Re: Nursing Policy

From: Marty (ejmarty@rmii.com)
Tue Oct 22 08:19:36 1996


As a Staff Nurse and past nurse manager, I have to say that Garry is giving the most sane response in this discussion. Don't alienate the nursing staff. We have to work together for the best outcomes for patients. Remember that as nurses we see many elective (translates to unnessary) inductions as well. Often these are done for the physicians convenience. (I have to be on call on the Fourth of July so why not do 3 inductions that day, or doing several inductions the week before the doc goes on vacation)

By being outraged, are you implying that the nurses are just lazy or only thinking of themselves and not the patients or are they doing this just because they don't like you (the MD?)? I also find that throwing a temper tantrum (believe me I've seen docs do this) gets very little cooperation or patient care accomplished.

At one large hospital (500 deliveries/month) we had the doctors involved and charge nurse work together to decide which induction took priority and worked them in as able and it worked well with very few bad feelings and no bad outcomes. Sometimes there just aren't any qualified nurses to call in extra. As a nurse manager I was called in to help when our unit was going crazy, I had a fever of 102.5 and worked for 5 hours until things settled down. I quit my job the next week.

Janet Marty RN

Alamosa CO

>At 11:00 PM 10/19/96 -0500, you wrote:
>>I was wondering if there were similar policies at your L&D units...
>>
>>Today there was a staffing problem at the L&D unit where I work.
>
>It happens at a smaller hospital where I practice, also, albeit
>infrequently. You will be better served in the long run by "choosing your
>battles" wisely, meaning do you really benefit yourself in the long run by
>raising a ruckus over a 1 or 2 hour delay? I have been there before, and
>have learned (the hard way) that the nursing people really want to try to do
>what's right, which is usually in agreement with what you want. I think it
>is better to give them some slack sometimes.
>
>Garry Siegel, MD
>Roswell, Ga.
>





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