Monday, 4 January 2010

still fluey

God this flu lasts forever. Two reflections today i just realized that the nutters that wrote the very crappy computer programs for work would be eternally modifying and "improving " the programs so as well as learning it initially we would be always adjusting to them changing it and we would have no ability to say no to any upgrading they want to do as you can on home computers. We will have all the past records on it soon as it is it is taking up a lot of nursing time. There doesnt appear to be any nursing input into the system as they bought rubbishy add on programs like diet lists that just take too long to change compared to a rubber and a pencil.
Also one of the issues at work is the birthing unit runs on minimal staff so when they get busy they like to call on the ward for help, problem is when they get busy, we get busy so they really need to call in their own staff. One of the ward midwives said at the large prob best practice hosp she trained at, the MGP (midwifery group practice) on call would be called in to help. Now this is a truly awesome idea as it will cost them no more to do this, MGP are paid a negotiated salary and it would solve a lot of staffing issues but it will totally annoy MGP midwives who think they are the elite of the job. Evil laughter, maybe they will never do it but it will certainly p them off and the idea of it will give us nobodies on the ward a big laugh. We get very sick of them swaning through the ward visiting their ladies without doing a nursing thing for them. The problems of 2 different models of work shoved together, one of which gets the glory while the other is doing the work. Yeah yeah co-op understanding of others roles. Personally I think the hardest roles are dealing with nightmarish wards, trying to get a handle on what 28 more or less patients are up to then staff mix of experience or lack of it and dont even talk about trying to get hold of doctors. Its always easier one to one even if your busy. The only reason I can take wards is because of patient allocation, I can get a grip, mostly on 7 mothers and 7 babies through a couple dont get much attention, and because I almost never get put in-charge. They suspect, rightly I might not turn up! I dont help other people anymore unless I can count on them to return the favour and I dont worry about what other people are up to, unless life theatening.

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