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Hey lovely (or studly) nurses,
Upcoming strong word advisory.
What do you *hate* the most about your job? Like over the past week or so --
what have you been most stressed, angry, hurt, or annoyed about?
I'm doing some informal research to help me understand the needs of nurses….and would love to hear your thoughts! Thanks!
-90% staff attrition in one year
-3 managers within 1 year
-Most of staff consists of travelers who either half ass everything or are inept
-Upper management was all fired and the interim people are terrible too
-Patient population in the ICU is mostly drug addicts or people who abused themselves since President Carter
-Half our equipment like Dopplers, train of four, ultrasounds, bladders scanners, dobhoff placers etc are missing or broken.
-Our union contract is still in limbo and it was supposed to be finalized 6 months ago. Garbage system just wants to make it as unappealing as possible to work here.
In essence everything, if I wasn't in grad school and only part time I would be looking for another job.
Your guy's problems sound like paradise
Hi Spidey's mom,Thanks! What is it about computer charting that you like the least?
1. Three passwords that have to change every 3 months. One to log into your work computer. Two to log into the program to chart.
2. Redundancy - a simple example is I have to chart height/weight on patients who I see 3 times a week. There is nothing in the system to pull info forward into current charting.
3. No real class to teach the charting system. You learn on the go while taking care of patients.
4. Sometimes the computer is down and you lose ALL access to patient info whereas in the "olden days" there was a chart with your paper and pen notations, along with H&P, Labs, other tests, Dr. Orders, Dr. Progress Notes, etc., all in a neat and tidy place easily accessed regardless of whether your internet server was down or your facility lost electricity.
5. I hate check boxes because sometimes what you want to say isn't really there and you sort of have to fudge the truth a bit and then make a note clarifying things.
6. The most important thing is the time the computer takes away from the patient. It really bothers me to roll that COW . . . oh wait, you have to call it a WOW now . . .into the room with a patient. It becomes a barrier to good patient care. And that's not just me talking about it - it is in every medical journal nowadays regarding physicians and nurses rebelling and some quitting. We've had two NP's and two docs leave clinic work because of the mass of charting they have to do now.
The other thing I really dislike is now we have these name badges with a thinga-ma-bob on the back that we have to use for the copier (and computer, and Pyxis along with a fingerprint). So, we have to swipe our name badge, say yes to making a copy, then make the copy and if you are in a hurry this can drive you a bit crazy to make just one copy of something. So the powers-that-be can keep an eye on who makes the most copies.
I became a nurse at 40; 19 years ago. So I came at the beginning of all this computer-generated charting business. In our rural area we used paper charting up until Obamacare passed and we were forced into the 21st Century. I understand it but I'm a dinosaur in many ways and prefer to focus on my patient and not the computer.
Rant over . . . no worries though. We dinosaurs will all retire soon and the young whippersnappers will take over and since they live with their smart phones attached to their bodies, they'll do well.
:)
JBudd, MSN
3,836 Posts
crappy software, so you have to go through 15 screens just to answer a few questions, for every single triage and initial assessment