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What grosses YOU out?
Confused patient pooping in bedside stand gross but at the same time funny. Feet especially with sloughing skin!!!! Ewww!!
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How do you deal with lazy nurses??
This urks me and burns me out! I am very hardworking, dedicated nurse and on our unit I swear some days I am working in an environment of people who make bogus BS excuses to get out of work. NurseOne sits at the nurses station and talks to everyone or talks with her family at least 3-4 times per shift discussing up and coming plans. One time while I was documenting at the nurses station, the CNA told her patient wanted something for pain. Her direct reply was to just have the patient change position. Because it was close to the end of shift, the patient never got medicated. How annoying! NurseTwo drives me nuts because at least three times in the last 6 months has came into work sick. I understand that things happen, but why with the same people do they come into work and then go home? This has been a pattern with certain coworkers and it's accepted! Time one came into nurses station vomiting into the garbage can while being in the nurse's station. We did take care of her at that moment and sent her home. Please if you are that sick do not come into work. Time two after being clocked in for 10 minutes complains about her toe hurting and walks to the nurses station bare foot stating she needs to go to the urgent care. Long story made short, was placed on light duty that day. Later on that day I caught her looking at her email while I was doing something else and she was looking at what overtime she could pick up on another unit. Come on! This frustrates me very much so because I work very hard and in conjunction I am on a couple of different committees because no one else will volunteer to take part. I really feel that management is effectively promoting laziness instead of hardworking nurse like me and others on the unit who should be rewarded. Instead they just give me more work, I DON"T THINK SO!!! Why should I have to compensate for others who don't do their work?? This is a constant factor where I work at. Ugh!
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Dealing with family complaints
Find another job, you don't need to deal with a facility who responds in this nature. You are a valuable resource.
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Dealing with family complaints
I love it when patient's families make up lies.... ha ha NOT! Such as " I have been trying to talk with a doctor since Fri" (and it's Wednesday the following week. After being with for father for 12 hours yesterday, you did not say anything to the RN.) It gets better folks! After I explained that surgeon has already been in for the day and you can talk with the PA who are on the floor all the time and bring the PA to the bedside to talk with the family. The family member leaves and /or acts rushed to leave and wants to be called on the phone. Then another visitor comes and complains about the same thing. The I grab the PA to talk with the visitor. I understanding families are stressed but please prioritize better! I had this one family who was plainly trying to start something at the facility by incorrectly telling another family information. So given the information the other family member comes in mad. So after correcting the family member who is a nurse, I explained that I did not state that to her mother and I actually offered other alternatives for the family but they declined. Then also makes a comment about the patient's breif not being changed so this nurse being upset started changing her brief and at that present time the patient was still moving her bowels then realized we were providing good care to her loved one. Both of the family members spent less than an hour combined. Please be informed before making false accusations.
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why BSN over ADN???
No, you are not being bitter you are standing up for accomplishment. Don't take it so personal! I was ADN graduate yet went back to get my BSN after graduating. They prefer BSN do to the fact that they have more schooling which a degree does not decide what type of nurse you are. I am sure you are great nurse! Most of my classes for my BSN were not nursing related. Actually, I had to go only one year full time, take a summer class at another university and part time the second year to get my BSN. I felt that my ADN well prepared me for my BSN. The BSN wasn't hard at all. I actually graduated with high honors and was recognized by numerous honor societies. I actually worked the whole time I was going back to get my BSN. Statistically, it has been proven that BSN RN's have better pt outcomes. As for working for a couple of different Magnet facilities, they want there nurses to go back to get their BSN and certifications in their speciality. Would it not look good to have a nurse who shows accountability, commitment and potentially can be advanced in an institution by hiring a staff with advanced degree and/or certification? Also, it is an advancement into management and other positions which it is just a challenge to say they have the most talented and qualified candidates for the job. As currently, my UD is going back to get her MSN-DNP program and for managers they are looking at further advancement and require them to go back school. This system has been in place for several years. Don't be offended. May be the way the speaker presented was incorrectly. I wish you the best in your nursing practice.
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Bedside Report dillema
What I would do is to ask her the questions if she doesn't know, if accessable, I would take a computer around and look it up at that point in time if not beforehand. Then at first I am sure it would take longer to do report but issues were dealt with at the beginning of the shift. If she is like some of the people I work with being a clock watcher, I am sure that after doing it a couple times she would get the point. I am an extremely detail oriented nurse and it annoys me that working on a telemetry unit that I can't count how many times I don't even get a rhythm. For newer gards I often recommed for them to write out a report so they don't get off of topic or some staff create handout so they can write out the abnormals. Is it purely laziness, being burned out or a knowledge deficit problem? Have you asked her what was wrong in the day that she does not know? I can also see from a management perspectative that this is an issue that should be dealt among the nurses. But I think it is great to make them aware. We have a nurse like this who when I get 8 hr evening shift report nothing happens for 8 hrs. Gee?? Imagine that. I write her up for the things I see not done as a delay in pt care. I also agree with mpccrn statement.
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Am I the only one?!!
No, your are not the only one.I have seen in both extremes. It was just last week that some coworkers had the flu and my boss had to place in our weekly updates if you flu please stay home. I can't tell you how many times I have picked up some respiratory virus that has been going around. If I am sick or even cough on thhe pghone example I clean it off with bleach. As for the coworkers, we routinely have coworkers who call off every weekend to the point we have one coworker who came into work and asked to go home because of she placed two different shoes on that day. I swear I kid you know as it was witnessed with my own eyes. This person calls off soo much that at times we try not to count her in our staffing. Have they did anything.....NO! This is really frustrating. Also, not just being absent but a lot of people get away with all kinds of pathetic crap. We just had a senior charge nurse who was suspended for over a week for a confrontation, which I have seen this poor display of leadership go on for over 3 years. It was about time that something happened!! She even told the UD that she sucks as a UD (which she also applied for the position) and at times asked to be placed as free charge so she can do her homework. This is pathetic and I am tired of people not following the rules I truly ask when is enough enough??? Unfortunately, by law employers can not force their employees to come to work or to work unless they force the consequences yet most hospitals need warm bodies so they don't hence why there is a high turnover and an increase job dissatisfaction. Often at times, I wonder about going to the ICU because half of this crap would not be tolerated.