Sunday, January 09, 2005
What a frustrating day.
The day starts with me and 6 others getting hand over.
I get to have the same room as I had last night, which doesn't worry me in the slightest. But the person in charge of my side of the ward is nurse M (the one I had trouble with those months ago). SO she gives me a room with just 4 patients, who are all easy to look after, I tell her that and offer to take more patients, but she tells me that "no" she will take 6 patients (5 of whom are all what we term as "heavy patients" as in they have a lot of stuff they need done for them) and the new grad will take a room of 4(also "heavy loads" and a patient 3 rooms away in a single room. I repeated my request for more patients to lighten the load 3 times, but she refuses to re look at the allocation.
SOOOooooo... I get my stuff done early and have two beds made by 8:30am and one of my guys has already showered himself. So I am looking for stuff to do, and RL needs a hand, she is only fairly new to nursing and seems to work fairly slowly, so I offer to do some educating and teach her how to do a female catheterisation. Well.. problem comes when she can't find the urethra...ehee. She has 3 goes with me directing and then hands things over to me while she watches, so I explain what I am doing and manage it. it was tricky, but we found it eventually. Things are so much more obvious on boys!
(is everyone crossing their legs yet???). So then nurse M is running behind so the in charge and I towel wash one of her bed bound patients, then I go back and do some work with my patients, had a big dressing due. Then I go and wash another of RL's patients and put him back to bed, calling the medical registrar because I had a "funny feeling" that something was seriously going wrong with him, his condition was poor. I have a weird feeling that he may have a cardiac arrest if nothing was done soon.
So then nurse M was bitching about her heavy workload, and all her patients were bitching to the other staff who went into her room about what a bitch she was. Bleh.
We have had a nurse on the ward who was an extra, who they were assessing to see if she was competant to keep nursing, I looked after her on Wednesday night, she had double dosed one of the guys we were looking after with his antidepressant medication the day before and no one had noticed. She had 4 weeks to prove it, she didn't make it. I look at nurse M and they have given her multiple chances to make things better and she still hasn't!, yet they give this girl 4 weeks! How come our ward gets to deal with all the people who shouldn't be nursing????
One of the other nurses is now on an official warning, she came ducks of her class and cannot translate her head learning into practical stuff. Its interesting how the people who score the highest in Uni/college mostly don't make the best nurses because they cannot translate things from brain to practice, although they are quite good in high acuity, low patient interaction areas. The girl with 4 weeks, thought she was nursing quite fine, everyone else was scared by her practice, she was dangerous. RL is just slow at doing stuff, and that slowness gets her behind and that in itself is dangerous too. Nurse M, she is a case all on her own of bad practice mixed with many cover- ups and blame placed anywheres but on her.
I dunno, just frustrated with my ward. Then again I spose I don't need to be cause I am leaving soon.
Enough ranting or rhetoric or whatever this is.
Laters
The day starts with me and 6 others getting hand over.
I get to have the same room as I had last night, which doesn't worry me in the slightest. But the person in charge of my side of the ward is nurse M (the one I had trouble with those months ago). SO she gives me a room with just 4 patients, who are all easy to look after, I tell her that and offer to take more patients, but she tells me that "no" she will take 6 patients (5 of whom are all what we term as "heavy patients" as in they have a lot of stuff they need done for them) and the new grad will take a room of 4(also "heavy loads" and a patient 3 rooms away in a single room. I repeated my request for more patients to lighten the load 3 times, but she refuses to re look at the allocation.
SOOOooooo... I get my stuff done early and have two beds made by 8:30am and one of my guys has already showered himself. So I am looking for stuff to do, and RL needs a hand, she is only fairly new to nursing and seems to work fairly slowly, so I offer to do some educating and teach her how to do a female catheterisation. Well.. problem comes when she can't find the urethra...ehee. She has 3 goes with me directing and then hands things over to me while she watches, so I explain what I am doing and manage it. it was tricky, but we found it eventually. Things are so much more obvious on boys!
(is everyone crossing their legs yet???). So then nurse M is running behind so the in charge and I towel wash one of her bed bound patients, then I go back and do some work with my patients, had a big dressing due. Then I go and wash another of RL's patients and put him back to bed, calling the medical registrar because I had a "funny feeling" that something was seriously going wrong with him, his condition was poor. I have a weird feeling that he may have a cardiac arrest if nothing was done soon.
So then nurse M was bitching about her heavy workload, and all her patients were bitching to the other staff who went into her room about what a bitch she was. Bleh.
We have had a nurse on the ward who was an extra, who they were assessing to see if she was competant to keep nursing, I looked after her on Wednesday night, she had double dosed one of the guys we were looking after with his antidepressant medication the day before and no one had noticed. She had 4 weeks to prove it, she didn't make it. I look at nurse M and they have given her multiple chances to make things better and she still hasn't!, yet they give this girl 4 weeks! How come our ward gets to deal with all the people who shouldn't be nursing????
One of the other nurses is now on an official warning, she came ducks of her class and cannot translate her head learning into practical stuff. Its interesting how the people who score the highest in Uni/college mostly don't make the best nurses because they cannot translate things from brain to practice, although they are quite good in high acuity, low patient interaction areas. The girl with 4 weeks, thought she was nursing quite fine, everyone else was scared by her practice, she was dangerous. RL is just slow at doing stuff, and that slowness gets her behind and that in itself is dangerous too. Nurse M, she is a case all on her own of bad practice mixed with many cover- ups and blame placed anywheres but on her.
I dunno, just frustrated with my ward. Then again I spose I don't need to be cause I am leaving soon.
Enough ranting or rhetoric or whatever this is.
Laters
12:24 AM
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Writing since January 2003!
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BJ T now was S
Born in April on the 21st!
Australian but living in the USA.
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