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Forest2

Forest2

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  1. Forest2

    Falls

    I'm not sure. I'll be the first to say, I don't know the answer. I think she said they told her she failed because she should have offered pain medications. I am paraphrasing here.
  2. Forest2

    Falls

    As far as the proper level of care and where patients should be I have fought that battle myself. The goal is to keep the census up because it makes business sense. The other side of that is that the level of safety and the needs of the client are not achieved. I hear ya.
  3. Forest2

    Falls

    It can be difficult to hear negative criticism. I have seen the acuity of retirement centers, assisted living, rehab and others increase as hospitals are no longer able to keep patients as long as they had in the past( that is only one cause). In AL we now have LTC patients and the retirement centers have the AL, the clientele changes but the names don't. The major incentive of health care is money based. Not what many of us like to hear but that is the way of things. A lot is expected of nurses and these expectations are very very difficult to meet and I believe are becoming more difficult.. Sometimes we just can't do it. If you are at that point then it is OK to try something different. No one should make you feel bad because of that. Good luck and I hope you find employment that brings you joy and satisfaction.
  4. Forest2

    Falls

    I hope that most of us will understand that some nurses graduated from nursing school decades ago and that some work environments are not up to standard. In those situations where there is a combination of both stuff happens. Places where management doesn't care or listen, places where there is unsafe staffing and places where nurses are not as knowledgeable, skilled in critical thinking or as assertive in their self-learning as others. I for one, want to encourage my fellow nurses to learn about how to handle the situations they are most likely to encounter on their jobs and to do a lot of self study to keep fresh. This is important because we carry such great responsibilities.
  5. Forest2

    Falls

    I don't think pain meds are indicated when a patient has a possible head injury. OK, pupil check would have been ok, but it seems kind of strange that they would fire you over this instead of educating you. Did you get a new DON? Maybe they are cleaning house?
  6. Forest2

    Being bullied at work

    I've read a few posts here. Not going to read anymore of it, moving on.
  7. Forest2

    Being bullied at work

    She isn't part of the old nurses club, it's a group that is almost impossible to break into. I also think she needs to leave that place.
  8. Forest2

    Home health per hour or per visit?

    If you work for an hourly wage then they will still expect certain productivity. I would guess so many visits in a certain period of time or a certain number based on acuity of care, allowing so much time for each level of acuity and travel time. If you are paid per hour you also should get mileage. Investigate not only how they pay but what it is based on. If paid by the visit, will they tell you how much time you are required to stay in the home for each visit? An agency once paid a PT per visit but they neglected to set it up in a structured manner. This PT started making 14-15 visits per 8 hour day and raking in the dough. Also, the agency may pay differently based on how the agency is reimbursed by the payer. Unfortunately, I am unable to answer your question directly because there are too many variables. Try to find out more if you can.
  9. Forest2

    Who designs the layouts of these hospitals anyway??!!

    That is so funny. I would like to see people like that be financially responsible for their dumb ideas.
  10. Forest2

    Who designs the layouts of these hospitals anyway??!!

    Lack of work stations for one. No medication prep areas either. Wheelchairs are far far far away in another galaxy.
  11. Forest2

    Who designs the layouts of these hospitals anyway??!!

    My current unit is two years old and is a nightmare in most aspects. I guess that is why I was venting. I just don't understand it. It is like the nurses are not valued.
  12. This whole thing confuses me. Why don't you work really hard at listening to every word, asking for clarification if you are unclear and taking your medications. I would not address anything other than you have the desire to improve in following instructions to a "T". Good luck. You can't be unfocused in a nursing job, you could cause real harm if you are, so it is best to start learning to be focused before you start your day. Just a suggestion.
  13. Forest2

    Badge Tracking

    Anyone who enters or exits a patient room should clean their hands, I don't care if they are the CEO or a visitor. It should be mandatory for everyone! But, using a badge to monitor this stuff is not acceptable to me.
  14. Forest2

    Badge Tracking

    Yea, I sorta have to admit it sucks. Now when the patient presses their nurse call the phone in my pocket rings and my badge tells where I am at all times. I sometimes feel trapped and haunted. Especially when you are trying to take care of one patient and another one calls every 60 seconds with the same request!! I can't be in two places at once. So many buzzers and bells and ringers. It can drive me crazy! And cameras too, I guess they can't trust nurses. Which seems ironic since nurses are listed at the number one trusted profession.
  15. It has occurred to me that hospitals are often not designed with the nurse in mind. I have worked on units where the medications were kept on another unit. I have worked where you had to prepare your medications on a keyboard (no joke) because there was no other place to do it. I have worked where you had to walk long distances to get to the nurses station and break rooms are on the other side of the building. I have worked where everything that you need from medications, to trash, to needle boxes, to light switches are located differently in each room. Absolutely no consistency at all. Why don't they create ways for nurses to conserve energy so that we are more able to function at peak levels? So what gives? Manufacturing seems to have accomplished the task of helping workers become as efficient as possible by creating atmospheres where less energy is required to accomplish more. Why hasn't this taken place in nursing and the design of hospitals? Is it because many hospitals are designed piecemeal with each addition? What about new hospitals? A relative complained that the new hospital where they were employed was "horrible" and "you just walk your legs off". What do you think about it?
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