Jump to content
seeConnienurse seeConnienurse (Member)

why is no one talking about the dangers of herd mentality?

Lounge   (685 Views 3 Comments)
301 Visitors; 1 Post
If you find this topic helpful leave a comment.

I'm really at a freakin' loss!!! Why are there no articles on the dangers of herd mentality in healthcare??  Everyday, in every hospital, nurses and other professional's are missing vital info and abandoning their critical thinking because they are accepting the word of someone else's assessment or opinion instead of assessing and concluding for themselves... One very common one is not fully assessing a patients complaints because (a) co-worker(s) said "they're a med-seeker". My experience, 1st week off of nursing orientation, and thank God I am strong willed, because my patient was in severe pain, to the point his jaw was chattering like he was freezing... I went out to the desk and asked how to call a doctor, ('cause I had never done it before) and I swear to you, every freakin nurse said "don't call the doctor for him... he's a frequent flyer and a med seeker"... (this was a neurology unit)... Well, although it sucked to have every nurse there looking at me like I was the most naive and stupid new nurse to ever pass the NCLEX, I could not let what I was seeing.. severe pain... go.. I did call that doctor, who when he came to assess did a spinal tap, and found the patient had a bleed in his cerebral spinal space... he was rushed to surgery... I never mistrusted my instincts from that day and I'm grateful for that experience and that I was strong enough to stand up to the pressure... Another nurse told me of how one of her patients almost died because she did not fully assess the patient because her co-workers told her the patient was a med seeker... But it's not only this.. it's going off of someones else's assessment rather than doing your own... it's not investigating a patient complaint because someone else says it's irrelevant... Like the time I was working PACU and my patient kept complaining of not being able to get a good breath (not uncommon, the narcotics are flowing, most patients complain of feeling like they aren't breathing good)... but the surgery was one that promotes atelectasis... but her vitals were still within normal range, sat was only 3 points from baseline, heart rate only mildly elevated from baseline... lung sounds unremarkable... charge nurse said, "within range, she can go"... but I trusted my gut, because I didn't like the way she was complaining, I just felt it was more than the narcs, I could hear it in her voice somehow.. called the doc anyway, and got a chest x-ray... which showed, surprise surprise, atelectasis... so instead of going home, she was admitted... I just completed my BSN (have been a nurse for 17 years, and finally went back to get it)... and I could never find articles that discuss this... I see it between doctors, too, going on another one's word and not following up on their hunches because another one gave them a reason to side step... And now my sister just took a position as an RN instructor, and just graded two student nurses (teamed up to care for same patient) post clinical assessment which they had identical ones, word for word to each other... they were supposed to each do their own assessment, which it was clear, they did not.. She is trying to explain to them how no two nurses assessments will find the exact same things, and the complimentary info builds a more true picture of the patient.. and the dangers on going on someone else's word instead of assessing and critically thinking for yourself and your patient. Does anyone here know of an article that discusses this? And also, what experiences have you had? If I can't find an article, even though this is not "peer reviewed" research, perhaps she could reference this post as an experiential introduction on why it is so important to do your own assessments,  and not go solely on the word of others... 

Share this post


Link to post
Share on other sites

Interesting post. I do my own assessments but as I take call I am often at the mercy of the nurse that calls me and must rely on their assessment to determine treatment. 

Some I totally trust to be right on, while others I have to question A LOT and sometimes I ask them to reassess and call me back or get me more info. 

Share this post


Link to post
Share on other sites

Do you realize that this also happens in hospitals when patients are transferred to other units? The following is about my personal experience in the early 2000s. I went in atrial fibrillation and after vomited 1 1/2 liters of systemic blood, I was admitted to the medical unit in our local medical center. During my first week, the CNAs assumed that the abnormally low readings on my blood pressure readings were normal. (This is why it is extremely important and should be a mandatory rule every staff member needs to abide by.) 

After my not being able to sit up in bed at all, my Physician called in my Pulmonary specialist, and  he said it was Pulmonary Hypertension, and I was moved to the PCU. 

The first morning in that unit, a cheerful CNA approached me again assuming I was able to sit up, for my personal hygienic care, but was unable to due to my systemic blood loss in the ER, I told her I would pass out if I sat up. That made her cry, and it made me feel bad. (all due to the lack of communication between units when a patient is transferred to a new one.) and due to her attempt to raise my bed in the High Fowlers position, I went into acute kidney failure. Later that day, an RN gave me a bed bath. When my Foley catheter was emptied into my graduate for fluid output measuring, the urine was completely black. Thankfully, my Physician was able to figure out why that happened to me, and I recovered.

 

 

Share this post


Link to post
Share on other sites
×