What to think about nurses who make up accucheck

[lam]

[ QUOTE ]
nursinghumor said:
[ QUOTE ]
lam said:
you mean the one that came from the hospital in the first place. My point is nursing is nursing. and to use what you are claiming as a criteria for hiring a nurse is silly. you can keep your views/opinions, but it is that attitude that is keeping some good nurses from working.

[/ QUOTE ]

Nope, I mean the patients that have perfect skin to start with, and then through lack of turning, poor nutrition, poor hydration and general neglect start to develop bedsores while in the nursing homes.

These types of conditions are rampant in nursing homes and nurses (as well as nursing assistants, etc) play a major role.

If I were a nurse manager in an ICU or other hospital unit, I'd need to decide if I wanted to spend the orientation time I'd need bringing a LTC nurses assessment skills, organization and acute care skills up to speed.

You can't take a LTC nurse and put them into a hospital unit with acute patients without a major refresher/reorientation.

If it's a choice between a LTC nurse and a nurse with recent acute care experience, the LTC nurse is at a major disadvantage.

Andrew Lopez, RN
http://www.nursinga2z.com

[/ QUOTE ] Boy are you lost, I have been in nursing for 25 years, and no matter where you are working there are only 24 hrs in a day, the human body and mind can only do so much in that time frame no matter who says other wise. I worked in a nursing home one time and I had every one document for an 8 hr shift on my unit exactly what they did for every minute of the 8 hr period and as I expected there was no way that everything could possibly get done. I took this info to management and yes some changes were made that helped, but guess what in a matter of a month or 2 management had come along and everything was right back to the way it was before. I don't think any one would disagree with your statement that if a LTC nurse was up against an acute care nurse for a position in acute care that the acute care nurse would get it, but that doesn't automatically mean she is a better nurse just that the hospital would not have to orient her as long. and I am not talking about such cases, I am talking about hospitals in areas with a big shortage, and I don't mean that they should disregard safety of residents. I do object to your blatant generalization of all LTC nurses, that show's a deficiency in logical thinking, which I am sure that you were not intentionally doing. Now do you want to get into ethics, Is it ethical for a nurse to follow a doctors order knowing damn well that by following that order she is putting that patient in jepordy? There are many situations as you well know that in nursing you are damned if you do and damned if you don't, in these situations I go with what is best for the patient. As the patient is my reason for being there, next step is covering the facility in which houses such patient, then comes CYA. Sometimes you just can't do all of that either. I have only had a couple of bad apples in nursing school, how about you, that means that the majority of students that graduated where decent nurses. Now if LTC is turning them into such bad nurses that they are so bad that no one else would hire them shouldn't we be shutting all LTC facilities down. What about the all the nurses that get addicted on demerol and morphine, that does not happen in LTC?

[lam]

just so that we are on the same plane, are you refering to nurses that have only long term care experience? I have gone through a few of the check lists and I have done and have experience in most that are on these check lists except maybe the ICU experiences. I would have no problem going to work on a med surge unit. Every hospital has their own thing going on and may be a little different then from other hospitals. I wouldn't do it right now with out getting some of my health issues taken care of first. But then again since I have had to deal with such narrow minded people that they are willing to let me die to prove their point.

[nursinghumor]

[ QUOTE ]
lam said:What about the all the nurses that get addicted on demerol and morphine, that does not happen in LTC?

[/ QUOTE ]

What about them? If you follow state board license suspensions for drug diversion, drug use, it happens in all care settings.

Andrew Lopez, RN
http://www.4nursing.com

[nursinghumor]

[ QUOTE ]
WRRN said:Falsifying records is never blurry.. Falsifying records is an intended violation of nursing standards. It has nothing to do with work load. And would never hold up in court of law. "I was so busy I had to put down the wrong number in the chart"??????? If you can't remember the number do it again.. There is always your left hand to write on if you have to.

Unacceptable.

[/ QUOTE ]

Unacceptable huh? Like any nurse that says they've never made a medication error, a nurse that says they have not ever "cut corners" is telling stories.

Signing your name for medications never given, treatments not done, orders in a chart not noted?

These types of things happen on a daily basis, does that mean all nurses that do it are criminals? Or are they pawns in a game that is stacked against them?

Andrew Lopez, RN
http://www.4nursing.com

[nursinghumor]

[ QUOTE ]
lam said:I do object to your blatant generalization of all LTC nurses, that show's a deficiency in logical thinking, which I am sure that you were not intentionally doing.

[/ QUOTE ]

The generalization that LTC nurses (without prior acute care experience) cannot provide safe patient care in hospitals without lengthy orientations, training?

You can object all you want, I'm quite comfortable making that statement having worked on both sides of the fence (Hospital & LTC) and knowing a good deal about the hiring process.

Andrew Lopez, RN
http://www.nursefriendly.com

[WRRN]

Putting 199 in a chart instead of 210 is falsifying a medical record and so is every other thing you mentioned.


WR,,, three commas for Becca


Better to leave the chart empty than falsify it.

[WRRN]

When was the last time you worked LTC????


WR,,, three commas for Becca

[WRRN]

It doesn't happen in nursing situations where there are no morphine or demerol available.


WR,,, three commas for Becca

[cassioo]

[ QUOTE ]
WRRN said:
Falsifying records is never blurry.. Falsifying records is an intended violation of nursing standards. It has nothing to do with work load. And would never hold up in court of law. "I was so busy I had to put down the wrong number in the chart"??????? If you can't remember the number do it again.. There is always your left hand to write on if you have to.

Unacceptable.


WR,,, three commas for Becca

[/ QUOTE ]

I'm left handed so I have to write on my right or on the pants leg of my hospital supplied scrubs

[lam]

[ QUOTE ]
nursinghumor said:
[ QUOTE ]
lam said:What about the all the nurses that get addicted on demerol and morphine, that does not happen in LTC?

[/ QUOTE ]

What about them? If you follow state board license suspensions for drug diversion, drug use, it happens in all care settings.

Andrew Lopez, RN
http://www.4nursing.com

[/ QUOTE ]but how long have they worked in a hospital before they get caught. it is much harder to get the drugs in LTC and not be noticed. and I agree that if a nurse has only worked in LTC for many years she would have more of a problem then say some one like you or me that has had both experiences. problem is that if unit managers are only looking at the fact that a nurse has worked in LTC there fore she/he has developed bad habits is limiting.