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flashpoint

flashpoint

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  1. flashpoint

    CNAs and Nurses Referred to as "Girls"

    I think there is a big difference in a resident referring to us as the "girls" and a coworker asking the charge nurse if I can have a "girl" take Mildred to the bathroom. I don't call them the "cleaning girls" or the "dish washing girl." I just feel like the CNAs on my team also deserve the respect of either their name or title. I am pretty tolerant of whatever the residents call us.
  2. I initially posted this in LTC: Directors/Assistants...not paying attention like I should have been! I think I will get better response here. I was a dietary aide when I was in high school...way back in the late 80s. The facility I worked at had a lot of issues with various departments not getting along. The administrator had a "teambuilding expert" do an inservice on teamwork and respect. On of the things the expert said stuck with me and still bothers me. She said that no one on the staff should be referred to merely by their gender. She strongly suggested that we not refer to the maintenance staff as "the guys" or the nursing staff as "the girls." It honestly drives me crazy when someone approaches me and asks something like, "Where are your girls?" or "Can you get a girl to take Mildred potty (you probably don't want me to talk about how much I HATE the word "potty!"). Does it bother anyone else when CNAs and nurses are referred to as "girls" rather than by their name or title? I honestly don't ever remember anyone asking the housekeeping supervisor if one of her "girls" can mop a room after a spill. No one asks the dietary supervisor if her "girl" can take a coffee cart to a room for a family. Why do people think it is alright to call the nurses and CNAs "girls?"
  3. I was a dietary aide when I was in high school...way back in the late 80s. The facility I worked at had a lot of issues with various departments not getting along. The administrator had a "teambuilding expert" do an inservice on teamwork and respect. On of the things the expert said stuck with me and still bothers me. She said that no one on the staff should be referred to merely by their gender. She strongly suggested that we not refer to the maintenance staff as "the guys" or the nursing staff as "the girls." It honestly drives me crazy when someone approaches me and asks something like, "Where are your girls?" or "Can you get a girl to take Mildred potty (you probably don't want me to talk about how much I HATE the word "potty!"). Does it bother anyone else when CNAs and nurses are referred to as "girls" rather than by their name or title? I honestly don't ever remember anyone asking the housekeeping supervisor if one of her "girls" can mop a room after a spill. No one asks the dietary supervisor if her "girl" can take a coffee cart to a room for a family. Why do people think it is alright to call the nurses and CNAs "girls?"
  4. flashpoint

    Housekeeping vs Nursing and poop Oh My

    I have worked in several facilities and there is almost always a battle between housekeeping and nursing. I am always a little shocked when a housekeeper starts barking at me about which pain medication I need to give a resident or how they will try to stop a CNA in the hall to tell them that a resident has their call light on (as the CNA is walking toward that resident's room). The thing that gripes me the most right now is our recent organizational chart. The administrator is ranked at the top, then all department heads, then the charge nurses and every staff member except CNAs, and the CNAs are at the very bottom. So a charge nurse and a dietary aide have the same rank? A housekeeper and a charge nurse have the same authority? And EVERYONE outranks the CNAs? It wouldn't bother me if people didn't actually believe it. A few days ago, I asked a housekeeper to stop swearing in the dining room. She pulled a copy of the organizational chart off the wall and told me we are on the same level and that I had no right to tell her what to do. Our administrator just shrugged and went about his day.
  5. flashpoint

    Come On People, How Stupid Are You??

    We don't use because they are apparently too confusing. We specifically write "Hold for systolic blood pressure less than 100". It is a pain and takes up an incredible amount of space, but it is quite clear. Hope things improve for you soon! I admire anyone who can handle being a DON.
  6. flashpoint

    Can Allnurses add a filter...

    Just because something has already been discussed doesn't mean that there is nothing new to say or nothing new to add to the discussion. I can see the point about the PVT, but a lot of other topics can certainly be discussed more. I always find it odd that people will complain about an old thread being resurrected by someone adding their thoughts or questions, but the same people (not the OP here) will complains about a new post about something that has already been discussed. AN is HUGE and there is no way to make everyone happy. Just ignore the posts that don't interest you.
  7. We had a survey team in our facility yesterday. They were there on a complaint that was unfounded (yay!). One of the people on the survey team looked awful. She admitted that she was not feeling well and wore a mask. She wore her mask just below her nose, so it just covered her mouth. Every time she talked to someone, she lowered the mask and when she went into resident rooms, she took it off completely. A part of me wanted to ask her to wear the mask properly. The DON also considered asking her about it, but the administrator told her not to, so the DON told me to leave it alone. Seems crazy that we would allow someone to potentially infect our residents because she is a state surveyor.
  8. flashpoint

    New Grads With Attitude

    It really isn't a picnic for me either. When I was hired, I was told it would be temporary...only a few weeks. The few weeks turned in to more than eight months, but I did it because I had the least seniority and the hours needed filled. The new nurse agrees to it when she was hired, did it a few times, and decided it was too hard.
  9. flashpoint

    New Grads With Attitude

    I am always a bit confused when anyone went through a nursing program and seems to think they won't end up working weekends and holidays. Really? Do they think the residents are only there Monday through Friday? I have to admit, I am seeing similar trends in several new employees, not just new grads. When I was hired, I was told that I would be doing day shift, every other weekend, an occasional evening or night, and a "fair" amount of holidays. I have worked every other weekend on the evening shift for eight months. The new nurse they hired was supposed to take over my evenings and I was supposed to do the day shift on the same weekend. She decided it is too hard to flip from days to evenings and complained to the right people, so I am back on the evenings. She has been a nurse since before I was born, so she certainly isn't newly licensed. I think the people who are willing to do whatever is needed to maintain their hours and safe and adequate staffing are becoming more few and far between. I sit in on interviews and am often surprised at the people who have to work a certain weekend, can't stay past their shift ever for any reason, or who are demanding wages far beyond their experience.
  10. flashpoint

    How Do You Sign Your Narcotic Book?

    We do the Date Time # on hand # removed-route # left on hand Signature thing every time a med is removed. That isn't what I am talking about. Our consultant wants us to do Date Time # left on hand Signature / SIgnature at the end of every shift to verify count. Both nurses will have to sign to verify that the count is correct. I have done this in another facility and it takes so much time. I would like to see an actual regulation or evidence based practice that says this is the best way to do it.
  11. I am my facility's infection control and prevention nurse. During our recent corporate survey, we got nailed for poor compliance with hand washing and use of gloves. My DON and administrator want me to come up with some ideas to increase compliance. My first thought is simply to try to put the "fear of God" in everyone. A few years ago, a friend of mine spent over 100 days in the hospital after she got an infection when a nurse scratched her while helping her move up in bed. She ended up with a surgical debridement, a wound vac, and weeks of IV antibiotics. She has gross, ugly, and painful scars on her upper arm. She would love to tell her story to our staff. I hate the idea of "Ask Me if I Washed My Hands" buttons. I dread the idea of scripting. I don't want to burden anyone by asking them to be a "Secret Shopper" hand washing compliance monitor. I know from experience that the people I work with would make a mockery and cheat if we did something like rewarding staff that wash their hands with candy or whatever. I know the issue certainly isn't limited to my facility. Hand washing compliance is poor in many LTCs, hospitals, and clinics.
  12. flashpoint

    Nurse's Week Gifts from Employers

    We don't get gifts, but they do a lunch. Instead of gifts, they give us a bonus at the end of the year. I had been there for two months when the bonuses were given last year and it was over $100. People who had been there for several years got way more than that!
  13. flashpoint

    How Do You Sign Your Narcotic Book?

    We don't have a paper MAR, just a paper narcotic sign-out and count book. The last place I worked had us sign each page at the end of the shift. We were supposed to do it with the oncoming nurse and both of us sign as we counted. It didn't work because it took more than forty minutes and that was on a good day. I really hope the DON stands up to the consultant and we keep doing what we are doing. I think she will. It is frustrating that we deal with a problem or potential problem by taking extreme measures. It reminds me of the meme where someone burns down a house to kill a spider. :-)
  14. flashpoint

    How Do You Sign Your Narcotic Book?

    It is a nurse consultant. Our pharmacy consultant says that our current policy is fine. I am pretty big on asking to see the regulation when there is a change in policy that causes more work. The DON asked to see the regulation and the consultant just looked at her the way I look at my kids when they asked questions like why dogs bark instead of mooing or meowing. I do know that a lot of facilities in my area do the sign every page thing. I want to know why and I want to see the documentation that says we have to.
  15. flashpoint

    Early morning phone call cracked me up!

    I am on call for disasters. However, short staffing is not a disaster. They ended up with three CNAs showing up at 0400. I am a bit speechless at the charge nurse's tactics to ensure staffing. I feel bad for the people who didn't know that she really can't get someone in trouble for not coming in on a day off. The DON was mad, especially since no one was sent home when three people showed up to cover for one.
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