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I appreciate and understand that they are significantly more broad than the friendly staff metric. However, patients who feel the staff were friendly tend to g
by kom107 11y ago
I appreciate and understand that they are significantly more broad than the friendly staff metric. However, patients who feel the staff were friendly tend to give higher overall ratings. And I know that you stated that you don't consider saying no to a low priority case as negative treatment, but again, I promise you, PLENTY of people do. I got it at least once a shift, if not more frequently. I have literally had patients come up to me in another patient's room WHILE WE WERE DOING COMPRESSIONS and complain that we weren't getting them ice fast enough.
I'm sure being an ER physician can handle the stress, because they aren't interacting with the patients like the nurses and techs interact with the patients. Have they ever had someone hit them because they didn't get their turkey sandwich fast enough? Spit in their face because they were made NPO? Pee on them on purpose? I sincerely doubt it. The scope of practice is entirely different. I think the nurses and techs do an incredible job of keeping it together and maintaining a friendly demeanor towards patients when they have to put up with these things. It's easy for you to say 'If you can't handle the stress, get training or change departments'. That's exactly the response that causes nursing to have such a high turnover and burnout rate.
No one is advocating for staff to be rude, I'm advocating, however, for better ratios for the nursing staff and more patient education on the other side of healthcare. And frankly, I think that sometimes, it should be okay for healthcare workers to interact with a patient like they are an asshole because THEY ARE. You'll get the same standard of care, but I'll be damned if I'm going to go to another floor to search for some ice cream for you after you called me every name in the book and pulled out your IV for the third time in the past 4 hours because you didn't like that I still won't give you another dose of dilauded...and you're in the hospital because you're diabetic and morbidly obese.
- ectoplasm 11y ago> And frankly, I think that sometimes, it should be okay for healthcare workers to interact with a patient like they are an asshole because THEY ARE. Irritability is a part of suffering.
- kom107 11y agoI get and appreciate that, but I really don't think it's appropriate to hit someone over a turkey sandwich. If you're able to eat that and walk around on your own and watch the ball game, pretty sure your suffering isn't sufficient to warrant punching a nurse in the chest.
- tertius 11y agoThe appropriate response to assault is getting police involved.
- ectoplasm 11y agoFundamentally I believe non-consensual violence is the result of suffering. I think isolating violent people and protecting yourself is much better than meting out arbitrary punishments. Consider that someone willing to punch a nurse in the chest over a turkey sandwich very likely has some kind of mental health issues. If the assault is actually a problem on the level of a crime, then call the police.
- tertius 11y agoAgreed with Ectoplasm here. My mother was a psych nurse and this was par for the course. She did not enjoy this part of the job.
- tertius 11y ago"And I know that you stated that you don't consider saying no to a low priority case as negative treatment, but again, I promise you, PLENTY of people do." And I'm on the practitioner's side here. And yes I can see that this influences ratings. My quick one liner about evaluation of facility vs. independent doctor may be confusing in that the rest was not addressing evaluation but rather treatment of patients. "Have they ever had someone hit them because they didn't get their turkey sandwich fast enough? Spit in their face because they were made NPO? Pee on them on purpose? I sincerely doubt it." Yes and worse. But given that, I can certainly see that this is the status quo for nurses/techs and not for doctors so I can certainly sympathize. I'm not defending these actions. "'If you can't handle the stress, get training or change departments'. That's exactly the response that causes nursing to have such a high turnover and burnout rate." Yes, it is easy for me to say, but my ease by no means releases someone from their responsibility to control their emotions under stress. And I'd like to hear more about that being the reason for high turnover. "I'm advocating ... more patient education on the other side of healthcare." Ha! In the U.S. this is a lost cause. I do agree with you completely, but the system is set up in such a way that medical knowledge is abstracted away from normal life/people to a ridiculous degree. And both parties, the lay and the physicians, seem to prefer this. Incredible! "And frankly, I think that sometimes, it should be okay for healthcare workers to interact with a patient like they are an asshole because THEY ARE." ('you' used in the third person below) If that means reacting in kind then I disagree. If you're rude to a rude person then you're a rude person. If you decide that somehow a rude person deserves a lesser degree of care then you should get reacquainted with medical ethics. You did add "You'll get the same standard of care." So the above is a general comment and not 'aimed' at you personally. Assault = police.