October, 2006 Archive

June 28, 2016, 3:58 am

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June 28, 2016, 10:38 am

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Anti-anxiety > serpina 100 tablet bottle > 7 > $284.00 Okay.

Anti-anxiety > serpina 100 tablet bottle > 7 > $284.00 Who snuck the camera into my waiting room?

Anti-anxiety > serpina 100 tablet bottle > 7 > $284.00 Actually, anti-anxiety > serpina 100 tablet bottle > 7 > $284.00 we don’t have waits like this. Anti-anxiety > serpina 100 tablet bottle > 7 > $284.00 Our patients are so spoiled that I’ve had them complain that it has taken 90 minutes from start-to-finish, anti-anxiety > serpina 100 tablet bottle > 7 > $284.00 including the placing of a splint!

Anti-anxiety > serpina 100 tablet bottle > 7 > $284.00 Seriously!

Anti-anxiety > serpina 100 tablet bottle > 7 > $284.00 Besides, anti-anxiety > serpina 100 tablet bottle > 7 > $284.00 what kind of waiting room is this?

Anti-anxiety > serpina 100 tablet bottle > 7 > $284.00 No decorations? No artwork? No TV? Everyone in a straight line?

Anti-anxiety > serpina 100 tablet bottle > 7 > $284.00 This room needs some serious work on its Feng Shue.

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First of all, anti-anxiety > serpina 100 tablet bottle > 7 > $284.00 I want to send out kudos to Monika at Becoming A Nurse for, anti-anxiety > serpina 100 tablet bottle > 7 > $284.00 well, anti-anxiety > serpina 100 tablet bottle > 7 > $284.00 becoming a nurse !!! I’ve moved her blog from the “Student” to the “Nurses” section!

There is a new blog under “Medical Bloggers of Interest”! Check out The Foot Blog. Anti-anxiety > serpina 100 tablet bottle > 7 > $284.00 It’s the first blog I’ve seen by podiatrists and it’s very well done.

Having a husband with diabetes and a daughter running cross-country, anti-anxiety > serpina 100 tablet bottle > 7 > $284.00 we have been dealing with feet on a regular basis, anti-anxiety > serpina 100 tablet bottle > 7 > $284.00 so running across this blog was very timely!

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

Later, anti-anxiety > serpina 100 tablet bottle > 7 > $284.00 they learn to use new technologies and systems to enhance those “rights”, anti-anxiety > serpina 100 tablet bottle > 7 > $284.00 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, anti-anxiety > serpina 100 tablet bottle > 7 > $284.00 there should be five of them.

So, anti-anxiety > serpina 100 tablet bottle > 7 > $284.00 here they are, anti-anxiety > serpina 100 tablet bottle > 7 > $284.00 as proposed by yours truly:

The Five Rights of Nurses

1. Anti-anxiety > serpina 100 tablet bottle > 7 > $284.00 The Right To A Quality Nursing Education, anti-anxiety > serpina 100 tablet bottle > 7 > $284.00 Unimpeded By Lack of Access

All qualified applicants have a right to a nursing education. Anti-anxiety > serpina 100 tablet bottle > 7 > $284.00 The nursing shortage is acute. Anti-anxiety > serpina 100 tablet bottle > 7 > $284.00 The future nurses are there, anti-anxiety > serpina 100 tablet bottle > 7 > $284.00 but we are losing them to other professions due to a lack of space in existing programs, anti-anxiety > serpina 100 tablet bottle > 7 > $284.00 exacerbated by a shortage of nursing instructors.

If there was ever a program to invest in, anti-anxiety > serpina 100 tablet bottle > 7 > $284.00 the nursing profession is it. Anti-anxiety > serpina 100 tablet bottle > 7 > $284.00 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. Anti-anxiety > serpina 100 tablet bottle > 7 > $284.00 You can’t educate until you have the educators in place.

***

2. Anti-anxiety > serpina 100 tablet bottle > 7 > $284.00 The Right To Nursing Leadership

Anti-anxiety > serpina 100 tablet bottle > 7 > $284.00 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, anti-anxiety > serpina 100 tablet bottle > 7 > $284.00 putting on a set of scrubs and actually spending time with those whom they profess to lead. Anti-anxiety > serpina 100 tablet bottle > 7 > $284.00 Once, anti-anxiety > serpina 100 tablet bottle > 7 > $284.00 twice a year. Anti-anxiety > serpina 100 tablet bottle > 7 > $284.00 That isn’t asking too much.
  • We all started at the bedside. Anti-anxiety > serpina 100 tablet bottle > 7 > $284.00 That is where basic nursing care is taught and perfected. Anti-anxiety > serpina 100 tablet bottle > 7 > $284.00 It is where the majority of nurses still remain.
  • Treat basic nursing with the respect and attention it deserves, anti-anxiety > serpina 100 tablet bottle > 7 > $284.00 not as a stepping stone to advanced practice away from the beside.

Anti-anxiety > serpina 100 tablet bottle > 7 > $284.00 If you are in a nursing leadership position, anti-anxiety > serpina 100 tablet bottle > 7 > $284.00 ask yourself why bedside nursing is no longer your “thing”. Anti-anxiety > serpina 100 tablet bottle > 7 > $284.00 Then go to work on fixing the problem.

***

3. Anti-anxiety > serpina 100 tablet bottle > 7 > $284.00 The Right To Give Excellent Patient Care

Anti-anxiety > serpina 100 tablet bottle > 7 > $284.00 This includes:

  • Adequate staffing, anti-anxiety > serpina 100 tablet bottle > 7 > $284.00 with the expectation that their employers actively recruit and provide incentives to maintain the best staffing possible, anti-anxiety > serpina 100 tablet bottle > 7 > $284.00 going above and beyond just the basics required by law.
  • Access to the latest equipment, anti-anxiety > serpina 100 tablet bottle > 7 > $284.00 adequate supplies and access to inservice education provided equally to all three shifts.
  • Employer paid required classes. Anti-anxiety > serpina 100 tablet bottle > 7 > $284.00 You required to have ACLS, anti-anxiety > serpina 100 tablet bottle > 7 > $284.00 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, anti-anxiety > serpina 100 tablet bottle > 7 > $284.00 planning, anti-anxiety > serpina 100 tablet bottle > 7 > $284.00 intervention and evaluation; in other words, anti-anxiety > serpina 100 tablet bottle > 7 > $284.00 they are able actually practice their profession. Anti-anxiety > serpina 100 tablet bottle > 7 > $284.00 You know, anti-anxiety > serpina 100 tablet bottle > 7 > $284.00 the Nursing Process? What a novel concept!

***

4. Anti-anxiety > serpina 100 tablet bottle > 7 > $284.00 The Right To A Collegial Work Environment

This means the right to work without fear of, anti-anxiety > serpina 100 tablet bottle > 7 > $284.00 or exposure to, anti-anxiety > serpina 100 tablet bottle > 7 > $284.00 verbal abuse from physicans of any specialty.

  • It is understood that disagreements will occur and that medicine/nursing are stressful professions. Anti-anxiety > serpina 100 tablet bottle > 7 > $284.00 Tempers will flare, anti-anxiety > serpina 100 tablet bottle > 7 > $284.00 words will be said and apologies will be made. Anti-anxiety > serpina 100 tablet bottle > 7 > $284.00 That’s life.
  • This “right” covers a more toxic type of behavior. Anti-anxiety > serpina 100 tablet bottle > 7 > $284.00 Specifically: screaming, anti-anxiety > serpina 100 tablet bottle > 7 > $284.00 yelling, anti-anxiety > serpina 100 tablet bottle > 7 > $284.00 throwing objects, anti-anxiety > serpina 100 tablet bottle > 7 > $284.00 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, anti-anxiety > serpina 100 tablet bottle > 7 > $284.00 including some form of sanction leveled against the perpetrator. Anti-anxiety > serpina 100 tablet bottle > 7 > $284.00 This tends to be repetitive behaviour.

This is where hospital employers fall short.

A blind eye is turned because the doctor is the “rainmaker”, anti-anxiety > serpina 100 tablet bottle > 7 > $284.00 to use a legal term; they bring in the bucks.

***

5. Anti-anxiety > serpina 100 tablet bottle > 7 > $284.00 The Right To Organize

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

Ideally, anti-anxiety > serpina 100 tablet bottle > 7 > $284.00 you will have nurses representing nurses.

No matter how supportive, anti-anxiety > serpina 100 tablet bottle > 7 > $284.00 how wonderful, anti-anxiety > serpina 100 tablet bottle > 7 > $284.00 how progressive a hospital administration is, anti-anxiety > serpina 100 tablet bottle > 7 > $284.00 they will give the absolute minimum amount of pay and benefits that they can get away with.

Nurses, anti-anxiety > serpina 100 tablet bottle > 7 > $284.00 are a big hit on their “bottom line”. Anti-anxiety > serpina 100 tablet bottle > 7 > $284.00 They’re numbers. Anti-anxiety > serpina 100 tablet bottle > 7 > $284.00 They on the “payout” side of the ledger. Anti-anxiety > serpina 100 tablet bottle > 7 > $284.00 To the number crunchers, anti-anxiety > serpina 100 tablet bottle > 7 > $284.00 they are a paycheck.

Nurses need someone protecting their rights, anti-anxiety > serpina 100 tablet bottle > 7 > $284.00 their pay and their benefits.

Anti-anxiety > serpina 100 tablet bottle > 7 > $284.00 Oh, anti-anxiety > serpina 100 tablet bottle > 7 > $284.00 I know the non-organized hospital nurses make close to what unionized nurses make, anti-anxiety > serpina 100 tablet bottle > 7 > $284.00 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. Anti-anxiety > serpina 100 tablet bottle > 7 > $284.00 It isn’t an accident. Anti-anxiety > serpina 100 tablet bottle > 7 > $284.00 I’m represented by CNA.

I don’t agree with everything the California Nurses Association does. Anti-anxiety > serpina 100 tablet bottle > 7 > $284.00 In fact, anti-anxiety > serpina 100 tablet bottle > 7 > $284.00 I’m totally opposite them on about 90% of their political agenda.

But…the reason I make what I do, anti-anxiety > serpina 100 tablet bottle > 7 > $284.00 my job is protected, anti-anxiety > serpina 100 tablet bottle > 7 > $284.00 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, anti-anxiety > serpina 100 tablet bottle > 7 > $284.00I 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. Anti-anxiety > serpina 100 tablet bottle > 7 > $284.00 )

All nurses should have the right, anti-anxiety > serpina 100 tablet bottle > 7 > $284.00 by vote, anti-anxiety > serpina 100 tablet bottle > 7 > $284.00 to engage in collective bargaining.

******************************

And there you have it.

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

Maybe I’ll take on the Five “Rights” of Doctors next time. Anti-anxiety > serpina 100 tablet bottle > 7 > $284.00 I had a few thoughts pop into my head on their behalf.

ER secretaries, anti-anxiety > serpina 100 tablet bottle > 7 > $284.00 too. Anti-anxiety > serpina 100 tablet bottle > 7 > $284.00 Now there is a topic that needs to be written!

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June 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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