anothergrumpyoldRN

It is very much not easy to unionize in the midwest where the republican governors and legislators are breaking unions as fast as they can...

consumption?

I give them my name. I tell them that they can get messages to me through my boss or the hospital and make certain they have that name and contact information. I reassure them that if they are unhappy with my care they can report me both to my supervisor AND/OR to the hot line for those complaints and provide them with that number. I document that they requested that information and that I provided it. I am not afraid of my patients or their families. I am just doing my job to the best of my ability.

It really is the call of the provider. I have done that for PAs, NPs, DOs and MDs. Many wouldn't think of having a nurse or anyone else write their Rx's. Others, could care not so much. If it gets me what my patient needs I am happy to do it!

It is not within scope of HHA employed by CMS Home Health in my state. We can, however, train whomever the patient would like to designate to be that provider as long as it is not our staff for whom we are responsible.

In other words, a lot of people are keeping their heads in the sand and refuse to believe those unpleasant truths?

It seems sometimes that we must say something shocking and outrageous to get people to pay attention. Please accept that my comments about the girlie thing, it was tongue in cheek. I am married to a girlie and I like them in general. good thing since most of my peers are girlies too. on the other hand...we do tend to respond to things differently based upon our gender. Is that a learned response? Different thread I suppose.

If I need the $ I tell management ahead of time that I am available. On my days off I am under no obligation to speak to my work. I do not fear answering the phone. If I don't want to work I say so. If they try to brow beat me I tell them I am hanging up as I have things to do. Short staffing is NOT my problem or your problem. It is management's problem. The fact that it also affects patient care, patient outcomes, and nursing satisfaction is also NOT my problem or your problem. They may try to guilt me into working, but, as a man I don't guilt that easily. I work for a purpose. WE DON'T RUN THE SHOW, WE DON'T MAKE THE MOST MONEY, AND WE ARE NOT THE SUPERIOR RESPONDENTS.

Keep a log for yourself of interruptions and near misses. Report your findings in the next staff meeting. Prepare some suggestions as to how you might improve your ability to safely administer medications to the patients. Good luck!

Lots of people and groups have hijacked hate words to remove the power... usually the haters don't get it and then complain..."well they use the (N,Q,C,whatever) word!!" or similar trying to justify their continued bigotry or racism, etc. That part is always a bit amusing to me. Those haters end up being the butt of a joke that they don't get. LOL

this... is sputtering over the inconsequential a girl thing? the important thing is that there is an incompetent idiot coordinating clinical function of a nursing department and giving professional nurses stupid directions wasting their time and therefore the resources of the facility!!

Request a meeting with management. Ask your questions. Get answers and decide what you should do.

So, I'll bite. How is the age of the mother important to the discussion. Does the mother's age change the responsibility of the mother? Does the age of the mother change the duties of the nurse relative to the mother's child? What does it matter if there is a stable home environment? That the child may be living in a single parent home or in poverty has NOTHING to do with whether or not this RN should get the kid a ride home as directed by the "boss", that I can see. I appreciate that you believe that I didn't "think" before I posted. You are entitled to your opinions, no matter how misled. Saying so in print on the thread is rude as it is personal and unrelated to the thread.

yup... sounds like you need to lift some weights, no need to be a weakling just cuz you are a girl! My granddaughter (9) can lift 20 lbs for pete sake. LOL

I agree, except for that BSN to practice part...there is no evidence to support the notion that to begin practicing as an RN you must have a BSN to be safe, proficient, or even to become expert in the care. To advance the notion that we must have additional education for entry in nursing, at additional cost, for no good reason smacks of legislating based upon "professional pride" more than "professional practice". For a profession that is supposed to be very evidence based, I wonder how we can justify that? IMHO.