November, 2011 Archive

July 26, 2016, 9:02 pm

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**********

What set me off?

A comment in a post on the Health Leaders Media website, albendazole 400mg pills 360 pills $390.00 entitled Top 5 Challenges Facing Nursing in 2012. The article, albendazole 400mg pills 360 pills $390.00 written for nursing management, albendazole 400mg pills 360 pills $390.00 refers to nurses as “rank and file caregivers” and disparages their understanding of the importance of the “patient experience” to reimbursement:

If you haven’t found a way to drive home the importance of patient experience to direct-care nurses, albendazole 400mg pills 360 pills $390.00 find it now. Albendazole 400mg pills 360 pills $390.00 You know how much reimbursement is at stake, albendazole 400mg pills 360 pills $390.00 but the rank and file caregivers still don’t get it.

The author goes on to state:

In fact, albendazole 400mg pills 360 pills $390.00 the nurse-patient relationship has always been about patient experience…Your best nurses instinctively know this. Albendazole 400mg pills 360 pills $390.00 They already create a good patient experience. Albendazole 400mg pills 360 pills $390.00 They help patients understand their care, albendazole 400mg pills 360 pills $390.00 involve families in decision-making, albendazole 400mg pills 360 pills $390.00 coordinate multidisciplinary care, albendazole 400mg pills 360 pills $390.00 sit with patients to explain complex diagnoses, albendazole 400mg pills 360 pills $390.00 and even, albendazole 400mg pills 360 pills $390.00 occasionally, albendazole 400mg pills 360 pills $390.00 have time to offer a quick hug or hand to hold.

What? This is like punching someone in the face and then offering a compliment.

Albendazole 400mg pills 360 pills $390.00 I have a revelation for you – we all know it. Albendazole 400mg pills 360 pills $390.00 We understand what the requirements are for a “good” patient experience and it is what we have been doing as nurses since the dawn of time.

Albendazole 400mg pills 360 pills $390.00 Since “the nurse-patient relationship has always been about patient experience, albendazole 400mg pills 360 pills $390.00” why is this a “challenge” at all? This is nursing care, albendazole 400mg pills 360 pills $390.00 and always has been!

Albendazole 400mg pills 360 pills $390.00 Why are administrations freaking out now that patients will be evaluating their nursing care?

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*****

Albendazole 400mg pills 360 pills $390.00 Let me tell you what the “rank and file caregivers” have to deal with in terms of the “patient experience”.

Albendazole 400mg pills 360 pills $390.00 There is a hospital in my area that has switched their meal service into something that looks, albendazole 400mg pills 360 pills $390.00 and tastes like the old airplane food from the 1970s. Albendazole 400mg pills 360 pills $390.00 It comes in segmented cardboard trays and is microwaved.

Albendazole 400mg pills 360 pills $390.00 As you can imagine, albendazole 400mg pills 360 pills $390.00 these meals are not popular with the patients. Albendazole 400mg pills 360 pills $390.00 They give the meals poor scores on the satisfaction surveys.

Albendazole 400mg pills 360 pills $390.00 At a recent meeting, albendazole 400mg pills 360 pills $390.00 the “rank and file caregivers” were lectured by the food service department that these low scores were the fault of the caregivers for not presenting the food in a pleasing manner, albendazole 400mg pills 360 pills $390.00 laying it out nicely on the table, albendazole 400mg pills 360 pills $390.00 and describing it with glowing adjectives.

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*****

Well, albendazole 400mg pills 360 pills $390.00 I’m off to take my blood pressure meds, albendazole 400mg pills 360 pills $390.00 and maybe some Ativan.

All I can say is this “rank and file caregiver” is going to keep on doing what she has been doing for over 30 years. Albendazole 400mg pills 360 pills $390.00 They can call it “patient experience” or HCAHPS, albendazole 400mg pills 360 pills $390.00 or give it any project title they want.

I call it good nursing care, albendazole 400mg pills 360 pills $390.00 and the patients will finally have a say in what that means.

Don’t worry, albendazole 400mg pills 360 pills $390.00 admins, albendazole 400mg pills 360 pills $390.00 if your bottom line depends on the nurses, albendazole 400mg pills 360 pills $390.00 it’s gonna be alright.

Rank and file, albendazole 400mg pills 360 pills $390.00 RN, albendazole 400mg pills 360 pills $390.00 signing off.

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July 26, 2016, 8:41 pm

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July 26, 2016, 8:53 pm

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Fosamax 5mg pills $84.00 I’m using my favorite ad council promo, fosamax 5mg pills $84.00 the one that made me realize that I was damn proud to be a nurse.

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Fosamax 5mg pills $84.00 Reader’s Digest has published an article, fosamax 5mg pills $84.00 “50 Secrets Nurses Won’t Tell You“. Fosamax 5mg pills $84.00 The link will take you to the article itself, fosamax 5mg pills $84.00 and Sandy Summers has written a review of the article at The Truth About Nursing.

There are some interesting “secrets” here – and you’ll recognize a few of the names!

Gina from Code Blog is in there, fosamax 5mg pills $84.00 and so is Jo from Head Nurse!

**********

I’ll be the first person to tell you that I am not a perfect person, fosamax 5mg pills $84.00 and not a perfect nurse, fosamax 5mg pills $84.00 but two of these “secrets” really ticked me off.

Royally.

The first one:

3. Fosamax 5mg pills $84.00 “Feel free to tell us about your personal life, fosamax 5mg pills $84.00 but know that we’re here for 12 hours with nothing to talk about. Fosamax 5mg pills $84.00 So the stuff you tell us will probably get repeated.” A nurse in St. Fosamax 5mg pills $84.00 Petersburg, fosamax 5mg pills $84.00 Florida

Fosamax 5mg pills $84.00 Seriously?

Fosamax 5mg pills $84.00 I have steam coming out my ears.

Fosamax 5mg pills $84.00 Maybe my colleague works in a thumb-twiddling clinic, fosamax 5mg pills $84.00 but we have plenty to talk about in my emergency department. Fosamax 5mg pills $84.00 We talk with the patients, fosamax 5mg pills $84.00 not about them, fosamax 5mg pills $84.00 and we are too busy hauling our derrieres around to gossip. Fosamax 5mg pills $84.00 When we do, fosamax 5mg pills $84.00 finally, fosamax 5mg pills $84.00 have a chance to sit down, fosamax 5mg pills $84.00 the last thing we think about are the personal lives of patients, fosamax 5mg pills $84.00 unless it directly affects their care.

Fosamax 5mg pills $84.00 But thanks, fosamax 5mg pills $84.00 now everyone who reads this “secret” thinks that nurses are lazy asses who have nothing to do but gossip on their 12-hour shift.

Fosamax 5mg pills $84.00 Good stuff.

Remind me to stay away from St. Fosamax 5mg pills $84.00 Petersburg…

4. Fosamax 5mg pills $84.00 “A lot of my patients are incontinent, fosamax 5mg pills $84.00 and I’m supposed to just use a wet washcloth to clean them. Fosamax 5mg pills $84.00 But if it’s a patient who’s been really nice and appreciative, fosamax 5mg pills $84.00 I’ll go all the way to intensive care to get some of the heated wet wipes, fosamax 5mg pills $84.00 which are a lot more gentle. Fosamax 5mg pills $84.00 Somebody who’s constantly yelling at me? I just use the washcloth.” A nurse in St. Fosamax 5mg pills $84.00 Petersburg, fosamax 5mg pills $84.00 Florida

Fosamax 5mg pills $84.00 So… excellent patient care is only given to those who “deserve” it. Fosamax 5mg pills $84.00 Everyone else gets “good enough.” Got that, fosamax 5mg pills $84.00 general public?

Fosamax 5mg pills $84.00 They didn’t teach me that in nursing school, fosamax 5mg pills $84.00 good thing this “secret” filled me in.

Fosamax 5mg pills $84.00 For anyone in the general population who is reading this – these are not nursing “secrets”. Fosamax 5mg pills $84.00 These are descriptions of the personal practices of one nurse. Fosamax 5mg pills $84.00 I read all 50 secrets and I’ll go with the other 48.

Fosamax 5mg pills $84.00 Rest assured, fosamax 5mg pills $84.00 your personal life is not customarily dismantled at the nursing station and your care is not based on your disposition.

Fosamax 5mg pills $84.00 Nurses are too damn busy to gossip and too damn professional to base your care on how nice you are.

Fosamax 5mg pills $84.00 I guess 48/50 ain’t bad.

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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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