tag:blogger.com,1999:blog-6277229251527832949.post1867455042312041192..comments2024-03-05T18:39:42.535-08:00Comments on Militant Medical Nurse: Coloured Coded Uniforms? 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So why bother colour code? Plus, we have NAME TAGS with our titles for a reason. We are in 2012now. Let us have a choice! As long as you're neat and professional looking, who cares what colour we wear. I just got my BSN (I'm 24 years old, and my closet is FILLED with new scrubs in: purples, greens, pinks, yellows, prints, ect.... and I'm stuck wearing dull blue day in-day out 'cause of annoying family memembers who can't read name tags or ask. On top of that, my boss calls me other co-workers names often because we ALL LOOK THE SAME!<br /><br />Let's not resort back to the olden days, people. White scrubs? Please. Heck, why not bring the nursing caps back too. *Rolls eyes<br /><br />We all have to wear white shoes/socks, nude underwear and undershirts. PLEASE do not take our choice of scrubs away. It took years to get prints and colours in.<br /><br />Stand up to choice! :)Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-6277229251527832949.post-90662465382580566562010-07-16T06:58:38.731-07:002010-07-16T06:58:38.731-07:00What SSS suggested (giving the patients leaflets d...What SSS suggested (giving the patients leaflets describing uniforms)plus putting photographs of staff on a notice board would be the best option. When I was a 'third-year senior student' (as someone described it which made me chuckle wryly) I was told to "act as though I was a staff-nurse". Although most unqualified staff were helpful a few of them expressed their opinion that "she's only a student so I don't have to do what she tells me". They were repeatedly impertinent and refused to follow instructions. This made things extremely difficult and could even have been potentially dangerous. Sadly, as a consequence, the general public definitely gained the impression that I was acting above my station. I could hardly announce with a tannoy that I was on the brink of qualifying. I did raise this with senior staff but received no back-up or support whatsoever.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-6277229251527832949.post-29210548616258951862009-05-20T15:02:49.262-07:002009-05-20T15:02:49.262-07:00Glam,
"No but I'm her assistant, can I help?" Or ...Glam,<br /><br />"No but I'm her assistant, can I help?" Or "No, but I'll get her, can you tell me what's wrong?"<br /><br />When care assistants say this exact line to patients do you know what the patients say<br /><br />" I don't care who you are and I am not telling you what is wrong, I want my NURSE"<br /><br />Commodes etc are very private things and certain patients often feel that the only person they can talk to is the nurse. They don't understand what a care assistant is and may not want to discuss such things with a non nurse. <br /><br />As soon as the care assistant told the patient that no, she wasn't the nurse the patient closed all lines of communication and demanded a nurse. full stop.<br /><br />This is a regular occurance. It really should ahve been obvious from my blog post that this is what occurred. Can't go any more into detail really but the sex of the care assistant and the age and sex of the patient was a bad combination. Yes, the care assistant asked what was wanted. The patient was not wanting to communicate with this person.<br /><br />As far as the named nurse things goes I will try and explain it again.<br /><br />"The other RN on the ward won't know about you because she is dealing with the bottom end of the ward. I am your nurse because I am up here with you and the patients at the top end of the ward." <br /><br /> I may have 15 patients, but I am the named nurse for you and your group. <br /><br />It does not work to have all the staff on duty for a shift to stay up to date on all the patients information. 7 hours into the shift and it is dangerous for me to go near the other RN's patients because I am not up to date at all. We would have to spend all of our time constantly handing over to eachother in order to stay up to date. We do not have time to hand new information over to eachother constantly. If we were all able to know all the up to date information on all patients at all times then we would have no need for the named nurse stuff.<br /> <br />Honestly, it really doesn't work.<br /><br />There is going to be an RN on the ward who is up to date with all the information about you, whilst the only other RN doesn't really know a thing about you. <br /><br />Remember Glam, there are usually only two of us with no choice but to split the ward in half.Nurse Annehttps://www.blogger.com/profile/05400048448105519082noreply@blogger.comtag:blogger.com,1999:blog-6277229251527832949.post-82293147278108663042009-05-20T14:46:34.643-07:002009-05-20T14:46:34.643-07:00The nurses know that communication is bad and we h...The nurses know that communication is bad and we have already thought of boards, photos, etc 100 times over.<br /><br />Management shot us down. If we have better communication with patients then the patients will understand the situation and blame management for all the shortcomings rather than front line staff (as they do now). Management does not want to take blame. If the public is ignorant of what goes on then they are more likely to blame frontline staff.Nurse Annehttps://www.blogger.com/profile/05400048448105519082noreply@blogger.comtag:blogger.com,1999:blog-6277229251527832949.post-73337669417828142422009-05-20T12:40:14.662-07:002009-05-20T12:40:14.662-07:00When I was first in hospital I realised that I kne...When I was first in hospital I realised that I knew NOTHING about the organisation. All I knew was that consultants are important doctors. I didn't know anything about other grades of doctor or nurse, students, technical staff, or care assistants. Or ward rounds, or drug rounds, visiting hours, or any basic organisational stuff. And the whole place was alien and hard to get used to, you constantly felt you were asking the wrong person. I remember surreptitiously reading an SHO's badge and wondering whether he was senior to the registrar. <br /><br />So I can understand people getting confused about what nurses do, and I think it would be good to give the information somehow. Who does teas and who does drugs, who gets commodes and who explains treatment plans. Maybe a leaflet or poster. It would help to know who does what, and why. <br /><br />I sound pretty stupid I expect but it was the unfamiliarity, plus it's not a situation where you feel calm and in control anyway.<br /><br />As a patient, I liked the board of names SSS mentioned - you could check for names you forgot rather than feel rude - and when I am stressed I forget everything fast.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-6277229251527832949.post-27473951607052374932009-05-18T00:49:00.000-07:002009-05-18T00:49:00.000-07:00Balls. I just wrote out a massive post then lost ...Balls. I just wrote out a massive post then lost it.<br /><br />Named nurse - doesn't work in my experience. I don't think you have to tell patients that you are the only RN for 15 of them but I'd certainly be saying "my name is Anne and I'll be looking after this side of the ward/these 3 bays this morning/evening with 'Betty' and 'John' the HCAs. They can help you with washing, toileting, cutting up your inedible food/fighting your way into your TEDs. They can't help with medicine or things like fixing your drip. I'll be along to do that." <br /><br />We used to have a board on the ward with staff photos and their titles. We hated the idea at first but it gives patients and rellies something to look at and familiarise themselves with who's who in terms of different uniforms etc.<br /><br />The other thing is some sort of written information sheet for patients explaining who's who by uniform and giving a brief outline of their role and limitations.<br /><br />I think a huge part of your problem, Anne, is that you work in bays. At least with a Nightingale ward the other patients knew you were about. Your lot are stuck in bays and can't see you. They've spent all day reading the Daily Mail and are convinced that you're glued to the computer or are rubbing dirt under your fingernails somewhere.<br /><br />What it all boils down to, however, is that your hospital is located in one of the lower circles in Dantes Inferno. Someone needs to get a big whistle and blow very hard.SSShttps://www.blogger.com/profile/16208995711559110532noreply@blogger.comtag:blogger.com,1999:blog-6277229251527832949.post-31743315805682442042009-05-17T14:40:00.000-07:002009-05-17T14:40:00.000-07:00I am sure that glam is some kind of NHS manager tr...I am sure that glam is some kind of NHS manager trying to pick apart what I/we say in order to build a defense of some kind.<br /><br />I cannot believe that anyone could think that a ward could function these days without each group of patients having a named nurse for the shift. Someone has to pull it all together and it is safer to be pulling it together for 12 people rather than all 24.Nurse Annehttps://www.blogger.com/profile/05400048448105519082noreply@blogger.comtag:blogger.com,1999:blog-6277229251527832949.post-77390542088889645872009-05-17T14:38:00.000-07:002009-05-17T14:38:00.000-07:00I really think you're being willfully obtuse here,...I really think you're being willfully obtuse here, Glamorganist. It seems obvious to me (and I'm American by birth--where you can get private duty nursing, if you can pay for it) that "named nurse" only means that nurses are in charge of particular patients, not that she's a private duty nurse. It means that I need to ask Anne questions, not Jane or Sally or Isabel. Now, true, I am probably rather better informed than many of the patients/families Anne describes--I know enough about how healthcare and hospitals work to know something about the different roles. Nonetheless, I don't think I would ever in my life have expected a nurse of my own in hospital. <br /><br />Outside of ICU (and even there, not always) I would never expect an RN to myself without forking over an eye watering sum. And on the NHS where this is not allowed? Surely, you jest.Alexishttps://www.blogger.com/profile/14586769636118537494noreply@blogger.comtag:blogger.com,1999:blog-6277229251527832949.post-43902329110628179102009-05-17T11:50:00.000-07:002009-05-17T11:50:00.000-07:00"I suggested that the named nurse system might hav..."I suggested that the named nurse system might have contributed, perhaps in a small way, to the situation Anne described so I asked questions about why it still exists....what I'm interested in on this occasion is why it still exists, and what use it it, given that conditions in the NHS are totally unsuitable for it...I wanted to know what Ann (or any other correspondent) thought about it but I still don't know and it doesn't look as if I ever will"<br /><br />So why didn't you say.."What do you all think about named nursing etc...?"<br /><br />In a non-challenging way? <br /><br />Because you are 'mightily irritated by what Nurse Anne writes.<br /><br />Why? <br /><br />What is it EXACTLY about Nurse Anne's posts that irritate you so much?<br /><br />I ask, because it is all REALITY, and a blog is about venting...right?<br /><br />And other than an (?NHS) manager, I can't think of anyone else who would have reason to be so 'mightily irritated' by the REALITIES that Anne writes about.Happy1https://www.blogger.com/profile/11693039299755894404noreply@blogger.comtag:blogger.com,1999:blog-6277229251527832949.post-75807242922215124982009-05-17T11:14:00.000-07:002009-05-17T11:14:00.000-07:00Anne: Thank you for your replies.
Happy1: Ah, I t...Anne: Thank you for your replies.<br /><br />Happy1: Ah, I think you called me a "twat" in our previous correspondence. Nice... but still, I'm glad you've taken the trouble to write a proper reply this time.<br /><br />Your first sentence goes to the heart of why I commented. You wrote: "...none of it would be an issue if there were enough staff (qualified & unqualified) on the wards to adequately look after the patients." Perfectly true but it is an issue because if there are not enough staff on the wards now, after 10 years of enormous spending on the NHS, then I think you can take it that there are never going to be enough staff, so you have to live with what you have.<br /><br />I suggested that the named nurse system might have contributed, perhaps in a small way, to the situation Anne described so I asked questions about why it still exists (after all it was set up around 1991/92 by the then Conservative government and has been criticized heavily since for all sorts of reasons including the one that it could only work if staffing levels were adequate...). You say that Anne is not responsible for "the named nurse thing... on her ward." Agreed, but what I'm interested in on this occasion is why it still exists, and what use it it, given that conditions in the NHS are totally unsuitable for it. I think it was, and is, a nonsense but I wanted to know what Ann (or any other correspondent) thought about it but I still don't know and it doesn't look as if I ever will. That, Happy1, was the point of my questioning.<br /><br />As to what I do, well that's none of your business and irrelevant anyway (in any case, this is cyberspace and I could tell you all sorts of rubbish and you'd be none the wiser). All that matters is the argument and I'm sorry to see that with all these posts we've not taken that forward at all.Brianhttps://www.blogger.com/profile/05139453606214695764noreply@blogger.comtag:blogger.com,1999:blog-6277229251527832949.post-37084603409519420762009-05-17T09:51:00.000-07:002009-05-17T09:51:00.000-07:00Glam we are not always able to detail the whole si...Glam we are not always able to detail the whole situation here.<br /><br />The care assistant obviously asked the patient what she wanted. It should be obvious. <br /><br />We cannot detail every little aspect of a situation here.<br /><br />I am convinced that Glam was an NHS manager at somepoint.<br /><br />Every patient on the ward has a named nurse for that shift and there is nothing wrong with introducing yourself that way.Nurse Annehttps://www.blogger.com/profile/05400048448105519082noreply@blogger.comtag:blogger.com,1999:blog-6277229251527832949.post-29650574098935350142009-05-17T09:21:00.000-07:002009-05-17T09:21:00.000-07:00Please re-read this Glamorganist
"I told her that...Please re-read this Glamorganist<br /><br />"I told her that I am a care assistant and I can help but she says she wanted a nurse straight away".<br /><br />In response to your person who gets the commode comment.<br /><br />You are only hearing what you want to from the blog.<br /><br />Diane in USAAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-6277229251527832949.post-57677792059357510712009-05-17T09:10:00.000-07:002009-05-17T09:10:00.000-07:00"I've asked several quite specific questions in my..."I've asked several quite specific questions in my previous comments and I don't think you've answered any of them. I still don't know why you keep up the named nurse system."<br /><br />...Your questions seem pointless and arguement provoking...I don't get the point in your questions.<br />Nurse Anne is not responsible for the 'Named Nurse' thing...that would be her directorate or managers. Not Anne personally, so how can she answer for its use on her ward. <br /><br />Glam. You seem to have issues with Nurse Anne documenting very real experiences. Experiences that I (as a nurse) can very much relate to. As do other nurses.<br /><br />You (I presume - so correct me if i'm wrong) are not a nurse. Therefore you can't relate to these very real experiences.<br /><br />I asked you a question on a previous post, which you failed to answer. "What job do you do?"Happy1https://www.blogger.com/profile/11693039299755894404noreply@blogger.comtag:blogger.com,1999:blog-6277229251527832949.post-8486760274514035442009-05-17T09:01:00.000-07:002009-05-17T09:01:00.000-07:00In reading through the above debate, none of it wo...In reading through the above debate, none of it would be an issue if there were enough staff (qualified & unqualified) on the wards to adequately look after the patients.<br /><br />RNs could introduce themselves as "your nurse/named nurse/one of the nurses etc" without fearing misunderstanding on the patients behalf regarding 'personal' nurse. (Although I do think that it is unlikely that anyone would be genuinely daft enough to expect a 'personal' nurse in an NHS hospital.) <br /><br />As for students learning clinical skills...on the wards it is a very hit and miss situation. I can only speak from my own experience, as a P2K student, as a ward nurse in the past, and as a A&E Nurse now. Student learning depends very much upon the workload of the RN mentor. If the RN is bogged down (due to poor ratio's) with simultaneous stressful situations (ie crashing patients, overwhelming list of priority treatments for other patients, over-due drug round, complex IVs, relatives, documentation, complex discharges and new admissions etc)then the head-space and the TIME to teach as you go along is just not there.<br /><br />As a student nurse I recall checking the ward rota's to look at RN staffing levels - because then I'd know what to expect in the way of teaching. <br /><br />Poor staffing = bed making, tea making, following RN around to try to understand actions/interventions... asking questions but generally feeling in the way. <br /><br />Good staffing = opportunities to perform clinical skills under supervision, with discussions regarding related theory. Assisting with caring for the crashing patient with discussions regarding patient assessment and interventions. <br /><br />As a staff nurse on the wards I found it very difficult to teach clinical skills, which was disappointing. There was always too much to do, too little time. Whether the students were supernumerary or not didn't come into it for me personally. I was still the only RN to 15+ patients, and unable to delegate many things.<br /><br />Now in A&E, due to better nurse/patient ratio's, I can teach clinical skills without compromising patient care. The supernumerary status is positive, because it enables students to be directed to wherever the best learning opportunity is at any given time. This is how it should be everywhere - this is what creates capable newly qualified nurses. <br /><br />Nurse patient ratio's affect everything, not just the quality of care provided to patients.Happy1https://www.blogger.com/profile/11693039299755894404noreply@blogger.comtag:blogger.com,1999:blog-6277229251527832949.post-15145359357348255622009-05-17T08:50:00.000-07:002009-05-17T08:50:00.000-07:00I've asked several quite specific questions in my ...I've asked several quite specific questions in my previous comments and I don't think you've answered any of them. I still don't know why you keep up the named nurse system. I still don't know what you think anyone gets out of you introducing yourself to patients as their named nurse. I still don't know how you think patients' expectations of nurses could be changed but you don't seem to have any actual ideas about that either.<br /><br />Instead of dealing with my questions you avoid discussion by introducing irrelevancies (I didn't use the term "unqualified nurse" so I don't know why you mention it). Even better, you invent facts: it is just not true that "You have to be an RN to be a nurse." You have to be a Registered Nurse to be a Registered Nurse but anyone can call themselves a nurse.<br /><br />You record this bizarre incident "She asked the care assistant if she was a nurse and of course the care assistant said no. The patient screamed "Well I need a nurse". By "Nurse", the patient meant "the member of staff who gets commodes.""<br /><br />As you say, the patient probably meant something like "are you the member of staff who gets commodes." I wonder why the HCA didn't investigate this hypothesis before rushing off to look for the Nurse (capital N). I wonder why the HCA didn't think of, just temporarily, accepting the informal status of nurse (small n) in order to find out whether the patient had a nursing problem that she could properly assist her with. Something like "No but I'm her assistant, can I help?" Or "No, but I'll get her, can you tell me what's wrong?" might have done the trick and avoided the situation you describe.<br /><br />But still, I'm wasting my time because you now think I'm a Troll. I'm not, unless you define a Troll as someone who asks difficult questions, I'm just mightily irritated by the stuff you write. In any case, I'm sure you'll recognise that calling me a Troll is just another way to avoid actual discussion (as opposed to ranting) about the mess you work in.Brianhttps://www.blogger.com/profile/05139453606214695764noreply@blogger.comtag:blogger.com,1999:blog-6277229251527832949.post-37551749684067242732009-05-17T07:57:00.000-07:002009-05-17T07:57:00.000-07:00No, Glam,
She didn't know what a care assistant w...No, Glam,<br /><br />She didn't know what a care assistant was.<br /><br />She asked the care assistant if she was a nurse and of course the care assistant said no. The patient screamed "Well I need a nurse". By "Nurse", the patient meant "the member of staff who gets commodes". Which is silly really, because of all the staff on a ward, the nurse is the person who is least likely to be able to get a commode. This is not the nurses fault of course.<br /><br />I am starting to think you are a troll and I am just feeding you.Nurse Annehttps://www.blogger.com/profile/16179750103872489038noreply@blogger.comtag:blogger.com,1999:blog-6277229251527832949.post-73203228185856693782009-05-17T07:54:00.000-07:002009-05-17T07:54:00.000-07:00Either you are a nurse or you are not a nurse. No ...Either you are a nurse or you are not a nurse. No such thing in my book as an unqualified nurse.<br /><br />Ahh I get you. It's the English thing with nursery nurses and dental nurses. I did spend a bit of time outside the UK and was educated overseas. No one in their right mind would call a babysitter who works in a nursery any kind of a "nurse".<br /><br />They are not nurses. You have to be an RN to be a nurse.Nurse Annehttps://www.blogger.com/profile/16179750103872489038noreply@blogger.comtag:blogger.com,1999:blog-6277229251527832949.post-2666449748032764032009-05-17T07:17:00.000-07:002009-05-17T07:17:00.000-07:00You wrote: "To the patients and visitors anyone wa...You wrote: "To the patients and visitors anyone walking around in a uniform gets called nurse....my hard earned professional title."<br /><br />Oh, and your protected title is "Registered Nurse."Brianhttps://www.blogger.com/profile/05139453606214695764noreply@blogger.comtag:blogger.com,1999:blog-6277229251527832949.post-29414688876205745232009-05-17T07:14:00.000-07:002009-05-17T07:14:00.000-07:00You wrote: "Oh and glam, the patients cannot tell ...You wrote: "Oh and glam, the patients cannot tell the difference between care assistants, students, and staff nurses anyway. Not at all. Not if the nurses were in hot pink dresses, and the care assistants were in blue suits, and the students were in yellow."<br /><br />I would tend to agree but this rather contradicts the story in your blog post when a patient insisted that her commode had to be brought by a Nurse (capital N). Evidently she could tell the difference...Brianhttps://www.blogger.com/profile/05139453606214695764noreply@blogger.comtag:blogger.com,1999:blog-6277229251527832949.post-1373540425020042312009-05-17T07:09:00.000-07:002009-05-17T07:09:00.000-07:00You wrote: "Yes, it is silly to think that. Why th...You wrote: "Yes, it is silly to think that. Why the hell would you get your own private duty nurse on a general ward."<br /><br />I agree entirely so why do you introduce yourself as a patient's named nurse? What does it actually mean - to the patient, that is? What is the use of the named nurse system? I say it's pointless and would save a lot of confusion if it was binned but you don't seem to agree. Ah well, that's fine, but I'd still like to know why you seem to like it.Brianhttps://www.blogger.com/profile/05139453606214695764noreply@blogger.comtag:blogger.com,1999:blog-6277229251527832949.post-38933944598889977952009-05-17T07:04:00.000-07:002009-05-17T07:04:00.000-07:00Thank you for your responses. You wrote: "Things a...Thank you for your responses. You wrote: "Things are more complex now. This coupled with a litigation happy society reduces the amount of things that a student is allowed to do these days".<br /><br />Really? How do they learn to, oh I don't know, manage infusions, change catheters, administer medicines?<br /><br />"It is silly to think that if someone introduces themself as your named nurse that it means that you are their only patient."<br /><br />OK so you don't accept my suggestion that the named nurse system might create unrealistic expectations in the mind of a patient who is unfamiliar with the workings of the NHS. How then do YOU explain the incidents that you described in your original blog? How would you set about dealing with them or changing patients' expectations?Brianhttps://www.blogger.com/profile/05139453606214695764noreply@blogger.com