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Share Policies That Have Not Saved One Life

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Specializes in ER. Has 28 years experience.

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(But may have contributed to a few deaths by sucking time and energy from us)

I'll name a few:

1) Care Plans

2) Charting pain scales before and after meds

3) Laminating paper bulletins 

SilverBells, BSN

Specializes in Rehab/Nurse Manager. Has 6 years experience.

“The patient is always right” All patient complaints, no matter how trivial, should be addressed right away and irregardless to whatever else might be going on 

VivaLasViejas, ASN, RN

Specializes in LTC, assisted living, med-surg, psych. Has 20 years experience.

No clocking in till 7 minutes before the start of a shift. Not 5 minutes, not 10 minutes, but 7. 🙄

Emergent, RN

Specializes in ER. Has 28 years experience.

7 minutes ago, VivaLasViejas said:

No clocking in till 7 minutes before the start of a shift. Not 5 minutes, not 10 minutes, but 7. 🙄

LOL, I think that's Universal. The last 4 places I've worked have had the same policy

CalicoKitty, BSN, RN

Specializes in Med-Surg, Geriatrics, Wound Care. Has 9 years experience.

Lowering the rail of the bed that has the patient control buttons because having all 4 rails up is a "restraint".

NightNerd, MSN, RN

Specializes in CMSRN, tele, palliative, psych. Has 7 years experience.

Whatever policy it is that says I can't have my water next to me while I document. That one's dumb.

Care plans.  Education on an intubated pt.  

Daisy4RN

Specializes in Travel, Home Health, Med-Surg. Has 20 years experience.

White boards that must be filled out by the RN with highly important data like the date and pt goal for the day.

Charting pt response to every PRN med.

All policies that have turned the hospital environment into a hotel environment.

The RN being responsible for other ancillary staff not doing their job.

Davey Do

Specializes in around 25 years psych, 15years medical. Has 42 years experience.

Performing an entire assessment/admission on a suicidal patient who came through the ER, was just discharged 14 hours ago, currently denies any thoughts of self harm, and is requesting chips and a chocolate milk.

All specific screening recommendations that are inappropriately made universal (screen every patient rather than the intended population).

Policies that link medication orders with specific pain ratings.

Blanket warmer policies that require settings so low the blankets are cooled by the time you walk from the warmer to the room.

Most policies that were put into place as the result of a freak event or profound stupidity/negligence.

Davey Do

Specializes in around 25 years psych, 15years medical. Has 42 years experience.

1 hour ago, JKL33 said:

Most policies that were put into place as the result of a freak event or profound stupidity/negligence.

I know!

On a low-trafficked, relatively rural road intersection near my hometown, one person didn't yield as they should have, caused an accident, and a three way stop was put up.

Now everybody has to stop, in the middle of nowhere, for time eternal.

Daisy4RN

Specializes in Travel, Home Health, Med-Surg. Has 20 years experience.

2 hours ago, Davey Do said:

Performing an entire assessment/admission on a suicidal patient who came through the ER, was just discharged 14 hours ago, currently denies any thoughts of self harm, and is requesting chips and a chocolate milk.

This, plus all the ridiculous data that was added over the years that could easily be collected by admission clerks.

 

1 hour ago, JKL33 said:

Most policies that were put into place as the result of a freak event or profound stupidity/negligence.

This too, I don't know how many hours wasted with yet another computer inservice/education bc of some idiotic mistake made by one person, ugh.

Nurse Beth, MSN

Specializes in Med Surg, Tele, ICU, Ortho. Has 30 years experience.

Implementing so much documentation that nurses can't possibly complete it all and so it's either not done, or done and meaningless.

NightNerd, MSN, RN

Specializes in CMSRN, tele, palliative, psych. Has 7 years experience.

50 minutes ago, Nurse Beth said:

Implementing so much documentation that nurses can't possibly complete it all and so it's either not done, or done and meaningless.

I was just wondering this morning what the point even is in filling out all these care plans every 12 hours. Such a waste of my time, and honestly, my patients' time too.

JBMmom, MSN

Specializes in Long term care; med-surg; critical care. Has 9 years experience.

Filling out the refrigerator temperature every shift even though the refrigerator is connected to the unit that goes to a central monitoring station. Then reading the reminder email that the temperature recording was missed twice last month. 

The 15 minutes spent at shift change going over the "Lean board" topics over which I have zero influence or interest.

The policy that somehow links my effectiveness as a nurse to the time it takes for my patient to be transferred off the unit once a bed is assigned. 

Daisy4RN

Specializes in Travel, Home Health, Med-Surg. Has 20 years experience.

Computer charting that takes about 3x as long to complete as paper used to be. Add to that the policy that nurses must chart in the hallway in order to be accessible to any and all yahoos that need/want ANYTHING!

Daily egress sheets.

Endless bed meetings all day instead of just 1 how it used to be. No, Mr PITA pt still has not been discharged, again, I will let you know!

amoLucia

Specializes in LTC.

Charting pt status before & after EVERY minineb tx (that we have to time anyway).

Emergent, RN

Specializes in ER. Has 28 years experience.

Asking an ER pt with UTI symptoms "Do you want hurt yourself or others?".