its the added extra stress usually inflicted upon us by paper pushers that tend to go beyond the resonable limits of nursing. After that it becomes a dog eat dog world where friendships are non existant because of tensions caused by a unhealthly work ethic & yes that goes back the the $ So what ever happened to respect commitment love of the profession it had been systematically destroyed by bean counters who believe hospitals can be run like a checkout shop. Sorry to be soooooooo negative

Levodevo You seem to have sum of all our current moral standards very well put. like you say hopefully the error of their ways will be revealed & they learn! My belief is that while there is hope to inspire us as nurses to go on we do and do Its when we lose hope we lose that spark that makes us nurses