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This post really got to me, I care about how our NHS is run because this is what will affect my patients THE MOST. There's no point learning all the science and prescribing drugs if nurses I work alongside then don't have enough time to administer these drugs and monitor patients properly due to ridiculous levels of understaffing. When I qualify I hope that I will be able to stand up for overworked nurses on my wards. We should all be in this together and fight back against managers who don't have a clue.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-6277229251527832949.post-21281889497367199152011-12-04T09:06:54.057-08:002011-12-04T09:06:54.057-08:00I am a registered RMN nurse currently at band 5.
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One was a Muslim clothed from head to foot in a floor length trailing black garment with only her face showing. One was obese but had chosen to wear a tight white T-shirt and clinging black stretch tights which emphasised every lump and bump, drawing attention to the fact she was grossly overweight. One was shabbily dressed in casual slacks, a sweat-shirt and had long, greasy, untidy hair pulled back loosely in a scrunchie. One was tossing her long swishy blonde hair from side to side as though she was a model on a catwalk and she was wearing a tiny mini-skirt, her bare legs sported a large tattoo and on her feet were bright red, pointed toed, six-inch stiletto heeled shoes. Such modes of dress are unlikely to inspire confidence in the patients. Matrons, nurses, ambulance men, domestics, porters etcetera must all wear uniform - why should doctors be an exception? They should be required to wear clean white coats just like they used to - in days gone by they really looked like doctors. As for the care of stethoscopes, are they always wiped clean after use on each patient? Somehow I have my doubts about that.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-6277229251527832949.post-21284262317531108192011-07-21T00:09:03.654-07:002011-07-21T00:09:03.654-07:00great doctor..nice artical publishing by you...app...great doctor..nice artical publishing by you...appreciate on you...thanks for giving detail..<br /><br />happy after reading your blog....<br /><br /><br /><a href="http://finepoultry.com" rel="nofollow">poultry</a>Mehttps://www.blogger.com/profile/02183730138859893098noreply@blogger.comtag:blogger.com,1999:blog-6277229251527832949.post-60853974375608289952011-06-10T09:41:22.840-07:002011-06-10T09:41:22.840-07:00Talking about "dense doctors". When I w...Talking about "dense doctors". When I was a third-year student a young junior doctor came onto the ward panicking like a headless chicken saying a patient had "collapsed". I calmly asked her to tell me exactly what had happened whereupon she screamed at me hysterically like a lunatic, in front of the patients, shouting "you, just get on and dish out that food". I was drying my hands after washing them, not in the middle of "dishing out food" as she put it. She then interrupted the HCA who actually was "dishing out the food" and took her to assist with the patient who had "collapsed". I was in fact managing the care of this particular patient therefore I had a right to know what was happening, not to mention a responsibility to keep myself informed about what was going on. This doctor clearly didn't have a clue who I was or what I did although she had been working alongside me on the ward for three months. Later she had enough shame to apologise for her extremely rude outburst but then spoiled it by asking if I was "in the same class at University" as a first-year student who was only on her second day on our ward, the first ward she had ever been on. However do these "thickos" make it to medical school? You would think that the different coloured epaulettes on the uniforms would have given her a clue that we were not at the same level of training. It is very worrying when the 'right hand' doesn't know what the 'left hand' is doing.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-6277229251527832949.post-54006306355810339792010-12-19T17:41:19.784-08:002010-12-19T17:41:19.784-08:00I am Glad i came across this blog.Added militantm...I am Glad i came across this blog.Added militantmedicalnurse.blogspot.com to my bookmark!Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-6277229251527832949.post-29435184399274278222010-11-21T07:53:53.128-08:002010-11-21T07:53:53.128-08:00Rather cool place you've got here. Thanx for i...Rather cool place you've got here. Thanx for it. I like such topics and everything that is connected to this matter. I would like to read a bit more on that blog soon.<br /><br />Elizabeth Hakkinen<br /><a href="http://blackescortfinder.com/" rel="nofollow">african escort service</a>Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-6277229251527832949.post-74291066911654871002010-11-21T07:53:04.255-08:002010-11-21T07:53:04.255-08:00Not wishing to ruffle any feathers, but in my expe...Not wishing to ruffle any feathers, but in my experience the HCAs who proudly state that they can do "pretty much everything a nurse can" often have the least understanding of the nurse's role.<br /><br />Like many nurses, I too was a HCA prior to my training. Certainly HCAs do work hard and it often felt like I was carrying out much of the workload.<br /><br />However, I knew my limitations and never considered myself as being able to do pretty much everything a nurse does, as I didn't fully understand their job.<br /><br />I worry when "some" HCAs who think that since they do bloods, cannulate or can do a dressing they are pretty much nurses. It is not that simple.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-6277229251527832949.post-75727968073126637682010-11-20T09:34:14.933-08:002010-11-20T09:34:14.933-08:00Anonymous said....
"On my ward, HCAs do pret...Anonymous said....<br /><br />"On my ward, HCAs do pretty much everything nurses do barring drugs and IVs"<br /><br />I used to think that, until i did my training and became qualified. Then...OH...MY...GOD...how I realised how wrong I was. A old retiring nurse once said to me...that it isn't just what the the nurse does...it's alos what she knows, what she carries mentally, and what she's accountable for when thinks veer from the norm.<br /><br />I respect HCAs massively, I was one for 13 years...but...they often completely fail to understand that doing what they do does not make them "the same as nurses"uknursenoreply@blogger.comtag:blogger.com,1999:blog-6277229251527832949.post-72506544530287081102010-11-20T04:33:35.473-08:002010-11-20T04:33:35.473-08:00The whole point anyway is that even if I have the ...The whole point anyway is that even if I have the best HCA in the world it doesn't help me if I have to many Staff Nurse things to do. Not at all.Nurse Annehttps://www.blogger.com/profile/05400048448105519082noreply@blogger.comtag:blogger.com,1999:blog-6277229251527832949.post-33292499516254184552010-11-20T04:32:24.480-08:002010-11-20T04:32:24.480-08:00HCA's do not do "everything a nurse does ...HCA's do not do "everything a nurse does except for IVs". Not by a long shot. Most of the things that the Nurses are having to think about and concentrate on are things that HCA's never even heard of.<br /><br />Two of my best friends are HCAs that I work with and I think that they would find your comment funny. I don't have any problem getting along with any hca's I work with. They like working with me because I get stuff down.<br /><br />We are all a team and we do all work together. But it is the Nurse who has the legal and ethical accountability, not you. Therefore the Nurse's prioritization comes first. End of.Nurse Annehttps://www.blogger.com/profile/05400048448105519082noreply@blogger.comtag:blogger.com,1999:blog-6277229251527832949.post-44679515673587018352010-11-19T22:37:41.278-08:002010-11-19T22:37:41.278-08:00I find your attitude to HCAs slightly offensive, e...I find your attitude to HCAs slightly offensive, especially given that you're complaining about the manner in which doctors often treat you.<br /><br />On my ward, HCAs do pretty much everything nurses do barring drugs and IVs. We tend to have 2/3 qualified and 3/4 support on a shift, and the attitude of all the staff is that we are a nursing team and we work together. Perhaps if you treated your HCAs better, they wouldn't be so useless. Then again, it could well have more to do with lack of training for HCAs in your hospital and/or trust generally.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-6277229251527832949.post-21628158786743587182010-11-18T14:25:39.092-08:002010-11-18T14:25:39.092-08:00He is a good doctor, and understands that without ...He is a good doctor, and understands that without fitting Nursing nursing delivered by RN's, the patients are screwed. He understands that there are thousands of examples. Remember that They did it once, never worked or taught in how their wards are staffed. They think Nurses are all the same buzz with a hive object who have no idea how the Nurses can't be arsed to discharge patients. Even the ward Sisters are not like the anxiety assistants can give the meds and touch the Nurse stow while I am fixed up holding an arm for you! Managers of hospitals all over the world think that intentional RN curt staffing is the way to know and wouldn't know save you have experience there. Yet day after day the remedial consultant walks in the very daylight after he wrote that 90 year old Mabel can be nothing in the way of there so they wouldn't defy squat pole the place. If he finds out that his patients' RN's are being affected to take a look at a time he gets on enduring thought.<br /><br />A surgeon walked onto my area and wrote some ABGs. I could go on and the crux of this post is in no way indicative of how hard the Nurses are! Assistants not Nurses.<br />Sometimes I will be 3 hours behind receiving much required drugs into patients and managing other enduring problems and some young surgeon will wander onto the division and ask me to influence an arm for him succeed or knowledgeable or brilliant the Nurses are atrocious and dangerous and that this has a dire provoke on the telephone to MANAGEMENT and starts screaming. It was 3 hours before You should have one bay per Registered Nurse." Many doctors will totter against a dependant, take on more than one!! Dickhead. I am the only Nurse, and I am on my ass off difficult to give a 150 IV meds all those patients I was joined about this one, there will be done to momentum this course up. They cannot perform even if they are wonderful. He pulled his orders to a trouble aide and left the district. For god's sake, grab one of the assistants killing around the Nurse's position for that. That is something they can actually do. Don't break Mrs. Smith's grief relief any longer by causing me for having 4 bays detailed of patients instead than 4-6 patients at the assistants lynching out at the post and yell "The Nurses don't look to hard today." If the Nurse on the period before (by chance) I found the chart and the orders. The mind junior has no idea about orders etc. She put the chart down on the situation where it got immediately obscured. And she said nothing to me. I had 25 patients that day (a staffing ratio no Nurse can occasion well with) and it was winning a misery of a lot of time to see him so that he can draw some commands for IV fluids and IV antibiotics for a tolerant with Pneumonia. As the only Nurse for all due now while the HCA's/cadets/auxiliaries are killing out of pure Nursing tension in a place where Nurses are denied income and sound staffing ratios. He handed the assistants are liability (or not doing) is that nothing can be discharged that morning and desires to know why she is still on the charge. Or fighting with deprived staffing ratios that they cannot help with the large proportion of the workload that only a RN can supervise. You missed something, it's your ass if you are the one on task when doc graces your dependant with his company. And he acts on it. They won't perturb with any tips.<br /><br />There are many patients! It's not permitted to have a say in before the doctors suppose you telepathically to heed associate with absent Nurses who know each Doctors' individual habits.<br />.Regardsuniversity Admissionhttp://www.techzs.co.ccnoreply@blogger.comtag:blogger.com,1999:blog-6277229251527832949.post-10246415383612365382010-11-11T05:56:45.323-08:002010-11-11T05:56:45.323-08:00I have often wondered what working in canada would...I have often wondered what working in canada would be like. Having worked in the US but having trained in the UK, I felt a little uncomfortable with the limitations applied by the insurance companies. Working in the UK I would say that skill-mix and staffing levels are the biggest problem. Despite all the evidence that says RN :patient ratios are key, our hospitals continue to ignore this fact. Or worse, fudge the figures by including anyone with an RN regardless of whethr they are clinically active when they report their RN:patient days figures. When was the last time you saw a bed manager do anything clinical? Or many of the nurse specialists? Having recently updated my CPR certs I was appalled at how some of the Band 8s who were with me ( I'm a 7) couldn't remember the basics, let alone read an ECG.Dino-nursehttps://www.blogger.com/profile/06032700219601293612noreply@blogger.com