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Because the nurse doesn't go to the toilet. We don't have time.Happy1https://www.blogger.com/profile/11693039299755894404noreply@blogger.comtag:blogger.com,1999:blog-6277229251527832949.post-87032057573148134792009-03-20T08:22:00.000-07:002009-03-20T08:22:00.000-07:00RE: DocumentationI left ward work for many, many, ...RE: Documentation<BR/><BR/>I left ward work for many, many, many reasons...<BR/><BR/>one of them being...that after an 8 hour shift..with no food or drink ..(and i was never a breakfast person so by 3pm I'd be very ready to faint...) I REALLY REALLY REALLY resented THEN having to stay an extra half an hour or more, UNPAID, to document my care. <BR/><BR/>(difficult to even know what you are even writing when you are officially hypoglycaemic). <BR/><BR/>Documentation, according to our governing body, NMC, should be CONTEMPORANEOUS ie > "occuring in the same period of time"<BR/><BR/>Nurses fail to do this...because there IS NO TIME. <BR/><BR/>Well, we could omit a bedbath, or a dressing, or a trip to the toilet...<BR/><BR/>No, because we don't do such things on PURPOSE...<BR/><BR/>We stay behind UNPAID instead..Happy1https://www.blogger.com/profile/11693039299755894404noreply@blogger.comtag:blogger.com,1999:blog-6277229251527832949.post-55817660596478063622009-03-19T18:55:00.000-07:002009-03-19T18:55:00.000-07:00Because we are scared of being struck off and not ...Because we are scared of being struck off and not being able to pay our mortages. We are scared of losing our ability to practice our craft in an economy where there are no jobs. <BR/><BR/>Thank you for reading.Nurse Annehttps://www.blogger.com/profile/05400048448105519082noreply@blogger.comtag:blogger.com,1999:blog-6277229251527832949.post-56839730201594367842009-03-19T12:52:00.000-07:002009-03-19T12:52:00.000-07:00"I often worked very long shifts without breaks wh..."I often worked very long shifts without breaks while heavily pregnant even when my preeclampsia started to kick off."<BR/><BR/>A colleague of mine went into premature labour at 30 weeks pregnant...due to working 3 ridiculous (more so than normal...)shifts in a row with no break...<BR/><BR/>Thats 8 hours non-stop running, jumping, lifting, bending, stretching... not to mention the physical effects of major stress..and hunger... and dehydration...<BR/><BR/>Why do we do it....?Happy1https://www.blogger.com/profile/11693039299755894404noreply@blogger.comtag:blogger.com,1999:blog-6277229251527832949.post-86706333930821108642009-03-19T10:10:00.000-07:002009-03-19T10:10:00.000-07:00I just wanted to add that our OT and Physios are g...I just wanted to add that our OT and Physios are great. They are the only ones who don't piss us off and they are the only ones who treat us with respect.<BR/><BR/>Pharmacy on the other hand......Nurse Annehttps://www.blogger.com/profile/16179750103872489038noreply@blogger.comtag:blogger.com,1999:blog-6277229251527832949.post-8350542597175322162009-03-19T01:18:00.000-07:002009-03-19T01:18:00.000-07:00I think that the problem is that the nurses cannot...I think that the problem is that the nurses cannot even pre-plan 5 minutes of their time due to a million different simultaneous and chaos.Nurse Annehttps://www.blogger.com/profile/05400048448105519082noreply@blogger.comtag:blogger.com,1999:blog-6277229251527832949.post-77592700937864765482009-03-18T13:03:00.000-07:002009-03-18T13:03:00.000-07:00Juli- actually now the OT and physio come to the w...Juli- actually now the OT and physio come to the ward together at the same time 9am,so we do know when to expect them,which is good and has made things easier,we also have a handover book where every patients name is written in each day so that we know who needs physio or OT input.<BR/><BR/>the discharge co-ordinator and the bed manager seem to turn up anytime between 8-11am. Would be great if they could come at 9am too, but i suspect that all wards are doing the therapy handover at 9am. <BR/><BR/>hope that you can find a solutionSTARhttps://www.blogger.com/profile/18368676665727590727noreply@blogger.comtag:blogger.com,1999:blog-6277229251527832949.post-17045178116669659192009-03-18T10:48:00.000-07:002009-03-18T10:48:00.000-07:00I'm an OT in an acute hospital and I hate having t...I'm an OT in an acute hospital and I hate having to interrupt nurses. I can completely understand when STAR asks why myself, the physio, discharge manager, bed manager, etc, can't all come for handover at the same time. Truth is we could if the nursing staff would accomodate us, but because we're as busy as the nurses (lack of staff is endemic in all NHS professions) it would have to happen consistently at the same time each day. I tried to set this up one of my wards last year. (I currently look after 3 wards)<BR/><BR/> All I asked was could we all (OT, ohysio, discharge management) come onto the ward for a quick handover each day. I was willing to be flexible about the time we agreed, so long as it could be some point between 8.30 and 9.30 as I regularly take patients on home visits in the mornings, and I need to leave for a HV by 10.00 if I'm going to guarantee I can have the patient back on the ward in time for lunch. Logical, yes?<BR/><BR/>The response from the nurses? No chance. Come and sit in on the nursing handover. Sounds like a good idea, but problems being A: the nursing handover can happen any time between 9.00 and 11.00 on that ward, they appear to do it whenever. B: nursing handover is not a good use of my very stretched time, as there's an awful lot of info I don't need - I don't see every patient unless they're all referred, so don't need to spend the 45 minutes it takes to be told that Mr Brown hasn't had a bowel motion yet today. and C: that 45 minutes is just the nursing handover for one ward team - the ward nursing is split into 2 teams, and they do both team handovers at the same time so it's physically impossible to attend both!<BR/><BR/>Am I asking too much to try and save time for all of us (nurses included, as it'd prevent them having to give handover 3 times) by arranging a dedicated 5 minutes each day? (All it'd take, as not too much OT/PT/discharge managemnt relevant stuff can happen since we last had handover yesterday)<BR/><BR/>Does anyone have any suggestions?julihttps://www.blogger.com/profile/07328117952524393901noreply@blogger.comtag:blogger.com,1999:blog-6277229251527832949.post-91446139574651722502009-03-18T07:26:00.000-07:002009-03-18T07:26:00.000-07:00"and god knows what the clipboard carrying dischar..."and god knows what the clipboard carrying discharge nurse managers actually fucking do"<BR/><BR/>So true they come round each morning wanting a handover of what is happening with each patient. Then the bed manager comes and wants to know which patients are going home/ can be moved to a rehab hospital. The the physios and OT come to have a handover. Why all these people can't come round at the same time, so we don't have to repeat all the info which takes us away from the drug round again!STARhttps://www.blogger.com/profile/18368676665727590727noreply@blogger.com