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I live in Philadelphia, PA<br />Any suggestion?Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-6277229251527832949.post-44178517354355348242010-12-03T15:58:16.450-08:002010-12-03T15:58:16.450-08:00Car rrnsurance coverage seriously is not incredibl...Car rrnsurance coverage seriously is not incredibly unique. According to which inturn state you reside through, it perfectly often be one particular more compact or perhaps significant piece of your allowance compared with your friends upon condition outlines. Subject material ? the bare minimum for your personal state? Available this website invaluable to estimate low-priced auto insurance. I'm certainly thrilled to be here.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-6277229251527832949.post-51303743859185820602010-11-25T15:25:32.982-08:002010-11-25T15:25:32.982-08:00This particular place saved me $487 for the entire...This particular place saved me $487 for the entire year! They are really a web-based specialist and are generally kind, caring, as well as take wonderful care of their customers. Most importantly for me, they answer customer emails and answer phone calls with humans.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-6277229251527832949.post-60351024482968018692010-09-28T19:41:34.869-07:002010-09-28T19:41:34.869-07:00Dino Nurse,
Nice to know there are a few of us lef...Dino Nurse,<br />Nice to know there are a few of us left on the shop floor attempting to fight the tirade of sh** !!<br />Anonymous clinicla lead from EnglandshireAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-6277229251527832949.post-78567607844529299972010-09-28T03:43:26.356-07:002010-09-28T03:43:26.356-07:00Oh for the days when you could write "care as...Oh for the days when you could write "care as planned" and it was taken as read that you had done just that. As a senior nurse myself ( manager really but I don't like the title as many of my managerial colleagues stay away from the wards) I am also fighting against the tide of useless audit. We will also have yet another set of students who qualify and have to look elsewhere for jobs as the Trust wants to save money. Staffing levels are a joke and I am sick and tired of trying to make the egits understand just why Mrs X or Mr Y needs a particular dressing/piece of equipment/drug that is not normally on our unit (so will have to be ordered and PAID for). Every shift that I opt to work on the floor is a shift that is used as a weapon by the powers that be to try and undermine me. They do not want managers that stay clinically active as then we get to see first hand where things are going wrong. As for the NMC and the RCN...I cannot think of a single positive thing to say about them- so, as my mother used to say...if you can't say anything good....Dino-nursehttps://www.blogger.com/profile/06032700219601293612noreply@blogger.comtag:blogger.com,1999:blog-6277229251527832949.post-12590037657571334122010-09-27T01:39:40.751-07:002010-09-27T01:39:40.751-07:00I have never suggested degree trained nurses prete...I have never suggested degree trained nurses pretend to be doctors, my comment was aimed at those who climb the corporate ladder and distance themselves from the art and science of nursing. I know many old style and new style who fit this unfortunately. I most certainly agree that non-clinically based staff should spend at least a week per year on the shop floor to maintain registration....Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-6277229251527832949.post-80483536189714663342010-09-26T13:55:25.392-07:002010-09-26T13:55:25.392-07:00Hi anonymous 06:51 and 04:00, Thanks for that, you...Hi anonymous 06:51 and 04:00, Thanks for that, you're quite right, you didn't suggest that formal assessment tools are needed. My apologies. <br /><br />If only it were the case that we could write that one line you propose: "This patient is at risk of ... because of... and requires the following care/ nursing equipment."<br /><br /><br />I also agree with the poster who pointed out that the busier (and more understaffed) we are, the poorer the documentation is - we're so busy actually caring for the patient that we don't have the time to prove we cared for the patient. I can see where this is a problem but it's also true, as Nurse Neil said, that doctors can write "improving" and everyone will accept that the patient is improving. I wonder why it's different for us?Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-6277229251527832949.post-43620004156831027672010-09-26T11:11:53.819-07:002010-09-26T11:11:53.819-07:00Damn straight about the hysterical harpies.
I lik...Damn straight about the hysterical harpies.<br /><br />I like the quotes on here but degree nurses are most certainly NOT pretending to be doctors. They are new, and on the shop floor.<br /><br />The weasals who trained in 1968 and haven't been on the floor since the 80's on the other hand......<br /><br />I think the old training taught Nurses to look down on those who stay on the front lines. Therein lies the problem.Nurse Annehttps://www.blogger.com/profile/05400048448105519082noreply@blogger.comtag:blogger.com,1999:blog-6277229251527832949.post-27673195558632094652010-09-26T11:06:51.555-07:002010-09-26T11:06:51.555-07:00The NMC is run by a bunch of hysterical lesbians w...The NMC is run by a bunch of hysterical lesbians who rather than defending our profession in return for the ridiculous amounts of money they charge us each year are more content with stabbing us in the backAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-6277229251527832949.post-23431696044757405692010-09-26T09:06:30.010-07:002010-09-26T09:06:30.010-07:00I am a Clinical Lead somewhere in Englandshire. I ...I am a Clinical Lead somewhere in Englandshire. I find this blog informative, funny but worryingly true.<br />I would never leave my ward understaffed, and frequently attend to deal hands on with clinical issues that arise. The paperwork comments I can see both sides of, from a personal perspective (excellent documentation saving my ass) to the other side - having to conduct investigations and seeing piss poor standards leaving nurse wide open.<br />We do not support each other as we should, too bothered earning brownie points and pretending we are doctors.... The NMC and RCN are both wastes of time that drain our finances and offer little in the realms of support or solidarity to our plight.<br />Trusts have frozen posts, to find 'surplus cash' to be spent on pictures and prettt chairs. I would rather employ the excellent student nurses whom have qualified but we are loosing to the private sector.<br />We can't / don't strike. <br />I wonder if the worm will ever turn and we develop a little more chutzpah like our American counterparts. <br />It disappoints me that as you climb the ladder there is a real distancing from what happens on the shop floor. Whilst I feel desperately for your plight, not all senior nurses behave in this way (I have refused to conduct useless audits and do not attend useless meetings).<br />I have introduced your blog to many of my collegues. Keep up the excellent work - from a non - degree trained back in the arc nurse...Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-6277229251527832949.post-26972421381731402732010-09-26T08:50:36.836-07:002010-09-26T08:50:36.836-07:00"statement that early identification of patie..."statement that early identification of patients at risk of suffering complications is essential"<br /><br />It is essential and it is of course in our heads and on our minds. Yet early identifaction isn't helping.<br /><br />Early identification works when you have enough uninterrupted time to assess and get to grips with a patients situation, enough boots on the ground to position people, provide nutrition and it works when the Trust allows you to have the equipment that you need (i.e. airbeds). <br /><br />We have none of the above going for us.Nurse Annehttps://www.blogger.com/profile/05400048448105519082noreply@blogger.comtag:blogger.com,1999:blog-6277229251527832949.post-21685865648758864322010-09-26T04:00:23.607-07:002010-09-26T04:00:23.607-07:00Anonymous 16:14, this is Anonymous 06:51 replying ...Anonymous 16:14, this is Anonymous 06:51 replying to your question.<br /><br />You ask: "Is there REALLY a nurse anywhere who needs to do a waterlow, a nutrition assessment, a mobility assessment, etc, etc to be able to recognise which patients are at risk for pressure damage??"<br /><br />I reply, of course not. Or, more specifically, I reply that any nurse who NEEDS to use these methods should probably consider looking for another job, preferably one that requires no mental effort. I would say that, in my opinion, the whole assessment tool industry is more or less useless.<br /><br />If you read my post again you may note that I made no reference to Waterlow or any other such assessment system. On the other hand, I hope you would not disagree with my statement that early identification of patients at risk of suffering complications is essential. I would agree with you that a nurse should not need to fill in forms to identify such patients. Once identified, as you say, such patients should be cared for appropriately.<br /><br />As far as I am concerned the only documentation necessary should be a simple expression of professional judgement on the lines of "This patient is at risk of ... because of... and requires the following care/ nursing equipment."Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-6277229251527832949.post-80805714543379186732010-09-25T16:14:19.417-07:002010-09-25T16:14:19.417-07:00To Anonymous 06:51:
Is there REALLY a nurse anyw...To Anonymous 06:51: <br /><br />Is there REALLY a nurse anywhere who needs to do a waterlow, a nutrition assessment, a mobility assessment, etc, etc to be able to recognise which patients are at risk for pressure damage?? Is there REALLY a nurse anywhere who doesn't know this just by looking at the patient??? For God's sake, just give me the time and the staff to look after my patients properly and give me the authority to order an air mattress when I see fit.<br /><br />I honestly can only remember ONE time when I was surprised that a particular patient developed a pressure ulcer, and this patient did not score as "high risk" using all the wonderful screening and assessment tools that the powers that be require us to fill out endlessly.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-6277229251527832949.post-19012821633305923842010-09-25T12:38:03.271-07:002010-09-25T12:38:03.271-07:00What I would like to know and no one important has...What I would like to know and no one important has ever explained it to me is that, why, when Drs are probably the most litigated against profession in the country do they manage to defend themselves from often one line in a pts notes whereas we are expected to write the equivalent of war and peace in triplicate each time a pt farts. Fuckwittery of the first degreeNurse Neilnoreply@blogger.comtag:blogger.com,1999:blog-6277229251527832949.post-18922016235202161452010-09-25T11:06:06.610-07:002010-09-25T11:06:06.610-07:00Anonymous (6:51) I completely agree that pressure ...Anonymous (6:51) I completely agree that pressure sores should be prevented rather than developing in the first place. I think every nurse knows that pressure sores are caused by poor nursing and I personally find it very shameful when a patient under my care gets one.<br /><br />Pressure sores can easily be prevented by early identification, adequate staffing and simple measures.<br /><br />Unfortunately adequate staffing simply does not exist on most wards and as a result patients do not get repositioned as often as they should. Also many patients have pressure sores prior to admission and what about patients who refuse to be turned, despite explanation of the risks?<br /><br />I guess the point I was originally trying to make is that there is far too much documentation and that my time would be better spent with the patient.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-6277229251527832949.post-70516849497379191922010-09-25T07:16:13.421-07:002010-09-25T07:16:13.421-07:00and of course everything else you say is true as w...and of course everything else you say is true as wellNurse Annehttps://www.blogger.com/profile/05400048448105519082noreply@blogger.comtag:blogger.com,1999:blog-6277229251527832949.post-90176714409552786532010-09-25T07:15:58.222-07:002010-09-25T07:15:58.222-07:00True about equipment library and their "oh so...True about equipment library and their "oh sorry no mattresses" shit.Nurse Annehttps://www.blogger.com/profile/05400048448105519082noreply@blogger.com