It was one of those weekends! I had two falls of high risk residents on Saturday night. The Aide had forgotten to set one alarm and just let the other wander away. I lectured her on paying attention and resident safety and that was that. (I don't know what management will do as one required a trip to the ER for some stitches. At any rate, Sunday started well, she was on her game and we were having a great night. I was halfway through my charting when she ran into the nurses station and said the following:
"You are gonna be mad at me, I think she is dead"
It turned out to be a resident who has a tendency to lay down wherever and "play possum" but if I never hear that again it'll be too soon!
Specializes in cardiac, ortho, med surg, oncology.
Even worse are the ones that write "18"
I'm not stupid, 18 isn't divisible by four. You count for 15 seconds, you get 18, you're a liar!
May she counted for 30 seconds and multiplied by 2. Or maybe she counted for a whole minute. I don't think people only breathe in 15 sec intervals. I know I have counted breaths over a minute and gotten a number that isn't divisible by 4.
I don't like it when an aide tells me that something just "isn't right" with a patient because they are usually right.
The other thing I don't like is when they fail to tell me something. If a pt has a bloodpressure of 205/110 I want to know now, not in a hour when you chart the vitals.
I'm not stupid, 18 isn't divisible by four. You count for 15 seconds, you get 18, you're a liar!
I work with an aide that apologizes for people's vital signs, like its her fault they're out of wack. It drives me insane.
"the patients glucose is 230. Sorry!"
"Their bloodpressure is 200/100...sorry!"
"this patient's temp is 101.5...SORRY!"
"the patient in that room just had diarrhea ALL OVER THE PLACE! I'm so Sorry."
Seriously, anything out of the ordinary with a patient and she apologizes. I told her to stop apologizing but she keeps doing it!
I think some nurse in the past must have given her a lot of crap for reporting stuff.
That is a completely inaccurate statement. 18 resp/min is quite normal. 18 divisible by 4? First of all, you don't count resp for 15 seconds, the standard is 30-60 seconds to get an accurate reading . Second, how rude and disrespectful for you to say "You're a liar!" I don't care if you actually verbalized that or just thought it, it is awful. :angryfire The next time I take respirations I will have to say "Sorry Mr. X, your respiratory rate was 9, your body is lying to me and my nurse will call me a liar if I report that number. Your respirations have to be even and divisible by 2 if I count for 30 seconds or 4 if I count for 15 seconds, if they are not, I will be lying." :angryfire
I am not one to complain or get off on a tangent, but that is completlely out of line! I am thinking you may be the RN that "gave her alot of crap."
I cannot express how disappointed I am to read this post. :down:
Specializes in LTC/Rehab,Med/Surg, OB/GYN, Ortho, Neuro.
My aide coming out of my post-op pts room: "I was taking her VS and her pulse ox is 78, so I turned on the light and her lips are blue. That's bad, right?"
My aide coming out of my post-op pts room: "I was taking her VS and her pulse ox is 78, so I turned on the light and her lips are blue. That's bad, right?"
one comment i do hear is when they tell me a confused pt "refused." i have to hear the how exactly did a confuse pt "refused."
i had this one aide last night, right at the beginning of the shift, she was calling the supervisor b/c this pt was "off the wall" and "crazy," as she stated. i just completed report, immediately went to the pt's room to find her all naked in her w/c. i said "dear! what's going on?" she was fumbling her words in anger as she pointing to clothes that she wanted in her closet. i told her pick what you want, let me help you. badda-bing, badda bang! less then 2 minutes, problem resolve.
overall, i love the aides. for them to do their job from a-z is physically straining. sometimes, there is more cons then pro's. all they need is another lesson of approach to any given situation. basically, continued education.
also, be careful here b/c they might have a thread "things you don't want to hear your nurse say?"
This thread actually started out funny. Why do they always have to have posts with people who want to say such negative things about the aides? Is that really needed?
This thread actually started out funny. Why do they always have to have posts with people who want to say such negative things about the aides? Is that really needed?
We actually haven't had much aide-bashing in here, which is a good thing. We HAVE had a lot of response to one post about resps. Enough, already.
My aide coming out of my post-op pts room: "I was taking her VS and her pulse ox is 78, so I turned on the light and her lips are blue. That's bad, right?"
. Second, how rude and disrespectful for you to say "You're a liar!" I don't care if you actually verbalized that or just thought it, it is awful. 
:angryfire The next time I take respirations I will have to say "Sorry Mr. X, your respiratory rate was 9, your body is lying to me and my nurse will call me a liar if I report that number. Your respirations have to be even and divisible by 2 if I count for 30 seconds or 4 if I count for 15 seconds, if they are not, I will be lying." :angryfire
HonestRN
454 Posts