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I havev had more experience than I would have liked of hospital care both as a patient and a visitor. <br /><br />I have experienced excellent staff as well as some very lazy and rude staff. In the past I have talked about all staff as nurses, as I don't know who is who.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-6277229251527832949.post-81771538122237156622007-09-21T00:58:00.000-07:002007-09-21T00:58:00.000-07:00Thanks for your reply, Anne. I've linked to you an...Thanks for your reply, Anne. <BR/><BR/>I've linked to you and will be watching with great interest!<BR/><BR/>Yours in admiration,<BR/>Steph<BR/><BR/>http://biopsy.wordpress.com/Unknownhttps://www.blogger.com/profile/02199737182233094649noreply@blogger.comtag:blogger.com,1999:blog-6277229251527832949.post-45259002969728132482007-09-20T18:30:00.000-07:002007-09-20T18:30:00.000-07:00Yes, you're right, this is happening in the US as ...Yes, you're right, this is happening in the US as well -- I think we perhaps invented it, though for the sake of corporate profits rather than something related to the way the NHS "thinks."<BR/><BR/>Now we have this major push for more and more EMR - electronic medical record, which means that nurses add the task of wrestling with a computer to enter data about their patients that no one ever reads because you can't get anything comprehensible from the computer -- it's like conceiving of a spreadsheet as literature.<BR/><BR/>So interestingly enough we have managed in the electronic 21st century to advance medicine to the state of prehistory, where the only useful information is obtained by word-of-mouth.Greg Phttps://www.blogger.com/profile/18422487877167541900noreply@blogger.comtag:blogger.com,1999:blog-6277229251527832949.post-46089078365122684452007-09-20T15:44:00.000-07:002007-09-20T15:44:00.000-07:00Hi StephThanks so much for your comments. I like ...Hi Steph<BR/><BR/>Thanks so much for your comments. I like to hear from patients. I understand that patients are suffering a great deal and that is one of the reasons I started this blog. Not only do I want to blow off steam but I want to open up the lines of communication between patients and healthcare staff since we are all getting burned here. <BR/><BR/>I really think we all need to get together on a lot of this stuff and that we have a common enemy. <BR/><BR/>I have a child who suffered life long damange due to a hospital screw up. I also had a close relative who suffered horribly and died as a result of a miscommunication during the course of an illness. Many of us (nurses) do know what it is like to be on the other side so to speak. As a nurse I have personally fucked up in the past (nothing major thank god). At the beginning of every shift I pray that I don't make an error that hurts someone and at the end of my shift I say "there by the grace of god go I". And I was never the religious praying type.<BR/><BR/>Errors like these occur due to a chain of events that goes to hell early on in the process and much of the time errors occur because of overwhelmed staff rather than staff who is uncaring and lazy. <BR/><BR/>Anyway it's nice to hear from you.Nurse Annehttps://www.blogger.com/profile/05400048448105519082noreply@blogger.comtag:blogger.com,1999:blog-6277229251527832949.post-89790315285999307772007-09-20T13:48:00.000-07:002007-09-20T13:48:00.000-07:00Hello! Militant Nurse Anne - I like your style! Y...Hello! Militant Nurse Anne - I like your style! You certainly do say it as it is and your post has clarified a great deal. I wrote a post yesterday on Nursing in the NHS (from a patient's perspective) and if I'd known then what you've described here, it would have explained a lot.<BR/><BR/>You said "Meanwhile all of the "support staff" who have no liability hang around at the nurses station dressed in uniforms nearly identical to ours. That isn't to say that we don't have some excellent support staff that have a very difficult job. My big concern is that the patients/visitors don't know who is who". <BR/><BR/>I realise now that a lot of the 'nurses' that I saw hanging around were probably actually 'support staff' - this explains my disbelief at their inability to communicate or to function without having to tick a box first. I know that many patients these days give the nurses a really hard time - but others (and I include myself here) really do suffer in silence and their health is definitely compromised.<BR/><BR/>I had no idea that things were quite as bad for nurses as you describe. I'm not in the least bit surprised that you feel so angry about what's happening to your profession.<BR/><BR/>I totally agree with you about the situation with hospital managers. We have the exact same problems here in the Irish health service (I used to work in it) which like the NHS, shows all the hallmarks of going into meltdown.<BR/><BR/>You sound like a brilliant nurse and I apologise if I've offended you with my views on the NHS.<BR/><BR/>http://biopsy.wordpress.com/<BR/><BR/>2007/09/19/nursing-care-goes-bananas/<BR/><BR/>Keep on trucking!<BR/><BR/>Regards, StephUnknownhttps://www.blogger.com/profile/02199737182233094649noreply@blogger.comtag:blogger.com,1999:blog-6277229251527832949.post-3877866974128756962007-09-19T14:50:00.000-07:002007-09-19T14:50:00.000-07:00I can see that this is going to get interesting.I'...I can see that this is going to get interesting.<BR/><BR/>I've linked you and I'm looking forward to reading more - welcome to blogland!Mousiehttps://www.blogger.com/profile/16465249551690887635noreply@blogger.comtag:blogger.com,1999:blog-6277229251527832949.post-25194117453642667822007-09-18T03:54:00.000-07:002007-09-18T03:54:00.000-07:00Great post! Here's my take on things: I work in ...Great post! Here's my take on things: I work in a fairly busy ER where leaving in-patients in the ER seems to be the rule of the day. This is a real burden on ER nurses because, unlike the floors, the number of patients continue to increase and those same nurses are required to care for these in-patients, with no nurse to patient ratios that the floors currently use. Thus, if an MI patient arrives and that same nurse has 2 admitted abdominal pains, a back pain and in intractable nausea and vomiting, guess who gets the attention? You guessed it: the MI. This isn't to the in-patients, nor is it fair to the nurse.<BR/><BR/>We're told that there are no nurses to take care of these in patients, there are no beds available, hospital census is low, thus less staff. Occasionally we'll get a tele flex nurse to care for the in patients, but this is a rarity, and these tele flex nurses don't handle the stress of an ER well because it isn't their forte...<BR/><BR/>The complaints aren't new. The question is, what can we do about it?ED Scribbler RNhttps://www.blogger.com/profile/10387074336470777917noreply@blogger.comtag:blogger.com,1999:blog-6277229251527832949.post-67465641565119600312007-09-14T23:58:00.000-07:002007-09-14T23:58:00.000-07:00....And complaints are bloody expensive.....And complaints are bloody expensive.Nurse Annehttps://www.blogger.com/profile/05400048448105519082noreply@blogger.comtag:blogger.com,1999:blog-6277229251527832949.post-71558450880484609812007-09-14T23:57:00.000-07:002007-09-14T23:57:00.000-07:00You are totally right.Just remember that when Rupe...You are totally right.<BR/><BR/>Just remember that when Rupert's mummy gets starved to death in hospital he will blame the nurses directly as either to stupid to understand that people need to be fed or to bitchy to care. Idiot.<BR/><BR/>You wouldn't believe some of the things that are going on at my trust. A newly qualified nurse who on has experience working in medical was sent to work on a surgical ward. She had never been on this ward before, she had no experience looking after surgical patients nor the specialty that they were under, and she was left alone with 15 patients on her own. Poor girl spent half the shift looking for stuff. <BR/><BR/>They have closed down medical wards but are overwhelmed with medical patients. Therefore they are sending the medical patients and the staff from the closed wards onto the surgical wards. So now we have a mix of medical and surgical patients in each bay. It gets worse and worse I can't even go into detail here. That have managed to get rid off lots of staff nurses and HCA's as well. <BR/><BR/>How would you like to go into a new specialty on a ward you have never seen before and be responsible for 15 patients on yuour own with no one to bounce anything off of? Come work at my hospital.<BR/><BR/>Now the surgical wards are full of medical patients who are medically stable but cannot care for themselves and have dementia. They wait months for nursing homes. Months and months. Can't get any of the scheduled surgical patients in now.<BR/><BR/>The nurses are miserable. The patients are miserable. The managers can't figure out how this little trick hasn't saved more money. Our complaints have increased tremendously since they did this.Nurse Annehttps://www.blogger.com/profile/05400048448105519082noreply@blogger.comtag:blogger.com,1999:blog-6277229251527832949.post-55588040849491823172007-09-14T16:07:00.000-07:002007-09-14T16:07:00.000-07:00The simple (and gut churningly awful) answer to al...The simple (and gut churningly awful) answer to all this is that in the main the NHS is more worried about the care of its financial status then the care of the patients. <BR/><BR/>Nurses are the easy target. The government privatised the support services (cleaners, porters, hostesses etc). That saved some money. But not much.<BR/><BR/>Then they culled back these staff to save paying for it.<BR/><BR/>It saved some more.<BR/><BR/>Then somebody got the accounts wrong, and we work up to be told we were left with a financial black hole the size of Belgium. There was a "financial recovery" plan initiated. While this seems nice, I am left with the distinct impression that all the happened was that a group of people sat around in an office saying things like "ooh" and "crikey".<BR/><BR/>Then someone called Rupert who was not bright enough to land a job in the city finiance market looked at the accounts and relised there was some money being spent on nurses. Rupert was not very bright indeed, and told the NHS that less nurses means they save money. <BR/><BR/>They culled nurses. Then still lost money. There was some rumbles from the shop floor which the heared a bit in their sealed ivory tower. Then the physiotherapists and occupational therapists went west in the same manner, but hey, the public would never know right? But still Rupoert lost money.<BR/><BR/>So why not cull the doctors? "Cull". Hmm...not a palliatable taste...but "modernise".<BR/><BR/>So they did. Then somebody opened the curtains in the ivory tower showing the desimated landscape of the NHS where nurses are burt out, over worked and the patients up the creek without a paddle.<BR/><BR/>And until Ruperts mummy happens to snuff it because a nurse was too overworked to care properly, this will continue to happen. Because Rupert know just how expensive patients are to keep in the hospital with costs money, so if we close the beds, wards and hospitals...Staff Nurse Mhttps://www.blogger.com/profile/07476470836536940135noreply@blogger.com