Showing posts with label philosophy. Show all posts
Showing posts with label philosophy. Show all posts

Friday, March 31, 2017

Is ICARE just letters?

For some people, it is. If you do a little research, ICARE shows up on Google about 535,000 times.

If you're a nurse educator, ICARE is a model for education design.

If you're a business person, it's a way of delivering excellent service based on the Ken Blanchard model.

If you're a cancer researcher, iCARE is a model for building risk models.

In some health care organizations, like VA, it defines a code of conduct.

I care about those who have served.
    I care about my fellow employees.
    I care about choosing “the harder right instead of the easier wrong.”
    I care about performing my duties to the very best of my abilities

    It's too bad that at the Hotel, some of our patients have told us:
    "I'm not telling your manager anything. He/she is lazy and doesn't care."
    "I asked that nurse to do something a different way, and he/she didn't."

    However, my rehab nurse heart just skips a beat, when my patient recently said, "I've learned more today in the little time I spent with you today, than I've learned all month." Why? Because I took a few minutes to not just educate this patient about the specialty services of the SU (my job), but of the rehab unit as a whole.  I cared.

    When do we realize, that as nurses, "I care" isn't just an acronym. It's a verb. It's actions: not just doing, but listening, being present, and doing right, even when it's hard. Even when you're busy, passing pills, doing dressings. Share the rehab wisdom you've developed (or for newbies, are developing)

    ICARE is not I Come And Receive Everything. If you're a paycheck nurse, maybe you need another gig.

    I care because I am a nurse and a human being with a conscience. It's my job and my philosophy (thank you grad school and Jean Watson).

    Don't let the turkeys get you down today. Keep caring!

    Enjoy your weekend wherever you are! 



Wednesday, May 18, 2011

Yes, we're a little crazy

To the average Joe/Jill patient, what we do at the Hotel seems kind of nuts. Rehab units are places where you can get up and get out, and you even have your own entourage, besides me, your unit tour guide.

Dear Mr. ABC:

Some people think I'm nuts when I tell them this, but it's absolutely true. I'm the tour guide and I usually get the job of helping you initially, getting settled in and used to the rhythm of the Hotel.

No, we're not like SuperLuxeRehab unit sown the street which gets remodeled, redecorated, repainted every time someone sneezes, no, welcome to the gritty world of the Hotel, which saw it's last wallpaper change in 1994. Now, the signs and some equipment you see are brand-spanking new, but  that's just because. We didn't want the signs (management says we have to be "just like everyone else"), but we did want the equipment, since it makes our jobs easier.

No you won't get a private room just because you have MRSA. This is not SuperLuxe. Join the MRSA club in a double room (almost 75% of our people have it, and some other bugs for which we isolate, too).

We are rehab nurses, so the three things we care about are bowel, bladder and skin. People will come in asking all kinds of questions on those three things, so don't be surprised. This is why I explained the reason you need a post-void bladder scan for a while.

We'll also bug you daily about your bowel habits, to make sure you're going. Yes, we really do care if you're going and want details, if you bother to look.(If you don't, we will.) Bowels that work tend not to cause problems, unless, of course, they work a little too much. Moderation is the key.

Skin, to me, is a no-brainer. As I tell patients, it's supposed to be clean, dry and intact. This is why we look at it regularly. If you need help cleaning it, that's what we're here to do. If you can do it, we are thrilled. One less bath I have to do, so I can do other stuff you need.

So, yes, Mr. ABC, we may seem crazy, but we care about you, and your bowels, bladder and skin.

Hope you enjoy and make good use of your stay at the Hotel.

Sincerely,

RehabRN