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rngreenhorn

rngreenhorn

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rngreenhorn's Latest Activity

  1. unfortunately i can't cuss on this forum, otherwise thispost would be awesome. but i will say--- thank you everyone. our litigious society has created a situationwhere common sense is outlawed. onehundred times a day, i encounter a situation where some regulation or other hascreated a road block to my work, productivity, and patient advocacy. and using common sense to easily fix theproblem would apparently create a wrinkle in the fabric of all that is real andlegitimate in the management paradigm. here is my idea. all you administrators and law-makers outthere.... take your policies and regulations, put them in the back seat of a convertibleand drive them off a cliff (oh and omg! don't forget the seatbelt, for safety,and documentation, to meet jcaho standards!) this is what i am told, rules are never to be broken, ever... because slipperyslope (which btw is a fallacy in critical thinking--- put that is yourcommittee meeting minutes and smoke it) is law! no common sense allowedaround these parts. it's healthcareafter all, not romper room.
  2. rngreenhorn

    The evolution of a new policy in healthcare organzations

    We named our COWs Bessie and Bossie. Confused the heck out of tech support when we called with a problem. We'd have to use code, cause we couldn't use the word COW (OMG, we might get sued). We'd say, there is something wrong with Bessie, she's off her feed and she's not giving milk, think she may have caught a virus. Maybe hoof and mouth disease? Cause of course we couldn't say "mad COW disease."
  3. I wonder if the leadership in all hospitals is as clueless and full of *stuff* as mine. They implement some new BS policy, and then they realize it is not working. Instead of really assessing why the policy didn't work, they head back into closed door committee to discuss the BS policy. And because their world view and people management skills consist entirely of managerial theory (learned at conference), and because they specialize in bureaucratic double speak; when they converse about why it didn't work, they don't come to the obvious conclusion: because the policy is BS. So, because they are completely flummoxed why some brilliant policy they thought of (I mean they used a white board, brain storming sessions, proper meeting techniques, and even took into account group dynamics) isn't working, they institute a checklist (i.e. more paperwork) to monitor the compliance of said BS policy. Guess what Einsteins; the checklists don't get done either. Why? Because it is BS. So, a few months later they send an email saying we are reverting back to the original policy.
  4. rngreenhorn

    Needy, needy, needy... vent please.

    He likes it shaken... not stirred, I presume.
  5. rngreenhorn

    Needy, needy, needy... vent please.

    Worst cult ever... Instead of the shaving their heads like the Hare Krishnas they shave their butt hairs....
  6. rngreenhorn

    Needy, needy, needy... vent please.

    Well that's a buncha crap....
  7. rngreenhorn

    How to stop visitors from using empty bed???

    We too had a patient come into his wife's room with a cooler of beer, and his dogs. He cracked a cold one right there is the room. I thought it was hilarious. PARTY'S in room 2010!!!! But the charge nurse and security was not so happy with the turn of events..... parties over, the charge nurse messed it up for everybody. ;0).
  8. rngreenhorn

    How to stop visitors from using empty bed???

    Put biohazard tape across it. Then come into the room wearing full personal protective gear, including the PAPR hood to push the bed further against the wall.
  9. rngreenhorn

    Nurses eat their Young

    I move that the as a nursing profession we permanantly strike this disgusting-sounding-obiquitous-over-used-cliche' from our lexicon. All in favor say "buuuurrrrrp"
  10. rngreenhorn

    My monthly semi-coherent rant on the state of healthcare

    Haven't you heard hourly rounding et al is evidence-based! Sheesh, what is wrong with you? It worked wonders for some 5 bed hospital in Outer Mongolia. Plus the research is peer reviewed--- so of course it is practical to implement it in every unit, in every hospital in the world.... nay, the universe. What? You say hourly rounding is not possible? Well I can't believe that, it's evidence-based dangit!
  11. rngreenhorn

    My monthly semi-coherent rant on the state of healthcare

    Thank you all for your funny and insightful comments. Guess I'm going to have to pop a handful of Metoprolol before heading to work, so my arteries don't blow up. Yes, the prospect of growing old today is terrifying. And I agree there is no single answer. Socialized medicine worked for Italy, and Greece... and the UN says their system is faaaabulous, but it's not looking so hot for them right now. Also, in that paradise of a system, it is NOT all "free," the people pay 21% out of packet (twice as much as the US and France). Good luck getting our people to agree that we, in fact, should pay something. Employer provided (but heavily governmental regulated) insurance is working for France, but 92% of their citizens also buy additional private insurance in order to get the "good stuff" and their system is the 3rd most expensive in the world and going broke (just like us). Add to that the fact that France and other EU members will be bailing out Italy and Greece (and it's a bit dodgy over there right now). Insurance mandates work for the Swiss, but their citizenry is pretty dang homogenous, and it is a small rich country that looks nothing like the U.S. I don't think a not-for-profit industry is the answer because without individual motivation, there is no reason to achieve, and subsidies aren't exactly working out for other industry right now. However I did hear a convincing argument on NPR that either a single payer socialized system OR a balls-to-the-wall (I don't think NPR used that particular colloquialism) market driven system would be better than the current hybrid. For me, it doesn't make sense to work your butt off only to provide for everyone else. There is no collective, only a bunch of individuals, (except for the Borg in Star Trek) and that existence sucked for Jean Luc Picard (just like it will suck for us). At the same time, the CEO's and leaders of giant corporations don't deserve huge paychecks and bonuses if said organization is failing and being bailed out by us. The giant divide between the wealthy and the poor is a bad thing, for sure, but complete equality is neither possible nor desirable. And it is not particularly healthy that 50% of the nation pays no taxes. The leaders on the left and right who have done this to us should hang their heads shame. Crony capitalism AND unjust unfettered redistribution are both immoral. There is not a finite amount of money in the world (economies expand and contract). It is not true that if my neighbor has a bunch of money, then there is no money left for me. Nor is it true that there should be no safety net, bad things happen to good people, and we as a moral society are obligated to help. But we are NOT obligated to help the incorrigible slackers and unmotivated. Anyway, that is my 1 cent (only 1 cent instead of 2 because I can't afford 2 right now) ;0). I expect some will disagree, that's OK, we all want the same thing, to take care of each other, we just disagree about how to go about doing that... A least the goal is worthy.
  12. Healthcare is screwed. The new CMS regulations that are cutting funding to hospitals, added to the general bad state of the economy, are causing staffing cuts. The new rules that base reimbursement on patient satisfaction mean more staffing cuts, worse CMS scores, more decreased payments, and even more staffing cuts. Add to that, cuts to Medicaid, and the fact that no one knows what is going to happen with private insurance once the PPACA is fully implemented, and the future is pretty bleak. Pretty soon, in hospitals across the nation, there is going to be one nurse taking care of 10 agitated and /or mad patients on each unit. Before you all respond with the question, "Well what are you doing about it?" I'll tell you: 1) I'm getting angry, 2) I have completed my employee satisfaction survey with a 3 page essay of "the problem, and ways to fix it" (and everyone knows surveys fix everything), 3) I've caused my unit manager to quit (with all my complaints and the fact that her hands are tied by the unreasonable demand of administration), it's no damn wonder she quit, 4) I've talked to: my boss, her boss, the staffing office, the house sup, the COO of the unit, the "head in her a** of nurse theory" CNO of the hospital, doctors, and I have even discussed it with by dog, and 5) I've done some soul searching to see if it possible just my problem, including having my hormone level checked by my PCP. But after another horrendous day, being stuck in one of my patient's rooms, and being punched by said head injured patient (because there is no budget to staff a 1:1), that lead to really pi** poor nursing for the rest of my patients, I'm beyond frustrated. The impossible rules and regulations of those in power are completely detached from reality. And let me "pre-respond" to the new nurses, nurse manager, nurse administrators, nurse educators and such, before you say "well if you hate it so much, then you should quit, you clearly don't have the temperament and warm fussy approach to be a compassionate nurse. Didn't you study theory?" I'll say, you are right, I don't. This profession sucks. I will be looking for another career. The sad thing is, I believe in the nursing philosophy, I think people are basically good. It's just that the leaders and regulators in healthcare are suffering from some serious group think. You may say, "Well healthcare in the U.S. is too expensive." I agree, yes it is. But is it going to be one heck of a road to equilibrium. I once loved my job, but I am beaten down, dishearten, and afraid for what's to come... Also, I am not a martyr, I will help people (it is in all our natures), but I will not condone stupidity. PS. Yes, the grammar in this rant sucks. Sue me.
  13. rngreenhorn

    Politcally incorrect rant aka how my day went

    Yes, we knitters in general are an affable group... Though, I once saw a couple of grannies at a knit shop group almost come to blows over the relative merits of English vs. continental...
  14. rngreenhorn

    Politcally incorrect rant aka how my day went

    Yes, it was an audio rant, everyone check your hearing aide batteries. ;0) OK, so I was being malevolant. Letting my alligator mouth out talk my bunny rabbit a$$. What have I got on the needles? Making this cowl http://www.shibuiknits.com/Patterns/Detail.php?Category=Accessories&Pattern=Piega+Cowl I'm a little confused, though, about how to put the peices together. Starting on the second peice now and hope I have an epiphany when I finish.
  15. rngreenhorn

    Too many people who think they know everything!!

    Yep, they let new grads in the ICU all the time... true story, I've seen it happen. Even ADN nurses. (OMG! ADN's can't work in ICU! They'll hurt the patients.) In fact, some hospitals prefer to hire new grads in the ICU, because they don't have to break all the "bad habits" they learned elsewhere. And, yep, ADN nurses get BSN tuition reimbursement from hospitals all the time... the nursing field in wide open my friend... The best way to get in, is the cheapest way to get in... (OMG!--- you're just in it for the money! You'll be a horrible nurse!) Oops, lets not forget the ubiquitous "nurses eat there young" story that's told... Excuse me while I argue with myself...
  16. I guess I'll be more surprised if it doesn't fizzle out... All this talk about swine has made me hungry for a pork chop or a McRib... on a related note, I wonder how many people have died from eating McRibs? Two bites and your arteries slam shut!