November, 2011 Archive

August 30, 2016, 9:02 pm

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Augmentin 1000mg pills $165.00 Looks like Mr. Augmentin 1000mg pills $165.00 Administrator has some ‘splainin’ to do!

Augmentin 1000mg pills $165.00 And I suggest he be straight with my colleagues, augmentin 1000mg pills $165.00 because a nurse can sense BS before it is even spoken.

Augmentin 1000mg pills $165.00 I am not in management, augmentin 1000mg pills $165.00 and I never will be.

Augmentin 1000mg pills $165.00 No, augmentin 1000mg pills $165.00 I am one of the “rank and file.” And right now, augmentin 1000mg pills $165.00 this member of the “rank and file” is hotter than hell.

**********

What set me off?

A comment in a post on the Health Leaders Media website, augmentin 1000mg pills $165.00 entitled Top 5 Challenges Facing Nursing in 2012. The article, augmentin 1000mg pills $165.00 written for nursing management, augmentin 1000mg pills $165.00 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, augmentin 1000mg pills $165.00 find it now. Augmentin 1000mg pills $165.00 You know how much reimbursement is at stake, augmentin 1000mg pills $165.00 but the rank and file caregivers still don’t get it.

The author goes on to state:

In fact, augmentin 1000mg pills $165.00 the nurse-patient relationship has always been about patient experience…Your best nurses instinctively know this. Augmentin 1000mg pills $165.00 They already create a good patient experience. Augmentin 1000mg pills $165.00 They help patients understand their care, augmentin 1000mg pills $165.00 involve families in decision-making, augmentin 1000mg pills $165.00 coordinate multidisciplinary care, augmentin 1000mg pills $165.00 sit with patients to explain complex diagnoses, augmentin 1000mg pills $165.00 and even, augmentin 1000mg pills $165.00 occasionally, augmentin 1000mg pills $165.00 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.

Augmentin 1000mg pills $165.00 I have a revelation for you – we all know it. Augmentin 1000mg pills $165.00 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.

Augmentin 1000mg pills $165.00 Since “the nurse-patient relationship has always been about patient experience, augmentin 1000mg pills $165.00” why is this a “challenge” at all? This is nursing care, augmentin 1000mg pills $165.00 and always has been!

Augmentin 1000mg pills $165.00 Why are administrations freaking out now that patients will be evaluating their nursing care?

Augmentin 1000mg pills $165.00 Suddenly, augmentin 1000mg pills $165.00 all these new programs are flying into place. Augmentin 1000mg pills $165.00 Educate! Communicate! Medicate! Smile!

Augmentin 1000mg pills $165.00 What do you think we, augmentin 1000mg pills $165.00 oh, augmentin 1000mg pills $165.00 excuse me, augmentin 1000mg pills $165.00 the “rank and file caregivers” have been doing all this time?

*****

Augmentin 1000mg pills $165.00 Let me tell you what the “rank and file caregivers” have to deal with in terms of the “patient experience”.

Augmentin 1000mg pills $165.00 There is a hospital in my area that has switched their meal service into something that looks, augmentin 1000mg pills $165.00 and tastes like the old airplane food from the 1970s. Augmentin 1000mg pills $165.00 It comes in segmented cardboard trays and is microwaved.

Augmentin 1000mg pills $165.00 As you can imagine, augmentin 1000mg pills $165.00 these meals are not popular with the patients. Augmentin 1000mg pills $165.00 They give the meals poor scores on the satisfaction surveys.

Augmentin 1000mg pills $165.00 At a recent meeting, augmentin 1000mg pills $165.00 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, augmentin 1000mg pills $165.00 laying it out nicely on the table, augmentin 1000mg pills $165.00 and describing it with glowing adjectives.

Augmentin 1000mg pills $165.00 That’s right, augmentin 1000mg pills $165.00 the same “rank and file caregivers” who are managing complex medical problems on multiple patients, augmentin 1000mg pills $165.00 coordinating multidisciplinary care, augmentin 1000mg pills $165.00 educating patients and family on medication side effects and complex diagnoses and documenting until their fingers are numb were lectured for their lack of culinary presentation skills.

Augmentin 1000mg pills $165.00 Who is running the freaking show, augmentin 1000mg pills $165.00 Gordon Ramsay?

Augmentin 1000mg pills $165.00 No wonder morale is in the toilet.

*****

Well, augmentin 1000mg pills $165.00 I’m off to take my blood pressure meds, augmentin 1000mg pills $165.00 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. Augmentin 1000mg pills $165.00 They can call it “patient experience” or HCAHPS, augmentin 1000mg pills $165.00 or give it any project title they want.

I call it good nursing care, augmentin 1000mg pills $165.00 and the patients will finally have a say in what that means.

Don’t worry, augmentin 1000mg pills $165.00 admins, augmentin 1000mg pills $165.00 if your bottom line depends on the nurses, augmentin 1000mg pills $165.00 it’s gonna be alright.

Rank and file, augmentin 1000mg pills $165.00 RN, augmentin 1000mg pills $165.00 signing off.

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August 30, 2016, 8:41 pm

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August 30, 2016, 8:53 pm

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Alesse .75mg pills $272.00 I’m using my favorite ad council promo, alesse .75mg pills $272.00 the one that made me realize that I was damn proud to be a nurse.

Alesse .75mg pills $272.00 Because right now I don’t feel like posting something funny, alesse .75mg pills $272.00 or cute.

Alesse .75mg pills $272.00 I need to see this ad again.

Alesse .75mg pills $272.00 Having a bit of a burnout/compassion fatigue/why-the-hell-am-I-still-working-in-ER-at-my-age life crises.

Alesse .75mg pills $272.00 Been there, alesse .75mg pills $272.00 done that a few times.

Alesse .75mg pills $272.00 A case manager is in this ER nurse, alesse .75mg pills $272.00 why is it invisible on my resume?

Alesse .75mg pills $272.00 Feel like chucking it all and moving to Portland and being a totally cool full-time grandmother who takes her grandson to all the NASCAR races…

Alesse .75mg pills $272.00 Okay, alesse .75mg pills $272.00 he isn’t born yet, alesse .75mg pills $272.00 but you get the idea.

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Alesse .75mg pills $272.00 Reader’s Digest has published an article, alesse .75mg pills $272.00 “50 Secrets Nurses Won’t Tell You“. Alesse .75mg pills $272.00 The link will take you to the article itself, alesse .75mg pills $272.00 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, alesse .75mg pills $272.00 and so is Jo from Head Nurse!

**********

I’ll be the first person to tell you that I am not a perfect person, alesse .75mg pills $272.00 and not a perfect nurse, alesse .75mg pills $272.00 but two of these “secrets” really ticked me off.

Royally.

The first one:

3. Alesse .75mg pills $272.00 “Feel free to tell us about your personal life, alesse .75mg pills $272.00 but know that we’re here for 12 hours with nothing to talk about. Alesse .75mg pills $272.00 So the stuff you tell us will probably get repeated.” A nurse in St. Alesse .75mg pills $272.00 Petersburg, alesse .75mg pills $272.00 Florida

Alesse .75mg pills $272.00 Seriously?

Alesse .75mg pills $272.00 I have steam coming out my ears.

Alesse .75mg pills $272.00 Maybe my colleague works in a thumb-twiddling clinic, alesse .75mg pills $272.00 but we have plenty to talk about in my emergency department. Alesse .75mg pills $272.00 We talk with the patients, alesse .75mg pills $272.00 not about them, alesse .75mg pills $272.00 and we are too busy hauling our derrieres around to gossip. Alesse .75mg pills $272.00 When we do, alesse .75mg pills $272.00 finally, alesse .75mg pills $272.00 have a chance to sit down, alesse .75mg pills $272.00 the last thing we think about are the personal lives of patients, alesse .75mg pills $272.00 unless it directly affects their care.

Alesse .75mg pills $272.00 But thanks, alesse .75mg pills $272.00 now everyone who reads this “secret” thinks that nurses are lazy asses who have nothing to do but gossip on their 12-hour shift.

Alesse .75mg pills $272.00 Good stuff.

Remind me to stay away from St. Alesse .75mg pills $272.00 Petersburg…

4. Alesse .75mg pills $272.00 “A lot of my patients are incontinent, alesse .75mg pills $272.00 and I’m supposed to just use a wet washcloth to clean them. Alesse .75mg pills $272.00 But if it’s a patient who’s been really nice and appreciative, alesse .75mg pills $272.00 I’ll go all the way to intensive care to get some of the heated wet wipes, alesse .75mg pills $272.00 which are a lot more gentle. Alesse .75mg pills $272.00 Somebody who’s constantly yelling at me? I just use the washcloth.” A nurse in St. Alesse .75mg pills $272.00 Petersburg, alesse .75mg pills $272.00 Florida

Alesse .75mg pills $272.00 So… excellent patient care is only given to those who “deserve” it. Alesse .75mg pills $272.00 Everyone else gets “good enough.” Got that, alesse .75mg pills $272.00 general public?

Alesse .75mg pills $272.00 They didn’t teach me that in nursing school, alesse .75mg pills $272.00 good thing this “secret” filled me in.

Alesse .75mg pills $272.00 For anyone in the general population who is reading this – these are not nursing “secrets”. Alesse .75mg pills $272.00 These are descriptions of the personal practices of one nurse. Alesse .75mg pills $272.00 I read all 50 secrets and I’ll go with the other 48.

Alesse .75mg pills $272.00 Rest assured, alesse .75mg pills $272.00 your personal life is not customarily dismantled at the nursing station and your care is not based on your disposition.

Alesse .75mg pills $272.00 Nurses are too damn busy to gossip and too damn professional to base your care on how nice you are.

Alesse .75mg pills $272.00 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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