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Preview: Comments on Militant Medical Nurse: Which One is the Nurse? Does It Matter?

Comments on Militant Medical Nurse: Which One is the Nurse? Does It Matter?





Updated: 2017-11-06T16:47:13.875-08:00

 















Re. 20th August comment. What blathering on? I did...

2010-08-21T14:55:14.959-07:00

Re. 20th August comment. What blathering on? I didn't mention anything about having a Degree. Anne mentions her Degree occasionally - good for her. How do you know I have one? Never assume! Actually I have two. I will try to remember that education is one thing and intelligence is another - I will pass these pearls of wisdom on to the next group of University students I teach. Qualifications are one thing and courtesy is another. There is a lack of the latter in the NHS as the rude tone of your response proves. The old saying that it is nice to be important but it is more important to be nice is very true.



Re. 20th August comment. What blathering on? I did...

2010-08-21T14:55:14.476-07:00

Re. 20th August comment. What blathering on? I didn't mention anything about having a Degree. Anne mentions her Degree occasionally - good for her. How do you know I have one? Never assume! Actually I have two. I will try to remember that education is one thing and intelligence is another - I will pass these pearls of wisdom on to the next group of University students I teach. Qualifications are one thing and courtesy is another. There is a lack of the latter in the NHS as the rude tone of your response proves. The old saying that it is nice to be important but it is more important to be nice is very true.



Um. Okay anonymous. I don't think you have r...

2010-08-20T13:57:38.961-07:00

Um. Okay anonymous.

I don't think you have read a damn thing on this blog.

And anyway, you cannot train the uninterested. I can't turn them into Nurses.

I realised a long time ago that they only way forward was to shout out about it on a blog. Whistleblowing, quiting (as so many Nurses do) just isn't good.


We keep telling RNs to quit if they don't like it but really we need to work on retaining our RN's. How many more can we afford to lose to Canada, Australia, and the USA



If you feel that your patients are at risk and you...

2010-08-20T11:10:21.156-07:00

If you feel that your patients are at risk and your support staff are poorly trained......Stop blathering on in a blog and take action!
You, as a registered Nurse should be researching, costing and implementing the appropriate Training for your Support staff or refusing to work in a situation that endangers patients.
Sheesh, stop banging on about your Degree and get some common sense. Sadly, that's a skill that can not be taught at university. Remember, Education is one thing, Intelligence is another. The two do not all ways go hand in hand!



Ignore this if you are a good support worker but i...

2010-07-13T08:00:46.280-07:00

Ignore this if you are a good support worker but if not, read on. When you are working with me please do not snatch fluid charts out of my hand, wave them about and announce to the whole ward that they have not been filled in today (when they have) because it embarrasses me and makes me angry. Please do not follow me around like a shadow checking up on me in the hope you can tell tales - concentrate on your own work please. Kindly do not interrupt and ask if everything is alright when I am having a private conversation with a relative - it is not your place, remember? (Incidentally the relative glowered darkly and said "I've had trouble with that one myself" - just thought you'd like to know.) Do not try to be clever and correct me in front of patients because you are ignorant (in both senses of the word). When I ask you pleasantly to do a job for me do you think that for once you could smile and say "yes, no problem" instead of glaring mutinously - it is after all what you are paid for. You seem jealous. If that is the case why not apply to train? What's that you say? Oh, you are not academic and don't want all that responsibility. Well dear you can't have your cake and eat it can you? So, I will ask you nicely just once more - please get off my case and show me a little R-E-S-P-E-C-T (just a little bit)or I am going to blow a fuse!



It is frightening to work with a new, inexperience...

2010-07-07T09:20:58.513-07:00

It is frightening to work with a new, inexperienced nursing assistant who confidently 'explains' that respiration is simply the patient's chest moving up and down and who will not listen when you try and emphasise why it is so important.



Katheleen, The got rid of our HCA's a long ti...

2010-02-01T03:44:01.024-08:00

Katheleen,

The got rid of our HCA's a long time ago. I think we have two left on my ward.

What management has done is recruit 16 and 17 year olds (who they can pay less than minimum wage) to work on the wards. These kids are not even HCA's. How I miss the middle aged experienced HCA's.

I blogged here:

http://militantmedicalnurse.blogspot.com/2009/12/feeling-sorry-for-kids.html


about how bad I feel for the these kids and what happens when they are left in way over their heads.

I still don't think that an HCA is under the pressure that a nurse is. First of all, if an HCA screws up, the nurse gets it in the neck. The care assistant does not have a license to lose. Second of all, even if the HCA is working her ass off washing patients, doing observations etc 99% of what is going on in that ward is still over her head. They don't realise what the nurses have on their shoulders. They don't even pay attention to 90% of what is said in handover.

Our cadets and care assistants do not want to go on to train as a nurse. They aren't too lazy or stupid to become nurses they are just too scared. The know they have the better deal as non nurses even if the pay is less. They don't have the responsibility, they don't ahve to stay over 4 hours unpaid past the end of their shift, and everyone just thinks that they are a nurse anyway.



I do agree with you, but I think that you're u...

2010-02-01T03:07:49.741-08:00

I do agree with you, but I think that you're unfairly critical of HCAs, rather than the management that is putting them in positions where qualified staff are needed.

"First of all it's very easy for the powers that be to cull back the number of registered nurses and bring in untrained kids with nose rings, give them a uniform and teach them how to make a bed".

Firstly, I've worked (as a HCA) with plenty of qualified, experienced and shit hot nurses with nose rings, so I'm not sure how that matters. Secondly, I think 'kids' is a bit unfair, seeing as a good proportion of HCAs are middle-aged women with children, scraping by on Band 2, working bank shifts on their days off.

There's plenty of reasons other than laziness that HCAs don't train as nurses - money, lack of confidence, lack of academic skills. And loads of HCAs do train up, do learn their stuff and put the hours in. I started off as a HCA with no healthcare experience, and now I'm training as a paramedic. I'm writing essays, making decisions and working my arse off on the ambulances.

HCAs could be a valuable resource, but they're abused by managers wanting to save money. It's unfair on the HCAs expected to work untrained (I never received moving and handling training in the 8 months that I was a HCA, never learned about dealing with vulnerable or abusive patients, never received formal training on... well, anything.) and it's unfair on the nurses too. But if qualifieds start taking it out on the HCAs then we're in an even worse situation - a little bit of solidarity goes a long way. And we're all in the fucking car crash that is the NHS together.



You write very well.

2008-11-10T11:46:00.000-08:00

You write very well.




2007-10-04T06:55:00.000-07:00

This comment has been removed by the author.



Amen. And Amen again.Speaking as a scarily-near-qu...

2007-10-02T08:23:00.000-07:00

Amen. And Amen again.

Speaking as a scarily-near-qualified rookie nurse (on a postgrad "fast-track" diploma), your article captures EXACTLY how I feel (and, indeed, anticipate feeling).

Please maintain your excellent, eloquent ranting. In a world of tinpot learning outcomes and spurious reflective cycles, it's a comfort to hear such common sense.

(lost_nurse)



wow thanks for that, for the first time I really u...

2007-10-02T00:30:00.000-07:00

wow thanks for that, for the first time I really understand why qualified nurses should do the basic care stuff as well. I also know why I won't be demanding that they do it, if i go back into hospital- because the really sick guy in the bed next door, is going to need them more than me.
It's hard for those of us outside the medical profession to make any kind of reasonable assessment of who / why x person with x qualification should do any particular kind of job or not, even whenwe want to.

I get treated (brilliantly) by a prescribing nurse practitioner at my local GP surgery. It was months before I realised they were an NP not a GP. When I did find out, I wasn't the least bit concerned, they wouldn't let them do this if they weren't competent right? and to be honest I really liked their approach (that combination of nurse come doctor is is a good one) Then I read Dr Crippen, had a few doubts and decided to find out if NP's really were the same as GP's etc. Whats the result; I still havn't got a clue. Will I still see the NP, yes, if nothing else they make me feel calm and confident.

What i'm getting at is, that until the medical profession makes it clear who is who, and what their role is / should be, the patients probably won't have a clue - even when they've tried to find out. The maze that is the NHS is hard to negotiate when you have no medical training - how do i know what level of competency the person taking me to the toilet has or needs?

Keep posting this kind of stuff, patients don't have a hope of finding out what's going on otherwise!

Excellent blog by the way.
expatient.



That's good Nursing Student. I love it too. Even ...

2007-09-25T16:40:00.000-07:00

That's good Nursing Student. I love it too. Even if it sucks sometimes. I just go back day after day after day for more.



To answer your post question, the answer is an emp...

2007-09-25T16:32:00.000-07:00

To answer your post question, the answer is an emphatic "YES".

Nurses are the eyes and ears of the hospital. Think of this situation. Actually I have had this analagy locked and loaded for my own blog but have not yet needed to use it so here goes Anne ;-)

A patient comes into hospital and presents in A&E feeling unwell, weak and short of breath. A NURSE takes baseline observations which reveal a bradycardia of 41 BPM. The patient falls unconscious and the DOCTOR prescribes Atropine 0.6mg. The NURSE administers the drug and the patient returns to a normal sinus rhytum and a puls of 75 bpm. The patient regains consciousness and he turns to the DOCTOR and the NURSE and says "Which ONE of you two saved me?".

Was it the doctor by diagnosing or the nurse through physically administering the atropine? Discuss.

That is why I truly believe that nurses are left undervalued. There is lack of media focus on the hopsital profesionals and the public are largley uncaring of it. It really is soul destroying. However, my background is with ambulances, and it really winds people up when they call ambulance staff all "Drivers" or simlply called crews "the ambulance".

However, I will be up at 05:30 this morning to go back to all the problems of the ward. And do you know something? I absolutly bloody love every minute of it :-)