paris2

Sharrie and Karenmaire, Thanks for your support. I work with 5 consultant and he is one of the newish one. Basically ward nurses do not do ward round so when i go on the ward my prority is to ensure my post op pts are supported during the ward round. That morning i was with one of the other consultant doing post op ward round, but this consultant wanted me to do pre-op ward round with him. He said my priority was to sort out pre-op pts and not post op. Although i know were he coming from, getting preops pts ready is ward nurses issues, my priority is post ops as they have greater needs, vomiting, headaches etc. However, i have written to him asking him to make an appoinment so that we can discuss this. My line mamager is on holidays and will be back on the 10th, so will see him thereafter. I will also give him my job description, he can have look although it is very generic, but it does not itemise where i should be working. As a Clincal nurse i work where my patients are. This is in the best interst of the patients and not the doctors.

I am a clincal nurse specilist and see my patients where ever they are, ie opd, day case ward etc. Last friday patient going to theatre was not ready hence there was a delay. as i walked on duty a consultant march up to me and asking me justify my hours, what time i start, what is my role etc, and that it is my responsiblities to get patients ready for theatre, in quite threatening manner. Whilst i stayed calm, i said to him that i share your frustation but it is the ward manager he should be going to and not me as running of the ward is not my responsiblities. Delay going to theatre is an on going issues. However his threatening manner was so bad that i don't feel like going to work. Why do they have to behave like this.

and More!!! The Noctors are nearly all in place to replace junior doctors, in case they ever go on strike.As its the same familiar faces doing a bit of extra work, and there is no problem to them..yet..senior doctors will shrug their shoulders and carry, as they have mortgages to pay and families to feed and clothe. The day that this is going to happen is not in a far away Sci Fiction story, but is a fast fast approaching reality. It is too late to stop the Juggernaut and many here laugh it off only for self reassurance.

and more Go for it. You might get a chance to use your surgical skills, instead of just doing paperwork.

And more !!! Uniform is not required. The clipboard is the real mark of authority . . .

And more NPs in most hospitals i've worked in wear their own clothes. But to answer your question: No Avad, you can't be a nurse practitioner. You don't need to hold hands with another nurse to form a synapse. You would never fit in.

I just came accross this in DR's forum Can I be a Nurse Prac? Apparently there is now a blurring of roles between doctors and nurses. What a load of Chelsea. Nurses are taking on doctor's roles. They are sitting in clinics, clerking, doing procedures in theatre. We are not taking on their roles, doing obs, changing beds, administering medication, setting up infusions etc. Also, none of these Nurse Pracs/Clinical Nurse Specialists etc are doing any nursing jobs anymore either. Despite their crticism of the way nursing care has gone downhill and how it would never happen when they were on the ward. (Perhaps they should not have left?) Anyway, point is, if any of us are stuck for a job any time soon, would there be any reason we could not apply to be Nurse Practitioners? I agree, I have never been a nurse, I don't have a clue about being one but is that really necessary for the job? It's the same argument they use for not needing to go to medical school, do three years as an SHO and pass a membership exam to do theirs. Plus it would be nice to have a uniform. The nurses would actually take notice of what I was saying for once. I'd have more say on trust policy issues. This is where the real power lies. Perhaps this is the way forward. What do other nurses think?

My brother 53yrs NIDDM suffered from both legs swallon for past 3 days and was getting worst, and had very bad c/o coughs for past 2 weeks or so. We advice him to see his GP as a matter of urgency. He rang the GP practice but was told that GP will see him at the end of his surgery. My brother waited 3 hrs before the GP saw at 6pm. We don't what happend at GP consultation but my brother was sent home. Unfortunalty he died at 10pm. We asked the GP next day as to what acutally happend and what he did at the surgery. He said that being diabetic there is 1 in 2 chance of having MI. We asked him if he did any investigation or atleat have checked his BP, the GP noded his head and said no. My brother has been working full time and going about his normal life and to die sudden was a shock. Also the decison between the GP and cornor was that post mortam was necessary. I am not sure if the cornor knows what action GP has or has not taken. We are now awaiting for his medical record from the PCT. What do people think of this.

Hi At one time you could be a cadet doing ophthalmic nursing first and then do Register Nurse Training but that was stopped years ago. Now you have to do registered nurse training first and then go and do ENB-346 ophthalmology course. Although to work in ophthalmic OPD you do not necessary need ENB-346. However you need to bear in mind that if do apply Sister's post in ophthalmic, ENB-346 is essential. Regarding 6/24 VA, would not prevent to from working in OPD setting this would prevent doing things like slit lamp work, SAC Washout etc which requires sharpe VA's. But in some hospital as a staff nurse you may not require to do this. Hope this helps!

10 for me. I l love and live for my job.

Discrimination? We all are from different ethnic background and different cultures and so this nurse feels that she has been singled out becuase of her background. But that is not true. The truth is that she has terrible body odour and she needs sort it out. We are simply protecting our patients.

Some staff and some patients has complained to the ward manager regarding one of the nurse with severe body odour. It so bad you can tell which room she has been in. The ward manager had to take her a side to address this issue and at the time nurse said to the manager that she is happy that the manager has mentioned this to her. She further went to say to the manager that she know she has this problem and has already seen GP about it and has some tablets prescribed. But now i have heard that this nurse is upset and seeking advice from the union regarding discrimination. And that there will some sort of investigation. Not sure what will happen next. What do other think?

A patient was seen by the nursing practitioner, then by the doctor and then planed for surgery in 3 days time. On arrival to the ward no pre-assessment was done. I questioned the doctor as to why this patient was admitted without adeqately prepared by the NP. He said that she does not have time. This is because the NP is busy doing task that is normally done by the doctor hence it benefited the doctors. I am all for nurses to advancing their role but not if it not benefited the patients. I have written a stern letter to my lead nurse about this. What dose others think about this.

We have senior sisters meeting every monday, i find this somtime useful as this is the only time we can get updated of whats going on etc. But i am thinking whether every monday is necesary, as sometime i come out of the meeting thinking what a wase of time that was. What about others, how often do you have your meetings, and what should be included. Any hints advice etc would be appreciated.

In a view to move to new hospital in few yrs time, we have been asked to do process mapping in our area in terms of patient's journey thru hospital. I have not done this before and would appreciate and help/hints etc. Many thanks

There is a pressure on us to work towards more and more daycases, however there seems to be a constant barrier from nursing staff to change. I know no one likes change and i know we need to bring about change using appropriate stratgies but It is not going to be easy. Any hits, ideas etc to help towards this process?

Few years ago when this document http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_4123769 came out all our NP's were told to work towards to match up those MCP's competencies. Now the management has changed nothing has moved forward as yet.

the higher band job is hard to come by and competition is fierce in job market. but i tell you what i did when i was band "e" (band 5). through my pdp i identified that to do nurse-led angiography we had to do iv therapy and venepunture course. my manager sent me to do those courses. i then started doing nurse-led angiography which use to be done by band 6's only. i ask my manager if i can shadow her in holding hospital bleep and then if i can practice holding unde supervision and then solo. i asked my manger that i want to be link nurse in diabetes (our band 5's have been allocated to be a link nurses in specific area) i.e. infection control, continence, diabetes etc. i ask my manager if i can do audits. i wanted to demonstrate improving quality by measuring what i was doing, (our band 5's link nurses do audits in their area). i show interest in to my manager in all area of practice and always gave 110%. (remember if don't give 110% someone else will) i took interest in teaching and asked my manager if she will let me do informal half an hr teaching to my colleagues (it was not big thing, it was like reflection of practice, i.e. how things could have been differently) at band 5, i took up challenges that would normally be done at band 6-7's even though i was not getting paid at that grade. i had no fear and i asked to take up more (obviously manager delegated me appropriately working within my limitation but at the same time developing my management role further). i am now sitting on band 7, the job i love and live for. advice i give to band 5's is that take every opportunity to learn, be enthusiastic, be dependable, reliable and show commitment. show professionalism and communication skills in teamwork and other professional. but above all put patients and their relatives first.

Our NHS Trust has made an application to become a new type of NHS organisation- an NHS Foundation Trust. Can someone me please give me some insight as to how their trust has benefited from this and what are the impact on their jobs. Is having NHS Foundation Trust have its advantages and what are the disadvantages. Thanks

Update: I offered this nurse 4 days over a week but she refused to accept it. I offered her 4 days normal shift with reduced 32 per week (against my lead nurse's advice), but she also declined this offer. I aksed her if she has any other option in her mind, she said she hasn't and insisting to have her original request. My lead nurse is insisting that the job must remain full time. This nurse handed her resignation today. I ask her to remain on NHSP (agency) so that she can work when she like and where she likes. I am going to be advertising for her post tomorrow.

I think you are probably right in saying that there is more to this than she is letting on and we can see that to be honest. I have been adviced by my lead nurse and human resource, that this post remain full-time. I had a one to one meeting with nurse today and informed her that we are unable to accomodate her request. I suggested to her that i am willing to consider 4 days over a week, with her being required to cover fully duing my holidays. Although my manager is not 100% happy with this, part she is leaving for me to decide. The nurse will think about it and will get back to me. I will wait and see what she will comes out with. But the post has to remain full time.

her normal working pattern can be anything from 7.30- 6pm, 37.5hrs a week. she has join the agency so she does extra shifts thru that nhsp agency on wards if someone has gone off sick etc. and then she does all the extra hrs during her holidays via same agency. as you said she would be better off working for agency. also she is not single parent, it is just her husband decided to go back to his old job which 100's of mile away. so she says to us.

According to my lead nurse and human resource we are unable to accomodate this nurse's request. However we are going to offer her 4 day a week 37.5hrs week. Although my lead nurse is not entirely happy with 4 days but then she is leaving that decision to me. I will have a meeting with this nurse tomorrow and see what come out it.

Thankyou all for replies. Let me say that when this nurse was appoinment we were already aware of her high sickness record, i know that hospital she came from were not very good in managing sicknesses, so we thought we will give her a chance and manage her sickness. She knew we were very relunctant to appoint her in the first place but i told my manager to give her a chance. So we are not that bad employer. I dont really understand her, if she wants to spent time with her childrnes than why she is always doing overtime, somtime when she has finish her normal duty you see her on the wards doing extra shifts. She also does lots of weekends, somtime working 7 days with extra work. She requests school holidays off and then you see her on the ward doing whole week as extra shift. Then she goes off sick. We have observed her sickness pattern, and i did warned her not to overwork. I know we all need some extra cash and what she does in her own time is none my business. As said before our workload is not routine like ward work or out patient work, our 90% of workload is like urgencies and we are required to work around our workload and not set time. I have spoken to our in-patient ward manager to see if she can accomodate this nurse but ward shift finishes at 9.30pm not 8pm. Therefore ward manger is reluctant to have her. Also ward area has no vaccancies for more staff. I have also spoken to out patient manager but again their shift finishes at 6pm. Unless this nurses comes out with reailsitic hrs it is not going to be easy for her. Last week i asked her if she has any alernate hrs in her mind but she said no. So will have to wait and see what happends, i am seeing my lead nurse and human resource next week. Will keep u updated.

the nurse wants to reduce her hrs as she said she will regret later in her life not spending enough time with her children. they are age 12 & 14. (i understand that as i am mother of 3 children myself). i ran this serive for 5 yrs on my own but the service has grown rapidly and this nurse was appointed last august. she moved from south of england to us as her husband got the job here. but her husband never settled in his new job and decided to move back south. so her other argument for going part-time is that she now has children to look after herself. i again understand that. but our service is rapidly growing to meet government deadline. our service is developing, and there is a need to have full time staff, not someone dipping every so many hrs a week. it is not like ward nursing or out patient nursing where the shift is stright early or evening or night, our service is unpredicablt and unplanned case load where flexiblity is essential. if one cannot offer flexiblity this job is not for you. this was made very clear in her interview and she reassured that there was not problem. ok circumstances in life changes and i understand that but then you have to move in job where they offers you suitable hrs. i am making every effort to help her to see if she can be moved in other area but no other senior sister can accomodate in their wards or dept the unrealistic hrs she is requesting. (7.30am - 8pm, mon and tuesday). certainly if she does not accept our offer of 4 days week remaing full-time (not disscused with her yet), she will have to move elsewhere. she has already been for 2 unsuccessful interviews (has high sickness and absentism record), she probably knows that we will be unable to accomodate her request as she know how busy the service is. if she leaves then so be it.