Jump to content
Tweety Tweety (New Member) New Member

Thursday February 7, 2018

  (170 Views 15 Comments)
658 Likes; 6 Followers; 47,537 Visitors; 26,836 Posts
If you find this topic helpful leave a comment.

Good Morning!

Work was meh.  We got someone to come in at 11:00 to help as we were two RNs short.  Crazy day.  

Interesting that we got an education about hourly rounds.  It mentioned each round (ON YOUR 7 PATIENTS) should only take about 5 minutes each.  So of course the buzz is our new Vice President of Nursing is raising the med-surg ratio to 7:1 despite overall nurse dissatisfaction and study after study......well you know.  One nurse quit and is transferring to to the OR.  I know at least two more that are definitely looking for other opportunities.  

And so it goes........

The dreaded Thursday.  

Share this post


Link to post
Share on other sites

Good morning.

Wally is going to the pet groomer this morning, so I am up early. After I drop him off, I am meeting a friend for breakfast.

Yes, it is raining.

Gee, Tweety, seven patients doesn't seem so bad. 

We had an agency nurse quit because one night, she had to assess and chart on 15 patients on my unit. 

And these rehab patients are NOT stable. We are really a LTACH facility.

We have to attend training, on our day off, regarding being nice to patients, to improve Press Ganey scores.

We all know the real problem: Understaffing.

My nurse friend sent a scathing email to DON and CEO of facility, letting them know about the real problem.

Of course, patients see it. I have had several tell me that we are understaffed. I agree with them, I don't sugarcoat the truth.

I wonder when the powers that be will address the real problem. When they have no bedside nurses?

If a $10,000 sign on bonus, still can't get you nurses, there is big trouble on the horizon.

Drinking coffee. Stepping off the soapbox.

Hoping for a better day.

I will say that a song from Friday Night Lights, sums up my barn situation: Devil Town.

I was living in a devil town/

Didn't know it was a devil town/

All my friends were vampires/

Didn't know they were vampires/

Didn't know I was a vampire too, in the devil town.

And so it goes (to steal a line from Tweety).

 

Share this post


Link to post
Share on other sites

Morning Tweety hope today isn't too crazy

Morning Nell, hope you feel better

Sorry you both have to deal with understaffing and turnover

Didn't sleep that great last night, woke up in the middle of the night with a very sore and dry throat.  Took a while to fall back to sleep  Might have to crank the humidifiers and drink more water at night.  

Work was fine yesterday though few calls were answered.  J was feeling sick so we cancelled last night's date.  Had choir practice, heard a rumor the choir director might be leaving.  Which would be a shame, she's really good

Got grocery shopping done last night since.  Tonight I will exercise, might to CEs if I have some extra time

Share this post


Link to post
Share on other sites

Morning-

Wednesdays have turned into my "bad" days.  At least the dreaded Fridays are a lot better since changing the office hours from 7-3 instead of 9-5.  Not much going on.  Sleep has been meh, which is par for the course with me.  We just got tickets to see a production of Othello this weekend.  It got great reviews, and is set in present day.  It's good to get some "cultcha" every now and then.

Tweety-Ugh, that's kind of a sneaky way to raise ratios.  Are you thinking about looking elsewhere now?

Nel-Ugh to your situation, too.   I hate Press Ganey.  I've had to fill them out a few times from a patient perspective, and I let them know in no uncertain terms that I don't give a rat's patootie if the staff smiled, etc.  I say that my only criteria is getting out of there alive and well, and will comment on the actual medical care I got.  I hope you are feeling better, and I'm sorry about the barn situation.

Joe-hope the throat is better today.  Hope your workday goes well.

Dianah-so sorry to hear about the young man's death.  How tragic.

Time to get moving.  Wishing all a good day. 

Share this post


Link to post
Share on other sites

Good Morning -

Tweety - Increasing patient/nurse ratio??? Ugh! That 5 minute per patient thing for hourly rounds is fantasy. Way too many things happen during a regular shift that skews that magical thinking. Your frustration and anger is well-understood. Hope this "Dreaded Thursday" is being somewhat kind to you.

Lil Nel - Also appreciate the frustration and anger that you experience with the understaffing situation where you work. Having patients notice it, too, is really not good. Curious. What happened with regards to the "barn situation"?? Hope you're feeling better!

Joe - Sore throats. . . no fun! Sad to read that you had to cancel your date with J. Hope J is feeling better!

BCgradnurse - Watching a modern production of "Othello" sounds like fun! Enjoy! A little "cultcha" is a good thing!

Just got back from doing some chores. Amy is off from work today. Unfortunately, it's dreary outside so we plan on staying indoors and relaxing for the rest of the day. I plan on working on this month's music composition. Not feeling inspired, unfortunately. However, there are music-making techniques that help work through that "un-inspired feeling". Oh well. . . 

Peace, folks! 🙂

Ted

Share this post


Link to post
Share on other sites

The barn situation is holding steady for now, Ted.

But I will probably move Biggie in the spring.

That is my plan.

Talli may be moved too, but he may stay where he is.

Biggie and I have been at the current barn for five years. We are her second longest boarders.

Share this post


Link to post
Share on other sites
advertisement

Lil Nel - I wish you well with the barn-boarding situation. Whatever that situation is, it seems to be quite anxiety-producing. I wish you well as you work through this situation. One of the full-time night Shift Directors owns - ohhhhhh - many, many, many horses. (I believe that the last count was around 12 or 13 horses????) Most, if not all, are rescued-horses. She boards them at two or three different barns. Apparently, all of the barns are well-maintained and safe. They're also costly. (How she is able to afford all of this is a great mystery.)

Share this post


Link to post
Share on other sites

Hi Tweety, Joe, Nel, BCgradnurse, Ted, and those who visit later. 

Tweety and Nel: Does your manager use the term "throughput"? Ours did before we unionized in 1992. It means the speed or number of patients moved through the system. We nurses and others know our patients are each unique human beings, NOT something being manufactured in a factory.

Share this post


Link to post
Share on other sites
17 minutes ago, herring_RN said:

Hi Tweety, Joe, Nel, BCgradnurse, Ted, and those who visit later. 

Tweety and Nel: Does your manager use the term "throughput"? Ours did before we unionized in 1992. It means the speed or number of patients moved through the system. We nurses and others know our patients are each unique human beings, NOT something being manufactured in a factory.

No. I have never heard that term, herring.

My nurse friend and I noticed that NM are delegating more of their work to us.

For instance, we are now expected to conduct one pain audit of a patient each week.

We are essentially auditing our co-workers (did they assess pain before medication, and half-hour after administration).

I refuse to do it.

Auditing is a function of management, not the bedside nurse.

And I have quite enough to do, and I will not stay late for add-on tasks that have nothing to do with my direct patient care.

Hell, they can't find nurses to work on a daily basis, that should be their number one priority.

Again, I was asked yesterday and today to work. Again, I said no.

Yes, Ted, the barn situation has weighed heavily on me for a variety of reasons. 

All I can say is, never fully trust that you know anyone at all.

Share this post


Link to post
Share on other sites

I hope you and Amy enjoy your day, Ted.

Your reported temperature shocked me, Dianah.

I didn't think it got that cold, where you are.

You all would think that I would have learned my lesson about people, last year, after the debacle with the gone crazy landlords.

But for how cynical I am, I am also very trusting.

It's a bad quality.

Share this post


Link to post
Share on other sites

Hi, 

Still chilly here, around 30. Snow in the forecast for tomorrow. The wind is supposed to blow, which I dread. 

Meh day at work. I've been trying to study protocols for the various reportable diseases, but they all run together after a while. We had a suspected measles case which is probably a drug rash, but we had to send a specimen, so I got to see all the paperwork that is required for that. 

Wow, Tweety, 7:1! How is anyone supposed to deal with complications like PEs, and new onset Afib? Those can have subtle signs, and when you are running to answer lights and tend to families it is easy to miss that stuff.  I hope it doesn't take a catastrophic event to make a change. 

I think throughput is emphasized by CMS, maybe? It was a big deal before I left working at the hospital, especially in terms of getting people out of ED. I think no more than 4 hours in ED was the goal. The poor housekeepers struggled to turn rooms over. I often started my 3-11 shift with 8 patients to place, with 3 empty beds, no clean rooms, and PACU, ICU and ED calling to demand I move their patients stat.  And thus, I don't work there anymore. 

Lunch time! Left over mac and cheese and waldorf salad. Yum!

j22

 

Share this post


Link to post
Share on other sites

Gouda Afternoon to everyone~

As soon as I typed that ^ , the dogs began harassing me about FOOD, being as how they are just pitiful, starved-to-death dogs. So I fed them, and the moment I sat down and picked up my laptop, oh, nothing would do but Pip had to go outside. Very nice warm, windy day, with a lot of stuff in the wind to sniff...

Pippy looks so cute with her facial fur and ears streamed back by the wind and her 'flag' tail flying out behind her. She walked around the yard, and it took her 8 minutes to do nothing. After I came in with her, Ozzie decided HE had to go out, and it was more of the same except he peed before he came back in. 

I do not for the life of me understand why any facility administration doesn't GET the under-staffing problem. Nel, I hope your friend's scathing blast to the DOA and CEO singed their butt-hairs a little. The sad thing is they will double-down their efforts to keep going, instead of fixing the problem. Ppffttt! Maybe your friend should send a copy of that letter to the Board of Directors. Yah, hahaha, like that would make any difference. Maybe they all have their heads in stinky dark tunnels,  located at their sit-down structures. 

How'd I do with that one, TOS?  🤩 <that's not me, y'know, because I DON'T have stars in my eyes! 

Today, Nannie says her spine "hurts all the way down",  in spite of the Aleve hubby gave her at lunchtime. And in addition  she c/o her shoulders and elbows hurting. At which time I could not, not, not stop myself from echoing her usual saying when I c/o any kind of pain: "I know exactly what you mean, honey."  

Furthermore, she doesn't know why her eyes and nose run 'all the time' , AND additionally, while the Eucerin cream is good and makes her skin FEEL better, it doesn't look like it's getting any better... it looks nothing like the woman's skin in the TV ad looks. WTH? If Eucerin  could make an "almost 90" year old's skin look like a 20 year old model's skin, we'd all be bathing in it!  Hubby told her the model was probably 50 years younger than her; Nannie replied that she wasn't stupid, she knew her skin wouldn't heal 'to that extent.' Get real, Nannie!  Sun exposure for YEARS without sunblock ain't going to go away just because you put some cream on it, though she clearly expects it to. Ah, well, she lives in her own world...

Hubby has gone to his 3 month follow up appt with PCP.  Nannie is -- once again -- playing with her hands, nails, and rings. Both dogs are sleeping beside me on the sofa. It is too warm in here ... and a trifle boring. I may go out on the front porch and start a new murder mystery.

I am waving my magic lucite wand long distance o'er all yer heads:

Abbracadabbra presto change-o! 😊

Hope things get all straightened out now! 😇

Share this post


Link to post
Share on other sites
×