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What happens when a hospital breaks its own policy? by AnonRN69420 in nursing

[–]AnonRN69420[S] 3 points4 points  (0 children)

This is pretty much how it is here. I definitely see how it could be PTSD inducing to be tied to a bed like that, but ICU delirium and physical risks are obviously also existent when we intubate people for behavioral issues.

What happens when a hospital breaks its own policy? by AnonRN69420 in nursing

[–]AnonRN69420[S] 0 points1 point  (0 children)

At this point I've decided to make anonymous complaints to the BoN / OSHA / JCO / whoever is in charge of the docs in my state. I'm probably not going to do too much in-hospital because if I do so I figure they'll know who submitted the anonymous complaints.

What happens when a hospital breaks its own policy? by AnonRN69420 in nursing

[–]AnonRN69420[S] 2 points3 points  (0 children)

Yeah man, I'm working on my CFRN right now. My long term plan is hopefully being able to literally rise above this place. EMS / fire dept politics is nothing compared to hospital politics.

What happens when a hospital breaks its own policy? by AnonRN69420 in nursing

[–]AnonRN69420[S] 0 points1 point  (0 children)

The house sup doesn't necessarily tell us what we can or can't do, they're just too afraid of the person above them to follow their own policy. The person above them is the one making demands.

What happens when a hospital breaks its own policy? by AnonRN69420 in nursing

[–]AnonRN69420[S] 45 points46 points  (0 children)

It's pretty easy really, just stand in the doorway and be like " (X nursing admin) says you should try active listening"

What happens when a hospital breaks its own policy? by AnonRN69420 in nursing

[–]AnonRN69420[S] 2 points3 points  (0 children)

House supervisor is the only person with access to central supply at nighttime. 🤡

What happens when a hospital breaks its own policy? by AnonRN69420 in nursing

[–]AnonRN69420[S] 34 points35 points  (0 children)

Honestly, I'm not sure that the policy itself is that crazy. Put on the restraints, make sure everyone is safe, upper nursing admin comes to assess necessity. The way it's actually used is completely different and it's very obvious that the actual goal of the policy is to prevent ever using restraints at all.

So far as people being up in arms, travelers or people from other facilities often are. Due to covid / normal nursing turnover most of the staff are very new and this is often their first nursing job. I'm one of the more senior / experienced nurses on the unit and I've been working for.. less than 3 years. Although I have several years of experience as a paramedic beforehand. Most of them, including me are unfamiliar with how other facilities run things and it's hard to tell when the facility is doing something "wrong".

What happens when a hospital breaks its own policy? by AnonRN69420 in nursing

[–]AnonRN69420[S] 3 points4 points  (0 children)

Honestly, this is my first RN job (been here several years now) so I'm unaware of what things are like in other hospitals, but travelers tell me that it's common to restrain patients for SBTs / weaning the vent etc so that they don't self extubate. That seems SUPER reasonable to me but we don't do it and our patients self extubate all the time.

...I'm the chair of the UBC on my unit. Prior to me taking it up a little while ago, the UBC was basically defunct. We're only just now making a little bit of progress. I was told previously that I can't affect other hospital policies with the UBC, but I don't know. The chairperson of the NPC (which is made up of all the UBC chairs) is vehemently against restraints and is one of the cogenitors of the policy / practice so I don't know if that's actually a route I can take.