tag:blogger.com,1999:blog-6833607.post1221526486824332890..comments2023-06-14T03:36:55.988-07:00Comments on Head Nurse: Buzz...*click* Buzz...*click*Johttp://www.blogger.com/profile/16520599099436383317noreply@blogger.comBlogger21125tag:blogger.com,1999:blog-6833607.post-49222987845054859852009-05-12T19:29:00.000-07:002009-05-12T19:29:00.000-07:00Great post. The concept has come to emergency room...Great post. The concept has come to emergency rooms. I just posted on it over at http://ermurse.blogspot.com/. We've been studerized or something that sounds like it. Scripting just does not sound genuine or natural conversation. Are patiets really that stupid that they cant tell when the are being read a script vs true concern or assessment. I guess management thinks so.ERMursehttps://www.blogger.com/profile/15216450801409103637noreply@blogger.comtag:blogger.com,1999:blog-6833607.post-83347772536983586452008-12-02T17:48:00.000-08:002008-12-02T17:48:00.000-08:00Having been an inpatient for 10 days, if the staff...Having been an inpatient for 10 days, if the staff members had done that to me I would have been upset, knowing immediately exactly what was going on and that this was not a good use of anybody's time. So, if they're doing it now, next time, can I complain to the hospital ombudsman that I'm unhappy about it? Would it change anything? <BR/><BR/>But then, I'm a rebel who asked the Safeway grocery clerk if she weren't tired of the set script upper management had recently decreed must be said to each customer--and hey, I asked her, how ya doin', anyway? That got me a real conversation, short but just right, that was far more satisfying than anything the MBA's could foist. And it had exactly the effect they'd wanted: I wanted to come back.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-6833607.post-63344320835820385462008-10-10T20:41:00.000-07:002008-10-10T20:41:00.000-07:00We've been doing this bogus scripted rounding for ...We've been doing this bogus scripted rounding for about two years now at my hospital. The patient's aren't getting better quality of care because we don't have time to round on them because we're busy reading our scripts. Plus, they have common sense and realize we're all reciting from a script and then complain that we're all phony. If I had a nickle for everytime I explained to the patient that I was there to keep them safe and not be their BFF, I would be rich enough to retire. My last complaint when I was charge was that my tech wasn't a good tech because she didn't smile enough. Pul-leaze! Never mind that nothing was left undone on her part. She just didn't smile enough. How many times can you smile in 12 (the minimum number of hours in the shift) hours?oncology rnhttps://www.blogger.com/profile/06455414113493301978noreply@blogger.comtag:blogger.com,1999:blog-6833607.post-30385034490264218102008-10-10T13:56:00.000-07:002008-10-10T13:56:00.000-07:00No doubt compliments of the same mindset that brou...No doubt compliments of the same mindset that brought us HIPAA...reminds me of old Latin proverb: Dum vitant stultia vitia, in contraria currunt. (When fools want to avoid evil they run to the opposite extreme).<BR/>Cave!<BR/>-ElbarUnknownhttps://www.blogger.com/profile/14374654918395324401noreply@blogger.comtag:blogger.com,1999:blog-6833607.post-12213775260258940642008-10-09T03:03:00.000-07:002008-10-09T03:03:00.000-07:00I agree with what Lynn said. In my previous life ...I agree with what Lynn said. In my previous life I was in retail management, and the customer was always right. The patient is NOT always right, otherwise they wouldn't be in the hospital and we wouldn't spend so much time teaching. Besides, if I were sick, and you came in every hours bothering me, you'd probably be wearing my fancy plastic water pitcher!Bevhttps://www.blogger.com/profile/12081508223216539998noreply@blogger.comtag:blogger.com,1999:blog-6833607.post-50213924325619036962008-10-07T17:39:00.000-07:002008-10-07T17:39:00.000-07:00This is not inspiring me to blast off to nursing s...This is not inspiring me to blast off to nursing school.Penny Mitchellhttps://www.blogger.com/profile/13154829540938334107noreply@blogger.comtag:blogger.com,1999:blog-6833607.post-22742674417725387942008-10-07T14:52:00.000-07:002008-10-07T14:52:00.000-07:00Awww....I'm having flashbacks to my days at Sa...Awww....I'm having flashbacks to my days at Saintarama (a large religious-owned hospital chain) which pushed hourly rounding out the wazoo. Only the nurses or the techs could do it though, since our rounding was based on following the three P's (potty, pain and I forget the third one--can you tell I skipped that inservice!). <BR/><BR/>Sure it's great to look in every hour or so, but sometimes, it isn't possible, or you get people who will corner you and won't let you out to do anything else.<BR/><BR/>We had to fill out little spreadsheets (I'm not kidding) for each hour. These were in folders on the door. We even did this when people were gone to therapy. If we didn't, the manager would tell us we didn't have enough rounds noted.<BR/><BR/>The nice thing was that before we left, we had a manager who would actually do rounds, and if someone needed to toilet, SHE would do it, no matter what. (She's also the CNE--chief nurse executive) She's not forgotten where she came from and I admire that.<BR/><BR/>I just really hated those d*&ned Press-Ganeys. They are so fickle...one month your ratings are up, one month down, depending on the number of surveys returned and they're usually horribly low.RehabNursehttps://www.blogger.com/profile/02695247141022093754noreply@blogger.comtag:blogger.com,1999:blog-6833607.post-17307180893266889092008-10-07T14:50:00.000-07:002008-10-07T14:50:00.000-07:00LOL.@ a particular hospital it was called 'hourly ...LOL.<BR/>@ a particular hospital it was called 'hourly comfort round'. It was to ensure we were giving the very best care to our customers.. err uuhh.. I mean patients.<BR/>I know how you feel.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-6833607.post-1346015180525698152008-10-07T07:20:00.000-07:002008-10-07T07:20:00.000-07:00Lordy mine, that's ridiculous. I was hospitalized...Lordy mine, that's ridiculous. I was hospitalized briefly earlier this year, and I was annoyed enough with the resident assigned to me constantly coming through (he was a lovely man, don't get me wrong, but I'd been up 'til three am in the ER and didn't fall asleep for a while after...) and the nonstop vitals-taking. Someone poking their head in to read a script every hour? I would have cried.<BR/><BR/>Also, no, we're NOT customers, and I can't stand people who think of themselves that way. This is not an instance of us being always right. Y'all, it's a HOSPITAL. Of all the places I'm not going to be arrogant enough to assume I KNOW WHAT'S BEST, that's gonna be it. Sheesh.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-6833607.post-89276991599670562402008-10-06T20:54:00.000-07:002008-10-06T20:54:00.000-07:00"Everything is a commodity."That is the key to und..."Everything is a commodity."<BR/><BR/>That is the key to understanding how manglement thinks. They have to think this way, because they themselves are commodities.shrimplatehttps://www.blogger.com/profile/08347542266047278227noreply@blogger.comtag:blogger.com,1999:blog-6833607.post-59342527383347054212008-10-06T16:29:00.000-07:002008-10-06T16:29:00.000-07:00It's "Outstanding" for you? It's "Excellent" for u...It's "Outstanding" for you? It's "Excellent" for us. Every time we say it, they give us a cracker. *RAWK!*Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-6833607.post-26708603456840420922008-10-06T16:04:00.000-07:002008-10-06T16:04:00.000-07:00I feel your pain. That craziness hasn't worked it...I feel your pain. That craziness hasn't worked its way to SNFs yet, thank God. What's next, french maid's costumes on the nurses?!<BR/><BR/>I love "manglement" by the way.Lisa Ghttps://www.blogger.com/profile/07951250862147784757noreply@blogger.comtag:blogger.com,1999:blog-6833607.post-9351601155825359192008-10-06T12:08:00.000-07:002008-10-06T12:08:00.000-07:00For me, one of the big problems with referring to ...For me, one of the big problems with referring to patients as "customers" is that some people (not all, of course) take the customer title to mean that the hospital--like the hotel, restaurant, grocery store--is yet another place where they're "always right" (as the old saying goes). But in the hospital, the patient is not always right, nor should the healthcare team be expected to cater to his/her every whim. For instance, the woman who wanted to push vodka through her alcoholic husband's IV? NOT RIGHT. The diabetic who wants to eat the candybars his family brought for him? NOT RIGHT. The elderly woman who thought I should get her some lotion for her freshly stapled incision site? NOT RIGHT.<BR/>I'm all for patient autonomy/involvement in care, but there is also a limit. Medicine is simply not a field where the "customers" are always right. It just isn't. And letting people think otherwise is dangerous. Not to mention extreeeeeemely frustrating for those trying to take care of them.Hhttps://www.blogger.com/profile/13714907858324225358noreply@blogger.comtag:blogger.com,1999:blog-6833607.post-64857943581110948332008-10-06T11:37:00.000-07:002008-10-06T11:37:00.000-07:00Heh. The tiles are easier to manipulate than pens...Heh. The tiles are easier to manipulate than pens. They suck at keeping score, though.<BR/><BR/>I work part time (now that I'm back in school) at a teaching horsepital. I guess you could call me a nurse for horses, but I don't have any kind of degree and the division of labor in equine medicine is very heavily weighted towards doctors doing most of the procedures (setting catheters, passing NGTs, changing bandages, etc.). I don't know a lot about the human system, but I guess I'm something like an ER tech (and tech is the term used in vet medicine) -- I mostly take vitals, reconstitute and give drugs, hang fluids, take blood, and administer general TLC. Oh, then there's my favorite, refluxing horses with anterior enteritis (the doctors pass the NGT and it stays in). (Horses can't vomit, so it's up to us to help them toss their cookies, er, I mean, decompress the stomach.) My previous job gave me more leeway due to being in a different state with different veterinary practice laws.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-6833607.post-24588267767920370592008-10-06T02:07:00.000-07:002008-10-06T02:07:00.000-07:00Waitaminit. Horses can't fill out Press-Ganey surv...Waitaminit. Horses can't fill out Press-Ganey surveys (I guess 'cause they can't hold a pen) but they can play Scrabble?Johttps://www.blogger.com/profile/16520599099436383317noreply@blogger.comtag:blogger.com,1999:blog-6833607.post-90005014871274328242008-10-05T23:32:00.000-07:002008-10-05T23:32:00.000-07:00I'm with Joy. If I'm sick enough to be in the hos...I'm with Joy. If I'm sick enough to be in the hospital, chances are I want to be left the hell alone. If there's no medical reason for you to come into my room, I'd rather be left to my misery.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-6833607.post-10825048244508125612008-10-05T20:38:00.000-07:002008-10-05T20:38:00.000-07:00Good lord. Does that leave any time for passing me...Good lord. Does that leave any time for passing medications, changing dressings, charting, and doing the mandatory in-service (on the computer) training and tests??? By the time I round, turn, clean patients, give meds and chart, I barely have time to check the next days mar's, put in all the new care pathways (individualized for every patient you understand) and print out patient teaching every night. Oh, and don't forget it's the nurses responsibility to check the vital sign sheets and do the EKG'S, check the tele strips and intervene and call the physician's if anything is going on.GingerJarhttps://www.blogger.com/profile/18264306220362474678noreply@blogger.comtag:blogger.com,1999:blog-6833607.post-50857328650889167632008-10-05T20:01:00.000-07:002008-10-05T20:01:00.000-07:00If I were in the hospital trying to recuperate fro...If I were in the hospital trying to recuperate from some serious illness/injury and Manglement came by in the middle of the night, I'd tell them to go take a flying leap and let me get some rest.<BR/><BR/>OTOH, if they offered to come read to me or (level of consciousness allowing) play some Scrabble during the daytime, that might increase my patient satisfaction.<BR/><BR/>Even better, they could come bring me water to sip or take me to the bathroom instead of hassling the nurses about it. Wouldn't that be more efficient?<BR/><BR/>I'm so glad that horses can't fill out Press-Ganey surveys.<BR/><BR/>I'm also glad that the director of the horsepital where I work is still a practicing vet who sees patients himself. Likewise, the nursing supervisor pitches in and gets her hands dirty when things are busy or someone is out sick. I love my job!Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-6833607.post-22103248487684150412008-10-05T17:04:00.000-07:002008-10-05T17:04:00.000-07:00We have had hourly rounding and scripted conversat...We have had hourly rounding and scripted conversations for about a year now. I'll bet your management has been Studerized as well. It's a joke around my hospital. Sometimes its a race to see who can finish their hourly rounding checkoff sheets that are attached to the doors. Long term pateints just tell me that they will call if they need anything and not to come by every hour.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-6833607.post-70731461029098244092008-10-05T15:57:00.000-07:002008-10-05T15:57:00.000-07:00As a patient, I think I'd be irritated at the scri...As a patient, I think I'd be irritated at the scripted question. What a great way to make yourself appear distanced from the patients!Joy K.https://www.blogger.com/profile/06200194467024962551noreply@blogger.comtag:blogger.com,1999:blog-6833607.post-61583136047587651192008-10-05T15:54:00.000-07:002008-10-05T15:54:00.000-07:00Good grief. Your job is to help these people get ...Good grief. Your job is to help these people get better. If you can make them happy and provide Outstanding Service in the meantime, great. But if you have the choice between making them feel properly served and, oh, I don't know, keeping them <I>alive</I>... <BR/><BR/>I've heard of cases where a nurse gets in trouble because the patient wasn't happy. Why wasn't the patient happy? Because he threw out their loud relatives after 9 pm because it was impossible for the other patients to rest.Anonymousnoreply@blogger.com