legendarylady63

We recently got a patient to the floor that was transferred from another floor because they couldn't take anymore of this patient. Her nursing home won't take her back because she called 911 for herself without notifying the staff. The nursing home won't take her back because they considered her move to be going AMA. She is a quad and can tie up staff for long periods of time. If she doesn't get what she wants, she will lay on the call light every minute until someone comes in to attend to what capricious demands she has for that moment. She will tell the nurses how to administer her meds through her IV and even how to mix the med and diluent. She won't eat the hospital food but wants some to feed her chips one by one. Nursing homes in five counties won't take her in either; she's burned a few bridges. There is little can be done to apease this patient. Personally, I've taken up praying for patience.

I have been a part of my unit's shared governance. I asked prior to joining if it was an effective tool for growth or one long grief session.(our meetings are 3 hours long) Also, we have to be elected or asked to join; it is not opened to the entire unit. Our leadership is not supposed to weigh in on any issues but simply to observe. However, I am hearing feedback that only certain opinions are being entertained but other opinions have actually caused one member to be asked to leave the group. Needless to say,I left the group after a few months. I am a person of strong opinions and not always the opinions of the rest of the group. My bottom line has always been about what would help the nurses on the unit perform their job most efficiently with the least amount of stress. Perhaps, having a small turn out is not so bad; it is easier to discuss the opinions of all that attends. Best of luck to you in forming the best shared governance group that can affect change.