October, 2006 Archive

August 28, 2016, 3:58 am

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August 28, 2016, 10:38 am

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All new nursing students learn the “Five Rights of Medication Administration”.

Later, imitrex 25mg pills $241.00 they learn to use new technologies and systems to enhance those “rights”, imitrex 25mg pills $241.00 but the basic concepts are used to help the students provide safe patient care.

It occurred to me that perhaps there should be basic “rights” for nurses.

In fact, imitrex 25mg pills $241.00 there should be five of them.

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The Five Rights of Nurses

1. Imitrex 25mg pills $241.00 The Right To A Quality Nursing Education, imitrex 25mg pills $241.00 Unimpeded By Lack of Access

All qualified applicants have a right to a nursing education. Imitrex 25mg pills $241.00 The nursing shortage is acute. Imitrex 25mg pills $241.00 The future nurses are there, imitrex 25mg pills $241.00 but we are losing them to other professions due to a lack of space in existing programs, imitrex 25mg pills $241.00 exacerbated by a shortage of nursing instructors.

If there was ever a program to invest in, imitrex 25mg pills $241.00 the nursing profession is it. Imitrex 25mg pills $241.00 The health care delivery system in this country would collapse without nurses.

Money should be provided at both the community college and state university level to

  • Expand exisiting programs to accomodate additional students.
  • Provide a financial incentive to lure the best and the brightest into becoming nursing professors. Imitrex 25mg pills $241.00 You can’t educate until you have the educators in place.

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2. Imitrex 25mg pills $241.00 The Right To Nursing Leadership

Imitrex 25mg pills $241.00 Nurses have the right to expect their leadership to:

  • Focus on (and fight for) the basic problems of education access and nurse recruitment before they debate advanced practice entry levels and how many doctorates are necessary in one profession.
  • Maintain clinical skills so they understand what the rank-and-file nurses in this country face on a day-to-day basis.
  • That means coming out of their office, imitrex 25mg pills $241.00 putting on a set of scrubs and actually spending time with those whom they profess to lead. Imitrex 25mg pills $241.00 Once, imitrex 25mg pills $241.00 twice a year. Imitrex 25mg pills $241.00 That isn’t asking too much.
  • We all started at the bedside. Imitrex 25mg pills $241.00 That is where basic nursing care is taught and perfected. Imitrex 25mg pills $241.00 It is where the majority of nurses still remain.
  • Treat basic nursing with the respect and attention it deserves, imitrex 25mg pills $241.00 not as a stepping stone to advanced practice away from the beside.

Imitrex 25mg pills $241.00 If you are in a nursing leadership position, imitrex 25mg pills $241.00 ask yourself why bedside nursing is no longer your “thing”. Imitrex 25mg pills $241.00 Then go to work on fixing the problem.

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3. Imitrex 25mg pills $241.00 The Right To Give Excellent Patient Care

Imitrex 25mg pills $241.00 This includes:

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  • Access to the latest equipment, imitrex 25mg pills $241.00 adequate supplies and access to inservice education provided equally to all three shifts.
  • Employer paid required classes. Imitrex 25mg pills $241.00 You required to have ACLS, imitrex 25mg pills $241.00 PALS or TNCC for employment? The employer should be providing those classes or paying for them from another provider.

This also means that there is adequate ancillary staff so that nurses:

  • Are not: (1) answering phones (2) cleaning wastebaskets (3) being used as phlebotomists or EKG technicians or (4) Passing or cleaning up trays because these other departments have “downsized”
  • Are available for hands-on patient assessment, imitrex 25mg pills $241.00 planning, imitrex 25mg pills $241.00 intervention and evaluation; in other words, imitrex 25mg pills $241.00 they are able actually practice their profession. Imitrex 25mg pills $241.00 You know, imitrex 25mg pills $241.00 the Nursing Process? What a novel concept!

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4. Imitrex 25mg pills $241.00 The Right To A Collegial Work Environment

This means the right to work without fear of, imitrex 25mg pills $241.00 or exposure to, imitrex 25mg pills $241.00 verbal abuse from physicans of any specialty.

  • It is understood that disagreements will occur and that medicine/nursing are stressful professions. Imitrex 25mg pills $241.00 Tempers will flare, imitrex 25mg pills $241.00 words will be said and apologies will be made. Imitrex 25mg pills $241.00 That’s life.
  • This “right” covers a more toxic type of behavior. Imitrex 25mg pills $241.00 Specifically: screaming, imitrex 25mg pills $241.00 yelling, imitrex 25mg pills $241.00 throwing objects, imitrex 25mg pills $241.00 or other threatening behaviors occuring in the presence of other professional colleagues or in front of patients (including within their hearing).

The nurse has a right to expect that their employer and the Chief of the Medical Staff make available to nurses a recourse to address this behavior, imitrex 25mg pills $241.00 including some form of sanction leveled against the perpetrator. Imitrex 25mg pills $241.00 This tends to be repetitive behaviour.

This is where hospital employers fall short.

A blind eye is turned because the doctor is the “rainmaker”, imitrex 25mg pills $241.00 to use a legal term; they bring in the bucks.

***

5. Imitrex 25mg pills $241.00 The Right To Organize

All nurses should have the right to organize under a collective bargaining agreement.

Ideally, imitrex 25mg pills $241.00 you will have nurses representing nurses.

No matter how supportive, imitrex 25mg pills $241.00 how wonderful, imitrex 25mg pills $241.00 how progressive a hospital administration is, imitrex 25mg pills $241.00 they will give the absolute minimum amount of pay and benefits that they can get away with.

Nurses, imitrex 25mg pills $241.00 are a big hit on their “bottom line”. Imitrex 25mg pills $241.00 They’re numbers. Imitrex 25mg pills $241.00 They on the “payout” side of the ledger. Imitrex 25mg pills $241.00 To the number crunchers, imitrex 25mg pills $241.00 they are a paycheck.

Nurses need someone protecting their rights, imitrex 25mg pills $241.00 their pay and their benefits.

Imitrex 25mg pills $241.00 Oh, imitrex 25mg pills $241.00 I know the non-organized hospital nurses make close to what unionized nurses make, imitrex 25mg pills $241.00 but it is never more! You’ll get paid just what the facility needs to give you to stay competitive.

(As an example: California nurses are now the highest paid nurses in the country – as far as I am aware. Imitrex 25mg pills $241.00 It isn’t an accident. Imitrex 25mg pills $241.00 I’m represented by CNA.

I don’t agree with everything the California Nurses Association does. Imitrex 25mg pills $241.00 In fact, imitrex 25mg pills $241.00 I’m totally opposite them on about 90% of their political agenda.

But…the reason I make what I do, imitrex 25mg pills $241.00 my job is protected, imitrex 25mg pills $241.00 there are mandated staffing ratios and my benefits are solid can be directly traced to the fact that they are my collective bargaining agent.

So, imitrex 25mg pills $241.00I pay those dues willingly and designate them to the “General Fund” so they won’t be used to fund propositions or other political activities to which I am opposed. Imitrex 25mg pills $241.00 )

All nurses should have the right, imitrex 25mg pills $241.00 by vote, imitrex 25mg pills $241.00 to engage in collective bargaining.

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And there you have it.

The Five “Rights” of Nurses as I see them.

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ER secretaries, imitrex 25mg pills $241.00 too. Imitrex 25mg pills $241.00 Now there is a topic that needs to be written!

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August 28, 2016, 12:08 pm

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I’ll return you to your regular Emergiblog after “The Fly” – and some sleep!

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About Me

My name is Kim, and I'm a nurse in the San Francisco Bay area. I've been a nurse for 33 years; I graduated in 1978 with my ADN. My experience is predominately Emergency and Critical Care, and I have also worked in Psychiatry and Pediatrics. I made the decision to be a nurse back in 1966 at the age of nine...

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