January 20, 2010

Nursing Nurses: How to wean the pacifier



In a perfect world, money grows on trees, children listen to their parents, and war is non existent. Unfortunately, we do not live in a Walgreen's commercial. The term, perfect, is an imaginary adjective only republicans and fellow idiots throw around to pacify their ego. Where am I going with this? Let's just say its based on personal experience. The work place, whatever environment you work in, is full of this kind of ignorant bull. Raise your hand if you want an example!

Here we go: Nursing

The nursing field is a prime example. It is challenging mentally and physically. Their are a mixture of personality's to deal with from Doctors, patients, to family members of those patients. It's enough mind f*cking to make you want to drink away the voices in your head. In the nursing field there are so many regulations, policies, gold star hierarchy jibberish, that they put it all in a Bible, i.e., manual, and expect you to follow it. What no one knows is, most of these policies are poorly written by straight out of college RN's that have probably never had patient interaction to begin with. So now that I've built the nurses ego, let's tear it down.

The prime goal of a nurse, effective patient care. That is basically it. Do the job you were hired to do. I work in an ICU, and I see so many nurses complain and boohoo over a 3:1 nurse patient ratio. Three patients, 1 nurse, when the policy states the ICU is a 2:1 ratio. God forbid the unthinkable happens and someone get's sick which throws off the yin and yang balance of nursing, and you have to take the 2 ventilated patients and one detoxing from alcohol. The world as they know it, has fucking ended right there. So, we are going to find the exact statement in the nurse, patient ratio policy, where it states I do not have to take a 3rd patient, its unsafe. You know whats unsafe? NO ONE TAKING THE PATIENT! So while the nurse is to busy arguing their point to a supervisor and/or manager, the ventilated patient is choking on their own spit b/c they haven't been suctioned. Way to go team.

There is also a pulling policy for certain hospitals, and that means if the patient census is low, a nurse has to be pulled to the floor/unit in greater need, and what floor is always in great need? The floor no one wants to go to? PCU. It is hell, beyond hell, and kudos to any PCU nurse, tech, secretary. I don't know how you do it but you do it well and you deserve a gold medal. So like I stated in the paragraph above me, when your short handed, the pull policy comes in handy when you need an extra set of hands. So, why are you going to complain, when the unit census is low, that you don't want to be pulled? The nurses up their are mean to you? An unfair assignment? You want a tissue and some cake to go along with the pity party?

What I've seen with this 2:1 ratio : nurses sitting at the nurses station texting on their phones, harvesting their crops on farmville, to much time on their hands so they can bitch about petty insignificant policy's.

Hypocrisy, and ego all in one.

You know what I think? That these particular nurses are being babied to much. How about, working short staffed all the time, 4 nurses for 12 patients, that is 3 a piece. No tech to help them and no secretary to answer the phone and put in orders. That is when nurses had to work together, and actually paid more attention to their patients and family members, and their was no bitching b/c you didn't have time for it.

There is an expression to go along with my ranting:
You can't have your cake and eat it too.

And that goes for anyone, that has to deal with babies in the workplace. Pull out their pacifier now, and tell 'em to grow a pair.

I'm out.

- Lilith