Saturday, April 26, 2014

A day off??!!?? What u say

That Saturday  as a mommy, wife and nurse u have nothing and I mean nothing to do. You beg for metime or downtime but the moment you get it what do you do?
Saturdays are usually spent with an extra shift or a mandatory shift catering to patients needs. Or on a Saturday hauling the children around to tae Kwan do or whatever enriching activity you believe is necessary for your child to participate in. Or on a Saturday doing required wifely activities that usually include family members that you're not  fond of 90% of the time. Or housework ... Or yard work... Or schoolwork ... And so on and so on. So that leaves us on this beautiful Saturday morning trying to figure out what me time really means n what to do with it. Please enjoy your Saturday who knows what the next one will bring :)

Friday, April 25, 2014

Transgendered patient...

Caring for a transgendered patient has sparked many thoughts that have required myself to dig deep into my personal beliefs. Believing that a person is the gender that they appear is engrained in our cultural beliefs. Wanting to say she or he when in fact it is undecided. Those personal issues I can deal with....
But what happens...
When this person requests to be addressed by a name other than what has been legally appointed. This could ultimately lead to an unfortunate circumstance. Because this topic is sensitive it is usually not spoke of but it should be talked about there is a reason for patient identifiers. For example if a person is legally married and wishes to be identified by their maiden name typically this request is not granted. Identification of a patient with name and date of birth are basic patient identifiers that can cause confusion in the caregivers and therefore become a patient safety issue. I understand and agree that people are people and should be treated as such but the reality is that people are uncomfortable with things/people they do not understand... thus the reason why it is such a sensitive subject.

What are your feelings?

Thursday, April 24, 2014

Elder abuse

             Nurses are in direct contact elderly population on a day to day basis. The elderly is a fragile population that is dependent the nurse’s assessment skills while in  the care of medical professionals. The nurse needs to be aware of elder abuse in different communities in order to identify and report when necessary. Typically elder abuse was hidden from the public view or just ignored. As time passes and evidence accumulates, it is being discovered that it is an important public health and societal issue. Elder abuse can be defined as “a single, or repeated act, or lack of appropriate action, occurring within any relationship where there is an expectation of trust which causes harm or distress to an older person” (World Health Organization, 2012) Abuse can come in many forms which include physical, psychological/emotional, sexual, and financial. Many times abuse can happen and be undetected and unreported. Many people, including nurses may not be able to identify warning signs which can lead to unintentional and intentional neglect.  In 1996, it was found that 449,924 people 60 years or older had been physically abused or mistreated in some way (Acierno, Amstadter,Resnick,Steve, Muzzy &Kilpatrick, 2010).

What do you think???? How can we stop this? Have you witnessed or even contributed to elder abuse? What did you do?


Ok, So I am a Nurse

I am a nurse. Nursing cannot compare to no other profession. I can more closely compare it to the women’s rights movement. Every day it is a struggle to be heard, and respected. Every day you hope the doctor takes you serious enough to listen and a person doesn't have to suffer a near fatal complication. Nursing is a very submissive role where you are responsible for the patients well being but you cannot make your own decisions for the patients well being. When the patient has made a turn for the worse you must jump in and “save a life” yet the doctor is the one receives the credit. Interesting right????? Being a nurse means that the stress of saving a person is on your hands for all 12 hrs of the day while being under paid, not respected or even appreciated. And don’t think that management is any better. They are just the ones who do the dirty errands for the hospital representatives while making nothing compared to upper management. They have the stress of young vibrant nurses wanting to make a difference and asking for the things they need to be good at it. While upper management breathes down their throat in order to save a dime. That seems stressful right??? Ok so I am a nurse…. Where to go? What to do?  Who to look up to???  After thinking long and hard I decided to go to school for education.


Friday, April 18, 2014

Have you ever??

Have you ever.....

1. Thrown away the linen.... I mean really sometimes its not worth saving
2. Just wanted to tell the pt their life is in my hands so "watch your mouth"
3. wondered why people bring infants to the hospital... hospitals are the best host for germs.
4. wondered why they make these hospitals look like a hotel if they want pts to treat it like a hospital. 5. had a doctor blame you for a mistake in front of a patient.
6. had a fellow nurse tell you they would not cosign insulin
7. used desk tape instead of medical tape
8. witnessed a painful procedure and smiled just a bit because the patient was just plain annoying
9. cried at the witness of your first code
10. put your confused pt in a geri chair just so you could eat lunch


FPN United

Float Pool Nurses United! That rare day when there is only one staff nurse. Agency make up the floor on this day! Staff nurse is stressed to the max! Forgetting that she is not alone but lashing out on the agency nurses. Burning bridges and not even aware. Sad Sad A very long 12 ahead. Your only telemetry nurse is agency and she leaves @ 3. cosign help transfer Witness Hanging blood Answer call lights Answer phone calls ( O did I mention there is no secretary) Unit or United. Today we are United :) ~MotherNurse

Wednesday, April 16, 2014

unit or every nurse for herself

Each shift, on each unit, each day begins the same. Receive report from an unknown nurse. Using detective skills to fill in the holes. Introductions to patients, Nurse technicians and charge nurse. Fellow nursing staff are identified by nameless navy blue. Assessments, medication adminstration, documentation a continuous cycle. Each shift, on each unit, each day. Spoken to only when needed. Addressed as so and so's nurse. As an outsider knowing I don't belong maintaining a friendly demenor. Speaking only when spoken to. Using the magic words please and thank you, even when not needed in order to appear friendly even when exhausted. Attempting to fit in the sea of blue nameless nurses. Following protocols, following dress codes, following rules, following the culture of the unit all of which change with the unit. Each unit having different standards and requirements. Each and every shift blending with the next. Each nurse blending with the next. Each patient blending with the next. Through experience it can be assumed that a nurse should have a fellow nurses back. It should be expected that a nurse should have the same goals but most do not. Progression of the nursing profession should be the first goal. Ensuring we maintain the patient relationship in caring for the patient even when the ever evolving healthcare system continues to attempt to strip all indentity, all compassion, all indepencence in nursing judgment. Expect that all are less than perfect at least some of the time although some pretend otherwise. Your nurse my seem like supernurse answering constant phone calls, delegating, managing medications, etc but really we are not. We are really the sum of our experiences. Experiences dictate learned behavior, our interpretation of education, and our reaction in an unfortunate. Not every nurse was an "A" student in fact most are not. Maybe to identify the the "A" nurses, we should label them with a scarlet letter in order to identify. Or Should we identify who's goals and objectives are the in the best interest of the profession as a whole. ~MotherNurse