Thursday, 30 April 2009

Attitudes Towards Nursing. Part2 : The British Media

Part one is the post just below this one.

Now let's look at the rubbish that comes from British journalists. This article was written by a woman named Jenni Russell. She is supporting Margaret Haywood and defending nurse whistleblowers. Great. I thank her for that. Jenni does not talk about why nursing care is so terrible. She lays into nurses. "We need more Margaret Haywoods to deal with these horrible nurses". Read the article. That is pretty much what she is saying. What we need is help. Margaret tried to help. She may have been the only nurse down there with a camera but I doubt she was the only one who cared.

As usual, a British journalist doesn't miss an opportunity to ignore the real issues behind terrible care and lays straight into nurses.. There is no talk about unsafe ratios, increasingly complexity, sicker patients, and stonewalling by management when the nurses try and resolve these issues. Jenni turned what could have been a decent article into an emotive piece against nurses. She displays the usual ignorance of the situation.

In Jenni's world, all patient suffering is caused my lazy, uncaring nurses. I have worked with about 2 lazy nurses out of hundreds and yet I have never seen anyone intentionally leave a patient in a bad way. Ever. Even a lazy nurse has to be on her toes more than your average person. There are a small number of bad nurses. They are not the number one problem. Excellent, hardworking nurses are failing every single shift due to a situation that is way out of their control. Jenni doesn't want to talk about that. It's more fun to be a lying shill, a government tool, and an ignorant bitch isn't it love?

Here is the article.

Look at this quote:

"Imagine that you are a frail, elderly person, perhaps in the last days or weeks of your life. You are so sick that you have been admitted to a hospital ward for care. But care is rarely what you get. Instead you have entered a nightmare world in which weakness is punished and misery ignored...............Jenni Russell.

Yes Jenni. We like to pick on weak and frail patients. That's why we went into nursing. You are so full of shit. Just go and crawl back under whatever rock you came out from.

You are lying in bed, gaunt and almost breathless, the bones in your pale face etched against the pillow. You are whispering because the pain is so acute. You tell the nurses - delicately, almost apologetically - that you are in agony. You do not know that it is because the drugs for your terminal cancer are being wrongly administered, and that you are suffering needlessly as you die. All you know is that no one cares....Jenni Russell

Of course they care, and they bust their arses to get there. One person having pain is not going to make everything else go away. If you don't understand how one patient could be harmed or even killed because the nurses are only focused on managing pain for another patient then you shouldn't be doing articles on health care. This is why too few nurses results in crap care. No amount of caring is going to make a nurse be 100 places simultaneously. Don't you dare accuse the nurses of not caring. They are the only ones that do. But caring is not enough, and caring and working hard is not going to solve this clusterfuck of a situation.

Oh, and if they were administering that kind of medication incorrectly the patient would probably be dead. You don't fuck with controlled drugs and at least 2 nurses always check. Always. If I am the lone nurse on a ward then I have to call a nurse from another ward to check that kind of medicine with me, and then we both walk to the patients bed with it and she observes me give it. The patient waits as long as it takes for the nurse from the other ward to get there. It is always done this way. Always at least 2 nurses for every step of the process with controlled drugs. Always. Jenni is ignorant..............Anne

Around you, you see other elderly patients, unable to walk alone, crying because nurses won't help them get to toilets on time. Old people are left to sit or lie in their own urine. One old woman is left in her soaking bed for almost nine hours because nurses won't fix her catheter. Some patients are too sick or shaky or confused to feed themselves. They go hungry, while some of the nurses eat the patients' food in the ward kitchens. Patients die alone and unnoticed...........Jenni Russell

I really cannot even respond to this. How could she even begin to say that these people are left like this because the nurses "won't" help them, or that we are leaving them like that on purpose.

Ah, the old nurse on the lunch break and the disconnected catheter story. Catheters disconnect. All the time. The ones used in the NHS are cheap crap. Re-attaching the thing is one of the only damn things that the carers can help with.

A nurse sits down for 5 minutes to grab a sandwich after 9 hours non stop. She has 5 more hours to go and then she will handover to the oncoming shift. Then she will stay on to document. She just got her critical patient transferred to ITU after 3 solid hours straight of having to one to one him to ensure his survival. She is behind with so much for her other patients. She has been 9 hours with a break and cannot think straight. She knows that if she doesn't stuff her face now, she won't get another chance today. The carer comes along and asks her to attach the catheter bag again. The nurse is perplexed. This is one of the things a carer can actually do to help. She knows that if she doesn't grab some food now she won't get another chance. She knows if she walks down that ward to deal with the bag, that a million different things will keep her there. She is hungry and she can't concentrate. She just needs 5 minutes to inhale this sandwich. The carer can attach the bag. The damn carers never have to go without breaks. They cannot help with most of the things that the nurse is overwhelmed with. This scenario is more likely than the edited garbage that you saw on panorama. I may have done the same thing as the nurse in the video. Sometimes I know that I have between 13:55 and 14:10 to grab a bite to eat and if I don't I won't get another chance at all until 11PM. A catheter bag that can be dealt with by an available carer wouldn't take that away from me. A crash or pain meds or, sudden change in condition might take it away from me but not a catheter bag, if there is a carer available.

Jenni is sounds a little bit retarded. The only time I have ever seen a member of staff take food from the trolley is after everyone has been fed and helped as much as possible and immediately before the food is about to be thrown away. We often work 12-14 hour shifts. We do not have a fridge for staff or a place to store our own food, there is a small overcrowded one for patients. This is a fact of life on my unit.

There is no fucking way we can leave the ward to walk all the way to the cafe on most days. No fucking way. No time for that. The canteen is often shut when we are working anyway. Sometimes the only way the nurse is going to get a morsel of food is to grab something that is going to be thrown away off of the trolley. This is a fact of life for us. They used to provide nurses with meals years ago, and provide time away from the ward uninterrupted to eat. Not now. I have never ever seen a member of staff eat anything that wasn't about to go in the bin. Ever. Ever. They might inhale something that is going to get thrown away anyway in their 5 minute break time. They are getting docked pay for taking a 30 minute meal break that they cannot take without harming their patients. Do you really want to crucify them for taking 5 minutes to eat waste that is getting thrown between doing ten million different things? No one wants to eat that rubbish hospital food anyway. You have to be ravenous and desperate. This is a fact of life for hospital nurses. Our metabolisms are getting totally fucked up. The best we can hope for as far as healthy meals during work goes is constant handfuls of chocolate on the run. It's crap.

Seriously Jenni. Just fuck off with all your stereotypical ignorant bullshit about nurses. You want to know why patients suffer. Really? Read this blog. You probably cannot be bothered. Thanks for standing up for Ms. Haywood, but did you really need to sensationalise with your ignorant garbage in order to take a cheap shot in at nurses? If you feel so sorry for these patients why the hell don't you write about the real issues surrounding patient care in our hospitals? Yeah, that's what I thought. Hear that? That is the sound of silence.

This is why I am trying so hard to raise my children with integrity. The world doesn't need anymore journalists.


Anonymous said...

The memory which will haunt me for the rest of my life, is of a lady who was terminally ill with cancer, crying out in pain because she hadn't been given her pain relief on time. That was just so heartbreaking, it really upset me. When I did a couple of shifts in a row, I was able to make sure she got her pain relief on time and the change in her was sometimes quite remarkable. There was no good reason why it hadn't been given to her. Staff were busy and no one had checked, which is awful.So what do you say to this? It's from a BBC interview with Margaret Haywood
You wrote: Oh, and if they were administering that kind of medication incorrectly the patient would probably be dead. The issue seems to be one of under-, or non-administration.

Nurse Anne said...

CD drugs are time consuming and require two staff to access them. I doubt that the nurses were unaware. Sometimes things just don't happen the way we want them to due to factors out of our control. Every shift is different. One day it is easy and I can do everything I want for my patients a 100 times over, and their are always two of us so we can quickly access controlled drugs. The next few days are horrendous and I can get nothing done properly. Two days later it is calmer. And so on and so forth. Things change in the blink of an eye.

Incorrectly to me means dosage error. Omitted is different.

Nurse Anne said...

God, sorry I cannot type or spell AT ALL today.

"Sometimes there are two staff nurses and we can access cd's quickly. The next shift has one staff nurse and sicker patients and the next dose gets given late". etc.

Anonymous said...

You wrote: Incorrectly to me means dosage error. Omitted is different.Really. Well if correct administration means the right drug at the right time etc, late or non-administration is er... incorrect.

Happy1 said...

What an absolute stupid ignorant idiot this jenni woman is!! I cannot beleive her article. Utterly stupid ignorant woman...I am angry.

A journalist sitting in her comfy little office, coffee on tap, no lifeS balancing in her hands...has NOT GOT A CLUE OF THE REALITIES SHE WRITES ABOUT.

And neither has Anonymous above. Have you read Anne's blog??????????? THEN READ IT!

Get yourselves off to nursing school you fuckwits and see if you can do any better. GUARANTEE YOU CAN'T. GUARANTEE MY LIFE ON IT.

Happy1 said...

...and even if there is evident poor care in one place place ...YES...expose it... PLEASE...but don't write SHIT TO LEAD THE PUBLIC TO BELIEVE THAT ALL NURSES PURPOSELY PROVIDE SHIT CARE!!

I had poor service from the police officer did not do his job properly and it cost me. Does that mean that all police officers are shit!? NO.

All this ridiculous and untrue reporting makes an impossible job even more impossible. Like Anne, I have never seen POOR care, like described on the Panorama programme. I've seen stressed, overwhelmed, desperate nurses who are UNABLE to provide the care they want to.

I HAVE BEEN UNABLE TO PROVIDE THE CARE I WANT TO, MANY MANY TIMES. I have cried many many times...before I abandoned ward work for A&E.

Don't talk about shit you don't understand.

Nurse Anne said...

Anonymous. That is why I said "to me" rather than "officially" in my post above.

Nurse Anne said...

Thanks Happy. I have never ever in my career seen a nurse intentionally miss any kind of drug. The consequences are to severe. That doesn't mean that they don't make errors all the time. Each nurse has more patients than she can keep track of, and get around and see.

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