Friday, July 10, 2009

Waiting

No change in knee status-continuing to wait for WCB to approve claim or at least process it. Since surgeon is on holidays, doesn't really make much difference, since I can't have surgery anyway. I see why people get so irate at waiting for decisions etc. as I am getting so irritated with this process. Still on crutches, knee still locked. It is good to be reminded of how frustrating the process is when you are on the receiving end of healthcare. Nevermind that I'd much rather be on the other end. Sigh.
Got together to review the new protocols for monitoring patients after being secluded and having rapid tranquilisation (giving people meds to calm them down after being extremely agitated). It was a really productive session and I think that what we developed certainly will help in monitoring patients and make us accountable in our practice. The tricky part is going to be rolling it out-how will people respond to these changes?
I find it interesting how in a rapidly changing environment such as healthcare, there are so many people who resist change. I know that I don't always respond well to change, but I do try to recognize that it is inevitable in life, not to mention in an area such as healthcare. What is it that we resist? Fear of the unknown? Fear that we won't be able to adapt? Anger that the other way worked perfectly fine, why should I change? Nothing bad happened before, why change now? Complacency that it is too much work to change, the way we do it now works, why go to all the trouble to change it? Given that one of my requirements as a registered nurse is to consistently be evaluating my own practice and developing goals for myself on areas to work on, I feel I have no choice but to do that. I suppose since I have been nursing for only 2 years, maybe I'm used to always having to reflect on my work as I did it all through nursing-constantly being evaluated and constantly having to develop goals. I got tired of it, but in retrospect, it helps now as I don't mind asking for feedback on what I'm doing. Not that I am happy when I screw up, but I thinking I am finally able to see this as a learning opportunity, rather than a personal failure.
One of the great things about this committee is the positive patient focus and agreement that all the members have in working together to improve patient care, with similar ethical focus. Makes such a huge difference in committee work. Working in groups where everyone does not have the same focus or have other agendas makes group work loonnggg and painful.
My sister-in-law and brother-in-law are visiting and we were talking about my work and she said 'it's great to see how passionate you are about your work. You've really found the job you love'. It's true, I do, and I don't understand how others don't feel the same way. I think this can be a problem as I get impatient and angry with people who just 'put in their time' the whole time they are at work. I think a weakness of mine is lack of tolerance for nurses who I perceive as not putting enough effort into their job or not doing their job up to my ethical standards. This obviously is not so good when I sit in judgement because then I can't recognize that there are different ethical responses to situations. How though, do you accept something when you believe it to be against our code of ethics? And how can I maintain my ethical principles without wanting to change situations to fit within the code of ethics? How many ways can you interpret the principle of maintaining dignity and actually maintain that dignity?

1 comment:

  1. I wonder of some of the distrust of change is from older nurses who have been through all kinds of changes over the years, sometimes it seems like fad after fad. I think that is the case in education, we all have to do the next big thing that will change everything for the better. And more often than not nothing much ever changes. Speaking as an old bat myself.

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