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!
also, be careful here b/c they might have a thread "things you don't want to hear your nurse say?"
i'd be fine with that! lol i am sure there are plenty.
ahem...
this is not an aide bashing thread. it was meant to be a list of things your aide says that make your heart drop into your shoes for a minute, not a place to rant about how this aide or that does something annoying. sure my aides get on my nerve now and again and i am fully aware that i get on their nerves a lot!
we work as a team and i respect each and every one of them. i couldn't do my job without them, and if they say something is wrong i listen.
please don't post anything on here that amounts to nothing more than a rant about your aide "not doing their jobs" i intended this to be lighthearted and fun! if it turns into a bash i will ask the powers that be to close it myself. the aides work their tails off and they deserve respect.
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 happens all the time with confused patients. they will refuse to do anything for the first person who walks in, but send in someone else and within minutes they are smiling and happy. not the aides fault. when my aides tell me someone has refused, i will go in there and usually things go smoothly. other times, not so much and i have to give them 10 minutes before the original aide goes in and the resident cooperates. it's the nature of dementia.
I hate it when an aid gives me a VS which is not compatible with life. Like 153/0. Um, hello? When I asked her to fix it in the computer (silly me, I assumed it was a typo), she said "That's what I got." I said "That's not possible." She repeated it. AAACK!
Actually, this is possible. I have charted a diastolic of 0 once or twice in my 6 years of nursing. If you are doing the blood pressure manually, sometimes you can hear it all the way down to 0.
I hate it when the CNA calls me and tells me my patient is having chest pain. Most of the time, it is incisional pain or related to their surgery, thank goodness!
Edit: I was taught that if you hear K sounds all the way down to 0, you chart 0 for diastolic. Now looking into it a little more, I see different things about measuring diastolic if you can hear the sounds all the way down to zero. Some people say to chart 0, some people say to chart what number you hear the sound change. So now I am not sure what to think.
Okay, it's not something an aide says, but I always get chills when I hear, "Please don't get up. Sit back down and use the call button to call for help. *deedle dee deedle dee deedle dee*"
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:
Kelly
Ahaha yea try asking a few people who report 18 how long they count for I guarantee they'll say 15 seconds. And yea I really call them liars (I do in my head) Don't take things so literally. But I guess when you look at a report sheet and every single respiration of every patient every night is 18 or 20 you start to get wary of certain numbers but I suppose you wouldn't know anything about that since you're not a nurse. 18 may be "normal" but you have no idea what kind of job I do nor the patients that I normally deal with so what may be "normal" in your textbook may indeed not be normal for what I deal with on a nightly basis obviously if someone is in the hospital they are probably abnormal to some extent. I've actually only worked with that aide twice and she behaved the same way both times, But thank you for that fantastic post.
: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
Don't take things so literally. But I guess when you look at a report sheet and every single respiration of every patient every night is 18 or 20 you start to get wary of certain numbers but I suppose you wouldn't know anything about that since you're not a nurse. 18 may be "normal" but you have no idea what kind of job I do nor the patients that I normally deal with so what may be "normal" in your textbook may indeed not be normal for what I deal with on a nightly basis obviously if someone is in the hospital they are probably abnormal to some extent. I've actually only worked with that aide twice and she behaved the same way both times, But thank you for that fantastic post.
readytoroll
145 Posts
i'd be fine with that! lol i am sure there are plenty.
this is not an aide bashing thread. it was meant to be a list of things your aide says that make your heart drop into your shoes for a minute, not a place to rant about how this aide or that does something annoying. sure my aides get on my nerve now and again and i am fully aware that i get on their nerves a lot!
we work as a team and i respect each and every one of them. i couldn't do my job without them, and if they say something is wrong i listen.
please don't post anything on here that amounts to nothing more than a rant about your aide "not doing their jobs" i intended this to be lighthearted and fun! if it turns into a bash i will ask the powers that be to close it myself. the aides work their tails off and they deserve respect.