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am not a nurse but am a state registered allied ...I am not a nurse but am a state registered allied healthcare professional, was working in private hospital. <br /><br />After having repeatedly complained about one healthcare assistant being constantly glued to her mobile phone and never helping me, I quit. <br /><br />I agree there are HCAs that are very good, and I too was so grateful when those were around but unfortunately the HCA I had problems with is a protected species and because she has been working there for 10 years she assumed managerial status and just because she had an NVQ, everything I asked her help for was beneath her. <br /><br />I have spent years and made a lot of sacrifices to get my degree, and like you say, I am supposed to be responsible for this HCAs work. But I was run ragged as a result of managers using the KPIs (key performance indicators) and turning a blind eye simply because I always managed to get the job done. I even had surgeons stopping me from leaving theatres because they wanted me to stop jumping from one department to the next, telling me that I shouldn't be trying to cope with the workload alone; the said that if I managed, my seniors would always expect me to manage. <br /><br />Quite often this specific HCA didn't bother to stick to her rota and didn't turn up, so instead of chastising her, the Radiology Manager (a Theatre Nurse by own trade herself) just used secretarial staff that's how dangerously stupid it has been. <br /><br />Yet, if something had ever gone wrong, you are right, it would have been my head on the chopping block. They put my registration at risk yet I am powerless to refuse to work with her. <br /><br />So I walked. I now have NO MONEY coming in whatsoever. AND,since the hospital has a bad retention and recruitment record in my department, my qualified colleagues that protected her will have to carry the workload now with one less professional around.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-6277229251527832949.post-56281514072767533522011-07-27T12:05:34.381-07:002011-07-27T12:05:34.381-07:00If you read through posts on mums forums you'l...If you read through posts on mums forums you'll see thzat msot problems are due to lack of communciation - not surprisiong really that the semantics of the ward are misunderstood.<br /><br />When I recently went into hospital for different reason the little book I was given said who everyone was and had a breif description of their duties etc. This seemed a good idea. Also, sorry but also: My own personal experience of post natal care with midwives has been that it has not been the difference in level of care that differentiated the HCA and MW - it was [and I hate to say it] that all but one midwife treated me like a trouble maker for being there and HCA smiled and treated me like a human,<br /><br />Just my observations.<br /><br />A lot of respect for NHS staff.babymossycowhttps://www.blogger.com/profile/02795868645288723532noreply@blogger.comtag:blogger.com,1999:blog-6277229251527832949.post-74879916543985868522010-10-01T06:02:55.512-07:002010-10-01T06:02:55.512-07:00I found a lovely professioanl blog written by a Br...I found a lovely professioanl blog written by a British GP for you:<br /><br />http://www.drrant.net/2008/01/sick-as-mrsa-negative-trout.htmlNurse Annehttps://www.blogger.com/profile/05400048448105519082noreply@blogger.comtag:blogger.com,1999:blog-6277229251527832949.post-72548203289014045492010-10-01T05:41:37.613-07:002010-10-01T05:41:37.613-07:00Unforunately it is all true. And if truth is unpr...Unforunately it is all true. And if truth is unprofessional then so be it.<br /><br />Nurses have been asked to act like professionals for decades yet no one ever treats RNs like professionals. They use the whole "be professional" thing to use and abuse Nurses. Don't buy into it. I know how to act like a professional at work without eating shit and being a kicking bag.<br /><br />Wait until you get out there and see what kind of rubbish you have to put up with...lucky for you maternity isn't as bad yet.Nurse Annehttps://www.blogger.com/profile/05400048448105519082noreply@blogger.comtag:blogger.com,1999:blog-6277229251527832949.post-52064374229637898692010-10-01T05:33:55.350-07:002010-10-01T05:33:55.350-07:00I have to say, as senior student midwife, your &qu...I have to say, as senior student midwife, your "blog" is the most unprofessional thing i've ever seen.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-6277229251527832949.post-48859348621912393882010-08-04T08:37:25.546-07:002010-08-04T08:37:25.546-07:00,hello nurse anne im a student and i am currently ...,hello nurse anne im a student and i am currently in my last year in high school i would love to work in the maternity ward, i would just like some advice on what career i should be aiming at i would just like to know which is , well a good career to take. would you give me some advice if i should go on to be a midwife or a maternity ward nurse! i need some advice ? thank you nurse anneAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-6277229251527832949.post-53137686606583693052010-07-27T07:58:24.233-07:002010-07-27T07:58:24.233-07:00I had care during the birth of my stillborn baby l...I had care during the birth of my stillborn baby last year mostly with RN's instead of midwives on a postnatal ward. Live babies all around you is really nice situation when you are delivering a stillborn. There was a special bereavement maternity suite in the hospital but there were not enough staff for me to go there. I had to deliver my own placenta as everyone was just too busy to be with me. I'd love to have a face to face with the management team about staffing levels, I really would.LittleWandererhttps://www.blogger.com/profile/03101034304837448582noreply@blogger.comtag:blogger.com,1999:blog-6277229251527832949.post-46654864927132875652010-06-20T13:20:38.805-07:002010-06-20T13:20:38.805-07:00Believe it.
In England you have to decide on what...Believe it.<br /><br />In England you have to decide on what branch of nursing you want to work in before you do your training. You have to decide between becoming an RGN (Registered General Nurse)or Pediatrics or RMN (Psychiatric) or a learning disabilities nurse or Maternity (midwifery).<br /><br />If you are a registered general nurse working on a medical ward and you decide you want to do psychiatric nursing then you must back to school and get your RMN. If you are an RMN and you decide that you want to work in med-surg then you have to go back to school and get your RGN.<br /><br />I am an RGN and if I want to work in Maternity then I have to go back to nursing school and become a midwife. Or take a paycut and work as a nurse's aid.<br /><br />This pisses me off. I trained in North America so I have had general training. But they will only allow me to be an RGN here.<br /><br />The midwife program is 3 years and they are the people who run and staff the maternity wards. Your prenatal care, delivery, and post natal care is run by the midwives. If a midwife wants to work as an RN on a medical or surgical ward then she has to go back to nursing school.<br /><br />You can only get a doctor involved in the process if you are high risk or there is a complication. The midwives handle your entire delivery without a doctor. But they can call an OBGYN in if you have a complication. But only if there is a problem. The midwives deliver the baby and stitch you up and all that.<br /><br />After the birth your baby does not automatically get to register with a pediatrician. You don't get a say in that. The health visitors (registed children's nurses who work in the family doctors offices) at your family doctor's office take over your well baby check ups after the midwives turn you over to them.<br /><br />If the health visitor notices a problem she will refer you to your family doctor and if he notices a problem then you might get to see a pediatrician. <br /><br /> You can't just chose a pediatrician over here and make an appointment with him like we do in North America. You only get to see one of their is a problem with the baby. To be honest when I had a baby here after years in North America I was pissed off about it all. I want to work in L&D but I do not want the scope of practice that a midwife on a maternity ward in the UK has. No thank you sir.<br /><br />It is a way of controlling costs. Obamacare is your lot now so Americans are going to have to get to grips with this kind of care.Nurse Annehttps://www.blogger.com/profile/05400048448105519082noreply@blogger.comtag:blogger.com,1999:blog-6277229251527832949.post-22638730531071595062010-06-20T12:21:39.937-07:002010-06-20T12:21:39.937-07:00Really? No RNs work in OB? As an RN that has worke...Really? No RNs work in OB? As an RN that has worked 15 yrs in L&D in Canada and USA....I find that unbelievable.... =^@Cartoon Charactershttps://www.blogger.com/profile/07871661908222892370noreply@blogger.comtag:blogger.com,1999:blog-6277229251527832949.post-35376404352734737272010-06-19T18:20:22.286-07:002010-06-19T18:20:22.286-07:00We do need a better solution to critical care of p...We do need a better solution to critical care of pregnant/recently delivered mothers. The current situation seems to be that when a mother becomes critically ill, they are rushed to ICU/HDU, at which point the midwives (and obstetricians) seem to think they are no longer responsible for any aspect of care. The nurses and anaesthetists can do a great job of providing critical care skills/knowledge but don't know anything about managing PPH, for example, and thus feel totally out of their depth and unsupported. This has been my experience as a critical care nurse in a number of hospitals.<br /><br />I like the idea of a maternity HDU/ICU. Or even simply a pool of midwives who are dual trained as nurses/ODPs and have a background in critical care (or who can be given some experience in it). One hospital I do some work at occasionally is planning to house these patients in PACU when they arise, and a team of PACU ODPs/nurses has been identified. This team is undertaking rotations through ICU, HDU, L&D, obstetric theatres etc. to give them a background in all the relevant areas and they will then care for these patients when they come up.ICUnursehttps://www.blogger.com/profile/02164427199012795664noreply@blogger.comtag:blogger.com,1999:blog-6277229251527832949.post-73443811697898226342010-06-19T11:20:19.894-07:002010-06-19T11:20:19.894-07:00I am an F1, and recently worked in obs&gynae. ...I am an F1, and recently worked in obs&gynae. I could not agree more that maternity NEEDS good nurses as well as midwives, especially on the post-natal side. I am too junior to work on labour ward, so my job was split between the gynae ward, staffed by surgical nurses and HCAs, and the post-natal ward, staffed by midwives and MCAs. <br /><br />The two were worlds apart, and I really do think that having some decent surgical/gynae nurses on the post-natal ward would have made an enormous difference. Midwives are generally great at what they do when it comes to delivering babies, but I always got the feeling that once the women (sorry, "clients") came to the PN ward, they stopped being interested. Some nurses who understand why an up-to-date obs chart is important; or that a patient who had a laparotomy (sorry, Caesarian) the day before, might need a bit more analgesia than the paracetamol they had 3 hours ago (when other medication is prescribed but not administered), would have been an absolute Godsend!<br /><br />Please keep up the great work, both in hospital and on the blog!Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-6277229251527832949.post-27529022373729181692010-06-15T10:49:20.564-07:002010-06-15T10:49:20.564-07:00This comment has been removed by the author.Nurse Annehttps://www.blogger.com/profile/05400048448105519082noreply@blogger.comtag:blogger.com,1999:blog-6277229251527832949.post-63303218527461139082010-06-15T10:40:31.475-07:002010-06-15T10:40:31.475-07:00"I do not belive I have ever been a immature ..."I do not belive I have ever been a immature HCA and find your comments offensive."<br /><br />So the fact that you are a good care assistant makes all of them good? I don't think that is a very "mature" point of view. No pun intended. Not.Nurse Annehttps://www.blogger.com/profile/05400048448105519082noreply@blogger.comtag:blogger.com,1999:blog-6277229251527832949.post-63788959982493277992010-06-15T10:39:02.248-07:002010-06-15T10:39:02.248-07:00I work with a lot of good health care assistants. ...I work with a lot of good health care assistants. Those are the real health care assistants. Some are so good I am about ready to fall to my knees in gratitude when I see them on duty.<br /><br />The ones who are crap are the cadets and the apprentices who we are now getting instead of healthcare assistants. They are like little pre health care assistants. They often have an attitude problem to patients and staff a like. They are often young teenagers. They misrepresent Nursing. They can not do the job of a Nurse but they think that they can. Their idea of what nursing involves is very narrow.<br /><br />I don't care how offensive I am. This stuff is true.Nurse Annehttps://www.blogger.com/profile/05400048448105519082noreply@blogger.comtag:blogger.com,1999:blog-6277229251527832949.post-42236276541941033672010-06-15T10:32:51.408-07:002010-06-15T10:32:51.408-07:00Do you hate health care assitants or something? I ...Do you hate health care assitants or something? I have been working in care since I was 18 moved up to the hospital at 20 and left at 22 to do my training. <br /><br />I do not belive I have ever been a immature HCA and find your comments offensive.<br /><br />-Student Nurse and occasionally bank HCA.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-6277229251527832949.post-67863313656468743502010-06-15T05:36:19.378-07:002010-06-15T05:36:19.378-07:00I know exactly what you mean Dino.
I have heard o...I know exactly what you mean Dino.<br /><br />I have heard of a maternity patient that ended up in ITU in fluid overload/heart failure because the midwives allegedly ran 4 liters fo saline in over a couple of ours and then didn't know what furosemide was.<br /><br />You are right when you say that many of them resist medical intervention. <br /><br />There are some midwives that I would like to say this to "Yeah, let's go back to the 19th century when a third of women were dying of childbirth and pregnancy related complications because "it is supposed to be a natural process". Whatever. Advances in medicine have stopped women dying needlessly. Medicalisation is a good thing. <br /><br />If childbirth was simply a natural process why did a lack of advanced medical techniques kill so many? My great grandma was born in 1905 and she told me that in her day you had one foot in the grave when you fell pregnant. A simple natural process that medics should stay out of my arse. She told me that they wrote wills and prepared for their other children to be cared for when they fell pregnant since death is childbirth was the norm.<br /><br />I read a lot of stuff from the <br />19th century and it was commonplace for a man to lose 4 or 5 wives in succession because of childbirth. I recently read one account of a young woman in 1830's Indiana who died horribly delivering her first baby. The "midwife" was her illiterate mother in law. It took two days for the nearest person calling himself a doctor to get there and when he arrived he was drunk and had to be put to bed. If it is natural process that doesn't need medical professionals why did we have those kinds of outcomes constantly years ago?<br /><br />That is good that they have RN's in maternity HDU but I don't think they have them on the general maternity units at all. Not as far as I can tell.Nurse Annehttps://www.blogger.com/profile/05400048448105519082noreply@blogger.comtag:blogger.com,1999:blog-6277229251527832949.post-71327686785091320702010-06-15T05:13:22.569-07:002010-06-15T05:13:22.569-07:00Oh so true. However, I do think that in some respe...Oh so true. However, I do think that in some respects the midwives have made a rod for their own backs by insisting that childbirth is not a "medical" problem per se and (at least where I work) seem to be trying to push nurses and doctors out. About a year ago some bright spark decided to employ real nurses on the maternity HDU as it might reduce the numbers of mums who ended up being rushed over to ICU/HDU due to complications (PE, cardiac probs, low BP etc). It has worked pretty well and we had seen a real reduction. However the senior midwives were not happy as they felt we were medicalising the service too much. Now the nurses are being told to train up the midwives and go back to their own wards (as it was a seconment in the first place). They will not be getting any extra midwives to staff this HDU so I guess we will see more mums being rushed across site to us. No disrespect to the midwives but the seconded nurses were all from ICU/HDU/ED backgrounds with at least 3 years experience in these areas. This knid of experience comes with, well, EXPERIENCE.Dino-nursehttps://www.blogger.com/profile/06032700219601293612noreply@blogger.com