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Time for a fun thread! Share you this does not make sense but happens anyway - at your hosptial.
I'll start. At my hospital, as an RN:
I can have full access to all kinds of drugs and narcotics, but I can't have access to the extra toilet paper. If a patient runs out for some reason, i have to track down housekeeping to get another roll. I can't be trusted to access extra toilet paper. (and trust me, I have NO desire to take home your one ply, sand paper toilet paper)
I also cannot have access to the paper-towel key. So if the paper towel dispenser jams ( as it often does) I again have to track down environmental services people to open it up and fix it. Because I can't be trusted with the key.
The enviromental services people are not expected to pick up extra heavy linen bags we have to make sure we don't overload the bags - yet - as a nurse, I am expected to move pts who weight 200, 300 lbs. Much more than an over-filled linen bag. Yes, we shouldn't overfill linen bags I support that, but how come no one supports me when I say that we should not be expected to move a 300 lb pt.
If anything is broken - its my job to either a) fix it or b) find someone to fix it. This includes: TVs, heating/cooling, beds, wheelchairs, toilets, sinks, computers, chairs,telephones, the cable TV, roommates snoring, and possibly the colour of the walls in the room.
One hospital at which I did a contract (for 13 weeks) refused to give the travelers regular access to the pyxis. Only a few specified superusers had the ability to give temporary (good for 24 hrs.) access. This meant that for every shift for 13 weeks I had to come in, call around the hospital to find a superuser, get a new access with a new password (different every day) just to be able to start my shift.
Someone please tell me why Viagra is in the pyxis in the first place, and can't they tell who is diverting all that lasix??? It's the nurse that spent the second half of her shift in the bathroom!!Or maybe it's because she diverted the glycerin suppositories!
haha seriously!
The sildenafil (viagara) is not actually in the pyxis, rather pharmacy compounds it (for peds dosing) and that with their other meds are in individual pt bins in a locked machine. As I said before though the sildenafil is to be taken out of this and put in the bedside cart since doses were going missing...
Anyway - viagara is a very common drug used for patients with pulmonary hypertension, these patients are also unfortunately rampant in NICU's, PICU's and peds cardiac ICU's. (at least at my hospital since we have a large pulmonary hypertension program...and yes, it has the same side effect on little boys as it does on old men, poor kids )
I worked in an ER a few years ago as a traveler and they said we were using too many PAPER CLIPS!! They said they would stop supplying paper clips! OK, then...so we kept our charts on clipboards until discharge and then just put all the loose papers in the medical records basket. It didn't take long before medical records was screaming about the charts being in pieces, and they decided they would spring for the paper clips again. With all the waste and abuse in healthcare, they were actually worried about the cost of paperclips.
We still tube propofol. Just tubed to us from pharmacy. No secure tube system.
Our nurse assistants on noc shift are reaponsible for emptying trash and linen. We did have house keepers to do this but management decided it was better for our aides to do this as if they had nothing better to do.
We had one empty bed today. so of course, the bed flow coodinator tried to send us 2 pts. (sigh)
Thank you all for a roaring laugh!!!! what about linen??? they are always a chuckle or 2 about the hoarding of linen!!!!!!!
As yes - linen. Some idiot canceled our Saturday linen cart one weekend, because we had extra linen on Friday. Not a lot of linen mind, you, just a little bit.
For a long while - until we nurses kept complaining - they were sending less linen on weekends. We could never figure out why - we kept pointing out that pts didn't change their needs for clean linen just because it was the weekend!
Another thing that makes us go WHAT? - Kitchen decided that pts should no longer get to chose their food choices for meals on weekends. A cost-saving measure they say. So now, EVERY FREAKING MEAL on weekends, we nurses have to contact kitchen and say "Pt A doesn't like salmon and needs a sandwich (because everyone get salmon for lunch on Sat), then we have to fight our way through the dietary orders in the computer to enter the pt request (b/c nothing will be sent without a computer order) and then have to keep checking back with the pt to make sure they get there sandwich.
Bortaz, MSN, RN
2,628 Posts
She means that LVNs are being phased out.