vibe9

I am crying I am laughing so hard!!!!

Hello, It is a good thing that little POS was not talking to me. Get them where it hurts. Everytime you page a doctor/resident/nurse manager/supervior you DOCUMENT IT! State patient complaint. Paiged md. TIME AND DATE. NEXT ENTRY: TIME AND DATE: No return call, paiged md. Continue with that for every single page. Then when you page the other resident Write paging Dr. Such and such for increased pain management needs (whatever). then No return call. On one patient I did that for 2 hours. every 15 minutes. Finally when I got the MD on the phone I told him about the pages and that he was the second one paged. That md and I quote to me "I am not concerned with her pain" and hung up the phone. I charted that and then told the family and patient what he said and then I repaged him. When he called back I explained again and told him that his last response was not appropriate and he said and I quote "Do not F***ing Call me again". I told him would call him every 15 minutes until I got pain medication and that I would document what he said and that I was calling above his head. He told me I wouldn't dare. I told him to wait and see. I then told him that Joint commission would enjoy this chart since pain management was the last big thing for them. He grunted but gave no more new orders and hung up the phone. I called the ICU supervisior MD. He gave me the medication was very upset about the 2am phone call but I told him pain has not clock and he could take it up with his resident. The next morning the chart read under the md orders: "Do not F***ing call me again" TO Dr such and such/my name rn The attending just about fell out at the desk and was pissed as hell. He looked at me and I told him that was the order he gave. What else did you want me to do with it? Needless to say that resident learned a lesson. Documentation can make or break them as can a nurse. You treat your staff like crap you get repeated phone calls and wake ups. You get nurses that would normally cover your little mistakes to point them out instead. Don't piss the nurse off. You may be a new nurse but you are a PERSON! Document and cover your butt and if you have to call that group again know in your head your were right and they are not going to beat you down. You did what was right for the patient and that resident will be out of there soon. I would have the first resident that never called writtened up for not returning phone calls which in some states is considered abandonment by the md. Someone from OR should have called what if your patient was coding? Sorry about the preaching I just hate MD's that think they are better than other people but when it all comes down to it when they are sick the same nurses they treated like s**t are the same ones that end up wiping their butts now where is the irony in that.

Yep!!! I would like a scrub top with those rules on the front and back.....HMMMMMMM.......I have computer......have transfer iron paper.....have iron.....thinking.......I could make one!!!!

HELLO, I LIKE THIS!! WOULD YOU MIND PLEASE EMAILING ME A COPY OF THIS? I THINK I WOULD LIKE TO HAVE IT TO HAND OUT IN THE COMMUNTITY. IF NURSES WON'T STAND UP FOR THEMSELVES MAYBE THE PATIENTS WILL. MAYBE THEY WILL OR CAN INITIATE THE CHANGE SINCE WE ARE NOT. I GET SOOOO FRUSTRATED ON THE QUOTES I GET: IT WILL NEVER CHANGE. WE'LL CODE THEM WHEN THEY DID THEN THE DOCTOR WILL ORDER THE RIGHT THING. CHOOSE YOUR BATTLES. YOUR JUST A NURSE. PERSONALLY I MAY BE JUST A NURSE BUT I AM A NURSE WHO CARES AND WHO WILL STAND UP AND SAY NO MORE. I HAVE DONE IT AND I HAVE INTIATED CHANGE. WAS IT HELL? YES BUT IT WAS SO WORTH IT! TO SAY TO ME CHOOSE YOUR BATTLES WHEN IT COMES TO A PATIENT IS LIKE SAYING LET THEM DIE THEY YOU CAN ARGUE. ANY SUBTANDARD CARE IS A BATTLE TO ME. ANY NEGLET OR HATEFULNESS TO A PATIENT IS A BATTLE TO ME. IF YOU INFLICT PAIN YOU GIVE PAIN MEDICATION. DO NOT IGNORE MY PATIENTS. I DO GET TIRED OF FIGHTING BECAUSE WE SHOULDN'T HAVE TO FIGHT TO GIVE ADEQUATE HIGH STANDARD CARE. I SHOULD NOT HAVE TO LOOK AT MY WATCH WHEN MY PATIENT NEEDS A HAND TO HOLD BECAUSE I HAVE TO MANY OTHER PATIENTS TO CARE FOR. WHAT IS WRONG WITH US WHY DO WE ACCEPT THIS??? I HAVE PEOPLE MAKE FUN OF ME BECAUSE I AM IN A ROOM TO LONG OR BECAUSE I GO A MANICURE, WASH AND BRAID SOMEONE'S HAIR, GIVE PEDICURES OR WHAT EVER ELSE I FEEL LIKE DOING. THEY SAY I DO TO MUCH AND GIVE TO MUCH AND SHOULD NOT DO THAT IT MAKES EVERYONE ELSE LOOK BAD WELL THIS IS WHAT I HAVE TO SAY TO THAT TOUGH S**T! THEY CAN LOOK BAD BECAUSE ALL THESE PEOPLE ARE MY GRANDMOTHER TO ME AND MY GRANDMOTHER IS ALWAYS GOING TO GET GREAT CARE!!!! PERIOD!!! END OF STORY!!! IF PEOPLE ARE WORRIED ABOUT LOOKING BAD THEN MAYBE THEY SHOULD EXAMINE THEMSELVES. THIS TOPIC IS TOO HOT FOR ME. I CAN GET MYSELF IN TROUBLE ON THIS BOARD WITH THIS. I HAVE FEIRCE STRONG FEELINGS ABOUT THIS.

I ALMOST CRIED READING YOUR POST!!! I AGREE I AGREE I AGREE!!!

I HAVE READ ALL THE POST AND EVEYONE MAKES A VALID POINT. WHY WAS HER SUGAR TAKEN?? DID SHE HAVE A LIVING WILL OR WAS SHE JUST A DNR DURING THE HOSPITALIZATION. THE SNF SHOULD HAVE HAD A DNR ORDER THAT COULD HAVE BEEN VERIFIED ONCE SHE GOT THERE THEN THAT MIGHT WOULD HAVE HELPED. THAT IS A STICKY LEGAL SITUATION BUT I THINK YOU DID THE RIGHT THING AND THAT WAS LIVE AND PRACTICE BY YOUR CONCIOUS. IT SHOWS YOU CARE AND THAT IS A GREAT JOB DONE ON ANY DAY!!!

YOU GO!!! I HOPE YOU CAN HEAR ME APPLAUDING FROM HERE!!!!!

ONE THING ABOUT IT THOUGH IS THAT WE ARE BAD PATIENTS ON THE WHOLE. NURSES HAVE TO ACTUALLY CARE IN ORDER TO GET BETTER. AN AVERAGE MOST NURSES ARE BURNED OUT AND FED UP. I AM WORKING IN CALIFORNIA NOW AND THIS PLACE IS VERY AWE INSPIRING. THESE NURSES ACTUALLY STAND UP TO MD'S AND ARE SUPPORTED BY ADMINISTRATION. THE MD'S ARE NOT ALLOWED TO YELL, CUSS, SCREAM, HOLLER OR DOWNGRADE THE NURSES IN ANY WAY. THEY STAND UP FOR PATIENTS WELFARE AND HEALTH STATUS. IF AN MD ORDERS INAPPROPRIATLY THE ADDITUDE IS NOT WELL ITS HIS/HER FAULT IF THEY DIE. THEY INSTEAD CALL THE MD AND TELL HIM IT IS INAPPROPRIATE AND ASK FOR NEW ORDERS. THESE PEOPLE LOVE THEIR JOBS AND LOVE THEIR PATIENTS AND THEY CARE. PATIENT CARE OUT HERE IS AMAZING AND THESE NURSES ARE AMAZING. WHAT A RELIEF......IT DOES HAPPEN. I ASKED WHAT THEIR SECRET WAS AND THEY ALL SAID: "WE STOOD TOGETHER AND SAID THAT WE WERE NOT GOING TO TAKE IT ANYMORE. THE HOSPITAL WAS FACED WITH FIRING US OR SUPPORTING US. THEY SUPPORTED US AND THE PATIENTS HAVE BENEFITED MORE THAN ANYONE." THEY STOOD TOGETHER ABOUT STAFFING RATIOS AND THEY REFUSED UNSAFE RATIOS. THEY DID NOT ALLOW ABUSE OF ANY STAFF MEMBERS WHICH STOPPED THE MD ABUSE PROBLEM. NOW WOULDN'T THAT BE A GREAT PLACE TO WORK AT.......LET ME TELL YOU IT IS. WHY CAN'T WE AS A PROFESSIONAL PRACTICE STAND BY EACH OTHER AND COME UP WITH A PLAN??? WHY DO DOCTORS STAND BY EACH OTHER TILL THE BITTER END NO MATTER WHAT AND NURSES ROLL OVER ON EACH OTHER ALL THE TIME. IS IT BECAUSE WE ARE MAJORITY WOMEN OR WHAT?

SO DO WE GET TO WEAR THOSE SO DOCTORS WILL NOT ACT LIKE THAT??? OR HAVE IT AS A MESSAGE BEFORE THEY TALK TO US IN THE MIDDLE OF THE NIGHT?