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What are your biggest pains/ problems as a nurse?

What are some of your biggest pains or problems you encounter in your day-to-day work as a nurse? What are some of the annoying/ tedious/ redundant parts of your job you wish you could change? It could be anything, whatever makes you tick and wish would be improved/ made better. It could also be non-work related as well.

thanks for your time, your input is much appreciated!

TheCommuter specializes in Case mgmt., rehab, (CRRN), LTC & psych.

When I worked the floor, these were my annoyances...

1. Verbally abusive families who try to tell nurses how to do their jobs

2. Colleagues from other disciplines who try to tell nurses what to do

3. Redundant documentation and audits

4. Out-of-touch nurse managers and administrators

5. Too much responsibility with little to no authority

KatieMI specializes in ICU, LTACH, Internal Medicine.

1). Little to no touch between what a nurse can do, and what he or she is forced to do and be responsible for. It doesn't pay to use a Bachelor's prepared specialist as a cross between maid, waitress, whipping boy and cleaning lady.

2). Limitations of human rights of nurses. I lost count of cases when families and patients treated nursing staff the way that would bring them in Court, if not in jail, should it all happen any place else but in hospital.

3). Constant battle of policies & protocols vs. common sense.

4). The Powers who care about the said policies & protocols more than anything else.

5). No recognition of the fact that the nurses ARE money-winners for the system. At least they can be, if adequately cared for.

AJJKRN specializes in Medical-Surgical/Float Pool/Stepdown.

Forgetting good ol Press Ganey & anything else customer service related Ladies & Gents....

and staffing ratios....

and supplies, either lack of or not being able to find in close proximity...

might I continue :no:

kakamegamama specializes in MCH,NICU,NNsy,Educ,Village Nursing.

All of the above. A blown back that is in the midst of a week of spasms right now. Colleagues who talked about each other behind their backs and to the menagerie without addressing issues to the ones they had issues with. Twelve hour night shifts.

abbnurse has 28 years experience.

I think this will echo what previous posters have said:

- Verbally abusive patients (and family members of patients).

- Unsafe, unrealistic workload expectations.

- Out of touch administration regarding such unsafe workloads.

- Always feeling pressured to do more work, in less time, with fewer staff.

- Administration not recognizing the fact that "Good customer service" does NOT necessarily equal the "Customer" getting exactly what they want.

So far, so good with my back ;) .

When I worked the floor, these were my annoyances...

1. Verbally abusive families who try to tell nurses how to do their jobs

2. Colleagues from other disciplines who try to tell nurses what to do

3. Redundant documentation and audits

4. Out-of-touch nurse managers and administrators

5. Too much responsibility with little to no authority

Number 2 and 3 are huge for me right now. New grad from May of this year, started working in July in a SNF. I feel blessed to have really awesome and supportive management. It's hard for me not to roll my eyes when therapy comes to ask me if we could "prophylactically" start IV fluids before our lab results have come back, or "so-and-so needs :insert whatever med they don't have an order for here:. Seriously guys, you do the therapy, I'll handle the nursing.

ArtClassRN specializes in Med Surg.

Nurse Assistants that are so understaffed the good ones cannot help you and the bad ones know they can get away with not even trying.

In my country:

1. We get paid 302 pesos a day, so that's about 6,040 pesos a month for a 5x/wk job ($6-7/day, $137/month).

2. There are no residents in the hospital where i work.

3. Our chief nurse gives us 12-18 hour shifts at least 3 times a week.

4. Some people/patients don't see us nurses as professionals. They feel that doctors are the only health care providers who could help them and provide proper health treatment.

Oh well XD

MHDNURSE specializes in Pediatrics, Community, and School Health.

When I worked in Primary Care Pediatrics, those parents who used Dr. Google and came to appointments armed with articles about why their precious snowflakes shouldn't be vaccinated, shouldn't get XYZ treatments, etc. CONVINCED that some article they saw posted on Facebook was worth more than my NP degree, the MD of the pediatrician, etc.

Now I work as a school nurse. The things that annoy me the most are the teachers that constantly ask me for medical advice, the students who are malingerers, the terrible salary, the paperwork and red tape due to state-mandated policies...

TheCommuter specializes in Case mgmt., rehab, (CRRN), LTC & psych.

It's hard for me not to roll my eyes when therapy comes to ask me if we could "prophylactically" start IV fluids before our lab results have come back, or "so-and-so needs :insert whatever med they don't have an order for here:. Seriously guys, you do the therapy, I'll handle the nursing.
You hit the nail on the head...

I worked at a specialty rehabilitation hospital for six years. Some of the physical and occupational therapists were wonderful. Others...not so much.

The busybody PTs/OTs were steadily stepping into the realm of medical diagnoses when they lacked the training or privileges to do so. They were insisting that the nurses obtain orders for UAs, chest xrays, I&O caths, and so forth.

If the nurse does not interfere in the PT's/OT's personalized treatment plan to help the patient regain function, then the PT/OT should not meddle with the RN's judgment and plan of care.

kakamegamama specializes in MCH,NICU,NNsy,Educ,Village Nursing.

Change the word "menagerie" in my first post to "manager". However, there were times working on the floor felt like I was working in a menagerie........

Mine are similar to those listed above:

1. Unappreciative and/or abusive patients. Sometimes, all I ever hear all night is complaint after complaint.

2. Aides who refuse to help out with certain assignments. Some of the aides where I work refuse to work with certain patients because they are "too difficult" or "take too long," leaving everything on the nurse.

3. Always being short staffed

4. Always getting out late...and by late, I mean HOURS late. Constantly.

5. Constant fear of being mandated.

Clients who care less about their health than I do.

Like, you came to me for wound care in the hopes of healing your disgusting gigantic lower leg ulcer, right? And we agree that I'm not a fairy godmother? So you might actually have to do things like wear the compression I put you in (yes even though you can't wear your favourite shoes with it) and control your diabetes and show up to your appointments on time. God forbid, right?

And then somehow clients are mad at ME when they don't do anything I tell them to do and SHOCKER their wounds don't heal. Really?

Ruby Vee specializes in CCU, SICU, CVSICU, Precepting & Teaching.

The customer service mentality. Patient care ought to come before customer service. In other words, the safety and health of my patients ought to come before the coddling of visitors.

You hit the nail on the head...

I worked at a specialty rehabilitation hospital for six years. Some of the physical and occupational therapists were wonderful. Others...not so much.

The busybody PTs/OTs were steadily stepping into the realm of medical diagnoses when they lacked the training or privileges to do so. They were insisting that the nurses obtain orders for UAs, chest xrays, I&O caths, and so forth.

If the nurse does not interfere in the PT's/OT's personalized treatment plan to help the patient regain function, then the PT/OT should not meddle with the RN's judgment and plan of care.

This is actually the joke I make while I roll my eyes. They walk away and I am like "tomorrow I am definitely going down to therapy and telling them what exercises to do, that they aren't working in the legs hard enough, the patient has gotten weaker by MY assessment so we need to do whatever I think". But wait, I would never do that. Because I do not hold a degree in physical therapy. Which is probably evident by the fact that my statements sounded ridiculous. 😂😂😂

HeySis specializes in PACU.

The two things that gets my knickers in a bunch every time...

1. When nurses on other units think they are busier then you and are asking me to look up things they could be looking up themselves, it takes the same amount of time, or longer for me to search the chart and tell you as it takes for you to search the chart yourself.

We are all busy, We are all doing the best we can for our patients.

If I call report and your busy, I'll wait a bit. If you get on the phone and sound out of breath, I'll ask if you need a minute to grab a pen or pull the patient up and I'll give it to you.

If I know the answer, I'll certainly tell you, but I give you all the relevant info I know in report.

2. When the other nurse keeps interrupting my report to ask questions, or to talk to other people.

I'll get there and when I'm done, I'll ask if you have any other questions. Report takes way longer when you keep going back and forth randomly. Our facility has an agreed upon order for report, so jumping around makes it harder.

Report will go a lot faster and I wouldn't have to repeat something I already said, but they were holding another conversation.

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