P2 pharmacy uk Oh, p2 pharmacy uk this is hilarious!
P2 pharmacy uk It is so obviously not a real hospital room!
P2 pharmacy uk The solid white backdrop – no oxygen, p2 pharmacy uk no light fixtures, p2 pharmacy uk no code button, p2 pharmacy uk no intercom.
P2 pharmacy uk Okay, p2 pharmacy uk so maybe they didn’t have those back in the day.
P2 pharmacy uk It’s hard to see, p2 pharmacy uk but there is a piece of tape on the glass bottle that says “Saline”. P2 pharmacy uk It looks like the tubing coming from the IV is rubber and about the size of a garden hose.
P2 pharmacy uk Is there anyone out there who has been in nursing long enough to remember rubber tubing? I’m embarrassed to say that glass bottles were still in use when I started (and no pleurivacs, p2 pharmacy uk either – just three glass bottle water seal drainge!)
P2 pharmacy uk It seems that they practiced make-up application and used hair arranging as a therapeutic intervention. That patient looks really sick, p2 pharmacy uk doesn’t she?
P2 pharmacy uk Heck, p2 pharmacy uk I don’t look that good and I’m healthy!
I have a problem. With nursing. WTF have we accomplished in the last 30 years?
Awhile back I handed a chart to our unit clerk. On the chart, p2 pharmacy uk I had checked the standard blood tests required for a patient presenting with chest pain. I then turned to tell the doctor about the patient.
Before, p2 pharmacy uk I had a chance to say a word, p2 pharmacy uk the clerk swiveled in her chair, p2 pharmacy uk put the chart in front of the doctor and asked, p2 pharmacy uk “Is it okay if I order these?”.
After I picked my jaw up off the desk, p2 pharmacy uk I said jokingly, p2 pharmacy uk “Betty, p2 pharmacy uk are you questioning my author-i-tay?”.
Then I heard something even more astounding. Betty told me that one of the doctors instructed her to run any and all nurse initiated orders by him first. So, p2 pharmacy uk in order not to get in trouble, p2 pharmacy uk she did that with all the doctors.
WTF? This is wrong on so many levels.
- First of all, p2 pharmacy uk every nurse in my department is a seasoned veteran. Together we have over a millennium of nursing experience. I’m serious. We don’t frivolously order labs or x-rays on a whim, p2 pharmacy uk we have the education and experience to know what needs to be ordered when. Particularly with chest pain patients. Especially with chest pain patients!
- Then, p2 pharmacy uk to top that off, p2 pharmacy uk we have a very substantial nursing protocol for us to use on patients presenting with numerous chief complaints that covers us for the very thing I was trying to order.
- The doctor in question has never, p2 pharmacy uk EVER said anything to the nurses about not ordering tests. I find having the unit clerk question the order to be surreptitious.
P2 pharmacy uk Let’s make it clear here. I’m not perfect.
P2 pharmacy uk But I’m also not talking major radiological, p2 pharmacy uk invasive studies. I’m talking labs and extremity x-rays.
P2 pharmacy uk Which brings me to my next issue.
The supervisor on duty that night (a good manager and someone I respect very highly), p2 pharmacy uk was astounded that we were “allowed” to order anything! That we were treading on thin ice.
“Julie, p2 pharmacy uk are you telling me that an experienced, p2 pharmacy uk educated, p2 pharmacy uk professional registered nurse is out of line ordering x-rays for obvious fractures or initiating a cardiac workup when a patient obviously requires it?”
That was exactly what she was telling me.
Oh dear Lord.
That could explain why a very esteemed colleague of mine stood in the very same facility and watched her father die while the telemetry floor nurses would not get an EKG, p2 pharmacy uk order a chest x-ray, p2 pharmacy uk call respiratory therapy or draw blood work because “the doctor would be coming in”.
Shouldn’t we, p2 pharmacy uk as nurses, p2 pharmacy uk have those things ready when the doctor shows up? Isn’t that the point of working in the hospital, p2 pharmacy uk to facilitate the care of our patients, p2 pharmacy uk to intervene when they go critical, p2 pharmacy uk to be prepared for the unexpected? Especially in the emergency department, p2 pharmacy uk of all places, p2 pharmacy uk especially in an emergency department that prides itself on door to dilatation times that are so fast they can give you vertigo?
Am I nuts here?
What the hell are we nurses these days? Chopped liver?
How can we fight for our professionalism when our own nurse leaders at the grass roots level don’t support it?
How are we really being perceived when doctors pay lip service to us one minute and then have the unit clerks run our basic protocol-driven nursing actions by them before initiation?
What the hell is going on with my profession?
Please excuse the language, p2 pharmacy uk but I am pissed off.
This profession needs to get its you-know-what together if we are ever going to be taken seriously by anybody. We can differ, p2 pharmacy uk but we have to present a solid front to the public, p2 pharmacy uk our community and to the medical profession.
And that front needs to be, p2 pharmacy uk say it with me….professsional! I don’t care if you spend your shift emptying bedpans or writing national nursing policy.
Nursing is an autonomous, p2 pharmacy uk distinct profession with it’s own research and evidence-based practice. How long before we start to get treated like it.
Nurses, p2 pharmacy uk we had better take the reigns here because no one else seems to (a) want us to do it or (b) even think we might actually KNOW something.
How the hell do we ever expect it to change if we don’t do it from the grassroots up?
Even if it means taking it one person, p2 pharmacy uk one institution at a time.