As you may have noticed MMN is on a break at the moment. Sorry that I haven't updated in awhile. I should have more posts coming your way by summer.
Take Care!
Anne
This Angel is pissed off. I'm Nurse Anne and I work on large general medical ward in the NHS. These are the wards with the most issues surrounding nursing care. The problems are mostly down to intentional understaffing by hospital chiefs that result in a lack of real nurses on the wards. "The martyr sacrifices themselves entirely in vain. Or rather not in vain, for they merely make the selfish more selfish, the lazy more lazy and the narrow more narrow"-Florence Nightengale
In an atmosphere if universal deceit telling the truth is a revolutionary act. George Orwell.
Why has Nursing Care Deteriorated
Good nurses are failing every day to provide their patients with a decent standard of care. You want to know what has happened? Read this book and understand that similiar things have happened in the UK. Similiar causes, similiar consequences. And remember this. The failings in care have nothing to do with educated nurses or nurses who don't care. We need more well educated nurses on the wards rather than intentional short staffing by management.
http://www.amazon.co.uk/Nursing-Against-Odds-Stereotypes-Undermine/dp/080147292X/ref=sr_1_1?ie=UTF8&s=books&qid=1263123140&sr=8-1
http://www.amazon.co.uk/Nursing-Against-Odds-Stereotypes-Undermine/dp/080147292X/ref=sr_1_1?ie=UTF8&s=books&qid=1263123140&sr=8-1
About Me
- Nurse Anne
- I am a university educated registered nurse. We had a hell of a lot of hands on practice as well as our academic courses. The only people who say that you don't need a brain or an education to be an RN are the people who do not have any direct experience of nursing in acute care on today's wards. I have yet to meet a nurse who thinks that she is above providing basic care. I work with nurses who are completely unable to provide basic care due to ward conditions. I have lived and worked in 3 countries and have seen more similarities than differences. I have been a qualified nurse for nearly 15 years. I never used to use foul language until working on the wards got to me. It's a mess everywhere, not just the NHS. Hospital management is slashing the numbers of staff on the ward whilst filling us up with more patients than we can handle... patients who are increasingly frail. After an 8-14 hour shift without stopping once we have still barely scratched the surface of being able to do what we need to do for our patients.
My Favourite Posts
Are all those nurses on the ward really nurses? Not by a long shot.
Safe Staffing Testimony videos .
Why do nurses need degrees?
Fighting back against the Media
Why do Patients starve in hospital?
Why do the elderly suffer the most?
Where is Matron?
The Times is full of it
The Times doesn't know anything about Nursing
What happens when people complain?
Staffordshire
Did University training pull student nurses off of the wards? NO.
Things I WOULD LOVE TO TELL PATIENTS AND RELATIVES AND GET A AWAY WITH IT.
Nurse Anne's Information Pamphlet for Hospital patients and Relatives.
Safe Staffing Testimony videos .
Why do nurses need degrees?
Fighting back against the Media
Why do Patients starve in hospital?
Why do the elderly suffer the most?
Where is Matron?
The Times is full of it
The Times doesn't know anything about Nursing
What happens when people complain?
Staffordshire
Did University training pull student nurses off of the wards? NO.
Things I WOULD LOVE TO TELL PATIENTS AND RELATIVES AND GET A AWAY WITH IT.
Nurse Anne's Information Pamphlet for Hospital patients and Relatives.
Quotes of Interest. Education of Nurses.
Hospitals with higher proportions of baccalaureate-prepared nurses tended to have lower 30-day mortality rates. Our findings indicated that a 10% increase in the proportion of baccalaureate prepared nurses was associated with 9 fewer deaths for every 1,000 discharged patients."...Journal of advanced nursing 2007
THIS MEANS WE NEED WELL EDUCATED NURSES AT THE BEDSIDE NOT IN ADVANCED ROLES
Dr. Linda Aiken and her colleagues at the University of Pennsylvania identified a clear link between higher levels of nursing education and better patient outcomes. This extensive study found that surgical patients have a "substantial survival advantage" if treated in hospitals with higher proportions of nurses educated at the baccalaureate or higher degree level.
THIS MEANS WE NEED WELL EDUCATED NURSES AT THE BEDSIDE NOT IN ADVANCED ROLES
Dr. Linda Aiken and her colleagues at the University of Pennsylvania's Center for Health Outcomes and Policy Research found that patients experienced significantly lower mortality and failure to rescue rates in hospitals where more highly educated nurses are providing direct patient care.
Evidence shows that nursing education level is a factor in patient safety and quality of care. As cited in the report When Care Becomes a Burden released by the Milbank Memorial Fund in 2001, two separate studies conducted in 1996 - one by the state of New York and one by the state of Texas - clearly show that significantly higher levels of medication errors and procedural violations are committed by nurses prepared at the associate degree and diploma levels as compared with the baccalaureate level.
Registered Nurse Staffing Ratios
International Council of Nurses Fact Sheet:
In a given unit the optimal workload for a registered nurse was four patients. Increasing the workload to 6 resulted in patients being 14% more likely to die within 30 days of admission.
A workload of 8 patients versus 4 was associated with a 31% increase in mortality. (In the NHS RN's each have anywhere from 10-35 patients per RN. It doesn't need to be this way..Anne)
Higher registered nurse staffing levels resulted in reduced numbers of urinary tract infections, pneumonia, upper gastrointestinal bleeding and shock in medical patients and lower rates of "failure to rescue" and urinary tract infections in major surgery patients.
Thirteen separate studies on nursing care in the late 1980s and early 1990s analyzed by Patricia Prescott,
RN, Ph.D. in late 1993 documented a direct correlation between safe staffing levels and lower mortality
rates and other related patient outcomes.......
Registered Nurses in NHS hospitals usually have between 10 and 30+ patients each on general wards.
Earlier in the year, the New England Journal of Medicine published results from another study of similar genre reported by a different group of nurse researchers. In that paper, Needleman et al3 examined whether different levels of nurse staffing are related to a patient’s risk of developing complications or of dying. Data from more than 5 million medical patient discharges and more than 1.1 million surgical patient discharges from 799 hospitals in 11 different states revealed that patients receiving more care from RNs (compared to licensed practical nurses and nurses’ aides) and those receiving the most hours of care per day from RNs experienced fewer complications and lower mortality rates than those who received more of their care from licensed practical nurses and/or aides. Specifically for medical patients, those who received more hours per day of care from an RN and/or those who had a greater proportions of their care provided by RNs experienced statistically significant shorter length of stay and lower complication rates (urinary tract infections, gastrointestinal bleeding, pneumonia, cardiac arrest, or shock), as well as fewer deaths from these and other (sepsis, deep vein thrombosis) complications
In a given unit the optimal workload for a registered nurse was four patients. Increasing the workload to 6 resulted in patients being 14% more likely to die within 30 days of admission.
A workload of 8 patients versus 4 was associated with a 31% increase in mortality. (In the NHS RN's each have anywhere from 10-35 patients per RN. It doesn't need to be this way..Anne)
Higher registered nurse staffing levels resulted in reduced numbers of urinary tract infections, pneumonia, upper gastrointestinal bleeding and shock in medical patients and lower rates of "failure to rescue" and urinary tract infections in major surgery patients.
Thirteen separate studies on nursing care in the late 1980s and early 1990s analyzed by Patricia Prescott,
RN, Ph.D. in late 1993 documented a direct correlation between safe staffing levels and lower mortality
rates and other related patient outcomes.......
Registered Nurses in NHS hospitals usually have between 10 and 30+ patients each on general wards.
Earlier in the year, the New England Journal of Medicine published results from another study of similar genre reported by a different group of nurse researchers. In that paper, Needleman et al3 examined whether different levels of nurse staffing are related to a patient’s risk of developing complications or of dying. Data from more than 5 million medical patient discharges and more than 1.1 million surgical patient discharges from 799 hospitals in 11 different states revealed that patients receiving more care from RNs (compared to licensed practical nurses and nurses’ aides) and those receiving the most hours of care per day from RNs experienced fewer complications and lower mortality rates than those who received more of their care from licensed practical nurses and/or aides. Specifically for medical patients, those who received more hours per day of care from an RN and/or those who had a greater proportions of their care provided by RNs experienced statistically significant shorter length of stay and lower complication rates (urinary tract infections, gastrointestinal bleeding, pneumonia, cardiac arrest, or shock), as well as fewer deaths from these and other (sepsis, deep vein thrombosis) complications
RN's spend less time on the basics these days. Why?
They can't help it.
Patients today have much higher acuity, yet the skill levels of staff have declined as hospitals insist on replacing trained nurses with unlicensed assistive personnel. The registered nurse still is responsible for everything. He just covers a much larger, and sicker group of patients than his colleagues of yesteryear.
•Lower levels of hospital registered nurse staffing are associated with more adverse outcomes such as Pneumonia, pressure sores and death.
•Patients have higher acuity, yet the skill levels of the nursing staff have declined as hospitals replace RN's with untrained carers.
•Higher acuity patients and the added responsibilities that come with them increase the registered nurse workload.
•Avoidable adverse outcomes such as pneumonia can raise treatment costs by up to $28,000.
•Hiring more RNs does not decrease profits. (Hospital bosses don't understand this. They think that they will save money by shedding real nurses in favour of carers and assistants. The damage done to the patients as a result of this costs more moneyi.e expensive deaths, complications,and lawsuits, and complaints....Anne)
Patients today have much higher acuity, yet the skill levels of staff have declined as hospitals insist on replacing trained nurses with unlicensed assistive personnel. The registered nurse still is responsible for everything. He just covers a much larger, and sicker group of patients than his colleagues of yesteryear.
•Lower levels of hospital registered nurse staffing are associated with more adverse outcomes such as Pneumonia, pressure sores and death.
•Patients have higher acuity, yet the skill levels of the nursing staff have declined as hospitals replace RN's with untrained carers.
•Higher acuity patients and the added responsibilities that come with them increase the registered nurse workload.
•Avoidable adverse outcomes such as pneumonia can raise treatment costs by up to $28,000.
•Hiring more RNs does not decrease profits. (Hospital bosses don't understand this. They think that they will save money by shedding real nurses in favour of carers and assistants. The damage done to the patients as a result of this costs more moneyi.e expensive deaths, complications,and lawsuits, and complaints....Anne)
Contact Me
Posts
Followers
Very Cool Blogs:
Disclaimer
I know I swear too much. I am truly very sorry if you are offended. Please do not visit my blog if foul language upsets you. I want to help people. That is why I started this blog and that is why I became a Nurse. I won't run away from Nursing just yet. I want to stick around and make things better. I don't want the nurses caring for me when I am sick working in the same conditions that I am.
Of course this is all just a figmant of my imagination anyway and I am not even in this reality. Or am I?
Any opinions expressed in my posts are mine and mine alone and do not represent the viewpoint of the NHS, the RCN, God, or anyone else.
Patient confidentiality will not be breached in this blog.
Of course this is all just a figmant of my imagination anyway and I am not even in this reality. Or am I?
Any opinions expressed in my posts are mine and mine alone and do not represent the viewpoint of the NHS, the RCN, God, or anyone else.
Patient confidentiality will not be breached in this blog.
Are YOU CRYING?
There is no crying. THERE IS NO GODDAMN CRYING IN NURSING .
22 comments:
Thank god you're due to return! I sent an e-mail I was so worried. Looking forward to hear from you soon.
Mary.
I had assumed you'd finally had enough and buggered off back to the US ;-)
I look forward to your return . . . I am rather alarmed by some ads for a radio 4 bbc programme about lazy nurses this wednesday :(
nurse armadillo
What's that about Nurse armadillo?
Man the UK public has some unrealistic expectations.
They want to leave 2 RN's and 2 care assistants for a 30 bed ward and then get one to one care for each patient. Crazy.
Now that I am out of the NHS I can post the tales of things that happened without fear.
I can't wait to hear your stories. Our trust has made some "cuts" you wouldn't believe. I'm waiting for the shit to hit the fan.
http://www.bbc.co.uk/programmes/b010mrzt
This is the radio 4 programme
http://www.bbc.co.uk/iplayer/episode/b010mrzt/Four_Thought_Series_2_Care_to_be_a_nurse/
Hope link works . . . I am not greta at computers,
nurse armadillo
Yes! You'll be back!!
...and she compares the "stressful" job of a nurse to the "stressful" job of a waiter or a bus driver. Twit.
I shall pick that apart in a post after I finish with Judith Potts latest.
I think we need to explain to these people the difference between good and bad nursing care. To the bad nursing care is when the nurse refuses to harm her sicker patients in order to roll out the red carpet and treat demanding unrealistic bitches as if they are her only patient.
Thank god you're due to return! I sent an e-mail I was so worried. Looking forward to hear from you soon.
http://www.cnatraininghub.org
Greetings, I just wanted to comment and say that I was really impressed with your blog. Keep up the good work! You are a really talented writer and it shows that you are very knowledgeable when it comes to your articles.
Forget about the less important activities that tend to clutter our daily routine and focus on exactly what needs to be accomplished to reach your goal. Just because you choose a larger, well-known firm won't guarantee safety either. However, those laws have sense been amended and the long short mutual fund can perform very well over a period of 10 years, but they haven't been around long enough to say how they will respond to 30 or 40 years of market fluctuations. Since we are not hit picking, the money manager needs just to set up software to secure that the money accurately mimics the hit holdings of the index. Bullion Investments Gold Investment.info. Bullion Investments (Bars and Coins) Throughout history gold has been the benchmark for evaluating the worth of currencies, and today gold bullion investments are.
Some individuals use food to fill emptiness, provide good feelings, and sooth job pressures and family conflicts. Often eating has nothing to do with hunger. This is emotional eating and change takes energy, willingness and commitment to self- change. Out Using The Unwanted Fats. Bontril is a prescription diet pill that has been in use for some time now. It is a narcotic closely related to amphetamines and should not be used if someone has a history of drug and alcohol abuse. Similar to Phentermine, Bontril helps with weight loss through appetite suppression and an increase in metabolism. Bontril also will lose its effectiveness after the first few weeks and at that time you should not increase your dosage, but stop using the diet pill altogether for safety reasons. The side effects associated with Bontril are like many prescription diet pills, cardiovascular problems, dizziness, high blood pressure, and hallucinations to name a few of the more serious conditions linked to Bontril. Trying to get your kids to eat healthy is often a difficult task. Picky eaters who refuse to eat fruit or vegetables will make it ten times as hard. With staggering child obesity rates and a country now obsessed with losing weight, it's hard for a parent not to think about how healthy their children are. Luckily, there are a lot of easy ways to get your children thinking more about fruit than chocolate. It will take time and effort, but with some helpful tips, you won't have to worry about child obesity in your family. 4. Ensure that healthy, affordable food is available everywhere in the country
Also, we need to determine the rounds of the quiz according
to it. * Team answer sheets - Basically a grid lined A4 type sheet with answer write in numbered
boxes and a line on top for the team name. 28.
My web blog :: funny pub quiz names
In that case, this kind of question should not be taken
from any show telecasted in specific country. Below are listed a
few popular pubs where one can chill in Mumbai. Theme Format: It is almost like standard format of the
pub quiz.
Take a look at my web site :: pub quiz anagrams
Some were practical, of course, but others were psychological and
emotional. Anna had been looking through my phone while I was naked.
They feature almost nightly drink specials and some form of entertainment every night of the week--DJ's, live music, trivia, you name it.
Feel free to surf to my blog post - brainstormer Pub quiz answers
The only hurdle to accessing this is of course human limitations and the fact that the brain does not function solely as a learning tool for the human being.
Popular prizes include sports tickets, cash and vouchers for drinks, food -
and dollars off of tabs. The decline of the East
side blues scene was disheartening, but, it also gave rise to the
need for a fresh start, which came in the form of the next blues-only venue,
Antone's, founded by the late Clifford Antone, during the summer of 1975.
My page - pub quiz and answers general knowledge
شركه فك وتركيب غرف نوم بالرياض
شركة خبراء الرياض شركة فك وتركيب جميع انواع اثاث ايكيا بالمملكة ولدينا افضل الفنين المتخصصين في مثل تلك الامور اي انك معنا لن تشعر تماما انك في حاجة لاى شخص
لاننا نستطيع تولي تركيب شاشة البلازما كما ايضا نسطتيع تركيب البوادى وتركيب الستاير بدون حدوث اى خدوشات في الجدران
تعامل معنا عزيزى العميل وانظر بنفسك لما توفرة لك شركة تركيب اثاث ايكيا بالرياض
شركه تركيب اثاث بالرياض
فني تركيب اثاث ايكيا بالرياض
شركه تركيب اثاث ايكيا بابها
شركه تركيب اثاث ايكيا بخميس مشيط
شركه تنظيف مكيفات بالرياض
شركة تركيب غرف نوم صينى بالرياض
المغربي
ديكورات حدائق الاسطح بالشارقة
تصميم ديكورات حدائق الاسطح بالشارقة
خدمات الشارقة
خدمات تلال
افضل شركة تعقيم منازل بالبخار في الفجيرة
شركة تنظيف ستائر مع التعقيم بالبخار في الفجيرة
Post a Comment