kbird03

I loved working with a LPN's and i was the new grad with the older more experienced LPN.It's a team. I can see their value. I do believe there is a place in the hospital for them! LPN'S have skills and a license that can be utilized for the betterment of patient care, but I do understand the difficulties of trying to figure out the division of labor, which is fair and cost efficient.

Maybe, the ones who pout carry on etc., should be asked to come in early to work on the assignment with charge, if they know better. Our staff who would stay over to help (8hr shifts) got to keep their patients which of course would infuriate people coming back and wanting "their" patients back, but they would shut up quick because the alternative would be they'd have more patients if the day shift didn't stay to help. I guess my point is, announce to all the whiners, come early if you are that determined to change things and if you can't do better than shut up!

I don't have this problem, but why can't she call/page the doctor. Actually, today we showed a case manager (during shift change while I was getting report) how to page the doctor because the doctor had put the wrong discharge in for a patient who didnt qualify for inpatient rehab! First time I've dealt with this, but thinking hospitals may be short on case managers, so hiring inexperienced not aggressive nurses to fill positions and/or insurance is fighting everything which is causing added pressure to case managers and they are trying to pass it on to us floor nurses

Congratulations! I think an LPN is an asset and especially in med/surg. Good luck!

It won't work! Obviously! The powers that be must assume nurses are dragging their feet with discharges and getting rooms cleaned! They will learn quickly when that brilliant idea get implemented and families are complaining! I'm sure you would give them a heads up, but will they listen?! We now get patients with no verbal report from EC just a print out of Sbar, but must go to a clean room! My goodness common sense is lacking as you know.

Research your area for surgical tech. for jobs and requirements. Speak to a guidance counselor at the school. Ask her all those questions! I'm am RN and must say there are so many more jobs and shifts. Contingent positions (per deim) usually require that you have experience. I know that nursing get has many shift, so having a family is much easier. Medical assistance or billing work is a good field and may not be as stressful as nursing.

I'm confused? You work 3 - 12 hour shifts Friday,Saturday, Sunday and are fine with thst?

Goodluck! Oral report and rounding doesn't help in trying to get out on time! We had taped report back in the day and you could actually get out on time! Taped=like a voice mail you would listen to, instead of having to wait for each nurse to sign off with each nurse!

Possible solution doctors need to put orders in and nurses unless it is night shift (doctors sleep) nurses wouldn't be allowed to take verbal orders (for these core issues)and doctors get constant notifications until it is ordered. I thought the push for computerized charting was to cut down on verbal orders.

QI should tell doctor to put the order in! I thought computerized charting was so doctors can put their own orders in and to cut down on the verbal orders. Crazy contradictions in management.

We also have many classes and money spent to train us on hourly rounding with a smile and a script to up play up our service!!

We have a piano too that plays to an empty lobby í ½í¸¤

I agree! Funny and sad how you never see a nurse in uniform in the hospital cafeteria! Hospitals need to hire waitresses and hotel personnel, so us nurses can do our job safely!

Remember you are not expected to know many things, don't be too hard on yourself!! Orientation is exciting but can be overwhelming and stressful, so try not to get discouraged!! Good luck!!

You summed up!! I do feel no one wants to lose their job and all hospitals are about the same! Where is JACHO? Really I've always wondered they are so concerned with sharps etc., but not patient safety ratios and acuity. I think floor nurses feel powerless and now they feel empowered to get some respect and teach the public in what seems to be the most misunderstood profession. We demand recognition and respect in the media because we feel we can educate and possibly have a voice to be heard. d. Unfortunately, we don't feel the same power in our facility or place of employment we fear the status quo and that is really sad.