"I shall probably be shot for saying this, but the common factor in
very many of the horror stories seems to be nurses. Endless excuses are made -
not enough staff, too busy, not enough training etc etc. But I have personally
seen many instances where there is a clutch of nurses round the computers, but
none in the ward. Nurses all seem to want to be doctors, or at least look like
and be treated as doctors, and few of them want to nurse. Hence Nurse
Practitioners. Since the start of the ridiculous Project 2000 this has
escalated. (ducks down below the parapet)"
"A few years ago my wife was in two different hospitals in fairly quick
succession. In both I saw nurses routinely clustered around a computer screen,
chatting. In one, when I walked over with a question I found that they were
talking shop. So I walked over several times in the next few days; it was
shop-talk every time. In the other I had twice visited the nurses' cabal. Each
time the talk was mere gossip. Naturally, it was the gossipmongers' hospital
that was highly rated, internationally famous and so on."
First of all let me say this: I do not believe for a minute that either of the authors of these quotes are able to distinguish between a nurse and a cleaner, tech, auxiliary nurse, OT, dietitians, administrative staff, etc. I don't believe that they understand why nurses need to spend time on computers and form filing. I cannot believe that anyone would think that a nurse is trying to act like a doctor and avoid patients by hanging around on the computer or filling in a form. It is mindblowing that anyone in the 21st century could think like this.
Secondly I am suspicious of anyone who uses the terms "nurses" and "sisters". Many (not all) of these general wards will not pay nurses and sisters to all be on duty at the same time. Two "nurses" tops. If sister is on shift than it is "sister" and "nurse" and they are each the primary RN for a large number of patients. The rest of the staff kicking about are not nurses, or anything like a nurse. If you are going to use the term "nurse" you had better be damn sure that you know what you are talking about. People who use the term "nurses" plural whilst referring to general medical wards are probably talking shit.
Why do comments like those above piss me off?
1. Nurses stations are gathering places for all sorts of staff, all day long. These people may be in uniform but they greatly outnumber nursing staff. My ward is in a very central location. People love to use OUR fucking nurse's station as their own personal break room, meeting area etc. They tie up our phones, our computers etc. They are not nursing staff nor are they employees of my ward so it's not like they are going to answer a call bell or see a patient. The clinical techs are the worst. They work all over the hospital and they travel in groups. They are NOT ward based. When they are not busy you can bet your arse that they are feet up at MY nurse's station. If you look at the station at any random moment you will see occupational therapy, clinical techs, physios, dietitian, social workers, clinical techs sat on their arses, nurses from other wards who have stopped down to borrow something but are not allowed to touch a patient on my ward, clinical techs, clinical techs sat on their arses, pharmacy techs and more clinical techs. I have to fight my way through this crowd of people to get my work done at the station.
If I spent all day at the computer and pouring over paperwork I would not scratch the surface of getting all of it done. If I spent the whole day doing commodes I still would not get to all those patients in time. It is chaos and we are only able to do a little bit of each. Did I tell you that my childminder is charging me £1 a minute for each minute that I am out of work late and she has my child? I do push a lot of the computer work towards the end of my shift and complete it during unpaid hours to avoid ignoring the patients all shift. My childminder is making good money as a result of me getting out of work late and staying on unpaid. I have to pay her for time I did not get paid for. Nice huh. Next time I am going to get it all done while I am on duty and get the hell out of there as soon as my relief comes. If the patients and the visitors don't like me sitting at the computer all damn shift documenting and get things that they need then they can pay my childminder and I will stay over and do it at the end of my shift.
The amount of money I have spent on childcare for hours that I did not myself get paid for would buy me two new cars.
Look at this quote by Florence Nightengale:
"The martyr sacrifices themselves entirely in vain. Or rather not in vain, for they merely make the selfish more selfish, the lazy more lazy and the narrow more narrow"-Florence Nightengale
She is 100% right. The more we sacrifice, the more they want and the more they complain.
To hell with all this. I am just going to sit back and watch this ignorant country run every last nurse out of here with their impossible and ridiculous expectations and generalisations. America and Australia will be more than happy to have British nurses to help maintain their strict nurse patient ratios. They know that British nurses are damn good at their jobs and they are anxious to poach them.
Rant over. Back to the CCU part 3 now.