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Two truths of nursing, as told by Sean Dent

We have a challenge up our sleeve for all you nurses.

In this week’s episode of “The Sean Dent Show” on ScrubsBeat, Sean highlights what he thinks are THE two truths of nursing—applicable to every pocket of the profession, from the obscure to the common.

Needless to say, Sean appears to be pretty confident in his assessment. Can you point out a flaw in his theory? Let’s hear it in the comments section below.

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3 Responses to Two truths of nursing, as told by Sean Dent

  1. micjacnic02

    You nailed it. I’ve been a floor nurse in an inner city hospital for 11 years and the charting that’s expected of us is ridiculous and redundant. My co-worker and I were just talking about this the other night. She said “do you want me to do the work or do you want me to chart that I did the work?” And it IS a 24/7/365 so it’s always a “good” time when you meet that particular nurse who wants you to have everything (and I mean EVERY little thing) done before you leave. I encourage that nurse to have a nice day/night and leave anyway.

  2. SCLPN09

    I completely agree with you on both topics.

    As an LPN working with new nurses (LPN or RN), I not only found they love to delegate their treatments with some excuse why they need you to help, but in many instances they delegate it because they don’t know how to put a foley in or apply a wound vac or start or hang an IV or admin tube feedings. Very discouraging when a nurse can come with you to perform whatever treatment or skill and they hand you supplies and instead of watching and learning or saying to you “let me do it, so I know how next time and admitting they don’t know how to do it.” Their eyes are everywhere in the room except on the patient or area of skill being performed.

    I don’t know many nurses that take bathroom breaks until we sneeze or cough and reminded we prob should but no charting is done there.

    Working 2nd shift on a LTC hall of 22 residents and one nurse can be a challenge if you leave all the charting for the end of shift. At that hour, your eyeballs feel like they are bleeding and find yourself in idle mode and in a deep stare into the computer screen. Charting is started immediately after report and after my delivery of fluids to what I call my “coffee club” that sits outside the nurses desks and the 4 others on my hall that like it as soon as i arrive. Because I work in a nursing home, I try my hardest to input any fluids I hand out because if someone should be sent to the ED for an unexpected illness or altered mental status, never fails the urinalysis says they have a UTI or dehydration, no matter how much their daily fluid intake is. At least my fluids are documented. When it comes to intake and output, I am a true believer in real time charting.

    If a patient has a diagnosis of CHF or renal failure and on strict I&Os, documenting that the pt voided at 11pm when in reality it was 3pm can be detrimental to their health and we the nurses aren’t able to provide the doctor with accurate information especially when you have orders to call the MD if they had pm output in 8 hours. It looks like they voided 2 hours ago vs possibly 10 hours. Documentation is a never ending cycle. I feel although we do keep notes, your more likely to forget to document on something if you are rushed and wait till the end.

  3. SCLPN09

    Eating while charting is the only way to get it done. No one has time to sit for 30 minutes. And IF I take my dinner break, I am going to Walmart for my patients because they asked me to, or last night I went to McDonalds and got those that can eat a regular diet a burger or chicken sandwich. Hospital food gets boring unfortunately. :-)