Since I had an earworm the other day, I very well could have had this as one today. It really was a Manic Monday.
When competent (but lazy) RNs refuse assignment, you just have to wonder.
OMG.
Where are the Magliozzi Brothers when we need them?
Blame it on the train/But the bus is already there...
Showing posts with label refusal. Show all posts
Showing posts with label refusal. Show all posts
Monday, October 28, 2013
Tuesday, November 25, 2008
What happened?
I wonder this often when I work and when I see things such as....
...the urine bags that are always full.
On our unit, everyone is assigned patients, including the nursing assistants. In many places in our grand state, those assistants could be delegated to by folks such as the LPNs and RNs. Our assistants regularly refuse delegation, and often neglect their own tasks, such as this, that seem too "demeaning" or "boring". Or my personal favorite...they'll only do the task for you if they "like" the patient.
One of my patients was assigned to the escapist assistant I mentioned before in this blog. Again, his Foley bag was getting ready to explode. If only the boss paid attention...maybe I can ask Santa for that for Christmas.
...a new patient assessment that is not done at 2345.
This patient arrived around 1130AM and said nurse supposedly did all his documentation. It's not unusual for some of the paperwork to be floating around on people who arrive at 1500 or later, because our daytime people leave not long after that, so we on evenings, finish up whatever they don't do. This nurse didn't do much. We had two lowly notes for the patient: one the H & P from the admitting doc and the generic "patient arrived at xx time" one for the admitting nurse. Not a nice surprise!
...that someone who refused a shot got one.
This is what one of our elderly patients told C. tonight that the med nurse (same as the admitting one mentioned above) gave him a vaccination that he did not want. I guess she missed that class on assault and battery in nursing school.
My trainwreck came back from dialysis in a happy mood. He barely rung his call light all night.
Off I go for off-day errands...back later!
...the urine bags that are always full.
On our unit, everyone is assigned patients, including the nursing assistants. In many places in our grand state, those assistants could be delegated to by folks such as the LPNs and RNs. Our assistants regularly refuse delegation, and often neglect their own tasks, such as this, that seem too "demeaning" or "boring". Or my personal favorite...they'll only do the task for you if they "like" the patient.
One of my patients was assigned to the escapist assistant I mentioned before in this blog. Again, his Foley bag was getting ready to explode. If only the boss paid attention...maybe I can ask Santa for that for Christmas.
...a new patient assessment that is not done at 2345.
This patient arrived around 1130AM and said nurse supposedly did all his documentation. It's not unusual for some of the paperwork to be floating around on people who arrive at 1500 or later, because our daytime people leave not long after that, so we on evenings, finish up whatever they don't do. This nurse didn't do much. We had two lowly notes for the patient: one the H & P from the admitting doc and the generic "patient arrived at xx time" one for the admitting nurse. Not a nice surprise!
...that someone who refused a shot got one.
This is what one of our elderly patients told C. tonight that the med nurse (same as the admitting one mentioned above) gave him a vaccination that he did not want. I guess she missed that class on assault and battery in nursing school.
My trainwreck came back from dialysis in a happy mood. He barely rung his call light all night.
Off I go for off-day errands...back later!
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