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tddowney's Latest Activity

  1. tddowney

    Will you work during a Pandemic?

    First of all, I'm not inexperienced or naive enough to believe the government will take care of anything. I've been an adult for 35 years, and I know the goverment talks a much better game than it ever plays. Like any good emergency responder, which I've been before nursing, I look to my own saftey first.......can't help anyone else if you're a Pt too. So, no PPE, then no me at work. Then it comes down to practicalities. Will going to work help or hinder getting food for my family? Do I have enough ammunition to fight off the other desperate people looting the grocery stores in order to get my share? I do think that as a professional, I have an obligation to be prepared and to have my family prepared so I can do my job in a crisis. That's the bottom line.
  2. tddowney

    How do you handle non compliant patients??

    If I followed your post correctly, the Pt had gone more than 24 hours without food or anything to drink. No surprise that he's going to sneak something.
  3. So, if you're sitting down, that must mean you're on a break, and don't need a real one, right?
  4. In this case, it was nurses who came up with the hourly rounding. The idea is that it cuts down on call light use, and thereby saves nursing time. But, no doubt the researchers forgot to take into account all the documenting time.
  5. tddowney

    Help!! How to retain new nurses

    Start with the complaints commonly seen on these boards. Nurse/Pt ratios, inadequate and shortened orientations, unhelpful or worse response from those with experience on the unit. The solution to these complaints is an organizational committment to nurses, not just new ones. For a start, make new employee satisfaction a significant part of the performance reviews of charge nurses, unit managers, and up the line. I'm a new grad, although with quite a few miles on me in other industries, and I work in transplant. For the record, I'm being given a very good orientation, despite changes in personnel in our unit. I very much enjoy my job. Sure, I feel stressed and dumb at times, but that comes with the territory of any new job. The thing is, I have people I can turn to. One thing often missing from this type of discussion is the part the newbie can play in enlisting the staff as friends, rather than critics. Be friendly, be respectful, never carry tales, and jump in and help with the mundane tasks without being asked. As a newbie I know I can't carry a full load, but I can make sure I do carry the load I can.
  6. tddowney

    Pressure to take breaks ...

    This is one of those paradoxes in life. Taking a break allows you to refresh your mind for a few minutes, grab a snack and a drink of water, tea, etc. You'll probably think better with some nutrients and hydration on board. The change of pace will let you think better, too. Taking time can actually save time. Give it a try.
  7. tddowney

    90 patients die from infection in UK

    You gotta love the idea that, with a nursing shortage bad enough to force Pts to lie in feces for hours, the government is looking to lay off more people.
  8. tddowney

    How Would You Handle This?

    Search your cart for the actual wood--no aluminum, please--Louisville Slugger Alex Rodriguez model bat you purchased for one of your family members. Remember to step into the swing............. A bit more seriously, as a practical matter all that stuff about assertive communication is probably 99% assured to fail in this situation. The individual who cut in line is aware of the anger and frustration his action will engender in those he's cutting in front of, and he doesn't care. Physical force is probably the only thing that will get him to the back of the line. Unless you're mentally and physically prepared to go that route, you're likely not going to reclaim your rightful place. OTOH, he'd be a good person to guard your place in line, right behind him, while you go the the bathroom. Sometimes you just have to make the best of the hand you're dealt. Life is stud, not draw poker.
  9. tddowney

    DNR Orders Overturned By Doctors

    If the pt does recover, he ought to sue not only the doctor, but also the family members who insisted the doctor act against the DNR. In some cases, some family member might be siphoning off grandpa's SSI or other retirement payments, and if grandpa is no more, then there goes the income. It happens.
  10. tddowney

    ANGRY! There's no place to eat or drink 'round here!

    I don't mean to pick on you, but............................Why in the world did you apologize? This wasn't your lack of professionalism, but lack of professionalism by your supervisors and management. Management is a profession, and it should be held to standards of conduct as well. I'm glad you have a better situation now, and your treatment of your nurses is just what our profession needs.
  11. tddowney

    ANGRY! There's no place to eat or drink 'round here!

    All bureaucracies come to serve their own interests first, and one way to do that is to make silly rules, in addition to the ones that make sense. More rules require more people to enforce them, and thus bigger empires for the bureaucrats, job security for the field enforcers, etc. 99% of would evolve the same way if we were in similar jobs. If I was king (God help us all if that comes to pass) I'd shut every agency every 5-10 years, and start 'em all over, and make sure that none of the same people work at the new one.
  12. tddowney

    ANGRY! There's no place to eat or drink 'round here!

    If they are going to enforce this policy, then you and your fellow nurses need to enforce the rules about luch and breaks. Take this opportunity to let your supervisors know that you will require, for your safety and good patient care, regular breaks and lunch periods, and offer to help plan and implement a schedule, who will cover during busy times, etc. This way, you aren't violating any policies that could get you in trouble by sneaking, and you are letting the hospital know that you expect them to follow the rules as well. You're not being obstinate, but assertive and cooperative in helping set a schedule.
  13. tddowney

    Pet Peeve: Poor Grammar by Nurses

    I think you're making an unwarranted assumption that all nurses are learning grammar, or having previous lessons reinforced in college. Many do, I think, but there's an increasing minority who aren't. That's not entirely the fault of the student, but it does end up reflecting poorly on him/her.
  14. tddowney

    "Latex Lunacy" or "Latex Liason"

    Your questioning of what could be a dangerous situation for both patient and staff (drawing blood w/o gloves) made a change in how things are seen on the unit. Well done. I've recently been in your position, and I think one of the things people with a bit of age and experience bring to nursing is the ability to speak up when necessary, and to have a good sense of when it is necessary. I'll bet you did it in your previous jobs. Clearly, we have to balance our inexperience in clinical knowledge and expertise before "making waves." It's best to be humble and recognize that just about everybody on the clinical unit has more practical knowledge about patients than I do. After all, I'd expect a similar willingness to learn from a newbie in my former area of work. I think you did the right thing in first seeking direction from your clinical instructor (who should be available without having to send an S&R team to look for him/her). Bouncing ideas off classmates is usually a good idea. They may very well rememeber something you didn't from your study.
  15. Either that is a very mis-informed or very dishonest risk manager. The hospital could have reason to discourage nurses from having their own insurance. If you're footing the bill for your own lawyers, it's less likely that you'll make your own case, which could contradict the hospital position.