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	<title>Comments on: I HAVE HAD IT!!</title>
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	<link>http://www.codeblog.com/archives/tales_from_the_ccu/i_have_had_it.html</link>
	<description>tales of a nurse (homepage)</description>
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		<title>By: Bob</title>
		<link>http://www.codeblog.com/archives/tales_from_the_ccu/i_have_had_it.html/comment-page-1#comment-29376</link>
		<dc:creator>Bob</dc:creator>
		<pubDate>Sun, 14 Feb 2010 19:23:33 +0000</pubDate>
		<guid isPermaLink="false">http://s261628773.onlinehome.us/download/wordpress/?p=100#comment-29376</guid>
		<description>The reason its not in her chart is cause it took 4 nurses and 2 gaurds to manhandle the jackass taking time out of their Friggin overworked paperfilled day to strap her happy ass to the bed, and some mean lazy nurse decided to actually take care of emergent patients (including your headache wife) rather than take care of pieces of worthless paper.  But hey!  I could be wrong!  But I doubt it.</description>
		<content:encoded><![CDATA[<p>The reason its not in her chart is cause it took 4 nurses and 2 gaurds to manhandle the jackass taking time out of their Friggin overworked paperfilled day to strap her happy ass to the bed, and some mean lazy nurse decided to actually take care of emergent patients (including your headache wife) rather than take care of pieces of worthless paper.  But hey!  I could be wrong!  But I doubt it.</p>
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		<title>By: Herb Kutscha</title>
		<link>http://www.codeblog.com/archives/tales_from_the_ccu/i_have_had_it.html/comment-page-1#comment-1738</link>
		<dc:creator>Herb Kutscha</dc:creator>
		<pubDate>Mon, 03 Nov 2008 02:39:12 +0000</pubDate>
		<guid isPermaLink="false">http://s261628773.onlinehome.us/download/wordpress/?p=100#comment-1738</guid>
		<description>I&#039;m trying to feel for you, but my wife was treated in an ER against her will, and she managed to get out of bed, get dressed, walk to an exit, manhandle two security guards, and get forced back to her bed by four nurses where she had another seizure. Nothing in her record.</description>
		<content:encoded><![CDATA[<p>I&#8217;m trying to feel for you, but my wife was treated in an ER against her will, and she managed to get out of bed, get dressed, walk to an exit, manhandle two security guards, and get forced back to her bed by four nurses where she had another seizure. Nothing in her record.</p>
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		<title>By: Cate</title>
		<link>http://www.codeblog.com/archives/tales_from_the_ccu/i_have_had_it.html/comment-page-1#comment-647</link>
		<dc:creator>Cate</dc:creator>
		<pubDate>Sat, 24 May 2008 20:21:08 +0000</pubDate>
		<guid isPermaLink="false">http://s261628773.onlinehome.us/download/wordpress/?p=100#comment-647</guid>
		<description>You understand why correct? Legality and all?  Look at what is coming out of the  nursing schools today.  Sorry folks but it is pretty darn scary.
</description>
		<content:encoded><![CDATA[<p>You understand why correct? Legality and all?  Look at what is coming out of the  nursing schools today.  Sorry folks but it is pretty darn scary.</p>
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		<title>By: dee</title>
		<link>http://www.codeblog.com/archives/tales_from_the_ccu/i_have_had_it.html/comment-page-1#comment-646</link>
		<dc:creator>dee</dc:creator>
		<pubDate>Thu, 01 May 2008 13:38:56 +0000</pubDate>
		<guid isPermaLink="false">http://s261628773.onlinehome.us/download/wordpress/?p=100#comment-646</guid>
		<description>And..if you have managed by a Holy Act of God to fill in every block..documented every minute detail..and have a living, stable patient to endorse to the next nurse..you are exhausted..mind like a fog..and what does the oncoming nurse have to say? Why is this on the desk..who left this chart out and why didn&#039;t u do this??? We have enough to be accountable for and least of all a responsibility to our patients..when our so called &quot;colleauges&quot;  come on shift and pitch an unholy fit about insignificant things..it just adds the icing to an already stress filled..nonstop 12 hours..We get no credit..no support..and walk on eggshells day after day.. the focus switches to CYA and burnout results.. results
</description>
		<content:encoded><![CDATA[<p>And..if you have managed by a Holy Act of God to fill in every block..documented every minute detail..and have a living, stable patient to endorse to the next nurse..you are exhausted..mind like a fog..and what does the oncoming nurse have to say? Why is this on the desk..who left this chart out and why didn&#8217;t u do this??? We have enough to be accountable for and least of all a responsibility to our patients..when our so called &#8220;colleauges&#8221;  come on shift and pitch an unholy fit about insignificant things..it just adds the icing to an already stress filled..nonstop 12 hours..We get no credit..no support..and walk on eggshells day after day.. the focus switches to CYA and burnout results.. results</p>
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		<title>By: teamrn</title>
		<link>http://www.codeblog.com/archives/tales_from_the_ccu/i_have_had_it.html/comment-page-1#comment-645</link>
		<dc:creator>teamrn</dc:creator>
		<pubDate>Tue, 29 Apr 2008 20:41:44 +0000</pubDate>
		<guid isPermaLink="false">http://s261628773.onlinehome.us/download/wordpress/?p=100#comment-645</guid>
		<description>I left the hospital for these reasons, swearing I&#039;d never go back.

Eventually, I made my way to hospice. Sure, there&#039;s paperwork, but the emphasis is on teaching, on psychosocial skills and nurturing your patients/families during the end-of-life.

I came home with my share of paperwork, but nothing at all like what was discussed in the first ICU post.

It was the area of nursing that was most focused on nurturing the patient, using the expertise of the whole health care team. Not nurturing or nurturing the CYA behavior. In hospice, I felt TRULY LIKE A NURSE.

</description>
		<content:encoded><![CDATA[<p>I left the hospital for these reasons, swearing I&#8217;d never go back.</p>
<p>Eventually, I made my way to hospice. Sure, there&#8217;s paperwork, but the emphasis is on teaching, on psychosocial skills and nurturing your patients/families during the end-of-life.</p>
<p>I came home with my share of paperwork, but nothing at all like what was discussed in the first ICU post.</p>
<p>It was the area of nursing that was most focused on nurturing the patient, using the expertise of the whole health care team. Not nurturing or nurturing the CYA behavior. In hospice, I felt TRULY LIKE A NURSE.</p>
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		<title>By: Traci</title>
		<link>http://www.codeblog.com/archives/tales_from_the_ccu/i_have_had_it.html/comment-page-1#comment-644</link>
		<dc:creator>Traci</dc:creator>
		<pubDate>Thu, 27 Mar 2008 13:57:07 +0000</pubDate>
		<guid isPermaLink="false">http://s261628773.onlinehome.us/download/wordpress/?p=100#comment-644</guid>
		<description>I&#039;m a fifth semester BSN student and I can so relate. In addition to all the flow sheets and various pieces of paper documentation throughout the day, we also still do all of our charting on paper (I&#039;m doing my directed study in a small rural hospital). I swear I spend most of my time writing nursing notes and filling out flow sheets. This is not what I envisioned when I started nursing school.
</description>
		<content:encoded><![CDATA[<p>I&#8217;m a fifth semester BSN student and I can so relate. In addition to all the flow sheets and various pieces of paper documentation throughout the day, we also still do all of our charting on paper (I&#8217;m doing my directed study in a small rural hospital). I swear I spend most of my time writing nursing notes and filling out flow sheets. This is not what I envisioned when I started nursing school.</p>
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		<title>By: valerie</title>
		<link>http://www.codeblog.com/archives/tales_from_the_ccu/i_have_had_it.html/comment-page-1#comment-643</link>
		<dc:creator>valerie</dc:creator>
		<pubDate>Thu, 27 Mar 2008 10:32:49 +0000</pubDate>
		<guid isPermaLink="false">http://s261628773.onlinehome.us/download/wordpress/?p=100#comment-643</guid>
		<description>All the paperwork is only needed if the case goes to court, if it&#039;s audited for outcomes - all things that don&#039;t relate to direct patient care. You give report verbally to the next nurse. You chart for the future, for an administrator, case manager, state or jcaho worker, or lawyers.
</description>
		<content:encoded><![CDATA[<p>All the paperwork is only needed if the case goes to court, if it&#8217;s audited for outcomes &#8211; all things that don&#8217;t relate to direct patient care. You give report verbally to the next nurse. You chart for the future, for an administrator, case manager, state or jcaho worker, or lawyers.</p>
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		<title>By: Tom the CNA</title>
		<link>http://www.codeblog.com/archives/tales_from_the_ccu/i_have_had_it.html/comment-page-1#comment-642</link>
		<dc:creator>Tom the CNA</dc:creator>
		<pubDate>Sat, 27 Oct 2007 11:49:57 +0000</pubDate>
		<guid isPermaLink="false">http://s261628773.onlinehome.us/download/wordpress/?p=100#comment-642</guid>
		<description>And with all of this paperwork to do, taking more and more time away from residents/patients; quality of care is suffering. HOW IN THE WORLD are Nurses and CNA&#039;s  supposed to provide care when they are filling out paperwork? How the funk are we supposed to do hands-on care when facilities won&#039;t staff by acuity, and continue to staff by this, &quot;warm-body,&quot; theory? Guess who gets to change the dang toner cartridge when it runs out? Know what? Medical training to be a friggin&#039; secretary! (That to the Nurses among you.) I am married to a Nursing Supervisor; what does she do? She gets paid Nursing Supervisor wages to push the med cart 10 hours a day! They hired her to do all that paperwork y&#039;all hate so much - then they call her on her DAY OFF to come in and pay her overtime to do the paperwork she was supposed to be doing when they had her pushing the darn med cart!

I left the world of Nursing Homes long ago in favor of in-home care because of the lack of staffing by acuity. As I watch the level of paperwork grow in the field of Nursing, I am glad I didn&#039;t become a Nurse. Ay Carumba! The local hospital sent a patient with pressure sores on the BOTTOMS OF HIS FEET as an admission to my wife&#039;s facility, despite a nice, fancy, high-tech bed in every single room in this hospital. Now what does THAT tell you? And where was the paperwork for this patient? Hmmmmm.

The demands being placed on Nurses in hospitals and Nursing Homes is WAY OUT OF CONTROL. Paperwork BE DAMNED&gt; staffing by acuity is way, way past the point of being essential.
</description>
		<content:encoded><![CDATA[<p>And with all of this paperwork to do, taking more and more time away from residents/patients; quality of care is suffering. HOW IN THE WORLD are Nurses and CNA&#8217;s  supposed to provide care when they are filling out paperwork? How the funk are we supposed to do hands-on care when facilities won&#8217;t staff by acuity, and continue to staff by this, &#8220;warm-body,&#8221; theory? Guess who gets to change the dang toner cartridge when it runs out? Know what? Medical training to be a friggin&#8217; secretary! (That to the Nurses among you.) I am married to a Nursing Supervisor; what does she do? She gets paid Nursing Supervisor wages to push the med cart 10 hours a day! They hired her to do all that paperwork y&#8217;all hate so much &#8211; then they call her on her DAY OFF to come in and pay her overtime to do the paperwork she was supposed to be doing when they had her pushing the darn med cart!</p>
<p>I left the world of Nursing Homes long ago in favor of in-home care because of the lack of staffing by acuity. As I watch the level of paperwork grow in the field of Nursing, I am glad I didn&#8217;t become a Nurse. Ay Carumba! The local hospital sent a patient with pressure sores on the BOTTOMS OF HIS FEET as an admission to my wife&#8217;s facility, despite a nice, fancy, high-tech bed in every single room in this hospital. Now what does THAT tell you? And where was the paperwork for this patient? Hmmmmm.</p>
<p>The demands being placed on Nurses in hospitals and Nursing Homes is WAY OUT OF CONTROL. Paperwork BE DAMNED> staffing by acuity is way, way past the point of being essential.</p>
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		<title>By: Wanda</title>
		<link>http://www.codeblog.com/archives/tales_from_the_ccu/i_have_had_it.html/comment-page-1#comment-641</link>
		<dc:creator>Wanda</dc:creator>
		<pubDate>Sun, 15 Jul 2007 04:37:26 +0000</pubDate>
		<guid isPermaLink="false">http://s261628773.onlinehome.us/download/wordpress/?p=100#comment-641</guid>
		<description>I&#039;m so glad to know that our hospital isn&#039;t the only one with so many forms. We know have a form to document whether a patient needs a foley catheter or not. I am expected to make spur of the moment decisions in crisis situations but not trusted to know whether or not a patient needs a catheter and at what point it should be removed.  Go figure.
</description>
		<content:encoded><![CDATA[<p>I&#8217;m so glad to know that our hospital isn&#8217;t the only one with so many forms. We know have a form to document whether a patient needs a foley catheter or not. I am expected to make spur of the moment decisions in crisis situations but not trusted to know whether or not a patient needs a catheter and at what point it should be removed.  Go figure.</p>
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		<title>By: Mary Anne H.</title>
		<link>http://www.codeblog.com/archives/tales_from_the_ccu/i_have_had_it.html/comment-page-1#comment-640</link>
		<dc:creator>Mary Anne H.</dc:creator>
		<pubDate>Sun, 06 May 2007 18:31:32 +0000</pubDate>
		<guid isPermaLink="false">http://s261628773.onlinehome.us/download/wordpress/?p=100#comment-640</guid>
		<description>I needed to vent.  I needed to know I&#039;m not alone in my frustrations as a nurse.
</description>
		<content:encoded><![CDATA[<p>I needed to vent.  I needed to know I&#8217;m not alone in my frustrations as a nurse.</p>
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