fontanel39

Curious about new developments in this area...regarding some news that some Scopy clinics have had troubles adhering to manufacture recommendations. Any one with anything new here?

1. Customer service is not kissing @ss. 2. Doctors treat diseases. Nurses treat people. 3. Sometimes explaining why a rule applies to that person is all it takes. All rules are for a reason (ok, ok, usually)...someone, somewhere, at some point did some stupid, illegal or immoral thing and now we have a rule for it. Someones head blew off, their feet shriveled up and fell off, or whatever messy outcome that made someone decide...."Hey, lets not let THAT happen again." Take 30 seconds and explain. It may save their life. IF that doesn't work, document that they asked and you explained. What they do after that is up to them. The patient has rights and takes some responsibility for themselves when they do opposite of what you have told them.

Before I quit my former job and went to school to become a nurse we had a saying when training new people. When they have been there a few weeks to get the routine down, but aren't fully ready to fly alone.... "They know enough to be dangerous." I encountered this personally when I recently transferred to a GU clinic. Very little of my nursing home experience applied. I'd never put in a catheter (now I have mad skills). But I am getting compliments on my willingness to learn and ability to accept correction. But in all areas, not just nursing...when someone is oblivious to their own role in their problems...they will blame others. I saw a joke motivational poster that said something like: If all your relationships are dysfunctional....you are probably the problem.

Frequently in Nursing exams it can be a matter of choosing the one that is most wrong. So yes when first reading the question I probably would have chosen the same one you did. But thinking about the wording.... "Challenge the client to alter distorted thought patterns and view self and the world more realistically." To me that can mean reminding them that I'm not their daughter....just reorientation...not that I'm trying to indoctrinate them to their former thinking.

I recently started working in a Urology clinic....my patients tell me they had prostrate cancer. **ok so I read back one page and saw that someone else had put this one already. So here's another... reading the computer charting of some of my (former) coworkers...we got monthly weights of patients, and when someone didn't want to be weighed they put that he didn't want his wait taken. Or wouldn't let them way him. That always made me laugh....and "refused pari care".