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Nt"*G>"ҵ?x#%햃>([gPў\(&t fJZV=E s r>uRZRPBN*(rQq' )ZP/*q}^h԰$xI#ɱt 'ĺ7lHy.SO^j9ȳçR'toxrhGo>*f? ^<ŷE|v]E#NJT:t$N>Se9j Ÿe[2:6IVP ^s,~+6jGjq3ө8b1t9L&'^ߍG[k[h< MࡧOX _Uزn~#ivM.[[g_ gWC{_E|C_Jέ}SZסZes}ɼhs#̯ NelM'OS *1jkƖ:1/RQPrN-%_I=2n|^Geپ`s|VY9EgJ3TxJ5')Ƥ)R,F+dK r#Ho.<9:&f:Įr| L$hc`h\=_hQ_\Nw?,5/h|JP6(wIk`s-韸V_ě<| tlO'8VݵzY7~ÿ+^g%5h|#5mPJVePfK+1vA-}4b;bUPC{ og 2ȁШwT,B$A$3*) ?Q<5{[sa#;%kԈmgdk9]i}tPNK0o;蚅\cP\Bß>kįFh"M}Kmgfp[UfG_Sܿw` SY遯5+7_HE\[X٬4NNE y_ hP"IyK15[fd8~־eM#*Gۻk?gϋ(*)n_|6#ZY6B$/ >b%X%kxdq 8 WwE(((((((((((((((((((((((((((((((((((((((((((3 A@@   Ewashing bed frames and bed wheels on the floor and the carry on caring for patients wearing the same uniform,also to clean relatives and staff toilets when blockedvomit in a drugs trolleyOverbal aggression and threatening not to let me leave work alive from relativespersonal)verbal abuse of nursing staff by patients;4 nights on 1 sleep day off then back on long days (14hrs).dCollegue gave extra dose of iv drug to a pt by mistake. the patient was not affected by the incidentaggressive behaivour toward myself and other staff due to waiting times in outpatient setting. I've had appointment cards thrown at me as well as Cups of coffee/tea. I've been insulted,sworn at, shouted at...the list is endless! i'm use to it now butUthank you 'dont listen to people who put you down, always believe in what your doing'I would say every time I have to stay after work to finish the paperwork which is part of my job ,an important one, and I believe it should be done during my shift, not afterwards. And I have not done it because I have been busy doing something else, noOral potassium chloride to a patient with a low serum potassium a lot of ventricular ectopics . It is usually prescribed PRN but it was not on this occasion , the doctor was in the theatre and not likely to come in the next few hours. He came, prescribI went home without washing patient s hair ,and there was some blood on it ,patient come from the theatre and was unstable, and I was busy doing other thing for him, but when I handed over I felt I have not done my job properly. NI would not describe ITU as funny. I tend to do funny things outside the work.You are my day time angel( I did a day shift). Oh, I am glad that is you, I feel safe now. Can you come back tomorrow , if you have a choice, would you look after me again?zhaving to work short staffed is very frustrating. on our ward we are sometimes so understaffed we cannot take our breaks.In our acute hospital we often have to prioritize bed management over patient care. This means, for example, getting a patient moved to another area or discharged before looking after a patient who needs care.Once a pt had a cardiac arrest in the shower room and ended up on the floor. A consultant insisted that the pt was hoisted onto the bed before CPR was started. Obviously this took considerable time. The pt died.Ive seen staff make personal phone calls but sometimes this is essential with the long shifts we work. I think Ive seen a night shift nurse asleep more than once, sitting at the nurses station-she may just have had her eyes shut.Im not sure if this is strange or funny. I once had a pt who died after a long illness. I had looked after her on her final day and most of her large family were present. The day had been very stressful and the family required a huge amount of emotiona~i look after a lot of confused patients who often shout and are a bit violent because they do not understand what is going on.I am a staff nurse in a rehabilatation hospital in norhtwest. The staff nurses are envoved in aranging discharges and liasing with socail workers ect. Frustration occurrs when there is a red alert at local acute care hospital and our discharge team pushiToday a discarge nurse in tears from pressure from other discarge teams at hospial to find beds and move people to other areas.Cput nettie nickers over their trousers and walk up and down ward. confussed patient who had soiled bed, staff went to attended to the patient. patient lashed out. fists feet, puch one square on face and she dropped to the floor. and one who was punched in the breast and has now got a lump, which is now being investigatThank you for being so understanding and patient with her that nothing was to much trouble. she fel that may hca hadnt got time for her, but i made a point of finding time1)Left alone to staff the resucitation room as an inexperienced member of staff. 2)Left to deal with a patient who was mentally unstable and verging on aggressive.Take medication without asking.PI witnessed 2 auxiliaries shouting at and pulling a demented patient up his bed."Thank you for your help, you have been so lovely and caring, you'll do well in your career. I was going to put in a complaint about the staff in here but i won't bother because of the care i received from you."shouted at patientsHaving another member of staff refuse to assist moving a sick patient, as they were concerned that their were no plastic aprons in the department: the move was critical to the patients condition, but as the infection control policy stated aprons had toPurely in emergency situations, work in theatre recovery, but we know that our consultants will come to write the prescription, but often our patients cant wait that long for drugs such as reversalrWatched a colleague have a 50 minute phone call to her bank to discuss her overdraft, whilst she nursed a patient.uFall asleep in the sluice, from changing from night shift onto day shift, they're internal body clock was all to pot._Patients relative threatened to attack me in car park after work, and later threw a chair at meSmall appreciative comments always are nice... like thank you! It sounds silly but it makes it worth while! The biggest thing to stand out was for a palliative patient who had recieved her diagnosis, I sat with her for a while, not speaking, but there,Ltoo much paper work, and not enough staff to give best care for the patientsspend almost half my shifts doing paper work, and dealing with social problems. leaving a small if any time to talk to patients and relatives`Oncology clinics over running..thus patients seeing the consultant sometimes up to 2 hours late.Mmy humour,support and kindness has kept them going through their chemotherapylhow discharge planning changes (forms especially) from week to week and social services dragging their feet.when doctors have been tied up on other wards and they have asked me to administer medication which they come to write up laterIn similar circumstances to me, if a doctor has been unable to get to the ward immediately and drugs need to be given but are not yet written up and the doctor says to administer.Staff shortages when patients are at high risk of falling but due to hospital budget restraints no agency or bank staff employed. I have filled incident form in and reported to manager.NHave seen colleague speak to a patient and her colleagues in a bullying manner-Dementia patient grabbed me and hurt my wristA patient (who was a nurse) told me I was the best nurse she had ever known and that she felt proud to be in the same profession as me due to my high standard of care.none, the use of social networking sites I feel is acceptable because of the level of commitment my team give. If they have some free time I have no problems with them using facebook, ebay etc. This may be against policy but truely acceptable considerinOn a night duty on a mental health ward a colleague and I played indoor golf, sadly we carved a large chunk out of the carpet but with some clever room reorganising and glue our crime was not spotted. (I was only 2 years post qualified at the time)working with distressed clients in a mental health setting who can be held against their consent can cause some very tense situations. Which is understandable to a pointSpending hours on the phone trying to locate medical equipment when you're already short-staffed and there are umpteen things to do.lHaving just 2 qualified nurses for 24 acute patients, some of whom were acutely unwell and almost HDU level.|Have taken verbal orders over the phone. Have also given simple analgesia like Paracetamol and then got it prescribed later.?Trying to get on-call doctors to see an acutely unwell patient.iA patient became psychotic due to medication and put his hands around my throa< t and tried to throttle me. IT systems,eaten patients foodkworking with elderly mentally ill (dementia)patients means staff are often verbally and physically attacked-thank you, you are so kind, a wonderful nursehConstantly being given extra paperwork and being understaffed which means less time for patient contact.Unable to get enough staff in to cover the required patient observation levels meaning I have to look after a patient on 1-1 observation as well as doing all paper work, medication etc.I work with adults with learning disabilities and mental health problems so see violence on a regular basis. I witnessed a patient place a colleague in a head lock in a pre meditated attack. My colleague was off sick for several weeks and is currently prTnurses who do not speak or understand english clearly and not being sent on a course(relative got very close and was shouting you listen and try to understandbeing expected to provide the same level of care with minimum numbers of staff on the ward. patients and relatives often dont realise how much goes on behind the scenes that takes nurses away from the bedside.male catheterisationswearingEa feud between 2 relatives on the ward which almost came to violence.Bthat i have done a good job in the care that i have provided them.Othe amount of time it takes to get management to actually acheive anything. ehealthcare assistants giving medication - not dispensing it but giving it from medicine pots by beds.Xdrug error - a colleague working in resus when I was in A&E gave a 10x dose of morphine.I was once called something along the lines of "fat bitch... [can't remember].. cock-sucking cunt" It was some years back so I can't remember the full quote but it stuck in my memory as abuse someone shouldn't have to take whilst trying to do their job.[Short staffed and getting off late regularly. Expected to do more in own time ie study days%I couldn't have done it without you. @Under staffing is a serious problem and does affect patient care!35 beds and only 3 nurses on dutylack of staff is a severe problem bad doctors decision on drugs and diognosis wrong drugs administered bad cleaning by contract cleaners bad infection control |I was punched in the stomach and face by a mentally ill patient who was on a general medical ward, due to lack of facilities~visitors who expect to be served drinks even if we are rushed off our feet, unreasonable requests when in emergency conditons,I would employ you`not having enough time with each patient, sometimes cant give the patients the care they deservehaving 12 patients in a room designed for six, having a patient collapsing in the day room prior to discharge due to requiring their bed for an admission|gave morphine to patient in pain and getting it presribed afterwards. Giving patient night sedation before it is prescribed8giving i.v. medications before they are trained to do soSone of my student nurse colleagues arrived at work totally drrunk and didnt go homeIi was physically threated by a sis foot ex boxer and felt very threatenedthat they didnt want to go home because i was looking after them and that if they had to go home they wanted me to be their personal carerYpermanently short-staffed on the wards, yet the hospital spends a fortune on agency staff=not enough staff, so dying patients suffer pain unnecessarily?not enough qualified staff on the ward. incident form completed4I have seen a colleague fall asleep on a night-shift thank you, you made a differenceHaving to change our admission criteria, depending on the time of year in order to meet goverment statistics and maintain our funding. This gives poor consistency and an unprofessonal image to our referrers.I have suggested appropriate medication to very unwell patients, prior to getting a fullther doctor.prescription from their GP, or other doctor.I have been assaulted over 50 times and verbally abused at least weekly when working on an acute psychiatric ward. Some of this is due to patients being unwell and having treatmenmt against their wishes, and some is due to drug and alcohol abuse leadingI am their angel.Managers who bully staffI assessed a patient a requiring an urgent assessment under the mental health act 1983 and was required to make a referral to a home treatment team instead of approved social worker as that is the protocol. The patient required urgent assessment but did=I've seen my mangager shout at a colleague and k=make her cryI witnessed an ex manager shout and swear at a patient. Years later this formed part of a disciplinary hearining and the manager was dismissednursing in a hospital is very frustrating at this moment always understaffed under paid no promotional experiences due to lack of money. patient care appaulling due to lack of nurses and cost cutting by managers, moral very lowIpatient arrested and died as there was not enough staff to help save him.9glucogon to a patient having a severe hypoglycemic attackFlack of staff, sent an email to all senior directors, with no comeback4i won an award for most appriciated nurse in my areaPatient transferred from 1 area to another rather than to the correct area of care. Incident form completed and consultants/Matrons informed of the incident.kA Member of staff hit a patient. This was reported and the nurse was disciplined and suspended immediately.Too many things to mention... Water fights with the staff when leaving a placement as a student. Staff dressing up as Ghosts on night duty to scare the other staff. Etc=lack of equipment for lifesaving measures, happens frequentlynot having any oxygen for a pt who was not breathing properly, another time putting pads in a bed for a pt to urinate on as there was no commode, another time getting money from pts and popping to tesco for toilet paper for them, as the wards allocationpt had history of angina so gave the appropriate med when they had an angina attack because its what they normally would have takenlack of oxygen, lack of other equipment etc etc etc, if it cannot be borrowed from other departments, all you can do is pass buck and inform managersgfollowed from place of work and verbally abused for half an hour until a passerby called for the policeVthanks for something i had done a long time before, it was so nice they had rememberedBeing continually pressured to see more patients (increase activity) yet also being required to reduce costs and develop the service - with no admin support!I have adjusted the dose prescribed by doctor as ineffective before askin the doctor. Only for medications within my specialist area.There are invasive, risky procedures such as urinary catheterisation that are undertaken without gaining appropriate consent and for the advantage of staff or families, not in the best interests of the patient.1Bullying and shouting at colleagues and patients.A patient who calls practically every day demanding that a nurse or doctor goes to attend to her problem (many different scenarios) but when nurse or doctor arrives there is no evidence of said problem. One day I refused to respond and developed a stratelI can't believe the difference you have made to my life. You have given me back my dignity and self respect.Not being able to make changes easily, change takes so long that one could lose motivation. Some people can be very narrow minded and stuck in their ways. I want to change nursing and improve dignity and quality of care but I meet so many barriers it isSevere understaffing in a district nursing meant that there have been a number of days when the only thing nurses have the time to do is 'get in, do the job, get out'. We are unable to implement any wider proactive intiative. Can be frustrating and bad fI gave paracetamol to a patient who was in pain but had not been admitted by the doctor yet and therefore had no drug kardex. I checked with my senior nurse and got a verbal agreement from the doctor first. I am aware that this is not allowed byt it wasNothing terrible really. I think facebook's the worst of it (an< d the phone calls were only asking for lifts or returning a call-me-urgently request, + he is very good for my morale and work ethic!)It was not bad, frustration at waiting for medications to be dispensed from pharmacy so the family could go home, miscommunication was the root of the problem. I felt that I could deal with the problem, I acknowledged their anger and apologised. I learntThank you. When they hadn't said anything else all day but rung the bell and was generally grumpy (quite rightly, he had lost both of his legs the day before) I persvered and granted every request calmly where many other nurses ignored the bell. As I wa bowel prepThe most painful (it went far beyond frustrating) experience related to NHS was the bullying culture disguised in the"assertiveness" attire.It is absolutely incredible and unacceptable what nurses are doing to other nurses. The most frustrating experienIn the situation where pts required fluids-hypovolemic scenario- that were not prescribed on the drug/fluid chart but a previous plan has been established with the consultant in terms of what kind of fluid and what amount the pt can have.Situations in which pts have been accepted in critical care areas when the level of staffing was inadequate. Also, situations were very sick pts have been allocated to bank/agency nurses who's skills and knowledge have not been assessed.Needles to say th8"Senior" nurses shouting at and belittling other nurses.ZThat they couldn't have imagined getting through the first hours after surgery without me.Understaffing a huge problem and poor management who will do nothing to change this, poor morale, too many 'yes' men, no interest from management about staff on the coal face, not child friendly (even when your child has disabilities), bullying behaviourToo many dependent patients for 1 staff nurse, lazy colleagues, too muchpaperwork, bad communication, lack of teamwork, bad attitudes from other departmentsSINGING AND DANCING AT WORKBasically, just pushing patients through the system to meet targets. Sometimes discharging patients that shouldn't really be discharge. For instance, sometimes patients don't have things put in place for them before they are discharged home or the apprmTo be honest, I dont think Ive ever seen any of my colleagues do anything which they are not qualified to do.I work in a hospital were staff are from different cultures. Sometimes I find their level of care very disturbing, but if you say anything to them, then they call you racist. I think the worst thing that I have done is allowed the doctor to keep the pat?Trying to motivate staff and cheer up patients by telling jokesI work in A&E so its not unusual for patients to be rude or violent. I shouted at a drunk patient once, because there was nothing medically wrong with him and and would not leave the department. The security came to take him away, but there was only onThey thanked me for the help and care I gave them, they also bought me a thank you card and some chocolates. Which made me feel very appreciated and made me feel like my job was worth doing.There are not enough nurses to do the training of chemotherapy or even attending to Groshong, Picc and/or Hickman lines. We have nurses working as hard as they can but when patients are on wards and not in the day unit, the nurses on the ward need trainiMy boss wasn't able to help when you have to check drugs and blood with other nurses. I was on my own and had to go to other wards to borrow nurses, which doesn't make the ward managers very happy. Funny, how we all do the same work, but if a nurse is snBlood products need to be given to patients when their hemoglobin drops. If the doctors are in clinic at another hospital, then the blood is not prescribed to give the patient, therefore our nurse lead clinics are giving blood that the doctors have not pIf competencies are not up to date, a colleague has placed a PICC line. Also, one of our doctors told another doctor to do a venesection, the junior doctor came to me and asked me how to do the procedure which she was going to perform on another ward. IPatients cannulas have been left in for 6 days. A senior sister has given chemo to a patient and has not explained to the patient that they are not supposed to have pain at the cannula site. This is training and education to the patients that is being fo0bullying, harrassment, isolation, discriminationpiercing a bag of platelets and still giving it. Also, a senior nurse said that we don't give patients a choice to decide if they want permanent lines in their arm or chest.|One colleague said to a patient, "put your hand on the plate"... I think she meant to say "put your hand on the pillow"... I was an angel.eWhen pt health is deteriorating and by consulting the doctor via phone - so only verbal prescription.GIntravenous therapy, catheterization and venopuncture without training.Falling asleep on the job.That i was a very caring, helpful nurse and i also got many good feedback on thank you cards and verbally when visiting the doctor in clinic.9Cancelling the patient because of not appropriate listing$Rushing to finish the operating listAssisting the surgeon0I ask the colleague to consider his/her actions.BullingUnprofessionalism Stupidity8Patient and relative unfair,shouting without any reason.*You are very kind,very nice,and helpfull.'UConstantly being short staffed as recruitment take so long in starting a new employeeWorking with 5 vancies for trained nurses and having newly qualified staff "making up my numbers" is a short term measure for a long term problem. Both newly qualified and students need support and supervisionqI have administerd analgesics if a patient has been in pain and informed me they normally take oral pain killers.I have called a wife a daughter when their has been a huge age difference and called a daughter who looked older than her years a wife!!!I once took a patient in the office to ask them why they was rude and agressive towards a junior colleague and asked them not to be, he told me he did not like them and that he had "been inside for murdering his wife"XI once nursed a terminally ill paient who asked if I would "lay them out" when they died2The repetitive paperwork which is a waste of time!.due to short staffing patient care is affected(Paracetamol when the patient is pyrexialIused nasocannullae for an eye washout connected to a spiked 1L saline bagA confused patient wanted to go home, she wrongly accused me of talking about her to another nurse and shouted at me saying I would not let her go home (she was in the HDU and quite sick) and carried on accusing me of things I had not done. Another inFeverytime a patient says thank you it is great as it happens so seldomOne of my most frustrating experiences is seeing money mismanaged and squandered by senior management within the trust, and when it gets close to the end of the financial year announcements of redundancies/job cuts are made to tackle this overspend.DSpoken inappropriately to a client, and given incorrect information.A Patient got violent and got physically abusive with a few members of staff, such that hospital security and the police attended.The most frustrationg thing, is one that happens almost all the time. It's hard to pick out one experience in particular. All I can say is that there is nothing more frustrating than when you are being pushed for your beds. When you tell the bed manageWhen my ward had been closed with Diarrhoea and Vomiting, many staff were off sick, so staffing was appalling. I went in one morning, and I was the only member of qualified nursing staff on the ward. My ward manager knew this, the site co-ordinator knew.IV fluids to patients who are post operative/aren't eating or drinking, and their clinical observations are consequently affected. When I ring the doctor, and they can't come to the ward at that specific time, they'll give me a verbal for it.iI have never done anything particularly bad, and i seriously doubt that any of my colleagues have either.< Toooooooooo many to mention.Being very short staffed, staff frequently dissappearing to have a smoke (even though this is against hospital policy). Abuse of power/position and neglect.Sgiving an enema to another member of staff. Most recently - altering a prescriptionShortages in staffing have put patients at risk of violence from other patients and it has been only luck that someone has not died.!patient abuse , indecent exposure0Strike a patient and incite patients to violenceA support worker was shaving patients using a safety razor. He put each used razorblade into the pocket of his white coat then forgot that he had.Later he put his hand in his pocket!MI saw a naked one-armed patient dragged along the floor on a sheet by a nursePatient threatened to kill me because he wanted to be seen next and would not wait. Kicked down the door of the triage room to get to me.SBeing asked to do a job but not being given any authority in which to carry it out.4Made a drug error that very nearly killed a patient.been urinated on , at face level for quite a considerable length of time and not been able to get out of the way as eyes were screwed up tight.|A patients relative was increasingly aggresive and intimidating to various members of staff, I "escorted" him from the ward.5Patients shouting and swearing irrationally at nursesgSome nurses sit on their backsides and hide from actual patient care by using 'paperwork' as an excuse.patients being left unattended for far too long and ignored by some nursing staff - I notice this as I start my night shift. It then creates problems for me as I have to be quick to attend patients before I continue my own work.rWash her hair during her shift hours leaving patients buzzer unattended - life threatening behavior in my opinion.iI have been slapped by a patient. However, that patient was elderly and obviously in a state of distress.my manager expecting me to give all my staff regular supervision (which I happily do) and then despite asking for it, i dont get it, or he is late, or doesnt bother to turn up, then tells me I have to do supervision training. Also our chief exec oveunderstaffed so we have to ''fight fire'' and not do proactive work. Patients / relatives who complain getting better service than those who do not. Trust is not commisioned to work with certain patients so they have a substandard service and are put aTdue to understaffing, gaps in service, not commissioning for all types of disorders.mA patient told me a nurse raped them, it went to NMC hearing the he is still working. It makes me feel sick.*We try to have a laugh, nothing dangerous.Patients have regularly shouted, threatened or harmed me physically, relatives have shouted, swore and threatened me. It is considered part of the job in mental health. Why??? Especially from relatives! Police wont take it seriously let alone the NHSPatients have said a lot of nice things, I have had letters and cards with lovely things in, I keep them to remind me why I do the job. Having decisions made for perfectly good patient-centred care reasons reversed because of 'tradition' and ritualistic behaviour. Being continually short-staffed leaving little time for even talking to patients.Working in a busy stroke rehab ward, doing meds for twelve patients (often dependent, NG/PEG and IVs +++, etc.) then having to wash three or four, then do meds again... Sometimes all I say all day is, "do you want paracetamol? shall I do you back for youBIt all comes down to short staffing (again) and lack of equipment.I was very disappointed when a senior colleague shouted at a patient and just kept having a go at them... because they dropped their tablets.I once worked in a ward and someone came in via A&E with an ECG spot on their prosthetic leg. I'm always getting my words mixed up when talking to patients, and sometimes say things that could have been better worded. For instance a chap had to go for a See above "Thank you"Xhaving to spend 90% of my shift doing paperwork instead of spending it with the patients fallen asleep when on night dutypatient was slightly deaf so had to shout to make myself understood, have had patients shout at and attack me due to there illness6that i was lovely and they wiahed that i was there son%policies an procedures, lack of staff;doing extra shifts to cover the ward even though i am tiredlack of ambulance to transfer unwell patients , clinical incidents put in but the local ambulance traut do not have enough vehicles or staff to put more on the roadtexting on mobile phonesboard thrown at meThank YOu for saving my lifeQhaving to close intensive care beds because of staff shortages on a regular basisjunior qualified nurses undertaking nurse practitioner roles ie setting uo IV infusions, biochemical tests on blood etc. Because of nurse shortages Health Care Assistants are assuming roles for which they are not trained, ie advanced obsrvations, changinnot running IV lines through properly possibly introducing air embolus, cannulation of arteries rather than veins and incorrect analysis of blood gases that ultimately influence ventilation.RA male nursing auxiliary copulating in the middle of a ward with a female colleage(I was assaulted by a relative in the ituThank you, you saved mt lifeI feel better. thank youBeing expected to nurse 22 acutely mentally unwell patients as the only qualified nurse and lack of management support or recognition of how unsafe and stressful this is for patients and staff.Understaffed, expected to cover for other understaffed wards/crisis telephone line whilst ourselves understaffed, expected to cover for lack of receptionist staff whilst ouselves understaffed. Unable to give my patients proper time and nursing care dueUnqualified staff handling medication. Unqualified staff dealing with situations beyond their remit due to lack of adequate nursing staff.Patients placed at risk due to poor staffing level. Patients have left the ward and killed themselves. Patients have been prematurely discharged due to lack of beds with inadequate follow up care and have killed or harmed themselves.URecently, a colleague told a patient suffering dementia to "shut up, you are stupid"Dispensing medication in the style of a pantomime (he's behind you!) over christams. We get through the current crisis as a team using humour.]Three colleagues and a patient hospitalised by a violent patient who had taken illegal drugs.8That they could always talk to me and felt I understood.working on a mental health ward, insufficient staff to provide safe levels of observation, therefore staff sit at the ward door to prevent patients leaving rather than observing them individuallyfobserved staff member come to work drunk and sleep in day room. other staff stayed on at work to cover_had a patient threaten to kill me. was attacked by a patient. seen nursing colleagues assaultedAll the computer work as well as paper work we have to do. Particularly the staff shortages and cut backs but saying "we are fully staffed"=Given more patients to visit then there are hours in the day.Certain wound dressings and bowel medication at the weekend when pushed for time. It is known the doctor will write it up when available.Regularly untrained Community Staff Nurses have to perform tasks that trained District Nurses should do, due to staff shortages Just with patients with dementia&One patient put me forward for an OBE!2Having my hospital closed by heartless bureaucratsbeing put on labour ward caring for a couple of women when I knew younger staff were struggling on the postnatal ward trying to care for 30 women and babies which I could have done as it was my area of expertise.full wardof 30 women on a night shift .. lots of women post section and needing extra care . 3 0r 4 sets of twins. women with special needs and only an agency Nurse not a Midwife to work withXsomeone with a hangover went for a lie down. but was disciplined and put on Supervisionga very drunk relative with a history of violence try< ing to visit a mother who did not want to see them.7That they would never forget my kind words of support .!Dealing with incompetent managersThe Anaesthetist had gone to the toilet and the patients blood pressure had dropped badly so I gave a small dose of a blood pressure raising drug.Nursing staff at all levels are always doing things they aren't qualified to do, the NHS wouldn't run if everyone suddenly started to work to rule.Cases are rushed through without the adequate checks being performed, surgeons add non-urgent cases to an emergency theatre list, tying up the emergency team and preventing it being able to take in a real emergency, theatre lists being hugely overbooked(Made jokes about anaesthetised patients.Heard a male colleague mention that female patients enjoyed it when he put his hand down the front of their gown to attach monitoring.4Seen 2 consultants fighting in the theatre corridor.7Just the usual, usually demented or alcoholic patients.rbeing unable to transfer patients to wards because of inefficient discharge processes. Cerner, cerner, cerner!!!!Finding yourself 5 staff short on the busiest night shift of the week. Unable to transfer patients safely, managment then standing around congratulating themselves on having achieved the government targets, whilst they actually have had nothing to do witlong delay in obtaining a CT scan on a head injured patient - NICE guidelines not being followed for head injuries. Not much we could do except keep a very close eye on the patient, treat them accordingly and 'escalate' the issue, very difficult to do oelazy, asked to do one thing several times and then been aggressive when challenged why task not done.:Dance with a demented old lady who wanted to dance at 3am.I have been assaulted several times physically. I probably get verbally abused 1 or 2 times a shift. Shouting at nurses seems to be the accepted norm for joe public. Patients, relatives and friends etc seem to think that it is acceptable to be verbally a Thank you! Never ever fails.....>Bosses changing policy and procedures on an almost daily basisas a community nurse, I have been often left to cover other nurses patients at short notice due to lack of staff. These can be patients and relatives at crisis point who I have no knowledge ofKmedication errors ( double medication doses). Reported as clinical incident-struck on side of head by patient using stickPatients often thank me for my input. Nicest is probably "you are dedicated to this job, I know I can trust you and you will help me".being off shifts late due to stupid paperwork.understaffing- expecting us to transfer patients to another hospital to accept another one in to our unit leaving us one member of staff down when already shortwe have to guide new doctors and therefore have given a drug and then got them to prescribe it at a later time, but always speak to a doctor first.;moving patients to different hospitals due to bed shortages7arrive without locker key and have to wear normal shoesunderstaffing, to much paper work most of it duplicate lives you with no time for patients, hospital conditions, lack of hygieneI RESIGNE FROM A JOB IN AN NHS HOSPITAL DUE TO LACK OF STAFF, I WASN'T ABLE TO GIVE MY PATIENTS THE CARE THEY DESRVED, I COULDN'T TAKE BREAKS AS NO ONE COULD REPLACE ME AND I WAS ALSO AFRAID TO LOOSE MY REGISTRATION`WITH DOCTOR'S VERBAL CONSENT AND KNOWING I'LL GET THE WRITEN ONE AFTER AND ALWAYS WIT A WITTNESSHCAS GIVING MEDICATION#TRATING OLD PEOPLE IN HORRIBLE WAYS SLEEPING ALL NIGHT WHILE ON DUTY*BEHAVING AS I WASN'T WORKING IN A HOSPITALWORKING NIGHT SHIFTS IN CARE OF THE ELDERLY SOME NURSES AND HCAS DON'T LIKE TO BE DISTURBED WHEN THEY ARE ON BREAKS, IF PATIENTS CALL TO USE THE COMMODE IN THE MIDDLE OF THE NIGHT OR WONDER AROUND, THEY RESPOND IN VERY AGGRESIVE WAYS!"I WISH YOU WERE MY LIVING CARER"?non clinical managers being responsible for a clinical service Itw asn't something he said, he was dysphagic and dysphasic. Itwas something he did. I'd been looking after him all afternoon, practically one to one, because he was quite poorly and needed a lot of attention. He'd also get quite aggitated and I spent thoccures on a daily basis,not having all i need to hand to get on with my work and having to chase around for doctors when i need them.my patient delayed chemo sometimes because im waiting for charts to be done and pharmacy dispense items.as a result treatment late starting,chair is occupied,my next patient arrives i have no room and im not ready to take them because delayed.Had patient using scalp cooling machine,she developed a headache didnt have her own paracetomol so i issued some from the drugs cupboard.If i had bleeped the Dr to do it she wouldve waited more than an hour and they wouldnt be happy coming to do that.Evezone night nurse once had sex with patients relative in the relative room on the ward,while she was working her night shiftthere are many funny things,lots have been when patients dont quite know the names of things and say them slightly wrong e.g can i have some dispositories--instead of suppositories or ive got an orgasm instead of organism. or you ask what medication theydIt usually happens when people kept waiting and they dont know why,so i try to keep people informed.@i couldnt have got through my treatment if it hadnt been for youwe work really hard and get through a huge work load. I always hae a smile and am patient and always take the time to explain what is happening to them or what proposed tests envolve. Nothing is too much trouble Lack of staff6Left alone with unconscious immediate post op patientsXPatients BP plummeted in recovery so put up iv fluids until could get anaesthetist back.,Lack of suitably qualified staff in recovery water fights,I refused to give medication that wasn't due Thanked me for saving their life|Management, or lack of. Thinking they know the best ways to make change happen and actually just make our lives a nightmare.Poor skill mix on shift and lack of staff is a major contribution to poor job satisfaction and also the quality of care we are able to provide our patients and the support we can offer our colleagues.Lack of support for newly qualified staff has often led to acutely unwell patients whose health deteriorates not being recognised early enough. Due to a delayed response to the changes, it has resulted in ITU admissions, cardiac arrests etc.dSexual advances with other staff. Abusive and rude when talking to patients, relatives or colleaguesWitnessed an agency nurse talking on mobile phone, whilst in a patients side room, then told the patient to "SHUT THE F*** UP" while they chat on the phone. When told to put the phone down and apologise to the patient she assaulted the other member of stPatient hit, scratched, slapped and punched me numerous times aswell as being verbally abusive. Security refused to restrain patient, so i was unable to get out of the situation.Thanked me for all the care i have provided them, that they are really pleased when they see me on shift and know that my smile and sense of humour will make their day that little bit brighter and easier to get through.A patient think that as soon as he comes into the department forgets that there other patients who need attention. The family wants everything to be done within certain time forgetting that there are emergencies that arises which needs the same nurse toA patient wrote a compliment letter about infection control and her friend mention it at a conference about how her friend appreciated how I was washing my hands and changing of apron between patients.having to cover staff shortages with our own staff or beg for agency staff when we need help or are busy because very few hospital staff will come to or are able to help in ICU because we are a specialist unit(although not according to pay scales) but awe sometimes have more ventilated patients than we have staff to look after them. on rare occasions we have had to put patients on our oxylog transfer ventilator because we don't ha< ve spare ventilators overdose/pychiatric patients can often cause probleAiv fluids/colloids if idicated by low blood pressure/urine outputstaffing shortages unable to admit critically ill patients because the unit is full and we cannot discharge patients at all or quicklyi have been left with scratches and bruises on many occasions usually by confused "little old ladies" or patients too drunk to know what they are doingi have had letters written to the chief executive and to the local paper. i have had a special certificate made for being "the best nurse in the world" i have been given a "buddy " dog for being there when a patient most needed supportHaving moved to my new area of work just over a year ago I am constantly frustrated by my managers laisse faire approach to management. Also with my fellow collegues constant attempts to 'be the boss'. It gets in the way of actual patient care! Which,If there are quiet periods it used to be common for one or another of the staff to log onto the computer or call home to check people were alright. It wasn't done when the place was busy though, and mostly on night shifts when it is impossible to get aI was nursing a man who had been the victim of a stabbing. He was withdrawing from Heroin but wouldn't admit to it, so we could not give him anything to counteract the side effects. He lunged at me, punching out, while I was emptying his catheter bag a:One of my patients' relatives named her daughter after me.Lnot being able to find equipment in the department due to financial cutbackslack of resources meaning equipment not available managers trying to save money by not ordering things like gloves or wipes or buying cheaper poorer quality equipment to save penniesok !using mobile phones while at work,i have been physically assaulted a few times7Not being appreciated for experience and no progression Understaffed and told to manage book an ambulance for themselvesRI was attacked by a patient. Constantly been shouted at by patients and relativesI was the best nurseJunior qualified staff adjusting IV giving sets as neccesary e.g output + 30mls. It has been done appropriately but they are not supposed to do this unless they have been on an IV course which can take months to get on to and complete. They are fully comSeen IV's e.g antibiotics/anti emetics given too quickly, even though the time they should be given over is stated in the monographA patient shouted at me because he was feelng agitated due to lack of sleep, and he thought it was acceptable to accuse me of having a lack of knowledge and being patronising just because I am young. I stayed calm with him and explained why there was noisThat I had really helped them and they appreciated the care I had given and the time I had spent talking with them.Having to put up with "senior staff" who can not or do not know how to do their job properly! Having to put up with qualified nurses who have been here long enough to supposedly know their job, but they don,t. I love my job & feel that I am a good nurse,Giving medication not prescribed. Giving patients incorrect information. Claiming to be more senior to patients than they really are.(Spoken to senior colleagues out of turn.fSeen a SHO in A&E give mouth to mouth resus by blowing down an ET tube. (There was a Ambubag to hand!)?Too many cheifs; continual power struggle amongst senior staff.Inexperienced staff left to run a critical care area. Severly lacking in knowledge and skills. In the time i was exposed to the area i offered teaching and support. On return to my own area I filled out an IR1(clinical incident form) and relayed my concelapparant bullying from line managers met with the excuse that "it gets results doesn't it?" so it continues have PGD's inplace putting IVI up on drunks prior to them being seen by a medic, purely to speed up their care so they are sober enough to leave with in the 4 hour tagretLhave a cigarette with a patient in the relatives room, maybe not the worst..multiple violent episodes towards me with intoxicated and sober patients & relatives. had knife held to throat in same episode as patient throwing chair at me.thank you. you're an angel.Dealing with outside agencies regarding patient discharges. Some agencies will call us in the mornings when we are busiest and ask the same questions they will have asked the previous day. I wish we did not have to deal with them at all.It is more common than not to have less than the required number of staff on duty. Those of us working must cover for the shortfall. This means we concentrate on the necessary tasks and don't have time to spend with patients. We go without breaks to makeLack of staff means that patients are potentially put at risk e.g. from falls if patients cannot wait for assistance and mobilise independently.I have witnessed rudeness towards patients, esprcially by night agency staff when the patient has used the nurse call bell to get attention.An agency nurse on night shift couldn't find the CD (controlled drugs)cupboard key. She woke up the staff nurse who was on a break. The two of them searched for an hour. Then the agency nurse found the key in her pocket. My colleague was not amused.TMost patients appreciate our help and often say thank you for our patience and care.At visiting when all of a sudden all the pateints' need the loo, are cold, hot, want to sit up or thirsty because their visitors have suggested this to them and demand a toilet, drink, blanket etc, even though the pstient assures them that they are fine.28 pateints with 5 staff ( late shift) (7 Early), had 3 or 4 wandering with dementia, leaving the ward, staff looking for them, security refusing to help as they are not allowed to force patients back to a ward, they suggest that our patients are sectionwhen a patient on end of life pathway has been agitated / in pain have given pain relief then chased dr for prescribing. There is a list of what patients can have on this particular pathway and there are no exceptions%blood pressure and glucose monitoringwhen you have a very poorly patient and you are unable to get a dr to come to review them. or a patient that needs one to one monitoring through confusion who is falling constantly but is left to their own devices due to other patients' dependences;still apearing extremely drunk ( untrained member of staff)visitors often shout through frustration - usually as they have had little or no communication or are scared. some go over the top and are asjked to leave, i have called securityonce with violence patients hit, kick and bite us all the time, one of othey say lots of nice things you are so caring i wish everyone was like you you went above and beyond what was required you make me laugh and you make me feel happy as you are so funnyA spoof 'newsletter' that rivalled anything I have read in magazines - it included a hilarious 'Spot-the -Duty- Doctor' competition that followed an incident when the Duty Dr had cleared off to do some shopping, an advert for a hospital house (the owner,GI still have a 'clicking' jaw from a punch I received 30 odd years ago.Lots of nice things - too many over the years! I prefer the funniest comment - a patient (I should say I work in Psychiatry) said to me 'I bet you were lovely looking when you were younger!'GHaving yet another audit to do - like I have any spare time to do that!Too many to recount.!A patient thumped me on the nose./That I am calm and she feels confident with me. Resources Fallen AsleepA Patient Broke My Nose Nothing!!!/not having enough time to offer even basic careHact as a fourth person in theatre when only a trainee health care workerNnot enough staff to run an operating list safely leading to danger to patients3had a stereo thrown at me by a mentally ill old manBthat the care i was giving to them was the epitome of good nursingServices such as domestic, pharmacy etc are also understaffed. In all cases of this, nurses are expected to pick up the slack from all these services ie. extra cleaning, checking d< rugs are stocked etc all of which is very time consuming. This means patUnderstaffed resulting in unsafe practice. No break (or drink) on a 12.5 hour shift resulting in tired nurses giving chemotherapy, and other such potant drugs. No support when asking for extra staff. Just told to 'get on with it)A colleague tell a hungover, disorientaed teenage drunk that she was in hospital but should be in jail and not letting her go until she has a fried breakfast.Finding me and telling be he really appreciated all my hard work looking after his sick son. His other child had been painted me a picture and got be some chocolates. He later sent a letter to my manager to let her know what a good job i'd done. I wilBeing unable to move people from emergency to wards because all the wards are already full. At the same time ambulances arrive in ever increasing numbers due to the fact that the GP surgeries are doing less and less for their patients. So, rather than trwA 6 bed triage with six patients on trolleys, 12 sitting, 8 on ambulance trolleys and nowhere to put the extra numbers.)Auxiliary nurse flushing a patients line.&I was kicked in the knee by a patient.I was told that I had made an excellent job and caring for a patient who had recovered completely and the wound care I had done had not even left any scarring.Having to fill in incident forms for being understaffed and not having enough beds in the hopsital causing bed blocking. No support from the people higher up in the nursing profession and they do not listen to your concerns as a professional Understaffing on the acute surgical unit and told by management just to get on with it as there was noone they would allocate to cover the shifts as they were over budget. This put acutely ill patients at risk due to not being able to give them the appr<Make up IV antibiotics when not had the appropriate training1Due to both understaffing and inexperienced staffnot having the correct equipment to use for manouver a dying patient, the family demanding that we hoik the patient, putting ourselves and the patient at risk as abeforesadvising to increase medication or to take a different medications or leave medications when not qualified to do soColleague advised carer to increase morphine medication - I strongly advidsed against it and suggested they call a doctor before tampering with meds. HAd strong words with my colleague once we left the proprety and reported to my managerEYour the kindest/gentlest/nicest one in the team. Your all my angelsRNot being able to give patients the correct standards of care due to lack of staff`On many occassion not enough staff on for the dependency level of patients or amount of patientsjIt was an emergency situation on emergency drugs needed to be given (the patient had had a cardiac arrest)When I worked in ICU, the level of patients (A level 3 is an itu patient) and not enough staff to look after them. made a formal complaintlI once saw a colleague try to sign for medications that had not been given.. I did not allow them to do this\A patient and his relative became verbally abusive and the patient punched me in the stomachward understaffed relatives pestering me when in middle of something patients pulling the nurse call buzzer when im in the room instead of shouting nurse some doctors demanding things done there and then nurse manager doesnt have a clue whatnurse manager moving staff leaving 2 nurses to look after 34 patients because she thinks thats adequate collegues not pulling their weight meaning u have to do the work of 2 so much paper workEive given gaviscon to patients a few time without it being prescribedRa student nurse was about to flush a venflon but i stopped her in the nick of timeshort staffing emergency admissions taking time away from looking after post op patients theatre lists that have too many ppl on them cant thinkdintknowHaving a room full of youths being obnoxious when one is trying to treat one of their 'friends' and they will not leave despite frequent exhortationsMedication administration+Christmas 1987 - sex in the linen cupboard!fOne domestic staff sound asleep in a cupboard - complete with party hat - following a christmas party!A+E - Trying to deal with a resuscitation and getting harrangued by the relative of a patient with a (very) minor injury about having to wait!oThat my skills and attitude were first rate and simply just thanking me for initiating an appropriate treatmentgetting requests to undertake big pieces of accounting work (people, numbers etc) by managers from head office with very short deadlines.what sort of situations? I have a team of dedicated mental health professionals that are working to their limit as we have no 'give' in the team. anytime a staff member is off on holiday etc I cover their clinical duties on top of my management andWe have a LOT of fun in work! I could fill a book with stuff! I saw a collegue who was on the phone spinning around on a chair and suddenly fell spinning of the chair flat on his bum! He managed to pick himself up off the floor, and pick up the stool stiI got clobbered across the head with a sats moniter by a 7 stone elderly lady!!! All I was trying to do was make sure she didn't pull her catheter out and I had bent down to strap the bag to her leg. It blimming hurt!!! She was short of oxygen hence herwI get lovely things said to me all the time. I LOVE my job. If I had to take a pay cut- even half of my salary I would.patients not being monitored properly post surgery due to staff shortages. observations not being taken often enough. documentation not completed properly due to lack of time."issuing medication inappropriately&inappropriate behaviour with a patientyi work as a prison nurse so am used to aggressive talk/ verbal abuse from the patients if they cannot get what they want.%that i make the world a better place!Receiving constant telephone calls from bed and duty managers, all requiring the same information that will have been given to a colleague of theirs, sat in the same office, 5 minutes earlier.Caring for very poorly patients (some requiring one-to-one nursing) without the staff to be able to give the necessary care. Understaffing means that where one nurse is required for one-to-one nursing, or in an emergency situation (such as an arrest), thNGiving IV medication without having been signed off by the Trust as competent.We received a patient from ICU who was not medically fit to be returned to the main ward. A decision had been made to move the patient as there was another patient in theatre requiring an ICU bed. The patient was transferred a long distance from one sideA colleague entertaining her ladies bay - radio on full blast, all singing and dancing along to the music. It was a pleasure to see a range of ages from early 30s to late 80s enjoying each other's company and making the most of a Saturday morning in hospWDealing on a day to day basis with a patient who is verbally and physically aggressive.As a student nurse, the nicest thing a patient and his wife ever said to me was that I was going to make a fantastic staff nurse and that they wished me all the best for my future. I hope I'm living up to their expectations now that I am nearly a year qu}time spent on paperwork and ensuring that targets set by management are meet even where it means compromising on patient care would not be willing to disclose9take on cases and performance that they are untrained for}abuse of patient, of which I followed the whistleblowing procedure, only for the person to eventually return to normal dutiesToo many to mentionThreatened with a knife "thank-you"I WORK IN A DAY AREA WHERE PATIENTS ARE IN AROUND 4 HOURS FOR EYE SURGERY AND IRREGARDLESS OF AGE OR FITNESS I AM ASKED TO ASSESS THEM FOR FALLS/NUTRITION(WHEN A LARGE PERCENTAGE OF STAFF COULD BE CLASSED AS OBESE)/DISCUSS SMOKING CESSATION ETC.aLL THESEWHEN DOCTORS ARE SICK/ON HOLIDAY/ AT STUDY LEAVE THEIR WORK LOAD IS DECREASED CLINICS AND THEATRE ARE CANCELLED. WHEN NURSES ARE ON ANY OF < THE ABOVE THEIR COLLEAGUES HAVE TO WORK HARDER AND FASTER.PATIENT HAS EYE PAIN - STANDARD MEDICATION IS PARACETAMOL. DOCTOR IS NOT AVAILABLE IF PATIENT WERE AT HOME THEY COULD TAKE THIS SO RATHER THAN SEE PATIENT SUFFER I HAVE GIVEN IT WITHOUT A PRESCRIPTION.TECHNICALLY I COULD BE STRUCK OFF FOR THIS.rMAINLY DOCTORS AS THE NURSING HIERARCHY DEMAND X AMOUNT OF SUPERVISED PRACTICES - DOCTORS RULES ARE SEE ONE DO ONEWHERE INEXPERIENCED MEDICAL STAFF HAVE BEEN OUT OF THEIR DEPTH. I HAVE STOPPED THEM OR GONE OVER THEIR HEADS TO A MORE RESPONSIBLE DOCTOR - I AM THE PATIENTS' ADVOCATE AND FEEL VERY STRONGLY REGARDING THISALCOHOLIC UNDER THE INFLUENCEOTHERE ARE LOTS OF PRACTICAL JOKES PLAYED IN HOSPITAL - IT HELPS RELIEVE STRESS.SOME PATIENTS BELIEVE IT IS THEIR RIGHT TO USE THE AMBULANCE SERVICE BUT WE HAVE TO ARRANGE THIS FOR THOSE WITH MEDICAL NEED ONLY. I HAVE OFTEN BEEN VERBALLY ABUSED OVER THE AMBULANCE SERVICE.fstaffing levels - not enough staff to deliver care whilst carry out legal responsibilities (paperwork)kphysical assault when i intervened to prevent a patient headbutting a colleague and received a hand injury.i'm in the wrong jobI am currently a student nurse and nursing assistant (bank) so although small things have frustrated me in the past, nothing worth mentioning.When i was working a 'bank' shift (as a nursing auxillery, i was put on a ward as the only nursing assistant, none of the qualified staff were prepared to help me clean the patients.. and the ward was closed with D&V which made it harder for me to see toPersonally, I the worst thing I have done is fallen asleep.. but i was on a night shift and we were given permission to sleep for longer than the proper break times. i.e. supposed to have 30minutes break, but each had 3 hours break instead. I have witneI saw another nurse shout at a patient. I was working on a medical ward, and a patient with dementia wanted to get into bed. the nurse in charge, shouting at the patient to sit in the chair saying she was not allowed to get into bed, she pushed the patie*You are going to make a really good nurse.paperwork and understaffingmany a time have i been able to provide 100% care due to short staffing leves, especially with regards to breastfeeding support.9give drugs without checking name bands against drug chartyou were amazing, thank youWorking in Out Patients, in a small community hospital, Bookings / appointments made by cetral office, booking office appear to have no idea of how to run clinics, overbooking, inappropriate bookings, too long clinics, too short clinics. Some staff "a"nearly glassed when working in A&Ewanting to give top quality care and not being able to due to lack of time, staff and pressure to reach government targets. Managers who seem to have lost the art of caring and are only interested in 'ticking boxes'patient required analgesia, called dr who siad he would prescribe it but then he got called to theatre. I gave the analgesia as discussed and it was prescribed later when the dr came out of theatre. most importantly the patient was pain freea women in labour, when labour showed signs of going wrong dr's were called and despite it being obvious action was required they held off as they were due to hand over to next shift in 30 mins time. i completed an unsafe practice form and informed managkthe worst i have done is made a short phone call home. Have seen others hung over verging on drunk on duty.patient's relative attempted to attack another member of staff, because they wanted to have a sick baby discharged and the hospital were taking action to make the baby a ward of court. other visitors to the ward intervened unitl security and police arrivgthat every ward needed someone identical to me and that i had made a signifcant improvement to her life2Bring their laundry in as no time to do it at home}Relatives and patients seperatly isolating individual staff and shouting at them threatening serious mishaps if seen outside&Thank you for listening and helping meThe number of times when i try to challenge poor nursing practice, I am accused of being a racist or a bully. I despair of nurses who try to hide behnd the colour of their skin be they balck or white!SUnderstaffing. Not being able to get a doctor to come to see a patient who was ill.Hit a colleague%I have seen a colleague hit a patientI was attacked by a patient with a pair of scissors. I have been hit over the head with a walking stick I have been spat at by relatives I have been threatened at knife point by relatives. TA dying lady held my hand and told me she no longer felt scared because I was there.Being assualted at work and then work not supporting you by actively pursing assailant, putting onus back on you rather than them.Being made to accept useless and lazy Agency staff time and time again, even though management are aware they are useless, yet they still bring them back.JPatient was in pain and SHO couldn't be contacted. Common sense approach.PTaking blood without the traing. Supervising students without doing the course.zSHO delayed sending patient to A&E for investigation. SHO not paying attention to data given to them to support transfer.KMake up a nursing note, when they clearly had not seen the patient all day.An agency nurse take a patient on Special Observations into the toilet with her and take a pee with patient in the toilet. They still bring her back!+Been assaulted 3 times in the last 2 years.*Nominated me for an award and I got it!!!!Happens every day, hundreds of times a day: I receive an email about a client, I have to note in the medical files "email received" and then store the email in file. When I reply I have to do the same each time. Paperwork, accountability, governance = aPWorking at too high levels for too long - everyone stressed and nearing burn outYRegular joke - you see one, do one and then teach one. Applies to various procedures, etcI worked with someone once who was an alcoholic and would secretly drink at work - we only found this out after she had gone off on long-term sick/disciplinary matters. (Would never have allowed her to be at work if known a the time she was drunk/alcohol0Fall asleep mid-sentence during a night shift. I used to work in a ward for people with challenging behaviour and was regularly shouted at, hit, bitten, spat at, threatened, punched, had weapons drawn on me. normally didn't bother me as had really good support team. But sometimes, would make me or coJust said thank you. It doesn't happen very often but when it is said, or written in a card or something it is lovely. Also they may say something good about you to to someone else and when you hear about it is nice.I do a highly specialised job for which i am woefully underpaid and i am forced to work with collegues who are ,frankly, almost brain dead.>i'm so exhausted that i've forgotten the last question - sorryWhilst i say not qualified - they have the appropriate 'certificate' however their IQ is such that they shouldn't be NEAR clients let alone offer them 'care'. Also there are several members of higher management who are, quite frankly, scary.5being abusive to clients.giving out wrong medication.aknowingly tried to give a client medication which he had diluted with water to reduce the dose. I have been threatended and sexually harrassed by the Bourough lead who is a well known bully. I was punched by a client when i asked him to hand over some illegal drugs - the management refused to pursue the matter on my behalfd, kurgent or emergency situations;No back up from managers when getting abuse from relatives. Thank You!!!!<Psychiatric patients feigning illness and thus blocking bedsBBeing asked to carry out assessments i have not been trained to doadministering medication to patients who are having a seizure or allergic reaction to anti-psychotic medication which may be life threatening. Occasionally administering simple household remedies eg paracetamol/gaviscon/senna in the middle of the nighttNursing assistants administering medicati< on. Untrained staff becoming involved in control and restraint situations.Gphysically assault a patient while in a control and restraint situationZattempting to restrain a patient who had stripped naked and covered himself with margerineJanother nurse kicked and punched repeatedly by a patient until inconscious9A lot of patients have commented how kind and caring I amWorking in the NHS as a midwife it is considered 'normal' to work through breaks and grab a very quick bite to eat at lunch, and stay on after shift is over for 20mins to half an hour. Sometimes you might get a total of 25 minutes break during a shift whsometimes you find yourself in a situation that normally would require at least one other member of qualified staff helping you, maybe two. but because of the ward being extremely busy you end up working alone. this can cause a tremendous amount of pressinstances when nursing auxillaries are left to do duties that the require supervision for. Small things like disconnecting drips to do washes that maybe they are unsure abouti think it is totally inappropriate for staff to come in to work with a hangover, as concentration levels are low, but unfortunately this happens Working in a labour ward, women are in pain and sometimes have to wait for pain relief. This sometimes creates a situation where partners are aggressive to you even though you are doing your bestOI couldn't have done it with out you---like deliver a baby without an epidural.I find the lack of respect from patient's and families very frustrating. They come to hospital and complain about everything we want to do for the good of their health such as bedrest, tablets, blood tests. Is hard to look after people when they talk toI have had situations where I've had 13 patients to look after and been told that one of them needed one to one nursing but wasn't a candidate for ITU. There was no way I could one to one nurse this patient as well as care for my other 12 patient's. I enThere have been occassions where doctors haven't acted on concerns I've voiced and said the patient's OK and they have become very unwell because of this. On these occassions I have spoken to a more senior doctor and the nurse practitioners as doctor's oA lot of people come in hungover to work and are unable to concentrate fully on the job however, I have never witnessed any problems with patient care on these occassionsI have a had a patient who was confused and she was trying to hit me, calling me names and scratched all my arms. She ran out into the main entrance (as my unit is near the main doors of the hospital) she then ran out into the road and I had to run aftercA patient said my mum must be proud of me because I was such a nice person and a really good nurse.Lack of staff would like pateint/nurse ratio to be fixed. would be able to do my job properly and not have great demands/ stress due to lack of staffWard not quiet full only qualified member of staff on working with two auxillary nurses for a 11hr night shift no staff to spare. No break ( Just told to get time back !!?!! when?) and expected to admitt emergency surgical patientsTHigh temperatures during night shift doctor not able to come and prescibe medicationcontinually having to rush patient care on a daily basis due to heavy workload.there is not enough time to fully work through each patients care and deliver what should be in 2009 5 star care!ano fun on the wards anymore no time!but years ago we had been known to lock sister in her office!SNot enough staff due to sickness, poor skill mix and dependency levels of patients.When IV fluids need continuously given and have not been re-prescribed, fluids have been administered then medics have prescibed them.As a student on a night shift at an assessment unit additional to A&E. Parent angry that his child who had been unwell for over 24 hours had arrived on the unit at 3am and wanted to be seen immediately. We also had an arrest on the unit at the same timeToo many to mention. Currently part of the team designing a new unit. Despite being involved as an expert in one area of care, feel my opinions will be disregarded by seniors to meet their own agendas, and financial constraints, despite being in the bestTUnprofessinal behaviour- eg gossiping about other staff/managers in front of parentsit's generally having to adhere to 4 hour targets, the doctoring of figures to allow us to do so and the lack of empathy for patients from managers to prevent pt's breaching 4 hour targetUnable to off load patients onto trollies due to there being no in patient beds for current pt's in A&E. Having to nurse ill pt's in inappropriate areas when there are no staff to man resus room.on many occassions. Due to busy nature of dept and illness/condition of pt. I've administerd oral analgesia, GTN, IVI. There is an understanding between nursing and medial staff that allows this to happen and they have always prescribed meds afterwards%dressings, administration of IV drugspretend to be a dead body to scare new members of staff. plaster colleauges to wheelchairs on their last shift. play hockey with walking sticks and balls made of tape. many years ago though as we don;t have time these days!li have been threatened with gun and physical violence, sworn at, called names because of my gender and race.Ythey were confused, they said they thought i'd come from heaven and that i was beautiful!Attending courses to better the standard of care I provide and then that knowledge being ignored or not being allowed to adapt it into practiceDue to budgets extra staff was not allowed and susequently a patient on observation, physically attacked another patient and a member of staff.HAs mentioned earlier. Often poor staffing leaves the ward poorly manned.Some of our patients are acutely unwell and suffer from dementia and as a result there is often aggressiv and disturbing behaviour displayed.Thank you for looking after me.HThe ward staff are not to leavce the wards to attend training/education.The ward staff have a ward full of acutely ill patients and not able to provide the quality of care required at times. Documentation is poor as is attention to detail. The emphasis is on getting people out of hospital sometimes at any cost. I am so overStaff on the ward do not always provide adequate care to prevent the risk of infection. This is espcially so in relation to urinary catheterisation & catheter care. This is mainly due to being understaffed for the dependency levels of the patients on the7Using mobile phone on wards to make private phone calls|The funniest moments I have are usually with the patients. Unfortunately where I work nurses are too busy to have any fun.I have seen a nurse raise her voice to a patinet who was constantly shouting for a nurse to come. She told him not to keep shouting as it was disturbing the other patients. I have seen patients shouting at nurses and also relatives shouting at nurses,A patient has said that she really appreciated the time I spent listening to her as she thought that no-one would be interested in her problems.pNot being given training opportunities by my manager, in order to evolve my nursing knowledge to benefit others.5speaking in their own language directly over patientsPatient and relatives have been fustrated by situations and even though I may have only been trying to help they didn't see this and taken their problems out on the first person they see - me, but only verbally and they apolgised afterwards.Ka bank nurse fell asleep in a chair next to a patient while on night shift.We had a patient who was an alcoholic who was admiitted and going through the dt's and ended up smashing the ward up and asulting 2 members of staff while i was on a night dutyi alaways try to make my patients happy with the care that i give i never treat any body different and the genral comments are that they ahave been looked after to high standard and are just pleased that they have been made well .PAPER WORK HAS TAKING OVER GOOD PATIENT CARE FROM HOSPITAL NOWADAYS. NURSES HAS TO SRUGG< LE TO MAKE TIME FOR EACH SINGLE THING THEY DO INCLUDING PATIENT CARE. NURSES DONT HAVE TIME TO TALK TO PATINETS ANY MORE BECAUSE WHEN THEY SPEND THE TIME TO TALK THEN,DISCHARGING PATIENT HOME DUE TO LACK OF BED.xDISCHARGING PATIENTS HOME EARLY DUE TO SHORTAGE OF BEDS IS NOT FAR. BUT A STUDENT WHERE DO YOU STAND FROM THIS SITUATION,MISTAKEN DROP LACTULOSE ALL OVER HER UNIFORMYOU WILL BE A GOOD NURSE.CHeard a colleague shouting at a patient when it is not their fault.3that I am calm and they like it when I am on shift.eHaving to do hand hygiene audits and take names of those staff who don't comply with the regulations.Poorly exampled - sorry. Not so much as life threatening as unpleasant and painful situations for patients. As a senior nurse it has been up to me to ask the doctor to stop and administer pain relief or local anaesthetic. Discussed with a head injury patient about how he thought he was a tree with his roots stretching out under the hospital and into the city. Very bizarre on a night shift. .It's nice to see a smiling face in this place.Having to wait for a nurse as the one caring for the patient is not available and no one else seems to be able to tell you anything%Fallen asleep due to sheer exhaustionAVerbal abuse from relatives and patients seems to be common placeThank you for helping meNursing staff not being rewarded for what they do. Agenda for Change and the unsocial payments reward unsocial hours working, which whilst being unsocial, are usually the quietest shifts (Nights and weekends, meaning the busiest and strategic/planningRude to colleaguesPatients relative arrived on the ward and became very angry when they were told their relative had been moved to another ward, despite having being informed by telephone. They smelt strongly of alcohol and were asked to leave the ward. They became veryIThat I made the ward what it was, friendly! and a pleasant place to stay.I am a bank nurse and have been working in A&E for over 3 years doing on average 4 nights a week and I did't get an interview when I applied for one of 5 jobs that was advertised. yet the applicants that were successful 4 had left within 1 month and I amI have been expected to look after patients in the A&E observation ward on my own - including confused patients - and then transfer a patient to a ward and have trouble finding someone to take over while I left the unit.Working in A&E when road traffic collissions/accidents come in when patients are being assessed sometimes risks have to be taken if one injury might be deemed more serious than another. you just go with the doctors experience#done my crosswords in a quiet spell>had wheelchair races down the corridor when the unit was emptyWorking in A&E we get our share of drunk and drug fuelled patients but the worse case was a patients' husband who was verbally abusive at me and pushed me because I was unable to give his wife Morphine as it wasn't prescribed.Well, where shall we start? Maybe with my nursing degree, as I only qualified last year. From my studies I learnt how to run a business, nothing was really relevant to actual "proper nursing". Makes you feel rather ashamed when working along side peopleOur 12 hour shifts are long - at night we generally take a couple of hours out to sleep while the rest of the staff look after the patients. People often make personal calls to partners. We are unable to get onto Facebook in our trust.zOne Christmas we stuffed pillows and blankets down our uniforms and trousers to see what we would look like as fat people.When my patients are coming around from their sedation they are often extremely annoyed at the staff and lash out. However they are generally so weak that they don't manage to do any damage - they are more likely to harm themselves by removing line and NThe whole issue of targets frustrates me. The fact that we are commissioned on the basis of 'occupied bed days' rather than the quality of the work we do is a huge disincentiveA patient brought one antibiotic tablet to hospital when she was admitted to the ward. The admitting Doctor did not prescribe this medication and the patient said she would leave hospital if I did not allow her to complete the course (i.e. take the last#I've seen food thrown at colleagues@I've seen prescription cards rewritten to 'cover up' drug errors&Managers who DO NOT KNOW HOW TO MANAGEGKLow staff numbers Sex in ward office*Caught colleague giving oral sex to DOCTORYes/I would give my right arm to have sex with you.}trying to get the hospital to deal with a aggressive/inappropriate patient; managers wanted to sweep it all under the carpet ain emergencies have given meds i believed to be justified when dr is too busy elsewhere to attend giving iv drugs when not trained*drugs have been forgotten or given wronglytaking speed to come to workknocked unconcious by a patientregular staff shortages{as a psychiatric nurse working with people who can be unpredictable i have been verbally and physically on a few occasions.Ithat i haves hown i cared and alwaystreat people with dignity and respect&not enough time to even do basic care.Not enough time/ Staff_Very very busy, more patients than can be either accommodated or seen at times in the A& E deptOnly oxygen before it is prescribed, there are some other medicines that we can give ie paracetamol and just sign the prescription chart without need of a Drs signature !Too exhasted to function properlyPLack of staffing or poorly performing staff working with critically ill patientsAbusing Drugs whilst at work:I have been physically assaulted on more than one occasion"Thank you is all that is necessary Over run by appalling managementOver the counter preparations which you dont need a prescription for outside its silly to then have to require a doctor's prescription just because your in hospitalDUnderstaffing 24 patients to 1 nurse for an 11 hour shift its UNSAFE4I once saw a colleague consume alcohol while on duty?Thankyou or you've helped or your a good nurse anda nice person Thank You!The outpatient sister in my previous job did not understand my work as a research nurse and made life very difficult for me and I was off work for 7 weeks with stress. When I came back I was moved to another department where the sister was understandingI have rheumatoid arthritis and was advised by occupational health to do research which is a desk job. The sister in the department thought I hadn't much to do as I sit at a computer a lot, so she asked me to cover for tea-breaks. Then she asked me to coMEETING TARGETS BEFORE PATIENT CARE. EG WE SEND PATIENTS HOME EARLY TO GET DISCHARGES IN. TO GET PATIENTS IN NEGATIVE PRESSURE IS PUT ON STAFF BASICALLY BULLYING. PATIENTS ARE CARED FOR FOR IN APPROPRIATE AREAS PUTTING PATIENT CARE AT RISK JUST TO GETSTAFF LEVELS TO LOW WITH POOR SKILL MIX MEANT PATIENT LIVES ARE PUT AT RISK. A PATIENT WHO STOPPED BREATHING WAS AT RISK DUE TO LACK OF SKILL OF STAFF AS LACK OF STAFF TO RUN THE WARD AND WORKLOAD FROM OTHER PATIENTS. AS A RESULT PATIENT NEARLY DIED WASPERFER NOT TO ANSWER BUT IS AS A RESULT OF FUNDAMENTAL FLOORS IN SYSTEM OF DOCTOR SUPPORT THAT PUTS PATIENTD AT RISK OR CAUSES UNNECESSARY SUFFERINGPERFER NOT TO SAY BUT IT IS AS A RESULT OF UNDERSTAFFING, FLAWS IN POLICY AND SUPPORT THAT PUTS THE STAFF NUSE IN DIFFCULT POSITIONPERFER NOT TO SAYTHREATED OTHER STAFFA PATIENT RELATIVE PICKED ME UP OF THE FLOOR THROUGH ME AGAINST THE WALL AND HELD ME BY THE NECK AGAINST THE WALL. A PATIENT HAS TRIED TO STAB ME WITH 'DIRTY USED SYRINGES' IV DRUG ABUSER HIV POSTIVENTHAT THEY WOULD NAME THEIR CHILD AFTER ME. THE PERSON WAS PREGNANT AT THE TIMEendless rules, and targets handed down from government that are nigh on impossible to adhere to due to low staffing, and low lorale.working early shift- 7:30 to 24: 30, going home and sleeping for a few hours then retutning, that same day to work a night shift. Or, working a night shift which ends at 0800, going home to sleep and returning that afyernoon at1400 to work unt< il 20:30.paracetamol for headachesA New admission patient having a heart attack, while t sitting in a day room because there were not enough nurses to triage the patient properly when first admitted to the wardJleave the ward to go to a takeaway restaurant to bring food for the staff.a patient attacked three nurses, throwing water jugs and books, chased one of the nurses down the corridor and hit her several times over the head with an electronic tympanic thermometer, breaking it into several piecesDparacetamol for headaches gaviscon for indigestion out patients only3Shortage of staff. Lack of support from management.Lack of staff. Ill patients in same ward needing lots of care. Patients in same ward with dementia or alcohol problems requiring a lot of supervision, tend to wander/fall not enough staff to cover varying needs/demands of patients. therefore incidents/acLack of training /experience of staff. Having to wait till medical staff are available to come to the hospital from being on call.:A colleague coming to work under the influence of alcohol.Nurses on my ward are often verbally and physically abused by patients with dementia, alcohol/drug, mental health problems or just generally unpleasant people. On one occasion a nurse was stabbed by a patient who took a knife from the ward kitchen.VThat I have helped them on the road to recovery and brightened their stay in hospital.,being under-valued and bullied by manager(s)A patient undergoing an endoscopic procedure indicated she did not want any sedation as it made her ill. The doctor went ahead and sedated her, resulting in a potentially life-threatening drop in blood pressure and responsiveness. The Cardiac Arrest teThe husband of a patient accosted me on the ward, drunk, demanding to know why another patient had received medical intervention before his wife. He was 'in my face', arms waving, and swearing. He later accosted the husband of the other patient and wasJust a simple 'thank you' is by far the nicest thing a patient can say. We see people at uncomfortable, embarrassing and worrying times in their lives and it's a privilege to look after them. Occasionally a patient will say I helped them through this dBecause newly qualified/or medics who have no idea how to scrub/gown up for an operation are doing so without adequate instruction. they often copy other medical staff who themselvies do not carry out the procedures correctly. It seems to fall on the nNot wearing gloves whislt shaving patients on the operating table, and then not washing their hands and preforming other duties6When patients come into the ER often drunk and abusive$Thank you for being so nice and kind-I always know i'll be ok when you're on shiftI am fustrated at how much the so called bosses think can be done in thetime that we are allowed to work. The waste of money employing inexperience staff to do the work of quallified people. I was give a bottle of Champagnethanks for the caregI have been nursing since 1977 and the amount of paperwork has quadrupled but much of it is duplication^3 patients who each needed a "special" being monitired by one nurse because of staff shortages)too few staff for the level of dependency CROSS-DRESS FOR CHILDREN IN NEEDphoning to get replacement staff and none available or replacement staff won't even do basic nursing tasks like give oral tablets but is getting paid more than medue to lack of staff have had too many patients to give a high level of care to. pts have had to wait for me to be free to help them taking bloodHstaff are tired and so don't complete task properly putting pt in danger stolen drugsdanother staff member wearing a bluetooth headset and talking to a friend whilst doing the drug round no commentRoften relatives will shout at you cos there relative is not getting what they want your an angel!management not listening to staff$the lack of trust amongst colleagueswhen working on a ward a patient died and the relatives bought me a gift to say thank you for making a nice fuss over them during their stay&Too much work to do in too little timeignore a patientCCalled me his angel - and meant it. Thank you from anyone is good.lbeing unable to tell people their attendance at a and e is inappropriate and they should of gone to their gp6come in worse for wear and have to go and sleep it offHunhappy parents can get very stressed and do become aggressive sometimes they have said thankyou for looking after me and making my stay in hospital a pleasent experience and have been given flowers and chocolatesfinishing at 9.40 pm at night, getting home at 10pm and having to get up at 5am for next shiftotallt illegal in any other profession+drink alcohol - thought no one would noticedek1One rule for managers, another for everyone else.%you've saved my life twice, thank youthe amount of paper work is sometimes overwhelming and you just have to decide what comes first patient care or paper work in my case patients come first even i do get into trouble from higher managment who dont seem to understand what a patient is if yowould rather not say5phoned in sick but were realy just tired and exaustedTThank you i dont know what we would do with out you the best words ever is THANK YOUSThe inability to deliver appropraite care to patients because of the 4 hour targetsPatients moved to understaffed wards before definative diagnosis is made and also patients discharged and then life threatening ailments identified afterwardsSI have seen colleagues come to work completely inhibriated and not able to functionthank you for saving my lifeSpecialist Ward left with 1 newly qualified nurse and 1 junior nurse from another ward who did not know speciality dur to staff sicknessbecame a single parent and the hospital that I worked for supposedly had a family friendly policy but I was given a hard time as I was employed to do internal rotation even though I had no childcare at nightjHaving to look after a ward of patients at night with just myself and a HCA and had 4 very unwell patients(short staffing, incident forms completedfcolleague covering themself up at night with a sheet and hiding to make me jump KY jelly on the phone -A confused elderly lady nearly broke my wrist&Giving a baby my name as a middle name&whilst awaiting to get PGDs signed offpeople demanding to be seen and having a confrontation at the reception. being sexually abused by a patient grabbing me between the legs when taking his blood pressure one grabbing my breast when washing him and other similarly abusivejpatients who have come to thank me persoanally and say they appreciated my help and thanked me for my timedrug administration, giving of medical advice, giving of instructions/orders to patients which is not acceptable i.e being rude, obstructive or lying#talking inappropriately to patients-i have not done all things listed previously!hrecieving verbal abuse, being grabbed by drunk man and being talked to inappropriately (being leered at)that i am an angel!obeing continually bothered by manager re. paperwork and having it up to date, when there is no time to completexbeing in a life threatening situation where action had to be taken an other staff, including dr's were unwilling to act.emergency medication only.Administer medication. Remove invasive devices}where other nursing or medical stsff have been reluctant to seek help , resulting in late diagnosis of illness/deterioration\Fallen asleep walked off the job falsified observations signed for drugs that were not giveneBrought the wrong relatives in to see a patient. Informed the wrong relatives that a patient had dieddViolence by patient towards nursing staff. punching and scratching. Patient in question was confusedybeing so busy and undersraffed we rarely have time to have a proper break, so can go for 7 hours without a drink or a peeworking with very poorley patients who have complex needs and demands and not being able to spend time with them as there is no one else in the bay to assist< agenerally not take notice of patients or be rude to them or relatives, bad manners make me cringecenerally they just call us angels and say they don't know how we do what we do for so little thankswmanagers giving orders without realising the patient's needs. Relatives obsession with patient's personal possessions.Not enough staff to observe all the patients, particularly those at high risk of falls and especially at night. Managers refusing to get extra staff for aggressive patients, meaning the team looses a member to undertake a 1:1.Staff have administered medication without prescription and doubled the dose of a medication to particularly agitated patients.Staff not observing patients appropriately. Bad lifting techniques. Nursing aides not reporting to staff when a patient falls. Poor and illegal documentation to cover up patient incidents..Water fights, horse play, eating patient food,I have seen a senior member of staff double PRN medication and add sedatives to patients, when I questioned them they threatened to make my life hell on the unit and as I was new I was told my word would not stand up against them as they had been known tMWear an incontinent pad for a shift to see what it was like for the patients.Nursing aides screaming at a dementia patient to get into the bath yelling "are you stupid!" into their face and manhandling them - I took over the patient's care.V"I don't know what I did to deserve this care,I am so happy here." - dementia patient.zpatients relatives, asking for their relatives to go to the toilet, and then finding out that the patient didn't need it!!1being part of a crash call with no resus trainingwe had asked the dr's to provide pain relief at 8.00am. by 6pm it had still not been prescribed, despite repeated requests. the patient was sound of mind so i gave them some paracetamol.HChange times on drug cards. (normally as the dr has prescribed it wrong)ACame in for a long day despite being drunk from the night before a colleague put ear plugs up his nose while dealing with a particularly nasty necrotic wound. Unfortunately the ear plugs expanded !! i have been bitten by a patient [that i made there stay in hospital really nice, and that they really appriciated my effort.Senior management wanting to cut costs, (above ward level) staff shortages, expecting you to do training courses in your own time on top of a full weeks work. Not replacing sick staff. * A culture of if you just put up with things and get on with theI was assigned too many patients, eleven to be precise (an acute post surgical neuro unit) and ask for assistance, and was told there is none and that I'd have to do what I could.IV access, this has to be signed off as compitencies 1st prior to completing alone along with a course and exam within our trust. Staff that have "seen" it done on many occaisions but have not been signed off as of yet as competant have carried this out.Patients within my area have neurological disorders/insults, brain trauma. Staffing levels have been so short that staff have been unable to do regular/required neurological/baseline observations to acertain the patients GCS (GLasgow coma Scale)to obtainI've not provide to the care and compassion that is require of a nurse, towards the end of a shift (13hrs) because of having to do notes, feiling guilty for not providing the basic nursing care required. Rushing, and apologising to patients for being shoI've just finished a long day and I'm brain dead so can't actually think of anything at present at the moment, I'm sure theres many as I'm classed as always being the clown/happy one. ??I work in a challenging behaviour ward due to patients injuries so this is frequent, but its not tolerated as you have to explain this is not acceptable behaviour, retraning etcIts just nice to get a Thank you on departure, but when a generic thanks from a letter/card it's especially nice to get your name mentioned. Patients the majority of the time don't ask to come in to hospital, its not a choice, but i chose this vocatijwhen visiting my sister in law in hospital an old lady had fallen twice out of her bed and ended up in icu.giving emergency contraception outside our pgd?just basic needs not being met, no water jugs, patients not fedtexting from own pphoneseen a patient trash their room5your the only nurse who actually sat and talked to meptrust boards that paint a rosy picture when it is far from the truth. They also lie to the Healthcare comission.Aggressive with the patientsRisk averse consultants (psychiatry) who are afraid to send patients on leave/discharge and end up bed blocking when there is significant pressure on beds.ASend patients on leave without being assessed by the medical teamFcolleague asked inappropriate sexual questions of a vulnerable patientDenied a patient a choice as to where they should live post discharge. Decision was made for them and they were not told about it until the morning they were discharged.iTry and assess a patient's relative believing they were the patient being admitted to mental health ward.GPunched by a patient and witnessed a colleague being severely assaultedOYou made me feel safe when I was terrified. You made me realise I wasn't alone.$putting up IV lines without training&stolen supplies for my own medical kit?A patient got verbally abussive and poked his finger in my face\That I have made a difference to their recovery and when I left I would be very much missed.Management inability to recognise that we are chronically understaffed and we are near to burnout,yet they continue to add more and more management posts and im not sure what most of them do but frontline staff are completely undervalued and ignored.Being dangerously understaffed to the detriment of patient care, but when Ive told management the answer has been sorry you'll have to manage.gminor things ie dressings that Health care assistants have done but not to the detriment of the patient"Come in with a really bad hangover8I have been threatened with a dripstand used as a weaponNThat all my staff are really nice and that we make them feel welcome and safe.Any conversation with my boss who cannot comunicate her ideas, cannot keep on track, cannot complete sentences, or start them at the beginning, and then sees misunderstanding as the fault of the person she's talking to. One in particular some time ago evOn several occasions patients have been discharged too soon, against specialist heart failure advice, and when seen at home a few days later, need to be readmitted. The signs of an unstable condition have been ignored. The patient is readmitted to a diffA student nurse attempted to flush a patient's cannula with saline without any permission or supervision from staff, and argued that he was capable of doing it when challenged and stopped.I once put up an IV without a second nurse checking, and forgot to set the rate, so it all went through too quickly, necessitating an antidote for the patient.Listening to my current boss trying to explain anything is always both funny and strange. Other than that, I once watched a colleague flush a set of dentures down the sluice. By the time we realised what they were, they'd gone. We thought that was funny,Got punched in the face by a patient. But he was very old, very small, chairbound, totally confused. And blind. Had to admire his aim..That I've kept them alive and out of hospital.6short staffing bureacracy and pettit minded colleagues/punched and kicked by alcoholics and drug usersthanks for looking after meyWhen a patient arrested and we sucsessfully resused the patient yrt the family complained that we lost the patients teethoften left on a ward with patients that should be in a high dependancy area but due to no beds they are left on the ward and no extra staff are given and often junior staff with me who are unable to care for critically ill patients. A large amount of neWhen patients are in pain or need night sedation I will give these medications after speaking to a doctor but without it be< ing prescribedsthe most frequent is giving IV medication as they don't see the implicatios of this without training and knowledge.|IV ammiodarone was given to a patient in a side room without any cardiac monitoring. IV's have been given at the wrong dosegot in a matersess without people knwing. through some1 who is leaving into a bath these things do not happen as much these days due to beurocricyI have been locked in an office by a families relatives who were not happy with family members care. I have been threatened with violence by a familyA phone call on xmas day to tell the nurses on the ward he was thinking of them wish them merry xmas and thank them again for all his care when he had been a patient on the ward 6 months earlierJSlept on the top shelf of the linen cupboard during a break on night duty.LPatient coming out of a drug-induced stupor bacame very violent and abusive.I will never forget you.medical understaffing out of hours so spend unnecessary amount of time chasing doctors to come to ward - impinges on quality of patient care given.understaffing has meant looking after 10 patients - normal is 5/6. This has meant patients have had to wait too long for medication and not received basic care in a timely manner. Increased risk of missing deterioration in poorly patients.common medication such as laxatives or simple analgesia not prescribed and unable to get medical staff to attend to prescribe in a timely manner. patients own medications from home not fully prescribed on admission - patient encouraged to self medicate.Ychatting up relatives - getting personal details from patient's file to call up relative.storing a huge bogie (following nasal surgery) in ward fridge to show to friends later, then forgetting to take it with him and having to return to the ward out of hours to collect it.Uhitting and kicking by psychiatric patients resulting in need for physical restraint.(i can't believe you're 40!) please enjoy a drink on me at the xmas party as I appreciate all the work that the nurses do under tough conditions - (50 donation given to ward staff) everythingcI AM TOO TIRED TO PROPERLY LOOK AFTER PATIENTS, AT LEAST GIVE THEM THE CARE I WOULD WANT TO RECEIVE7Not always being able to take the time off that I need.*It's hard to concentrate on a night shift.3I've never witnessed any particularly bad practice.9Holding a conversation with someone responding to voices.>A patient shouted at me demanding that I change my priorities.=You are the first person that has ever really listened to me.vNot being able to replace staff who have gone off sick with agency staff.They just think you can work harder to cover.iAs a student nurse went into work on New Years Day with a crashing hangover and having had 2 hours sleep.VA colleague dressed up a Mother Christmas to get patients up and dressed at Christmas.!Was hit by a patient 2 weeks ago.That I am always happy, that they would like to elope with me!!! not bad for a man of 88 yrs, that I am one of their favourite nurses. emergancieskthat they couldnt have done it with out me, im briliant, and everything they would have wanted in a midwifeSome professional groups are poorly manageed and get away with being lazy, so other groups such as nurses have to do their job as well as their own for much less payA psychologist refused to see one of her patients because she wanted to leave work early to go to a Christmas market. Her patient became very upset and angry and myself and a colleague had to stay behind at work to settle the patient down3Giving medication because a doctor is not availableVLinked to lack of resources, sent patients home before they are ready to be dischargedBullied colleaguesVA colleague falsified their work sheet so they got paid overtime on several occassionsGot a colleague to pretend to be a dead patient and lay in bed with a sheet over then. Then when another colleague came into the cubicle he raised himself up from the bedA colleague was telling a relative why their relative was being discharged and the relative spat and then struck the female colleague across the faceiA young man who becomes mentally unstable very quickly came to see me and shook my hand when he recoveredAs a care co-ordinator and CPN there is now so much paperwork, I only get to spend a limited time with clients, so I can get care plans and assesssments etc. written up. Some things are duplicated and I find this extremely frustrating. I also think theWhilst on a psychiatric intensive care ward the unit was understaffed. Patients often became violent and aggressive and sometimes there werent enough staff or inexperienced staff were expected to manage things appropriately. I often have too much psupport workers undertaking tasks that nurses do - there are far too many to report. Also nurses taking on roles beyond their capability or comfort zone because the environment dictates this (e.g. when understaffed, or if managers are absent for whatevecaught a colleague having sex in treatment room on a psychiatric ward seen a support worker colleague verbally abuse a patient.a support worker throwing potatoes down the ward for a joke putting sellotape at eye level across the door so people will walk into it (weekend, few staff around) consultant psychiatrist walked in and nearly broke his glasses! MI was once assaulted whist trying to restrain a very unwell psychotic patientnI was recently told that I was well liked and valued by clients in one of the homes i visit as part of my work0control and restraint and some talking therapiesWplacing melted chocolate in a bed to resemble faeces, then tasting in front of students.I was knocked unconscious by a violent patientI feel that some of the staff are employed just because "it's a job". I feel they lack passion for nursing. The way some of the nurses and health care assistants present themselves is shocking e.g wearing trainers with their uniforms, chewing gum etc.I was a newly qualified nurse on an outpatients unit. There were only a few people who worked in the department, Myself (staff nurse) The sister, a plaster technician and 3 health care assistants. If the sister went on holidays, had days off or went toCan't pick one out, however if you work your hardest and get on with the job properly most of my patients always say something lovely. Most people seem very grateful.Being expected to complete tasks in one part of my job, that always get interrupted by the other part of my job (I am a Modern Matron, but also responsible for bed management). If I commence an audit of care plans for example, invariably I will get a caMany years ago, a charge nurse gave fluids via a nasogastric tube without checking the aspirate. He wouldn't stop the procedure despite being told of his error.yOut of the previous list - witnessed colleagues drunk on duty on a number of occasions - I have been a nurse for 33 yearsworking within an adolescent acute psychiatric inpatient ward, one of the most frustrating experiences is the delays in discharging or transfering individuals whose admission is inappropriate be it their level of violence not able to be accomodated withiunderstaffing has led to situations where individuals who are considered suicide risks having to zonally nursed in communal areas - whilst this minimises risk, it is a poor way to nurse such young people's needs. additionally, understaffing can make situtaking part in a c&r incident where not enough trained staff were on shift but an untrained colleague was required to help out to affect a rapid tranquilisationsmoking on siteabitrary locking a patient out of their bedroom on an older patient ward - patient was impaired mentally and was distressed at such, becoming, at times verbally aggressive if his requests for access to his room was declined; sadly his understandable distmost recent incident was threatened by a patient with a pair of dressing scissors. worst incident was threatened by a patient with a pool cue - patient eventually contained in a closed area that he proceeded to< trash as he was unable to bet at staff -thank you for your helpgovernment red tape - im a psychiatric nurse they have no idea of the danger that the smoking ban puts us all in working in this environment - the public too with sectioned unwell patients running off when taken to smoke (which because of human rights wemy hospital is 30 patient adult acute (many very unwell as they took intensive care away yet still expect us to nurse these patients with the others) psychiatric ward - 5 staff per shift 1 or 2 if really lucky trained nurses - does that sound safe to any)using non approved c&r moves, medication,eseen colleagues having sex in the clinic on night shift when ward very unsettled and meds were neededi sat for hours on a windowsill with a patient who was rocking thinking of jumping - after an hour i realised i too was rocking and just staring into space - we noticed together they started laughing and we went back inside!!, another was chasing a patieit happens every shift in psychiatary - physical and verbal so what most would see as extreme i see as normality, the worse though was when i worked in a secure forensic unit - i said it was unsafe to have a sofa in middle of a room but was on 1:1 so hadXthankyou, you really have saved my life (have heard several times after suicide attemptsZBeing assaulted physically by relatives of a patient and having no support from managementUnable to leave work for several hours after shift ended catching up with notes Staff working well beyond European Working Time Directive Detained patients with suicide plans allowed to leave the wards or inadequately supervised Ligature points on psy-Administering medication Restraining patientsNot enough staff to supervise suicidal patients resus equipment not available when patient is being restrained Violent patients not adequately supervisedZBlunt a needle on a wall before injecting a patient so that the operation was very painfulAI was punched in the face so hard that I had whiplash for a month I trust youSome staff seem to be given propmotion depending on how well they get on with the management, rather than their ability to do the job.Rtoo many patients, not enough staff to look after everyone, management not helpingIf a patient needs a minor medication (particularly one I could buy over the counter at the pharmacy), I will give it to them and then get it prescibed if the doctor isn't around to prescribe it beforehand.<giving IV medications without attending the required course.Doctors doing procedures that are out of policy when there is a known risk of morbidity or mortality (although small risk). In most circumstances the situation did not need to be performed and there were other options."take a sickie when not really ill.4dunk someone in the birth pool when they are leavingEpatient shouted and threatened me when i accidentally knocked her cotCutbacks in staffing numbers mean I can't give the care I would like because I am doing the work now that would have been done by at least 2 nurses 5 years ago.. Beds are so stretched, I have even had a bed mananger phone repeatedly to ask when the bedOne shift I turned up to as a newly qualified midwife I found I was the only midwife on duty as the other midwife had phoned in sick. They tried to get me someone from the community but had to cover the shift from labour ward which meant taking their nuPoor staffing means staff are overstretched and able to give emergency care only. All the basic care goes out of the window - I have heard the phrase "everyone is still alive" uttered as the opening sentance to handover more than once..bI haven't really done anything bad - check emails etc while on a quiet part of a nightshift maybe!I had a patient hit me, my nose was broken to the extent I have now had 4 operations to correct the damage done. I was working as an agency nurse at the time and I never received any compensation for my injury or even sick pay apart from the ssp contribWhile working as a staff nurse I did an agency shift and looked after a lovely gentleman. He was given some bad news in that his illness had progressed much more than we had realised and it was likely that he would die within a few days. He desperatelyStruggling to get annual leave in when Filipino colleagues have 6 weeks at a time to go 'home', then being told that we will lose the entitlement if we do not use it before the end of the tax year as we cannot carry it forward. $Used photocopier for private cpoyingA Father of a girl having termination wanted to stay with her, it is not our policy (or everyone would want to stay). He became very abusive, saying that we didn't care for our patients (the daughter didn't want her Dad present). I talked to him & explaiI work in a Day Surgery Unit and several patients have said to me that they have actually had a NICE day with us, despiyte the fact that they have had surgery!Jpatient was in psychological pain and a medic was not about or contactablei had a knife held to my throatiooin2Shouting confidential information accross the wardWorking in theatres. Having to cancel routine operations because of lack of beds poor turn over of equipment lack of equipment cheap equipement that breaks easyhaving to refuse to do things because of inadequate training....I have got very very good at standing up for myself and for my patients. Many a doctor has had a ticking off for not consenting properly#Using equipment they are unsure of.I would prefer not to say but I did highlight it to my management as did the doctors involved. The patient could have had life threatening problems.XFallen asleep on duty and was unable to arouse them. The member of staff lost their job.a thank you card from parents of a 22 yr chap who had a headinjury . They said that in their darkest hours when he could only communicate by blinking I was the only one who would persevere and be able to communicate with him and understand what he wanThe introduction of Crocs was a life line for many nurses they were light weight and they took away alot of the back pain and leg aches that we routinely suffered from we were told that they were amd infection control risk (they can be washed at the end-thankyou for helping me to live my life againoWhen a shift was extremely understaffed and it was difficult to be able to meet all patients needs effectively.Having to care for immigrant population who are so rude and annoyed with you when you don't speak their language, but refuse to learn our language, and the ridiculous amount of money we spend on translation.Cannot rememberThe A[E dept is so busy at times and i sometimes feel i cannot give 100% of my time to individual patients. I sometimes have to prioritise my workload according to how sick each pt that comes into the dept. Staffing levels are low and there are not enou A previousthe nurses where i work are professional and work really hard. They are dedicated and do there best for all the pts that attend A/Ethankyou staff nurse ..being asked for projected staffing figures, which take hours to prepare, then probably just sit on a bureauocrats desk somewhere, as no response to them was ever forthcoming.MHaving too many babies for the number of staff on duty to look after properlyWSimple analgesics that the patient could buy over the counter were they not in hospitalWhat constitutes 'worst'?Can't think of anythingRA parent, under the influence of alcohol, shouted at me when I asked him to leave.Being told by the mother of a premature baby that I made her feel like a mother because I encouraged her to take responsibility for her baby's care. Taken a sick day to go shopping!get a patients name mixed up. the patient was male, but had a feminine name. The nurse asked the other nurse to request a pregnancy test!2Patients and relatives get frustrated. Its naturalThat i had made her dayPrefer not to answer this as a student nurse i do not feel it my place to complain about my job as it is the path i have choosen to take, however there are definately some issues that< arise regularly when working within the NHS.Again i feel that as a student nurse it is not my place to answer this question as it is the career path i have choosen to take.fTrying to cope with pressures from bed managers and get patients looked after on the appropriate wardsI work in a surgical high care unit and I find that some wards try and get "heavy" patients onto our unit so they don't have as much work to do rather than having very porly post op patients. It can be a stuggle to explain what knid of patient is suitabl[I have had to transfer patients onto a unsuitable ward because of pressures from top bossesI once asked a patient if they would like to be sucked off insted of would they like some suction (they had a tracyostomy) and they said it was the best offer they had had in a long while!_They often take it out on us when they are frustated but I am aware that it is nothing personalhaving to try to care for 2 ventilated patients at same time especially if they are not sedatedand climbing out of bed. Management dont seem to care about these situations.jhave had to care for 2 very confused ventilated neuro patients who were constantly try to climb out of bedUsually analgesia patient in pain and Doctor has been asked to write up something and goes off without doing so. On other occasions when results come back and am aware of needs of patients will administer and then contact dr. Very frustrating having toyes some very junior nurses (newly qualified and just started in ICU) have been allocated patients way beyond their expertise and knowledge Allocation not always matching staff experience with patients needs very common.=Usually the patients who shout and are agressive are confusedGI would like you to look after me again tomorrow. I feel safe with you.WFighting with Managers over staffing levels, knowing they will do what they want anyway/Unfilled shifts and unadequate staffing levels.'taking blood from lines before trainingA distressed family shouting at me. 6 family members in the patients room. I could not leave the room as they were next to the door. I was unable to answer thier demands and was not the person to be directing thier questions to. They were not prepared toHaving to work compulsory nights which were introduced recently to cover staff shortages..even after working an 8hr day we often then have to go to the hospital and cover a night shift.32 ill patients needing attention and only 1 midwifeJNot being able to get everything done for the patients I am looking after.:I had two ribs broken when assaulted by a drunken patient.5That they appreciated everything I had done for them.#weve made there experience pleasentincreasing amounts of audit and data collection that takes time away from actual patient care. also the new computer system seems as much to be about monitoring staff as it is about patient care. If they spent the money they are wasting on another IT whidecreasing bed numbers in mental health services means increasing numbers of people are diischarged to community teams without the appropriate support/accomodation?I was attacked as i walked on to a ward one morning by patient.,its nice to have someone who really cares..'constantly having to cover other wards when your staff are working extra to help you out and you know the other managers have left their wards short. staffing is a major headache and junior nurses do not seem to have the numpty to try and sort out staff.not enough senior staff on the ward and when a senoir nurse leaves they are replaced with a junior nurse that needs supervision by a senior nurse. as a manageryou have no say when a team member is replaced. then you have to leave these nurses as 2nd traia nurse who had no understanding of drugs (they were trained) took a drug out of the fridge and without checking it gave it to the right pt but at the wrong rate and the pt had to go to CCU. the nurse was put on capability policy and eventually left befoagency nurses regulary fall asleep asno one keeps a check on how many hrs a week they work so they will often do a night shift and then a late. but mostly its minor things such as speaking to people in a way that makes you cringe. i know 1 nurse who accea few trs ago i was on an early and a patient was handed over with a very believable and elaborate stiory and paparework to match. we were told he had been violent and to approach with care and when we went into the room (2 of us!) it was a mop dressed ui have had phone calls threatening to kill me, a patient following me around all day swearing at me.I've been slapped and pinched and my uniform ripped off by confused patients. relatives have screamed in my face. verbal abuse even on =the wards is almosthank you What more do you needmost recent was 2 days ago where i had to spend half a day chasing up essential supplies and discovered our local supplies dept knew the items were no longer being manufactured.They said they had not offered an alternative because we had'nt asked for oneserious understaffing and poor skill mix puts way too much pressure on newly qualified staff and senior members when often the only time one gets to speak to juniors is when they've done something wrong. I spend half my time 'fire fighting' not managingIn ICU at senior level we have some discretion in life threatening situations or where a patient is a danger to themselves or others. I feel confident my medical colleagues would support me.many new therapies are instituted and new equipment trialed where sufficient training is'nt offered before use. It's often a case of 'see one teach one'II can't remember, after 30yrs. i've seen so much i'm probably numb by nowanswer as beforemy area of work is very unpridictable, we use a lot of mood enhansing drugs for sedation, patients can occasionally react badly to these and display violent behavour. Personally i have shouted in frustration and after a lot of persuasion,at a drug addic$that i was an undiscovered treasure!"Working long hours for rubbish paynopeGpatient wanted home but was too ill, became verbal adbusive and violentBWhen they sai thank you for all the hard work and care I gave themThe politics of it alltargets and paperwork seems to have a higher priority than as a staff nurse, giving hands on care. Staffing levels, if anything have become worse over the past 5 yearstoo few qualified nurses and too many health care assistants who have basic training but do not always recognise the resposibility the trained nurse has for them and direct patient care9able to give paracetamol as a once only dtug to a patientqhealth care changing complex dressings, which they did not have the training and knowldege to undertake this task,again a HCA working out of their role limitscant think of one at the momentpatient shouting and verbally agressive regarding waiting in A&E shouting that they should be seem within the 4 hour time band, another Gov target which comes first the pateint or the target?fthank you for all the care you have given me and making their stay in hospital as pleasant as possiblesurgeons thinking that we have no home life, and that we will be there to carry on even when it is obvious the list will over-runPatient got frustrated they thought that they were not having the care they should have. Patient thumped me in the chest, with such force that I landed on another patients bedqWhen I nursed on the ward, several patients got together and bought me a bouquet of flowers because I was leaving&working shifts and being under staffedjonly one staff nurse on the ward. Managers asking to take charge of a violent situaton wthout any training7doctors not giving patients the medication they require9have been assulted on numerous occassion, spat on, bitten'will miss you when i was leaving a wardmshort staffed . management only seem interested in goverment targets , cancelling operations at short notice.understaffing, inappropriate placement of patients, lack of ability on the part of bank office staff , poor organisation accross the senior man< agement team.poor staffing levels, confused and aggressive medical patients regularly put into surgical areas thus endangering surgical patients^female patient throwing things around shouting swearing and assaulted female members of staff.tLack of pay associated with the responsibility of the job and lack of breaks during the shifts on a day to day basisRunning a short staffed ward, trying to do your best for the patients, including dying patients & constantly being told my management that you are not doing a good enough job & discharging patients is a priority. I left working in hospital 4 months ago aWhen I worked in hospital it was usual to have 3 staff to 15 very sick, dependent patients who did not get the care they needed. Nurses were stressed & overworked causing mistakes to happen.Mainly dangerous staffing levels, despite asking for help & expressing concerns we were normally told there was nothing that could be done & that we would not get any help. In these situations work was prioritised where possible. I left my job mainly for)Being hit & kicked by a confused patient.That I am a caring lovely nurseWorking with a member of staff who ignores guidance and advice despite being a locum. He asked questions and didn't listen to the answer.APatient with partial airway obstruction on minor injuries unit. Flush CanulaeSex with a patient.Put a lower leg in a sharps binDPatients shout at us in the Emergency Department on a regular basis.ONo dedicated managerial time for paperwork. Expected to give my all and more. The Unit has the scope to treat 67 patients per day within normal working hours, however it is often the case that I and my colleagues have to work miracles and treat 3 or four extra patients per day!!nurse/patient ratio on times are poor due to understaffing and restraints put on by the trust on overtime or the ability to hire bank or agency staff. I requested that the management come to the unit and make decisions on which patients I should treat akThe worst thing is witnessing a colleague lose his temper and striking a very expensive piece of equipment.A patient who wasn't particularly happy with the prescription of care he was given by another member of staff became irrate one day. I made attempts to diffuse the situation, however, he was beyond talking to, he was towering over me and pointing and shThe nicest thing a patient has said to me is that the care, attention and words I offered her during a time of devastating news made all the difference to her outlook on her illness. It meant a lot to know, that even though her future was bleak that forthe people I work with I wonder how some of them qualified and I wonder how they keep there jobs especially some of the managementincompetent surgeonsThe lack of staff and being expected to provide a good quality service when stretched so far. Patients suffer and the nurses become exhausted. You get no thanks from senior management just more moaning at us about stupied things. I am also angry at the buhaving to prioritise which patients to deal with first by deciding who was more urgently needing emergency treatment.\I have only given it with the say so of medical staff who have been to busy to prescribe it.patients not being looked after properly due to staff shortages. One patient arrested as we were so busy we had not noticed he had lost one of his dialysis needles and blood was pumping out on to floor.|some colleagues flout the rules all the time by making constant privte calls and using computer to run their other business.jwe have done many funny things at work. one day we were so fed up we jumped up and down on the empty beds.We had a patient who was frequently verbally and physically abusive. I walked away from him and refused to treat him. Another colleague had to deal with him.CThey like me the best out of all the staff as I was nicest to them.FJust to give painkillers as no Doctor available to write prescription.Taken a sickie so that I can go dancing. Have also visited dating web sites at work and ebay. Also played games on the computer.DO you have to leave.I really find it appalling that I am usually the only qualified nurse left with one HCA to care for half a ward of heavily dependent patients. I cannot physically give them my full attention, maintian their dignity and assist with their very basic needsI was once on a shift on my normal medical ward and due to staff shortages was asked to cover a surgical ward. When I got to the ward I found out that to 30 patients, there was me, 1 HCA and 1 Agency Registered nurse (who didn't know the ward) and an HCAI warked in coronary care and it was the end of a night shift. A patient went into crashing heart failure where they literally start drowning in their own body fluids. Its an emergency situation and I and my colleagues have seen it many times so we wereAny patient who is admitted to hospital requires a standard of care. Any patient who does not for whatever reason receive this standard of care in my mind is at risk. When there staffing levels are maintained at a low level then care is compromised due tI once found a patient lying in her own vomit because a Doctor had finished examining her and had not let the nurse know what state she was in.We always have fun when a colleague leaves. So once we tied a nurse into a laundry cage and poured all sorts of stuff over her. We wheeled her into the lift and pressed the buttons for every floor. So on each floor the lift opened to faces of horror fromWhen I was a student I had a placement on a stroke ward. The manager was awful in many ways including her appraoch to the patients. I saw her, one day, pulling and pulling at a patient who was densly paralysied down the one side. I still don't know whatI looked after a patient who had had a severe allergic reaction to a drug. She was unconcious a lot of the time. She did however have two daughters who were always in and out to see their mom over the weeks that I cared for her. When the lady finally gWorking in acute medical wards where patients with drug and alcohol problems are put beside elderley and acutely ill patients who want and need care but the nurses time is taken up dealing with aggressive and demanding people who shouldnt be theresometimes whenthere are too many patients and not enough staff things can get missed, especially if one or more patients become very unwell at the same time.occasssionally in a life threatening situation eg acute asthma or suspected meningitis I have administered oxygen, asthma drugs etcA Dr I was working with told me to remove oxygen from a very breathless child as she thought it was distressing the child more whereas I felt the child was distressed because it was breathless. I ordered a 999 ambulance for the child because I did not thA consultant informing an elderly gentleman that he had lung cancer in the middle of the ward and without any of his relatives present and made a joke of it saying to the stunned man " the next question is usually how long have I got, Doc"I have been punched, kicked, scratched, attempted strangulation all from patients. I have been sworn at and shouted at both by patients and relatives.Many patients are very appreciative of the care given. Very hard to pick one but probably when I looked after leukaemia patients and built up strong relationships over many months, one described me as his guiding light through his treatment.no cross site notes or imaging*was verbally perscribed but not documentedloadsMWitnessed a fellow student during training obtain medication without consent.Working in acute mental health settings can carry a risk of violence and shouting, due to the nature of the client's illness. Have been assualted by a female patient, who was very unwell at the time, suffering bruising.nI have been told by a patient on her first exposure to a mental health ward that talking to me saved her life. Dkhaving to work overtime when not asked. always being off shifts late. red tape . patients are just a number. taken for granted by managers.< 0patients agitated as pushed from pillar to post.short staffed . no beds for patients we have operated on and they are kept in recovery blocking bays and next patients have to wait for operations.list then overun.a woman who was overweight and smoked heavily found she didn't feel the baby move much and demanded we induce her to protect her child and vowed (rudely) to hold us responsible for any untoward incidents without any thought to her own responsibilty. a qi am a band five and have been the only midwife on a 33 bed ante/postnatal ward for a night shift. the other night their were only 6 midwives for the whole unit and we had 2 fetal bradicardias, 2 pph, i crash section and an eclampic fit to deal with a~give df118 regularly to early labour/ induction women and get it prescribed later if the docs are busy when the women need it.tthe staffing levels all the time, its that often and that normal a situation now. we work by the skin of our teeth.}took ward stock lactulose when i was pregnant and constipated take ward stock painkillers when we have headaches or backache-get locked in a stock cupboard for 90 minutesi asked some smokers to move away from the main door while i escorted a newborn to the car and they were racist towards me and the couple because the couple was asian. we frequently have to get security because of visitors lack of regard for visitingDjust when someone ive met before comes in and says 'im glad its you'XBeing told to do or use something different without being given adequate training on it.years ago on xmas day doctors and nurses would get dressed up and go around the wards the doctors would carve the turkey for patients and serve them and some would end up very drunk ,even if on duty.*i,ve seen a nurse bullying an elderly lady!that i was beautiful and an angelYthe amount of incresaed paper work it means we do not have the time for the patient care.not enough staff 2 nurses for 18 patient some of whom are demented confused and wandering,as i am in overall charge it is very very stressful +talking about there sex life over a patientbe rough with patientsvdress the ward skeleton up in a nurses uniform and take a photo with the caption on our pay we just cant afford to eata old senile lady said i had killed her cat and put it in my drug trolley she then proceded to attack me with her zimmer frame causing extensive bruising to my rt leg.|as a midwife i delivered a baby on my birthday the patient was so grateful she asked if i would mind her naming it after me.We usually have one patient to look after who is generally critically ill, but sometimes there are not enough staff so you have two critically ill patients and something has to give - usually I ensure safety is maintained and give drugs on time, but someIf there is no doctor around and I am in charge and the patient needs the drug but not the correct route - i.e. tablets are prescribed but the patient has no NG tube or is Nil by mouth, so it may be given IVPR examinations happen all the time - we have to go on a one day course to do this, but when I trained we did it during our traininglthe fact that we have to regularly run an A+E department with up to 6 nurses short compromising patient careyes working with many nurses short so that unqualified assisstants are runing areas of A+E. Inexperienced doctors left in A+E overnight every night with no senior back-up/support/supervisionGa colleague was arrested for stealing controlled drugs and imprisioned ^a patient pulled a knive on me on a night shift and said he wanted to kill me and then himselfthat I made the experience of their mother dying in a room in A+E as there were no beds in the hospital, nice. That they were happy that she was comfortable and pain free3inconsistencies and lack of support from management6Patients threatening and demanding certain medicationsGThat they would have been dead or in prison without my help and support@Not being able to spend time with patients because of paperwork.gBeing in charge of wards with inadequate staffing levels means that patient care is adversely affected.D/KColleagues dozing off during night duty and needing a gentle nudge. Junior colleagues not informing senior staff as to a situation and making decisions which may be inappropriate.wThe bravest thing my colleagues have done is evacuate four wards of patients when the unit caught fire. Noone was hurt.I have been assaulted verbally and physically by patients with mental health problems. I have had racist comments by patients/ patients' relatives.SWhen I was going off sick for an operation, a patient gave me a get well soon card.Win general the length of time it takes to implement any change, due to petty beurocracymgeneral reduction in standards of care due to lack of staff, having to 'make do' to get through the workloadSknowing the care someone needs and not being able to access the necessary services.xstaffing levels too low, junior staff being put in charge of areas when they are not experienced enough to do so safely.!frustrated patient venting at me.'Thank you, you really made a differnce."not being able to do a good do job[Thanking me for the care that I have givenn then and they have bought me a bunce of flowersdThe sheer volume of patients. Unable to provide the care I would like and have been trained to give.Too many to write down here.1That I am the best midwife they have worked with.jDecisions being made and policy decided by politicians who have little or no knowledge of the 'shop floor'gtrying to change how we work on the unit by putting us in pods for no apparent reason as it doesnt worka doctor wanted to give a patient normal saline following surgery despite knowing this patient was diabetic. it was only the nurses persistance that got it changed.&nothing but im beginning to wish i hadPa doctor being very rude and impatient with a patient who was clearly distressed&if i was 30 years younger id marry youIn spite of being "closed" CDS would not transfer mothers out, resulting in more admissions, but with no correct incubators, drips and monitoring equipment to care for them properlykLooking after a patient in source isolation when there is a lack of staff able to help you out when needed,Recently at work I was involved in a near emergency situation . I was at a point in the situation responsible for manually ventilating the patient. A ward sister then took over from me. The following day a senior member of staff came to talk to me and(Caring for patients with tracheostomies.'That they feel better when I am around.Currently it is the focus on shorter and shorter waiting times and other ridiculous "top down" directives which take no account of individual or specialised clinical areas where they may be totally irrelevant or impossible to achieve.dSexual relationships between members of a team - not myself!! - can cause frictions and atmospheres.5Maintain relationships with patients outside of work.iMy original training was as a psychiatric nurse, so sadly I have too many examples to think of the worst.I'm always getting lots of lovely comments about how helpful and supportive I am, I can't think of a specific quote to give you.poor support from human resources when i was dealing with a difficult team colleague and the general difficulty of dealing with this when challenged by threats of bullying, unions and taking sick leave etc.when taking said person to task about their pinon qualified staff taking on qualified nursing duties eventhough they are repeatedly asked not to do so.!a nurse who shouted at a patient.a student nurse putting a commode on the bed for the patient to go to the toilet as the patient was on bed rest. the patients head was showing from above the closed screens when he was sitting on the commode on the bed. this happened 20 years ago andi witnessed a nurse shouting at a patient who kept ringing the bell for attention. i reported it at the time to the senior nurse manager. thankyou."You have made me feel much better. emergency sit< Kcollegues beinig assaulted been assaulted verbally ,phyisically,intimadated thankyou!! the paperworkddue to patient load and tiredness was unable to parform all my duties expected of me during my shift>nurses exceeding thier level of prctice due to staff shortages<lack of response from colleagues to infection control issuesAi have been punched spat at sworn at and threatened with violencehaving to explain to cardiac patients thatdue to lack of intensive care beds their heart operation is cancelled, this should be done by the consultant not the nurse.cardiothoracic patients post operatively require a lot of care, at times we have been understaffed but due to bed shortages in itu we have had to take hdu patients but not really had enough staff to run ward and hdu safelyat times patients require potassium supplements and analgesia post op. i have given the medication before having the medication signed by a doctorpatients having heart ops just to satisfy the realatives, even tho they dont want the op and you know their recovery will be very stressful and could kill them due to other medical conditions&put a TED stocking on an artifical leg!thank you, that says an awful lotzSituations involving untrained staff trying to do thngs only qualified staff should do and not understanding why they cant-When people come in still smelling of alcohol&I had a fire extinguisher thrown at mehaving a boss who is loath to change to such a degree that policys are not adhered to and staff are put in intolerable positionsDbeing expected to administer drugs at a time which is not prescribed=health care assistant administering suppositorys to a patientmBeing new to a very well established unit and trying to have ideas accepted by older, more experienced staff.While on nightshift (in previous ward) a patient wanted simple paracetamol for a headache; he had his own supply and rather than have to telephone the Hospital At Night team to ask a doctor to write a prescription I administered the tablets myself (havinI was 7 months qualified. Starting my 1st night shift on a new ward (my 3rd week) they took the experienced nurse I was working with and gave me a bank nurse to work with. I had a critically ill patient that was peri arrest. I did everything right went wA patient nursed on the ward fell over during the night shift I was on duty when his wife cam in the next day. She choose to take it out on the nurse that was there it was understandableI was looking after a ex matron that was dying of cancer and she told me I was an excellent nurse and thanked me for doing everything i could for her, she also said i would make a great replacement for her one day. Her friend heard her and said that wasLack of staff I am lucky that I only do several hours in any shift. I don't know how other staff members keep going for 12 hours - I do think it is unsafe. No wonder there is low moral, nurses off sick with stress and work related injuries.As a sudent nurse, many years ago, a first year student was told a patient was on bed rest. So when he needed a commode she put it on the bed and the patient on the commode ! We knew that something was wrong when he peered over the curtains ! Sending medA patient who was an alcoholic went out of the ward I followed and he got into the lift - I followed and he grabbed my uniform but before he hit me the doors opened and 2 security members where there.Thank you - is the best thing for me. One of my patients came to see me come out of the church when I got married - that was lovely.The fact we have the pressure of 18 week target and we are understaffed and management dont seem to care about there staff or how it effects staff morale.We have been short of staff on a shift and not enough qualified staff to look after the post operative patients, emergency admissions, and arrange organised discharges. i have been with a collegue and a relative of a patient followed us into a room and was verbally aggressive to myself and my collegue. We were shaken by the experience and the relative was banned from visiting rhe patient on the ward.wthey were very appreciative of the care were given and felt they could not have been treated any better than they were.elooking for extra staff and documenting heavy workload etc. at the very time you cant spare the time!7internet available to all but not used inappropriately.Bed managementZWhen patients come to clinic and the notes are not available then we have to hunt for themWhen working on the ward with 4 major post op patients it only takes one to be unwell then you find yourself neglecting allthe other patients in your careWhen patients have been sitting in the clinic for a long time they get impatient and tend to take their anger out on the nursing staff most of the time it ids the doctor which is running late(Thank you very much for looking after me4that i made an unejoyable time in hospital enjoyableXother staff moning all the time about petty things an not concentrating on patient care.patient was feeling sick after surgery and i spoke to the doc and gave a mild antiemetic. dorc signed prescription about five minutes later8relative not happy with information they were being toldVpts family were very gratful that staff on ward had looked after their dying relative Would give pain relief.DK.{Quite often patients/relatives who are frightened or angry about diagnosis will verbalise their feelings by shouting at us.Nurse to patient ratio, we take patients from ICU/HDU where they have a ratio 2:1 or 1:1 and then we have upto 16 patients each on our ward its so unsafe!!!!And theres nothing we can do, no-one listens and the bosses don't carecthere lots of dangerous practices going on mostly due to understaffing, I'd rather not say too muchLunderstaffing - Incident forms were fillied in (IR1) but nothing comes of itVerbal abuse from a relative whilst we were trying to get the patient ready for an emergency operation, (the patient died after the surgery) we were unnecessarily held up trying to get hime ready and the things which the realtive was angry about were noteI've had a drawing from a patients child, and small gifts which were shared with the rest of the teamWorking with completely incompetent agency nurses. Being in charge at night/ weekends with no back up or support from ANY management as they are all off!^Short staffed. Patients not recieving adequate care. Some important things can get overlooked.Patients being given wrong medication. Observations not done correctly. Doctors not coming to see poorly patients when bleeped. I will always fill out an incident form._Some nurses use their mobiles in the middle of the ward. Also fall asleep during night shifts.mI was asked recently ( by a patient) to insert some honey into their bottom! Apparently it relieves piles!!!!ZI get told nice things often such as 'you are an angel' or 'you really made a difference'.Coping with critically ill patient in one bay while the other trained staff was newly qualified, was very unsure of her ability, could not do IV's or drugs; and the health care support was two agencies who walked away from another patient who fell on thePatient becoming unresposive with indications of sepsis. Young/new doctors very busy, dont recognise symptoms, reluctant to act without absent SHO advice. I called Outreach who were able to expidite treatment, blood gases, Xrays and gain advice from ITHappened on a ward with a large number of alcohol dependant patients where some families had similar problems to those of patient.Kindness, patience, humanityThe ward was short staffed and the bed manager insisted we took in some admissions from A&E we explained our staffing levels and were told it wasn't their problem if other members of staff phoned in sick, we should blame our colleagues for not being therWe have to look after all sorts of people with many diverse problems including addiction and mental health issues, when people are confused they do not always realise what they have done, we have had to put up with one patient < for several weeks who was vWe had a lady with terminal cancer who was offered a hospice place which she declined she said she wanted to die with us because we treated her like family and she felt safe in our ward. To have someone at such an important time of the life cycle want tEAs a newly qualified staff nurse i was not given appropriate support.Jbeing scrub nurse, during surgery and not being given appropriate support.almost never being able to leave on time due to amount of paper work which i tend to leave to the last minute as i always put patients' needs firsteworking in an acute ward having to look after 9 patients single handed and do IV drugs for all on topnot enough staffing each time tell the site nurse practitioner and argue the point so that they are aware but it does not always stop the influx of new patientsfall asleep on duty whilst giving an IV antibiotic to a patient, the nurse was a bank nurse doing 2 jobs and studying as well I am afraid she was barredbeen attacked on 2 occasions whilst on our emergency ward by partners both with more or less same reason , very long waiting time to see a doctor partner is in pain and wants to see a doctor now ( doctor, SHO new on that day and taking ages to see patiexthat my care has made a difference to their lives in very difficult circumstances and that they will always remember it!Patient with very low BP post op put up Gelofusion informed Dr immediatley. Pt having angina attack used GTN spray informed Dr immediatleyNAttempting to log roll spinal pt with out training stopped them straight away.Delayed surgery}Nurse shouted at a patient I was not aware how stressed he was he had a complete break down soon after wards i felt dreadful.You're my friendtrying to sort out NHS professionals - what a load of red tape, administrators who DONT care and have the 'computer says no' attitude - and 'yeah, about two weeks, thats how long it takes love' to input your name on a computer!!!!!!! the validation has aITU nurses having to 'staff the wards' when we are ill equipped for this skill, even taken from ITU when busy!!! stupid ridiculous and downright dangerousZhow dare you expect me to whistleblow. my colleagues always act in a professional manner.a patient hit me whilst I was asking him not to rip out his catheter and his arterial line. I explained that he could bleed heavily and injure him but he lashed out at me. wyou girls are fabulous, i dont know how you do it, you all look after me so well im going to raise money for your unit.kshort staffing. dissatisfaction from staff leading them to leave and management not addressing the probleminsufficient staff on dutyi feel safe with youWorking a shift on a surgical ward, and having to transfer patients to other wards so that patients from A and E could be admitted. The ward had 14 patients, and we transferred and admitted 10 people to the ward. We had little help from the clinicaaI have seen nurses deal with blood transfusions without having the relevant transfusion training.'Thank you so much for looking after me.Trying to explain to local police officer the protocol for missing high risk patients is to inform the police. He demanded that this was a waste of police time,and that he would not look for this patient as he did not deem the patient to be high risk!Not having enough space for patients that keep arriving by ambulance and the admitting wards not being able to take referred patients due to lack of space, 4 hour targets stink!I once presumed that a patient was with her son when it was her fiancee. I always ask " and who is this with you ?" now. I also once put someone on a commode when it was her (male) next door neighbour who was with her. Having said - that when I returned>I am due to be a witness in court shortly following an asault.$Most patients are very appreciative!MIf staff go off sick we dont get cover, if staff leave they wont be replaced.I was once told to look after a young man who was very aggressive and violent due to a serious head injury. He lashed out at me a lot and I am not trained to deal with that. I felt he should have been on a ward with staff that are trained to deal with paJJust paitients getting annoyed and frustrated but they are usualy confusedRThat they don't know what they would do without me and I'm worth my weight in gold@the unrealisitic government targets put patients lives in dangerxlooking after 16 patients as they only trained nurse is dangerous, inexperienced staff on their own due to understaffing0I used a verbal order via telephone from doctorsjunior doctors who are unable to make important decisions, some senior doctors who are incapable of providing plans of care for patientsfall asleep at the desksImany times angry pts, relatives shout at staff virtually on a daily basisthank you it means a lotEA Manager covered up the circumstances in which a nurse died on dutyBlack eye,broken nose)Please dont retire i see you as my friendtWe never seem to have the equipment we need and have to waste much time going to other wards etc. looking for things?unable to give quality care to my patients due to understaffingrI have had thankyou letters from mothers of breast feeding babies whom I was able to help to achieve good results.managers at higher levels having little understanding of the realities of the day to day management of our ward, thier lack of support. ]general hospitals not wanting to take mental health patients even when there is a clear need @come in drunk but then denied it. obviously sent home imediatly.Thave been physically attacked on many occasions, punched, pushed, slapped, scrached.Cyou are a brilliant nurse and i am very grateful for all your help.Poor staffing levels and then the high expectations of bosses and patients and their relatives. We are unable to care for patients as is expected of us because of poor staffing. How can it be deemed safeto have one nurse looking after 10-12 patients whoLooking after too many patients at one time. Unable to care for very sick and dying patients as they deserve. I feel that I neglect patients at times because I have too many to look after.If a medication chart has not been re-written by a doctor and there is no space left for me to sign properly I have issued the medication. Doctors do not tend to re-write charts as quickly as they should do and it is not acceptable to leave patients in pgUsing medical devices where training has not been received. Ie syringe drivers, other infusion devices.Purchasing clothes on an internet site and looking at Facebook.Checking and making phonecalls on their mobile. I believe this to be highly inappropriate and think that this should not be done in work time. Don't know.I've seen patients hit nurses and be verbally aggressive to them. I've also personally experienced inappropriate sexual behaviour from male patients. I have been hit by a patient. A colleague was physically attacked by a male relative while she was prega{That I was a kind nurse who took good care of her. Also been told by relatives that I helped their mother die with dignity.The targets and/with paperwork, and obsession with meeting them even when they impact on a patients care because you are filling in some piece of paper instead of looking after them.I have had 12 hours shift where I didn't get a break because the unit was so busy and no-one to cover to get a drink or food. There have been times where doctors are unsure of what they are doing and only stopped patients coming to harm because a nursThere are occasions where there is not enough experienced staff to support the patients on the unit. There has been many occassion where the eqipment has run out or not been available so things have had to be done differently because of it. The faI was punched by a relative of a patient when he was told to leave the department because he was being violent and aggressive towards another patient and their relativesThank you, I would not have been able to get through this without the kindness and care you have give< n me. You have made feel human again.there are loads of examples, too many to type here, but subjects including unsafe ratios of staff to patients, threats of violence and aggression from patients and relatives and or abuse being assaulted by patients and visitors too many unsafe aas a very experienced nurse I have issued medication/fluids etc in life or death situations, mainly because I have known the protocol for administration in given situations and know i would recieve the support of the doctors. My actions have prevented dehave witnessed many colleagues acting in unprefessional ways such as discussing their sex lives in front of patients or in ward areas*I have witnessed a colleague hit a patientI hahave had relative try and punch me patients have hit me I have witnessed patients and visitors hit other colleagues I have witnessed a patient hold a knife to another nurseSthey have thanked me and given me a gift I have had this happen on a few occaisionsbeing unsafely understaffed yet being told by ward manager and matron to take even more patients from a+e and ICU. apparently, not taking them was not an option. however this left some nurses with 3 critically ill or long-term-ventilated patients, no teasee previous examplea patient with tracheostomy had very thick secretions causing respiratory distress and low o2 saturations. a mucous plug could be felt when giving suction but could not be removed. therefore i gave a saline nebuliser to loosen the plug/ help dissolve it,>watching tv in a patient's cubicle, not concentrating on work.a patient's mum had a bad experience on an hdu at another hospital and did not feel that our hdu was an appropriate place either. i tried to discuss the situation, answer questions, provide some assistance. she shouted back that what i offered was not goUthank you for all you have done, you have made a horrible time in our lives bearable.staffing levels$lack of staff for number of patients8gave gaviscon for heartburn paracetamol for temperaturesnothngHaving no quality time to spend with my patients-don't get to know them like I used to,managed a little time in the past to spend with the patients. Change for the sake of it-not always for the better. HEAT targets set by the goverment-no quality ofPatients being moved to inappropriate wards due to bed shortages Putting patients and myself at risk due to work overload and staff shortages not getting time out of area for training necessary to do my job to the best of my ability No support from sepatient been admitted to ward not seen a Dr for long time and requiring pain relief or Dr to busy to come to ward at that precise time and patient requiring important medicationWFlushin I V canula when not been on training. Using infusion devices and had no trainigMmoving patients to areas where staff are not competent to care or their needs.Thankyou I trust you You are a very good nurse,the internt! relatives think there know best Take drugsThat i am a very good nurseVHaving times when its potentially dangers to work on the wards due to under staffing..tI work in mental health so I dont take it personally...it comes with the job sometimes, especially on an EMI ward...]That they are glad I am on shift, and that I made them feel better because I seemed to care..I work in Mental health and as such, we provide holistic care, and concern ourselves with all the patients needs, not just their mental health. one of the most frustrating things for me is the communication (or lack of it) between the multidisciplinaryAlthough violence of any sort is not tolerated by my trust, it is commonplace to be verbally or physically assaulted on mental health wards. the nature of the patient group which i deal with (severe and enduring mental health) means that at the acute pha"Thank you." It is always nice when a patient has reached a level of sufficient wellness, that they can understand the reason they have been in hospital and can see the benefits of their treatment. It is very rewarding and makes the job worthwhileNew forms and new paperwork being introduced all the time, it takes nurses away from the patients for at least 30 min on a good day, considerably longer if something out of the ordinary has happened. There is a form for everything now, it's a complete joIn my trust, we are allowed to give a one-off dose of Paracetamol (1 gram in total) to patients without prescription so yes, I have given paracetamol to a patient without prescription in that case. For any additional doses, an prescription is needed andPApplying dermabond (glue to wounds) without proper training (given by theatres).A colleague repeatedly called in sick although we all knew he was not sick, leaving us understaffed. (the idiot wrote where he was and what he was up to on his Facebook which most of the staff had access to....=)I was told that I was a fantastic nurse and that the patient felt that I was competent and caring and that I made her feel safe. It was particularly nice and uplifting as I had just been off sick for 2 months with stress related problems and had the feel1Lack of staff and disinterest from medical staff.Bloody paperwork and bureaucracy, meddling management, top heavy opaque management, government not putting its money where its mouth is, I am sick of earning a pittance and losing money year on year, I am very bitter about losing my MHA status and have twI had a client run after me swirling a bag of urine and it shot out of the child safe holes so I got covered in wee lolMy colleague was strangled and needed to be hospitalised, lots of my colleagues have been attacked by clients, one needed a blood transfusion after getting his carotid artery severed, I got my teeth broken and a black eye etc etc etc. And for what??? Cer4That my input gave them the strength to choose life.twhen trying to run a busy clinic in outpatients and not enough nurses to help with dressings making clinics run lateNhealth care assistant changing a dressing without a qualified nurse beside her5keeping a mobile phone in the pocket of their uniform-a collegue has texted a friend whilst workingYpatient got angry in a waiting room for being kept waiting a long time for an appointmentvthank you for your hard work and what a difference my imput made to her confidence, she later sent me a card of thanksthe bitching between staff, awful ward sister with no people skills, petty rules 'you can't wear that colour of shoe, no name badges etc, little thanks for constantly going over above what you really should be doing, staying late after a 12 hr shift etc,ytoo many high risk patients and not enough staff to look after them , poor skill mix, junior members being left in charge?very minor situations where people require antacids for examplevfor example attempt ECGs, again very minor things that we may be trained fro one day which medical staff would overseermostly due to lack of staff, and as a consequence sometimes poor monitoring or perhaps slow or bad desicion making(people do stupid things all the time!!!!can't think off handa patients visitor has held me against a wall and threatened me, and numerous patients have been physically and verbally abusive%people say lovely things all the timeAn inpatient from another hospital came to our hospital for a procedure. When we had finished it was apparent that no transport had been arranged for this lady to get back to the other hospital. The ward that she came from was supposed to arrange the tkI have witnessed a surgeon throwing a saw at a nurse in temper, in theatre whilst performing an operation.Having to improvise because the ward is short of equipment and then getting into trouble from managers because we haven't followed policy exactlyWhile working night shift we are sometimes put in the position of not having enough staff, this means that we cannot take a break on a 12 hour shift and the ward is not cleaned/stocked properly and patients sometimes have to wait to be seen touPeople inserting catheters without the proper training, people making up IV m< edication without having proper trainingask for time off and not been given it because it would leave the ward short and the person has called in sick and then bragged about getting the time off when it hadn't been allowed initiallyGone to seek out the cause of a squeaking bed only to find that it was the male patient pleasuring himself, and then been asked to help him finish the jobA patient who was ill decided he wanted to go home, when I explained why he was in hospital, he started shaking his fist stating that Gordon Brown was a close friend of his and he would report me and my career in the health service would be over, he thenKThat I was an angel sent from heaven to care for them in their hour of need+Colleagues who fail to move with the times.Too few staff left to deal with a violent incident on a mental health ward because other staff were escorting patients out on leave, escorting patients to attend activities in other parts of the hospital or were out taking their meal breaks. Rather thanuUnqualified nursing assistants witnessing medication administration without having the required certificate to do so.&Used bad language in front of patientsFall asleep during a night shift when doing special observations on a mental health patient with a history of violent behaviour.5Got a patient laughing uproariously at a shared joke.?A mental health patient attacked me by punching me in the face.kIt's not what they say but the way they say it - if it's friendly, cheerful or understanding it feels nice.Running constantly understaffed5Many lovely comments that make me proud to be a nurseHaving increasing amounts of paperwork to do and not being able to spend enough time with those patients that I am a key nurse for.Ward manager expecting us to stretch our normal nursing compliment to cover one to one nursing of a patient which reduces our safe working level below the normal staffing level simply to cut costs which puts extra stress on staff.2smoking in the patients smoking area in the gardeniThe worse thing that I have seen a colleague at work do is pushj another patient back into their bedroom.kI have been punched in the nose by a mentally ill patient whilst I was trying to give them oral medication.iThat I have gone out of my way to help them.They also put it in a letter and sent it to the ward manager.My colleague does not work to her grade, is difficult to work with and has hygiene problems, has shaved all her hair off and has a mouth full of broken teeth. Patients complain about her attitude and prefer to not have her nursing them but there does noMy collleague takes herself to her mothers home during the time she should be visiting patients. I don't know of anything worse than that. My colleague shaved all her hair off one day from it having never been cut to her scraping her scalp. Very strange. She is a 50 year old overweight woman with broken black teeth so it is not a pretty sightI have had several patients who have said that I made an amazing difference to their lives and that of their children (I am a children's nurse) They have wanted to have me specifically and are very protective of me and make sure I am looked after while IWasting hours of my time on duplications/triplications of paperwork/ record-keeping when I could be spending that time with patientsCusing control and restraint techniques without the proper training 8punched to the floor by a patient then kicked repeatedly*that they wished I was their little sistershort staffing6use of escalation areas as routine due to lack of bedsEmergency situations#Unable to give patients enough time[Not enough staff to cover a shift Being rushed Information not being passed on by colleguesRNo major incidents just minor ones resulting from lack of time / equipment / staffHAlcoholic & confused patient attacked me while tryi ng to leave the wardComing up against junior staff who believe they are more experienced than myself and who begrudge doing anything to help anyone but themselves. They only want the glory jobs not the boring but essential dutiesNight shifts where you do not get breaks due to poor staff levels you find yourself at home afterwards and cant remember getting there.zListening to an mp3 player at a patients bed space. coming to work following a night out and not going to bed until 4 am eA colleague demonstrating yoga in the middle of the unit being thrown in the bath when leaving a jobWhilst trying to explain to a parent that their child was to be taken into care due to suspicious injuries the parent (male) dived across at me and attempted to grab me. A police officer was present thankfullyYThank you for saving our childs life. You are all angels But thank you is usually enoughSpending more time with paperwork than actually spending time with my patients. Also spending time answering numerous phone calls from different relatives asking about one patient, instead of a family nominating one person to call and passing this infBeing expected to work on night shifts on a 24 bedded unit by myself (as a qualified nurse) with an un qualified healthcare assistant.Administer medication in an emergency. Medication needs to be prescribed by a doctor but sometimes is needed more urgently than the time it can take for a doctor to come to the ward to prescribe.]A colleague had been so tired that they had forgotten and turned up to work on their day off!!I have been punched by a patient.~continual harrassment from patients relatives who complain about clenliness whilst contaminating dressings, lying on beds etc.Theft of Medication witnesseduPatients relatives regularly become aggressive and abusive as it is seen as being acceptable and nothing is ever doneDthat i am a wounderful nurse and made their stay in hospital better.4understaffing and lack of experienced line managers.the only qualified professional with no aditional support for a dangerous amount of patients and some with life threatening conditionsgive medication and not even ring a doctor to check first they just speak with the doctor afterwards. medical procedures - assisting with operations, or minor things like catheterisation if thwey have not been taught to cardiac intervention in a cardionurses assisting docotrs in theatre where another surgeon should have been present. nurse HAD to assist as she was sterile and not one else was, patient could have been compromised if she hadn't assisted but likewise it could have harmed the patients alscolleague having sex on a wardEfrom playing hockey in A&E with crutches to colleagues taking entenoxa dying patients son screaming the ward down and being verbally agressive towards staff. he came to the nurses station and the nurses immediately took a dislike to him and answered him sarcastically. It was all I could do to try and calm him and difuse tpolicies and procedures that are difficult to implement and far too many rules and expectations. Infection prevention/Health and Safety mad, works very different in mental health settingsNVerbal agression and threatening, one occasion of assault, thumped in the faceThat i am a good nursedeciding where my priority should be. discharging a patient to free up a bed for someone in A&E or assisting with the care of a patient that needs two nursesrunning a 24 bedded ward for half a shift with one qualified nurse and two auxiliary nurses until help could be found. The nurse that was off sick was on her third day of sickleave so this shift should have been covered, however management thought the nuI gave analgesia to a patient whos prescription had been sent to pharmacy for a new drug dispensing. I rang pharmacy first and they checked the prescription to tell me what time the last analgesia had been given1giving medication before completing competenciesA specific nurse who was unsure of setting up a device to administer medication over a set time, she would not accept my advice as she was more senior than me, this happened regular and everyone made a point of checking the machine when she was elsewhere< Scolleague with hangover vomited into a commode we had prepared to sit a patient on.I was accused by a patients relatives of not caring about his pain. I instigated the use of a syringe driver to get him better pain and nausea management and asked someone else to wash out his catheter for me while attended to something else, this was doyou are a very well disguised angel who deserves more respect from patients and the government. if i had the money i would double all the wards wages for a year so you would all feel what you were worthBeing repeatedly told we have to decant patients to other wards, so as to make room for the increasing number of admissions, often these patients who are identified as been decantable are moved to other wards around the hospital very late in the evening.occasionally been the only staff nurse on a late shift, acute medical ward of 30 patients!! just last week 2 staff nurses were left without the usual support of an auxillary nurse for a whole night shift.Ahave issued paracetamol for pain and metroclopromide for nausea. Isimply due to understaffing, patients are not getting the care they need 4Generally it has been from patients who are confused_generally they understand how short staffed we are, and how hard they think the job is becomingwhen operating in theatre the clinical site co ordinators phoning on more than 3 occassions to ask the theatre nurses to go and work on the wards due to understaffing. No one is able to come to help theatre when we have not had a break, but sometimes in as beforeJchild once said he wanted to 'donate' me for nurse of the year. yes donate7Patient said thankyou and that he would never forget meHaving the space & equipment to provide extra capacity for patient procedures but management being unwilling & short-sighted to provide the staffing required to run it. This would not only bring vital revenue to the Trust but reduce waiting times & reducCOME TO WORK DRUNKI SAVED THEIR LIFE.KThese were things I have seen colleagues do, not things I have done myself.Mostly frustrates you that you train for 3 years and when you new and just qualify you still need to do extra training course of IV drugs. waiting time can be up to 6 month. Its frustrates as most of the drugs in some areas is IV drugs then always you h6invited a friend to pop in to see them, whilst on duty1Split my trousers when supporting a service user.I work with people with learning disabilities, and occassionally there are instances of aggression, or violence, usually as a result of being under staffed, and the frustrations arising from that.ASign request forms for X Rays, prescribe anticoagulation therapy.HRegularly experienced / witnessed aggression from patients and relativesMThankyou for treatng me as normal and the same as everyone else (pt with HIV)i expect and plan to be supernumary so that i can attempt to complete the miriad of management tasks that are part of my role but when i arrive at work i find i have been placed in numbers. Sometimes this is because there are not ebnough qualified staffthe staffing establishments were calculated when the watd was first opened. they are now wholly and dangerously inadequate for the changed client group that are admittedHaving worked in the Health Service for over 30 years. Without recognition I may add. My frustrations are about further study opportunities. I fought long and hard to get on an Enrolled Nurse/Conversion course. Nursing Assistants were given priority to dWe now mainly work with four staff on a late shift, but there have been times when there have only been two staff working this I think was putting patients at risk.1Mainly due to understaffing as mentioned earlier.ASaying Thank you and a smile is all I need to keep going to work.Trying to innovate and modernise pracrice and being stifled by the very people within the hospital that would see the benefits of change>An sho that went on line to "Ask Jeeves" re patients treatment5Have been attacked or been involved in attacks in A&Etypically i am doing paper work when i feel i could be seeing patients or the computer system we use is slow to respond or does not respond at allObeing asked to arrange cover for shifts when i should be looking after patients8giving drugs not on PGD cannulation and catheterisationsa nurse preparing to cathterise amale patient without having the training, she was not aware of the potential inmplications. when i amde her aware she did not carry out the proceedureoka patients husband threatened me with violence becuase he thuoght i was lying when i told him this was a nurse led unit and no doctors were availble to see his wifethat she came in dreading her stay here but had beeb made to feel really important and she would not here a word said agianst uslTrying to get doctors to prescribe correct nicotine replacement products promptly and correctly when needed.sThere have been a few occasions as I work with people with Learning Disabilities, some with challenging behaviours.as a trainer being constantly told staff are not attending training or just not turning up because of low staff numbers I understand patients care must come first but training is also important staffing levels have been allowed to get so low there is?phoned home to check my children have got home from school okayI was held at knife point in a busy accident and emergancy department by a youth demanding drugs I also had a miscarrage following a patient kicking me in the stomach during a fitpatients asking day staff when im due on shifts as they felt they slept better when i was on nights as they felt secure in the knowledge I would always be around to help them if they needed me and nothing was ever too much trouble for me"I wish you were on duty every timeZI'm so gratefull for everything you have done for me, even though you are very busy today.thank you, my darlingYou are a wonderful nurse'I used to work on an orthopaedic ward as an E grade, Band 5. I was often in charge of this busy ward and had to care for 15 patients with the assistence of only one health care assistant. This was normal practice, so when we were short staffed we would hI work in ICU now and sometimes medication and treatment needs to be given imediately. I have given drugs following a verbal prescription, knowing it will be written up correctly by the end of my shift.A colleague called me for help. I ran to the patient thinking they were unwell and as I reached him he punched me in the face. The opioids we had given him, made him hallucinate. It was very out of character for him.Now that I am in ICU, patients regularly thank me and my collaegues for taking care of them as they understand how poorly they were.in DKbeing concerned for patients safety due to understaffing, for example, having colleagues go to other units to help out with staffing because they were worse off than us. This causes me a lot of anxiety and stress because of being so busy Im frightened owhen a patients family became violent towards the sick patient, I was there and got shouted at. This was an incident where the police were called{They thanked me for looking after them on a night shift when they were scared and I'd made them feel good about themselves..you cannot give patients the care they require-unable to perform obs and wound chcks on timeWq colleague always making personal phone calls and not looking at work related websitesJrelatives wanted to stay overnight with their father ona routine admission:Staffing and impact on ability of all to care for patientsxStaffing, leaving ward without qualified cover myself as nurse-in-charge of 2 ward and directorate bleepholder / on-call'Being understaffed more often than not.<Working understaffed, therefore all patients are put at riskPatients and visters frustrated with the policies in place for patient procedures; as they see it, they are not being dealth with in appropriate or acceptable manner Thank you patients with severe organic mental health problems often exhibit aggressive behaviou< r, the more difficult patients with frontal lobe damage appear to becoming more prominent.Man handle a patient2patient who thought that the table was an airplane9A elderly patient forced into bed using too much handling>That i am very kind and make their time in hospital pleasent .mhaving staff moved off the ward to staff other short staffed areas when my own area is already short of staff3chronic staff shortage and ever increasing workloadPpatients and their relatives say nice thins often. difficult to pick one exampleI have watched a member of staff being rude to another member of staff and rude to a patient un-neccessarily in front of other members of staff/patients which i feel was completely out of character of that member of stafffMost patients can't understand how calm i can be with other patients who have Mental health problems .Intimidated other staff membersWhile I was applying dressings to the legs of a confused patient who was blind I was patted on the head and told to 'go out and take a s**t in the garden.JI work in an assessment unit for older people with mental health problems.aThank you for being patient with me, I hope someone will be as kind to you if you ever need help. long hours-not finishing on timepatient normally takes paracetamol at home-not yet written on drug chart therefore gave to patient and got doctor to prescibe laterbe rude to a patient:my manager dressed up at father christmas for the patientsFconfused patient shouting at me-helped by colleagues to calm indivdual[thanked me for looking after them so well, for caring and taking time to make time for themI am a highly qualified nurse with vast experience in all fields and I find myself getting very frustrated with all aspects of lack of care for all patients and the managements total concerns seem to be about money and how they can save it. The patientsUWe are allowed to issue certain medications without a script, Paracetamol for example-Take blood. Take ECG's, Catheterise. Etc Etc.;Once lost a body in a snow storm on the way to the mortuary(I was kicked by a patient in the abdomen6It was nice to be looked after by a proper nurse today4 hour targets control my day meaning the team are unable to spend as much time explaining and providing patient care. Children are moved to a day ward when their 4 hours are up wasting resources etc.A very sick unstable child was moved to another area of the Trust just to avoid the 12 hour breach. This involved a long journey along hospital corridors to an area where the nursing staff were not as skilled or confident to manage him.SYou saved my childs's life, you are an angel and we will never forget what you did.rubbish immediate managerI work in a neonatal intensive care unit. National guidelines state depending on the ITU category the baby comes into depends on how many babies I should care for, ie ITU category 1 should be 1:1, that never happens.Relatives frequently are the major cause of problems on wards. Maybe because of the difficulty of the situation or the illness of their relative. Most do apologise after the event. Stress is a terrible thing to deal with.fI couldn't have done it with out you. One Asian family cooked me the best Indian meal I have ever had.frequently found too many patients exceeding the planned capacity of the department - sometimes more than twice the number the floor plan caters for.Given medication to patients suffering a life-threatening deterioration in their condition in advance of assessment by medical staff.aOne staff nurse catheterized a patient although he had not had the appropriate training to do so.NCOPD patient given high flow oxygen resulting hypercapnia and unconsciousness.;become involved in confrontation with other member of staff,member of staff assaulted another colleague.MBeen threatened by patient that he was going to "sort me out" after my shift.THE LEGAL MINEFIELD OF CARING FOR ASYLUM SEEKERS. THE ABUSE RECEIVED FROM PATIENTS AND THEIR RELATIVES BOTH VERBAL AND PHYSICAL. BEING SUSPENDED BECAUSE OF FALSE ALLEGATIONS A PATIENT MADE ABOUT ME AND THE STRESS OF RETURNING TO WORK ON THE SAME WARD ANOT ENOUGH STAFF TO COPE WITH PATIENTS DEMANDS. NOT ENOUGH STAFF TO COPE WITH VIOLENT PATIENTS. JUST NOT ENOUGH STAFF ALL OF THE TIME!!!NOT ENOUGH STAFF ON SHIFT TO COPE WITH ALL OF PATIENT DEMANDS AND COVER LEGALLY REQUIRED OBSERVATION LEVELS ESPECIALLY WHEN THERE ARE VERY VIOLENT PATIENTS ON THE WARD ALONG WITH FRAILER MORE DEPENDENT PATIENTS.=THAT I MAKE A DIFFICULT JOB LOOK EASY. PLEASE AND THANK YOU!!I arrived for work one morning at a weekend a few months ago to be told by the RMN on nightshift that there was no running water in the building, two of my support staff had rang in sick, a patient with an NG tube in situ had removed the NG tube in the nI was expected to administer medications via a syringe driver with 5 minutes training on the day. Even though I was working 3 long days I went home that night and spent a considerable period of timr researching the latest evidence-based best practices anI frequently have patients who shout at me and use inapprpriate language and make personal comments about my appearance. I frequently have patients who physically assualt me using either their hands feet or teeth, or use physical objects to strike me. IpI'm so glad that you are on duty as you really care and treat me like a human being and not just a piece of meatBeing patronised in you gov questionairres by being asked aboiut being naughty. Not being able to aswer your questions because although a S?N I have not been in the NHS during the last 5 years until 2 weeks ago. Ask me about 10-20 years ago and I couOlder patient's being returned to a general ward from ITU too early because of bed space problems. nurses on ward unable to care for the criticaly ill patient, unable to interpret the cardiac monitoring or the CVP line measurements.many violent incidents from patients towards m. In each case the person was either confused post operatively or had an acute confusion due to illness. I do not think it is appropriate to sensationalise these incidents by decribing them.JLots of things but being known as 'smiler' is good. 'Thank you' is nice Understaffing, not being able to take any breaks, to eat , drink or go to the toilet. On top of this had two cardiac arrests to deal with, and left work over an hour late. Even after these events had to suffer sarcasm and rudeness from Doctors, and patieI had a patient whose observations indicated a serious deterioration in their condition. I requested the doctors urgent attendance, but then we had a cardiac arrest on the ward. The cardiac arrest situation lasted over an hour. There was only one duty doMedication error.I was trying to talk to a patient who was very deaf and one hundred years old. I got my face quite close so he could lip read as well as hear me. He somewhat misunderstood what I was doing, and promptly sat up and kissed me full on the lips.A relative hit me in the face with a waterjug (half full of water), after accusing me of neglecting her husband. In fact I had just arrived fresh on duty after days off and did not have a clue what she was talking about.EYou are a real Angel and always try hard to make your patients happy.gHaving to send patients to the ward who still need extra monitoring as to admit an even sicker patient.Due to staff sickness not being able to turn patients as there has been no one able to help. Not being able to go for your lunch or supper break due to staff shortages.As the person in charge of the shift and I know the doctor covering the unit I have given anti emetics and sedation to unmanageable patients. As I have an advanced life support course I am covered to give emergency resus drugs.FAlter Epidural infusion pumps before attending the epidural study day. Drug errorFrequently, especially head injury patients or patients partly sedated are abusive and violent sometimes you have to shout to stop them pulling out lines or to keep them from hurting themselves.requesting extra sta< ff and being refused and others asking under exact same circumstances and being allocated extra being left as only trained nurse in wardGpsychotic patients requiring more secure environment and none availableErelated to psychotic patients being violent and posing risk to others%innapropriate behaviour with patientslock a patient inside roompractical jokes4working in mental health this is a regular occurance you caredward closure over christmas period and being made to staff an other hospital 25 miles away while regular staff got annual leave, which we were denied.{Not having the time to spend on one to one interactions with patients who are in crisis due to understaffing and paperwork.Being in charge of a ward when a patient's mental health deteriorated and due to ward pressures and the fact wards are run on the minimum of staff not being able to increase the level of observation to what I would consider a therapeutic level, enablingHHeard about a colleague who fell asleep on night duty. They were sacked.xHad a member of staff refuse to work or go into a certain area of the ward as they reported they had seen a ghost there.[A patient who's mental state had deteriorated attempted to strangle me with a leather belt.ThatI had been instrumental in assisting him to deal with his mental health problems to such an extent that he could return to the community and live a normal lifespending too much time on patients that don't warrant or really need medical intervention but because they "shout the loudest" and "demand care or they will make formal complaints". But the more vulnerable/lack capacity, are the ones that truly need thea psychotic patient becoming verbally/physically threatening to both self and oters (staff/patients) and only psychiatrist is on other wards doing admissionsUwhen a patient is admitted and diagnosis is behavioural and not a true mental illnessnot wanting to deal with a patient "cos it,s too much trouble" or they feel that doing "physical work" is not part of their remit as a nursealowing pressure sores to develop even further and allowing a person to lie in own urine and faeces because they don.t like a)the person, b)doing that particular job.fthank you for doing what you do. If I do become unwell I will contact the ward because I know you caretrying to run a busy shift with junior doctors unable or unwilling to cannulate, take bloods, pass n g tubes etc while trying to effectively deploy too few staff to care for increasingly dependent patients with hoards or relatives asking stupid questionsXnight shifts when the on call doctor has taken several hours to attend a patient in pain-verbally aggressive towards patients/visitorsI have had to call security to protect me from a relative who was threatening violence towards me because his partner had to wait for her medication. all medications are written up for set times but it is not possible to give thirty patients their 8 o clwrong drugs givenHaving to work through breaks and into lunch times because of pressure of patient load and understaffing, and having to stay after home time also.}have had to look after 2 post-op patients at once, resulting in one patient's drain not being opened on time, is one example.haven't witnessed anything.I WAS LOOKING AFTER A PATIENT WHO WAS BEING TREATED FOR ALCOHOLISM. HE WANTED TO LEAVE THE INTENSIVE CARE UNIT EVEN THOUGH HE WAS ATTACHED TO MONITORS AND MACHINES. HE BECAME AGRESSIVE, PUSHING AND PUNCHING ME, HURTING MY BACK AND CAUSING BRUISING AND P;i GET A LOT OF COMPLIMENTS ABOUT MY CARING AND HELPFULNESS.Lbeing attacked I'm a psychiatric nurse and having no support from management(sleeping whilst on eyesight observationssin private admittedly but laugh til we cried at some of the hallucinations that a patient on the ward was sufferingbitten by someone who had full blown AIDS had to stop breastfeeding my baby and have anti viral treatment and 6 months not knowing...^Thank you for saving my life (as in a long hospital admission following many suicide attempts)WHaving to argue with ward manager that blind patient's dog should be able to visit him.everything about nursing at present causes me great frusration ranging from repetative form filling and paperwork, sometimes having to document the same information regarding assessment screening etc at times thrice in differing formats in patients recora colleague had mixed all the denures from patients when cleansing them at night , causing great difficulty in then finding the appropriate person they belonged to.patients son threatened to follow me home and attack me and my family because i had asked him to leave ward when came ut of visiting hours. patient broke a plate aginst a wall and held it against my eck because his meal wasnt hot. patient threatenenedthankyou is enoughjunior nurses have to run the ward while seniors and matrons will be in the office.during weekends there are no senior nurses to support the juniors and they have to work understaffed as well.,squeezing the hands by a head injury patientyou are excellent in your jobThe four hour target lack of staff0lack of staff patients not getting care deservedgiven paracetamol for tempdisruption to patients at ward level just to meet government targets in A&E, also being told by matrons that we have to mix sex bays for the same reason and so that the hospital does not 'breach' There is only ever 2 qualified and 1 HCA on the night shifts on our heavy busy acute medical care of the elderly ward and I had only been qualified a few months when I was in charge on a night shift, the other qualified nurse was off sick. This left mWe frequently have dementia patients that are semi conscious for various reasons, we do not ask prior to giving intravenous medication on these occasions?Junior Dr's attempting to insert central lines in the ward areaiI suspected that a collouge had signed a drug chart to say that medication had been given when it had notrTh funniest thing that I have ever done was to put a 'flip flo' valve onto a catheter in the up side down positionQI witnessed a patient push over a collegue so that she hit her head on a locker YPatient said that she wished that all staff were like me and were patient and kind to her(not done jobs that have been asked to domany patients or relatives are expecting things to be done asap which is unfortunately not always possible then they tend to get cross and shout. it happens quite often.Zthat i am one of the efficient from what she noticed.and someone else said we are angels .Looking after a team of 6 patients with dementia in an trauma orthopaedic ward with patients requiring pre and post op care with not enough staff or time to carry out everything that was needing done for the patients.A patients relatives' complaint about the most trivial thing - completely unfound after a lengthy investigation that wasted a lot of time and money.I work in a very specialised area and have not even done a drug round for five years. I was moved to another ward and expected to do a drug round, and administer intravenous medications. I refused on the grounds of patient safety and protecting my regist&Administering unprescribed medications6a patient grabbed my arm and twisted it behind my backThank you for being so kindPrefer not to answer.due to understaff.Doctor was going to discharge patient who are symptomatic with haemoglobin level less than 7. Insist patient not well and needs blood tranfusion urgently. don't know.prefer not to answer'my parents will be very proud of you! dOccassionally paracetamol if pat is in pain, I would then get it prescribed at the first opportunity,Spoke to colleasgue concerned and managementplaying aroundWhat really makes me angry is when some nurses are so laid back when patients are in pain they will hang on giving the painkiller till it is a convenient time for them.One time a patient on an oncology ward came to thre desk to ask for a painkiller and b"Can,t think of anything right now.Going off the ward to talk t< o her boyfriend on her mobile crouched on the floor in the kitchen.This was at the start of the shift. Unbelievable.Make an april fools day pretend patient and put it in a bed and handing over the next morning with a very dodgy diagnosis.They were all fooled.A couple of pa\ztients were annoyed because they did not get their medication at the same time as ewhen they took it at home. Tried to explain this was,nt possible and how shortstaffed we were,they began to get awkward.I have had a few patients tell me that I amvery kind and caring, a differnt generation to the young ones that are coming into nursing today.Deterioration in consideration for patients physical and psychological needs. There's pressure on getting patients OUT of hospital so that the next patient can be admitted. We often seem to have patients scheduled for routine surgery who have no bed prThere is extreme pressure to 'process' patients as quickly as possible to get them out of hospital. There's extereme frustaration trying to access Drs to write up medications & discharge letters, obtaining medications from pharmacy, pressure on accessin\Mostly getting IV fluids written up, & needing to obtain a verbal order intil Dr can attend.Most of the situations are fuelled by frustration, where the service does not meet the patient's/relative's expectations or promises are kept. Often it seems that Drs make 'promises' that don't materialise within the time frame the patient is led to belticking boxes to show that work has been done and yet that paper is not filed or kept,some young nurses think its below them to clean or even help patient to wash.)I have seen colleague fall asleep at workelderly female patients that was confused tried to hit me with zimmer aid and another post operative patient that was also confused was hitting out and trying to bite me,^That I was a kind and caring nurse and had taken time to listen to a problem and rectified it.DTrying to care for my patients the way I feel I want to but not enough staff on ward to do this. I therefore go home some nights feeling frustrated that I have not cared for my patients needs.?Sometimes so tired and overworked that silly mistakes are made.IV fluids completed and no more fluids prescribed - doctors too busy to come and re prescribe when needed - so have given patient the fluids needed and have had to get doctors to prescribe later. O2 is another medication that given before being prescriUnderstaffing. Patients are put at risk when not enough staff working on ward. All it takes is for 1 patients to become acutely unwell and then all other patients are not being cared for correctly.Have seen work colleagues so tired, frustrated and over worked that they have not dealt with patient of relatives appropriately. They have been very dismissive and have sometimes been downright rude to them.Patient was very unwell and required IV pump to be attached. He was very aggressive and shouting abuse at the staff but needed this pump urgently. Tried to calm down situation and patient seemed to respond. When I was attaching line for pump to patientIve been told that I have made such a difference to their stay and that they couldnt have asked for any more from me. I cared for them like they had been my own mother.Understaffing, management not understanding what it is like or forgetting what it is like to work at ward level. Bed managers pushing for early discharges or moving patients around quickly at all ready understafed and busy times of the day just to prevnot being able to continue with my list when the then prime minister tony blair opened the hospital, we were the only department working and they had taken over one of our offices to stage a call centre!9not enough qualified staff to look after sedated patients0operating equipment they were not trained to useLcomplained to the boss and filled in the appropriate incident reporting form5they leave early and arrive late and get away with itBa [atient was shouting at another and became violent, I intervened~You can't really be a redhead you have too nice a temperament! Another said you have been so kind thank you, it means so muchIn charge on night duty in small community hospital covering both ward and Minor Injuries Unit with only 1 auxiliary nurse - 3 palliative care patients on ward - 1 with relatives staying as death imminent & needing emotional support.Went thro proper chMy Ward Manager was having formal Counselling Sessions with a patient both during and after his hospital stay despite having no qualifications. The patient had problems with addictions and should have been referred to the appropriate services.Patient headbutted colleague; broke chair & threatened another colleague with chair leg & barricaded himself in a side room where he attempted to fling another chair thro window.CDying patient on night Duty said "I'm glad it's you that's with me"You show you care'unit not being funding on par to meet play and social care needs of children in line with comparable social care respite facilities or even acute hospitalchildren with unstable cmplex health needs left unsupervised due to the only 2 staff on duty being required to perform task with one of the other children on the unitadministration of paracetamol or prescribed antibiotics from clients own named bottle where it was clear that it had been px for client but for which we had yet to receve confirming fax. Would never do so for anything I did not have clear evidence had becare workers giving advise over phone or face to face they think they have experience to give but goes beyond their training or authority...has always been brought up with them and appropriate advise confirmed by appropriately trained staff immediately.Enothing recently - lucky to work with dedicated and professional teamwork on a childrens unit with open family like attitude with parents and siblings so every day is 'goofing' around with children etc{have worked in challenging behaviour learning disability services. No situations of concern outside client group I work forwmy 'patients' don't talk but every day a child relaxes or giglles with you is more rewarding than a thousand thank yousBgetting new things up and running - paperwork, funding, acceptanceiv drugs administrationlnot acting on blood results, giving medication when all results to say that it is safe are not yet availablestealing suppliesthat they pray for me"Management bullying within the NHS5Management targets putting patients and staff at risk&Deliberate understaffing by managementBullying sttaff<Being hit across the face with a walking stick by a patient.BCovering for sick staff at the expense of my own responsibilities.LIn a life threatening situation, when there was no doctor available/on-site.Thank you for saving my life'. poor staffingxlack of staffing causing patient care to be compromised, senior staff members not pulling their weight when this happenslooking after 20 patients on my own, with senior nurses i.e. matrons aware of my difficulties and not providing any assistance at all, despite me having seen 3 matrons in the office with cups of teas and biscuits chatting. As a result an elderly lady hadA patient requiring laxatives or suppositories - Dr know nurses administer them without prescription at times, we always get them prescribed retrospectively. I would not give any other medication without prescription other than theseToo many patients being looked after by too few or by too junior staff members. Most often on late shifts, with many patients post surgery and requiring regular observations - impossible to do with only 2 trained members of staff for 30 patientsHave asked a Dr to cannulate the wrong patient as a result of being given to much information about different patients at the same time and consequentially mixing the two patients up.A patients relative threatened to punch me in the stomach when I was 6 months pregnant because I was unable to tell him when his relative would be out of surgery. He cornered me in an office and fe< llow staff members and security had to come to my rescue.That I have incredible patience and compassionxThe current nationwide issues on uniform. i.e. because I wear white socks, this changes the way I look after my patientsattended for an early shift when sould have been a late. Went back home, then forgot to come back for the shift and had to be rang inDuring student training, a young patient named their baby after me whae I stayed well over my shift time to help her through the deliveryI work in the operating theatre. My main frustration is the lack of beds on the wards for pre op patients.a couple of days ago the urology ward (26 beds) had only 12 urology patients. The rest were medical admissions. we can't operate on patients until bNOT BEING ALLOWED OVERTIME PAY, BUT HAVING TO TAKE IT AS TIME OWING OR WORK ON NHS PROFESSIONALS AS OVERTIME TO DO MY CURRENT JOB AND BE PAIN 2 POUND PER HOUR LESS. DISGRACEFUL THEN YOU SEE AGENCY COME INTO MY DEPARTMENT AND GET PAID TWICE AS MUCH AS MEcUNDERSTAFFING . HAVING TO PROVIDE INADEQUATE CARE TO PATIENTS POST OP . HAVING TO DELAY PAIN RELIEF?the lack of care for staff by managers with unrealistic targetsfstaff shortages resulting in care being compromised, staf expected to make changes at too short notice(undertake procedures not comeptent to dorincomeptent untraINED doctors, lack of hygiene care. stopped the doctor and tried to ensure good infection controlSdiscussing sex life and socila life in front of patients, breaching confidentiality drug error$its so frequent its too long to listBeing in public service, very few strive to excel in their work. There is little incentive. You get paid the same whether you are good at your job or not. The most frustrating thing is that the managers are having to watch their own backs and so don't roI was once in the position of watching some one "Cone"(gross raised intercranial pressure) and there was no support/expert help to deal with the problem. I have very frequently been in the position where it was only by the grace of god that catastrophe hIssued paracetamol in a drug treatment centre when I was the only medically trained person present. (Nights - only doctor available - a GP that I would have had to wake up at home)PI have mentioned these earlier. Usually due to low/inappropiate staffing levels.VA female nursing colleague having sexual contact with a patient - with full consent!!!I fell asleep once. Many years ago I went occasionally went in with a hangover. The other things are things that I have seen others do.`Put a cardboard cut out of Santa in bed at christmas and did a full admission, careplan the lot.I have had patients shout at me and some have been violent. Almost always this has been because of their medical condition, they may be confused (usually) or may be anxious or frightend. (most of the shouting incidents have been in the latter reason. ItThe haematology ward was moving to another area and I was not going with them. A few of the patients made a concerted effort to make me change my mind.Turning up to take charge of a night shift and finding that the day staff hadn't bothered to check the rotas so we ended up 2 staff short in a busy ICU.Prefer not to answer5Comne to work suffering the after affects of cannabis>Colleague assaulted by a patient requiring surgery afterwards.#Understaffed during times of crisis)non qualified to perform specialist taskscolleagues having sexassaults2Staffing!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!Khit a patient - which I then reported and the staff member was disciplined.lPut a shroud on a patient ready for theatre, thinking it to be a theatre gown, when I was a student nurse...2I don't really know where to start to be honest...That it shows that I really care, by the way that I treat patients, and that I am a kind and gentle man that people appreciate.sk<Profit motives being put over the care of staff and patientshaving to put up with patients families who think I should be doing things which are not part of my remit, including cleaning the house for them.kColleagues who have answered the call to excess bank shifts and then struggle to manage their regular ones.jColleagues who are on junior grades being expected to do everything because more senior staff are held up.sleep through the night shifttrousers ripping9patients at the end of their tether with a dying relative)thank you - you nurses are always helpfulQEncountering sexist female nurses who do not believe that men can be good nurses.Patients mental states vary, sometimes within fairly short time-scales. What looks a safe staffing level at the beginning of a shift can rapidly become unsafe if previously stable patients become confused. Falls can happen because previously safe patientRefer to previous answer. A broken hip can happen in moments - confused patients may not understand the need for help when trying to mobilize. Falls frequently happen because staff just cannot be with several patients at the same time. In the elderly, aNI feel safe when you are here, I know that you really care what happens to me.Government targets that are non-negotiable which result in patients suffering in one form or another e.g. having operations cancelled because someone in A&E is about to breach the 4 hour wait. I could give lots more examples.bUnderstaffing really meaning that I have not always felt in control of what is going on around me.{someone tried to strangle me once but he did not have the best co-ordination thankfully and I managed to get out of the wayLots of patients frequently say lovely things to me and it is one of the best parts of the job. Mainly things like asking if I'm coming back the next day and if I say no them looking really disappointed or saying as much. Some patients tell their relatNo specific experience, but I constantly experience bad management. Managers forget their responsibilites for managing their own staff as people and concentrate on managing unrealistic targets and unrealistic budget restraints etc. There is a bully cultuOne night shift my colleague (RGN) was ordered by a manager to leave theatre to work on the wards as they were short staffed. She refused on the grounds that she is not trained to work on the wards as per NMC code of conduct (she's a theatre nurse) and tIunqualified staff in theatre enjoying the sight of ladies' private parts.Usually centres around doctors/managers asking ridiculous things that either compromise patient care such as incorrect prescriptions/not reviewing patients or putting stepping stones in your way such as audits, pointless paperwork etc that mean you havestaff sickness commonly results in an increased patient load meaning you have less time to spend with each patient so simple tasks get left or when one patient becomes poorly and takes all your time, others are left for whole shifts without being seen/rude or sexually inappropriate comments/actionsPlayed skittles in wheelchairsHospital is a stressful environment especially for trauma patients who have no control over what is happening to them and events happen so quickly they dont have time to process them. They and their relatives, who are obviously very anxious about their lThat they were scared stiff about coming into hospital but I had made their stay much easier to cope with and been emotionally supportive as well as in her treatment against cancer. She then cried because it meant so much to her and I welled up too! ThatBInterference from managers who have no idea of what my job entails#So many patienta and so little timeHaving been able to see (under the microscope) that a patient was suffering from a sexually transmitted infection/vaginal infection. Have given medication and asked Dr to write it up next day.TIt's not so much they weren't qualified, they needed supervision and didn't seek it.Sexual innuendoHave a public slanging matchTrapped a genleman's testes between a commode and the lavatory pan. Needless to say, he didn't think it was funny and I can't say I laughed at the time... H< e was confused and thought someone was reaching up from the pan and grabbing him. It was only anShouting because they were too late for their appointment to be seen or if thay had had a long wait to be seen*Dealing with difficult/challenging people.7You are beautiful. I think it was the morphine talking.Daily (and all other) records on computer, those who can type are in and out, I feel frustrated taking a long time and sometimes still recording the next shift.@Making 'rules' and refusing patients food. Eating it themselves.Totally ignore or disregard patients, no interaction or individual attention, for over 12 hours, I never thought it possible but now I have seen it. Basic needs were met but this made it even more strange. What could I report?UPatient would not be guided about his care, punched me several times around the head.)Thank you for helping me. (after 2 years)]doing the christmas off duty every year and listening to everyone moaning about their shifts.]patient struck me over the head with a buttle, knocking me unconscious.I suffered concussion.Every day the appreciation of people in desperate circumstances is incredably humbling and makes my career the best in the world. There is no one comment I could pick out- often more is said without words.1Having to leave patient care to fill in paperworkbArriving at the unit to find I was the only qualified nurse on that shift. 18 patients to care forDieing patent, night shift (I work in Palliative Care) in pain. Not enough analgesia prescribed. regulations now state that verbal order not acceptable. Doctor an hour away. I gave pain killers-Attacked with a pair of scissors by a patient1waiting for medication to come down from pharmacyKbeing left alone with a potentially violent patient, due to staff shortages4patient was hit by a nurse. patients being ignoredwa patient came up behind me and grabbed me and tried to remove my clothes! Was threatend violence by a patient on detox'was nominated for an award by a patientthe hospital provides (rubbish!) christmas meals for staff in the run-up to xmas, we get meal tokens and have to collect meals from another part of the hospital. a uaul busy day meant no-one had time to collect meals, the following day the unit manager slooking after 5 women on a labour ward, high risk postnatal twins and 4 induction of labours. 1 induction in pain, not in established labour but needed attention, no clean room to put her in - transferred someone to ward to clear room - came back and ladgenerally too busywomen in labour often shoutta letter from a family whose stillborn baby i delivered saying i had made the experience easier and special for themtoo much paperwork, lack of money too purchase new items and too provide staff training. understaffed and no money to provide more staff"th ward too busy and lack of staffthe doctors are never arond on a night shift and still go to bed to sleep which leaves us unable to contact them on times. need to give medication on occassions to keep patient alive giving medication not prescribednot enough staff on the ward#patient hitting and spitting at youNot being able to give patients the best care du to lack of time because of understaffing. Sometimes an anxious patient needs time to talk to and reassure them. It is a horrible feeling not being able to do this for such a bad reason.A patients condition was going downhill and we had tried to bleep a doctor a few times to get them to come and see this patient. The doctor's would not respond, we were very worried about this patient and so a medical emergency call had to put out.hA very aggressive patient would shout extremely abusive names to me (and others) and would throw things.6You're going to be a brilliant nurse (I am a student).since we live in a blame culture it is very frustrating to account on paper for every action we take with the patient. We used to able to nurse but now we spend so much time on paperwork for fear of litigation.mI have witnessed a nurse change a drug kardex to accomodate the drugs she had on her trolley. I reported her.,I was hit over the head with a glass bottle.Btoo many to mention. It's the nice comments that make it worth it.trying to look after patients when relatives get aggressive because they are not being seen as quickly as they feel they should be;i have had a patient shout at me and kick me in the stomach&thank you for everything you have doneToo many to mention...Requested to stand in for band 7 nurse in charge whilst she went on 30 min break - I was band 5 one year post qualifying and already under stress and requesting time out of work as I couldn't copevDrugs in A&E can be given by verbal agreement from Doctors in life or death situations and paperwork filled out later.Come to work with a hangover and not performed to required standard and/or whined about feeling unwell when it's self inflicted...>It's a daily occurrence. Nurses and care staff get used to it.ANice comments are few and far between. I honestly don't remember.I find that there is no time to get to talk to patients.Its all about doing the job and getting the patient out ASAP.Some patients are nervous and scared and need reassurance especially elderly people,children and vulnerable adults.If I stop to talk to tI found myself in the resusitation room.There is space in ours for two people.At the time we had 2 people,both with acute MI(heart attack)and there was no oxygen masks and no pads on the defib machine,as,whoever had been in there before,failed to re-stocWhen I am in cahrge of the makeshift holding area I have occasionally administered GTN spray to a patient experiencing chest pain until help arrives.Staff preforming ECG tests that haven`t been trained. Staff putting on plasters,dressings and bandages without the corrct training. Staff giving meds without them being prescribed. Someone hitting a patient. An elderly man being roughly dragged up aNo oxygen masks in the resus area,while there was a patient there.I had to go upstairs to a ward and get some as someone failed to order any. I witnessed another nurse giving penicillin without checking for an allergy,the patient almost died. A woman dhitting a patientI seen an nurse drag an elederly man up a bed.He was crying but couldn`t talk.Every time I ahd to leave she was being rough.He had brusing to his arms..which she wrote on notes,were already there.Then while washing him,I had to fight with her to allow hA patient was complaining about one of our doctors,who is chinese.She was making racist remarks when he left the room.My collegue turned to her with a completely straight face and told her that he was her husband and "while his English isn`t great,he isMy colleague,who is very placid and good at her job,was held at knifepoint in a back corridor.She was held by a mentally unstable man,who should have been in a psychiatric unit,but was left with us as there were no available beds.He followed her to a dartwo things... A patient once said that "Id missed my calling" she told me that I shoould be going around,bringing joy and happiness to those who felt sad or scared or who were dying and not "swimming in a sea of cold heartless people and paperwork"..sheUPts moved inappropriately to different wards were condition/needs cannot be fully met6Poor staff morale and its knock on effects on patientsQDr taking arterial blood gas, sytringe slipped and blood spurted up onto ceiling.Thank-you nurseTIt is very frustrating to see poor care given by badly trained and unmotivated staffWhen incharge of the entire hospital as Senior Nurse On Call, have often had to stay late to sort out problems that occur as a result of poor staffing, or relative's issuesA patient screaming in pain in the department - have given medication to alleviate the pain without waiting for a prescription to be issuedPI have been shoved and verbally abused by a female relaive of one of my patients/I will never forget you, you have saved my lifeopinions are asked at a national level, then ignored. Speak to the senior sta< ff and agenda for change has left many staff disheartened. The latested fiasco over the national uniforms. Someone has taken a descision that is very unpopular. Pulling a unifothe push to get patients out of the backdoor before they are ready because there is a pressure of the 4 hour wait on at the front door. Patients who are due for discharge MUST be give priority regardless of the more severely ill or dieing patients on theDoctor of sufficiant experiance not available in the hospital. Relying on the experiance of senior nursing staff to care for a terminally ill patients not a doctor who has only being doing the job for 1-2 years.Doctors who do not have the experiance to cope with the pressure of the job. Ordered to give a rather expensive drug that no-one new how to make up in the Hospital. Called the on call heamatologist at home who came in and resolved the problem. Drug was nThe itenms listed are on the whole not that severe. When you do a 13 hour shift trying to keep in touch with the outside world is hardly a sin.Patient had a tattoo "Made in Scotland" the aneathetist wrote under it "from girders, Barrs Irn Bru". be warey of aneathetists. <working in A & E often seen violent outbursts from patients.RThat I had the kindest face that they had ever seen & thanked me for helping them.@no one prepared to accept responsibility--everyone wary of blamept admitted to open ward with pulmonary TB which was not diagnosed for some considerable time, therby putting other pts at risk. used blood packs been left in sluice room for more than 48hrs i enjoyed my stay=That the patient appreciate and happy of my care towards themoThat although I was a student I dealt with the situation better than any other staff including senior managers.having to work with inexperienced unqualified agency nurses who are only there for the money- don't care about the patients, lack empathy & an instinct to care- this occurs on a regualar basis. Also frustrated when senior staff treat colleagues badly, fBeing left in charge on a regular basis when I am not numerated to do so, with poor support ( ie agency staff, high dependency patients etc) In general lunging from one crisis to the next. See previousRhaving to cannulate patients in an emergency situation when not assessed to do so.Patients medications not prescribed- cardiac drugs, analgesia, anti-emetics which leave patients at risk of distressing events & poor management- they may as well stay at home.an agency nurse using an arjo bath for an immobile patient, taking the patient off the hydraulic chair & then asking how do we remove the patient. Bath was over filled, patient with breathing difficulties terrified & unable to breathe, had to hoist patiFpatients/relatives under influence of alcohol & drugs. Always happens.%I wish I could take you home with me.noneXhave seen a nurses boyfriend waiting around the desk while the nurse finished her shift.a patient was very unhappy when I took her 2200hr medication to her at 2230 and got very angry when I explained that I could only do one thing at a time and had to work my way round everyone.Dthat we are all lovely, kind and patient etc,too many times to count@leaving bubble wrap over a premature infant while being x-rayed.Understaff, underpay, the lack of equal opportunities for progression. The understaffing issue is unacceptable as it makes staff nervous at the inability to function well and the patients do not receive the full care they need, too many short-cuts in serIf patient has repeat prescription with them on admission and something has not been prescribed on kardex which patient is due. Would in some occassions administer the med and then get it prescribed when doctor available so patient is not missing dose.0Patients being physically aggressive towards me.!That they think nurses are angels-thank you for listening to me and being kind.Busy Easter sunday day shift in A&E,two trained nurses on duty,no receptionist,I am 'senior nurse' for the hospital. Consultants, Xray and Lab staff on call from home,no pharmacy service. one medical and one surgical FY2 on duty in hospital. Patients foeWatched a consultant surgeon and his staff grade repairing a swallows nest outside the A&E departmentI intervened when a (smaller) colleague was being threatened by a patient. The patient was using her greater height to intimidate my colleague, by towering over her and threatening violence and shouting. I pushed between them and told the patient I was g God BlessBeing a student with uni work responsabilities and not having to the time and energy to learn more about and around nursing and current placement areas.Once came on a morning shift and found a patient dreanched in bed in their own urine because the night nurse said she had already heped her to change 3 times that night and basically couldnt be bothered to do it again leaving her shift responsability forWas in A&E and a patient was disturbing the department and othe rpatients. Nurse simply asked him to return to his own cubicle and wait for a doctor to be free to see him. He wouldnt and so forcefully took him back and called security. Healthcare assis"You'll make a lovely nurse one dayultimately my main concern is patient waiting times in the outpatient department due to reduce breaches (fitting extra patients into clinic) and reaching government targets.dealing with patient's anger and frustration due to waiting times, therefore having to deal with day-day conflict and even violence and aggression, while maintaining a professional attitude at all times.a healthcare asisstant would not assist a elderly, frail patient to the toliet and came to ask other memebers of staff to go to the reception to assist a patient.forgetting to switch the flow rate machine on, and asked the patient to pass water, but no result was recorded! the specialist registrar laughed and commented that, i needed to be more valigant but in a nice way.A patientr pointing her finger at me and saying that I was not fit to be a nurse, and that I was a waste of time, as I told her she needed to wait to be seen as the consultants clinic was running behind time!:That I am very kind and helpful and I am very considerate! Lack of bedsNothing really bad reallyflirtingTThank you, thank you, thank you...you maintain my faith in the NHS and future nursesWhat really frustrates me as a nurse in a busy ICU and trust is that nobody really cares about the staff, especially staff nurses and HCAs. We tend to be the hard working under paid and undervalued sector of the NHS. At times you are made to feel like aqDue to understaffing led to having far more patients in an ICU with only a few members of staff to care for them.I have given paracetamol to a patient when junior drs are too busy to prescribe the drugs. If given to the patient allergies etc are always checked. But i would prefer to do this and get the prescription written later than leave the patient in paindOften patients who are under the influnce of drugs/alcohol can be very verbal/ physically aggressiveEThat they are extremely grateful for the care that I have given them.Gunderstaffed, expected to be bed manager as well as look after patientsAlthough we are supposed to take unpaid meal breaks we are unable to due to the amount of activity and the staffing levels on the ward, we therefore have no choice but to take our break at the end of our shift. Our matron is aware of this but does not vitoo many to recallInappropriate admissions e.g. Patient needing cardiac monitoring sent to ward without monitoring facility. Bleep holder informed & appropriate bed arranged & patient transferred. This has happened on several occasions and in my opinion is due to poor comYusually drug addicts waiting for their medication when waiting for pharmacy to supply it.DK-too many to recallnot being able to give patients gold standard care due to time restrictions and cost cuts. Health should be about quality care and outcomes not targets and time framesit seems unfair to be asked to work extra hours an< d then be told you cant take time back at your own choice. Managers seem to rely on nurses wanting patient care to be delivered no matter the cost. We are humans with lives. This does get forgotten at tim#paracetomol in the prison setting -adult medicine trained nurses tanding to children. They are very capable and proffessional but ne formal qualification. This needs to be rectified in todays age of litigationprison nursing seems to attract this negative behaviour. when you tell a prisoner no they dont like it - even when you explain fully the rationale behind your decision"thank you. thats all thats needed &Thankyou.It means more than it sounds.Thanks for saving my life.Uexhusted after working 4 days in a row or sudden change from night shift to day shift=not trained to use a cardiac monitor - using one on a patientyou give me hope in lifeTargetsABeing accused i something i never done with no support fron trust-Assult on staff members due to staff shortage3patient required IM urgently due to physical assultKicked in face(thanks & selection of fruit on dischargeI GOT ASSAULTED AT WORK BY A PATIENT INJURED MY BACK AND GOT A WARNING FOR BEING OFF SICK. THE PATIENT WHO ATTACKED ME NEVER EVEN GOT REPORTED TO THE POLICE.GA NURSE I KNOW HAD TO SHOUT AT A PATIENT WHO TOUCHED HER INNAPROPIATELY(I was the best nurse she had experiencedM80% paperwork and the rest is patient care. Not what i went into nursing forRworking with dangerous level of staffing on ward and management won't address thisYou saved my lifeUlack of staffing, ie- moving staff to other areas laeving your own area short staffedGpatients put at risk due to senior management moving staff off the wardabusive visitors thank you !dealing with people who are drunk!thanked me for looking after them|A patient who said that she was pleased to see me back on shift as she felt that she could talk to me and I would understand!staff shortage lack of resources'Boss has high expection even understaff-expected to do things not in job description.prefer not to say.prefer not to answer.bSome patient and relative have an expection that I'm thier private nurse..wanting one to one care.*Patient appreciated what you done to them.There are colleagues that spend all day making personal phone calls/going around on mobile phone when there is work to be done. Looks very unprofessional in front of patientsA patient and relative who took an instant dislikde to me before I'd even spoke to them and continued to be aggressive to me throughout their time and put in a nasty, personal complaint about me which was devastating. Have also had people threaten violeAlways nice when patients are thankful and grateful for the care you have given. Have had some who don't want to move onto the ward as they don't want to leave me where they are so grateful of the care I've given, very touchingnot having enough staff so you have to rush about prioritising care even if this means that patients have to wait to be washed, its an absolute disgrace!! being told by management that we have to take as many patients as they want us to take even if weQspending hours in front of a computer filling in data which are linked to targets[heavy caseloads, working with a very thinly staffed team, Drs who can be poor at their jobsseen and heard a collegue making nasty remarks about a client's family seen and heard other nurses being bullied by their peerssomeone bleeped the Dr once when the goldfish on the ward died...the Dr turned up thinking someone had a cardiac arrest only to find a deceased goldfish laid out on a padCbeing the subject of very vicious verbal aggression from a relativeyour a very nice man(arrogance and ignorance of medical staff/too many allocated patients to do work properlyincreased paperworkTHANK YOU FOR SAVING MY LIFEFWaiting for a doctor to carry out a proccedure that I could do myself.Patients who require assistance with eating and drinking not getting it. The choice and types of food available for the patients.The delay in getting IV fluids reinstated following problems with a canula. Lack of staff to carry out regular neurological observations on head injury patients.`A drunk patient who was refusing treatment whose relatives were trying to force me to treat him.Dhaving to transfer patients around the hospital due to bed pressureshad to work on a temporary "winter" ward with 14 patients and only one inexperienced agency hca who had no relevant skills so I might as well have been working aloneSrelatives shouted because they were unhappy about the patient's treatment/conditionyou're an angelMCollectively applying for re-banding and being disqualified on a technicality>Give an injection. A long time ago. When I was a Student NurseDI work on a busy acute psychiatric ward and so examples are frequentzThat they could not have recovered without the help we gave and that they could now look forward to the rest of their lifeaUnderstaffing - you are not able to provide adequate patient care at good levels all of the time.BUnderstaffing - all you can is your best in a difficult situation.Patients can be very verbal abusive which makes you feel very vulnerable and they can lash out and try and hit you which is scary.That I was kind and considerate the amount of stsutory sdudy days that takes one away from patient care The training of nurses is so different now more to do with the academic than patients Nurses are not allowed to nurse the patients back to health or towards a dignified death now.As nurses no longer see basic nursing care to be part of their role, it is left to un trained healthcare assiistance to muddle through as best they can.This is because the nurse trainig encourages them to be more like mini doctors. Foe example discuss issues with patients and relatives which should be done by the doctor.THERE HAVE BEEN MANY BUT THE STRANGEST AND FUNNIEST THING i WITNESSED WAS A STUDENT NURSE BEING ASKED TO HELP A PATIENT WHO WAS ON BEDREST ONTO A COMMODE BY HIS BEDSIDE. THE STUDENT NURSE PROCEEDED TO DO THIS AND ACTUALLY PUT THE PATIENT ON THE COMMODE OThis seems to happen when nurses and/or doctors are unable to provide patientsand/or relatives with information that they can uderstand, and the healthcare professionals cannot speak in a less academic fashion. Patients have told me on more than one occa THANK YOU THAT ALL I NEES REALLYhNot having enough equipment available to do your job & especially having to hunt round to find equipmentHaving to look after too many high risk women with 1 other midwife on a full ward, alongside answering the telephone, serving meals, making beds etc.I can legally prescribe paracetamol to an in-patient. If someone is going home & needs a discharge prescription for paracetamol A Dr needs to prescribe it. It's not always possible to find a Dr to do this & if someone wants to go home without waiting aToo long & complex to explainThat I am caring & helpfulETrying to get doctors to agree to a course of treatment for a patient:I saw a colleague come to work so drunk she couldnt' stand/A distressed patient punching at me in the faceAs a mental health nurse with over 29years experience ai have been subjected to verbal and physical aggression on numerous occasions. I on one occasion sustained a fractured rib.$A simple thank you that was sincere.would like more moneymake personal phone calls THANK YOU,?chronic under staffing - both in nursing posts and doctor postsAcute asthmatic patient requiring immediate bronchodilator nebulisers on arrival to admissions unit whilst doctors were unable to attend immediately. This is a regular scenario.Zthat I really made a difference because I appeared to genuinely care and want to help themHaving to fit extra intensive care cots into a nursery due to being over capacity and not having sufficient emergency equipment for each babyrWhen doctor is not available and patient is needing medication for pain but only simple things such as paracetamollConfused patient being very< violent and aggressive, throwing computer screens and telephones across the ward7Lack of understanding and support from senior managers.NUnderstaffed and suicidal patients were not given constant observation status.pMale nurse slept with a female patient and following an investigatory hearing was promoted to a senior position.3I was attacked by a patient weilding a snooker cue.Thank you for saving my life.i work on a 28 bedded ward for patients with c-diff - not through choice either- therefore there is always someone who needs assistance. We are extremely short-staffed, realatives are complaining that we are not getting to see the patient quick enough bOn a night shift, with 2 staff down. we had 2 palliative care patients needing syringe drivers, 2 people needing 2 units blood, 2 confused wanderers (one of whom's family has made a formal complaint so pt has to be checked every 15 mins, and then documelast week, someone told me they liked it when i came to nurse them as i listened to what they had to say unlike other nurses on the ward.When the patient is known to me from home visits and I am aware that they are taking the relevant drugs, but have yet to have the drugs written up by a doctor in the hospital settingwrong medication givenDdoctor performing a body piercing for nurses during night duty shiftMtrying to fold a recently deceased 6ft 6in man into the 6ft mourtuary trolley=a man chased me up two flights of stairs with a broken bottle'understaffing-recruitment and retention:Regularly violently attacked by patients- and with weapons>Following a crisis many patients say thank you for the supportNo specific one experience, nursing today is often an accumulation of frustrations large and small, in fact the most frustrating thing is probably that i am not paid to nurse but to be an admin person with more time at computer than involved in patient cBgeneral understaffing/expectation to cover in colleagues abscencesTreat patients with no respectHhide under a desk so shortsighted and annoying patient couldn't find herTpatient came out of room on night shift screaming she would pour boiling water on me5not having the equipment required to carry out my jobbeing hit by a patientI was slapped in the face.Thanked me for caring.Lmoving from own ward to staff others and working with underexperienced staff0ticked the wrong box in previous question sorry!9a card i got sent in the post thanking me for their care!Back Staping Lazy2Doing jobs which is not in my own job description.DA porter Standing over a female patient and looking down their top.increasing hospital bureaucracy68 women in early labour being cared for by one midwifeInot enough beds for clients so therefore baby/client not monitored enoughassault on me by a client<named their baby after me as I was so kind during the labourGBeing unable to find correct equipment, bedlinen, and other essentials.In charge of a ward and only paid at basic staff nurse pay as I was being paid as a bank nurse, while taking responsibility of a senior nurse. Ward not staffed sufficiently highly for the level of dependency of the patients. Unable to take a break as nOnly such medication as paracetamol for mild analgesic purposes, and only after first checking that patient is not allergic and that it is not contraindicated. Medical officer has written up prescription soon afterwards.zConfused patient left unattended because no staff available to stay with them. No cotsides on bed because none available.Help themselves to drugs from the medicine trolley. Fallen asleep on duty. Shouted at patient in temper. (None of these apply to me)`Said that they trusted me and had confidence in my ability - said that I had an air of calmness.Having inappropriate patients placed on my ward just so that the 4 hout A&E target can be met. The non-nursing managers that force patient's that need one speciality to be put on a ward with no experience of looking after this type of patient have no cakRefusal to close beds when the ward is dangerously understaffed - we are told and expected to cope with it!JThe patient was having an acute asthma attack so I administered nebulisersPutting inappropriate patients on my ward - a specialist medical patient being put on a surgical ward - this is becoming common practice to outlie patients and, as I said before, it puts the patients at risk because this is not the nurses area of expertiTrying to employ staff. Complete a recruitment application form, get it signed by 3 senior managers,confirm that you have enough money in your budget, do a supporting statement to explain why you need the vacancy filled. Have this rejected by accounts beNewly appointed junior sister. I have no mentor. the dept. is grossly understaffed. Just thrown in the deep end & expected to get on & learn by my mistakes.Smoking on duty Aggressive & verbally abusive patient who felt that he wasn't being seen quickly enough. Not just to me but to the Doctor and other patients. The most precious nursing memory I have is a letter from the parents of a young man who was terminally ill thanking me for all the help I gave him dying peacefully & fear free. He was unaware he was dying as his family did not want him to know . I alsowHaving a a large clinical patient caseload and expected to run a team and all managerial responsibility that it entailsI am approachable and politeBeing a junior member of staff and trying to get on post grad courses proved frustrating as my trust initially preferred to give the courses to more senior, long serving staff.{Pressure relieving mattress's not being used correctly, leaving patients on just the bed frame as the mattress is deflated.7practical jokes on fellow colleagues during quiet timesI had a patient who was upset that they hadn't been informed what was going on in relation to their care. I feel the patient had every right to be upset and it is my job to calm patients down and make sure they are fulli informed, if this had happened inhaving a colleague send someone to look for you do carry out a menial task that she could easily have done whilst you are up to your elbows in faeces trying to clean up a patient with dementia who is unable to understand why you are trying to clean themcarrying out jobs that require clinical skills training without the training just with a few minutes tutorial from colleagues. over allocation of patients due to low staffing prescription sheet out of space, unable to find a doctor to represcribe, painkillers issued, double checked with other staff member then signed for later when dr represcribedPcolleague coming in so drunk they fell asleep in a patients chair in single room7being pushed down a small flight of stairs by a patientthat it was lovely to finally see a nurse smile on a really busy day on the ward and every one else had been too busy to speak to the manFHaving to spend so much time doing paper work rather than patient careAdminister IVI drugs without a drug chart to check off.(junior member of staff). Same above only commence transfusion without checking with any member of staff.FDoctors not willing to listen to serious concerns over peoples status.,patient shouting and demandiny to see doctorYou have been so caring and understanding and I could not have wished for better care from any one else. You have been so patient with my relatives in a very difficult time for them.rLack of resources eg no beds, short staffed, lack of equipment, not being able to spend time with my patients, etcHaving extra trolleys in the dept and not having any extra equipment or staff to cope with the departmental pressure that is placed upon those working! Nursing care not being given due to above.]Giving medication that is not prescribed, giving treatments before being assessed by Doctors.Having extra trolleys in the dept and not having the extra resources to cope with the extra pressure that is put upon the nursing and medical staff already working.Too many to mention here:Had a patient try to stab me with an eigh< t inch fick knife4Thank you for your kindness, understanding and help.qSedated patient transferred into mi scanner and ventilator had not been set up by anaesthetist prior to transferbeing left short staffed or with inexperienced nurses and telling management that we cannot cope with the patient workload and being completly ignored and work is piled on often putting patients at risk, my registration at risk and giving sub standfard c[inexperienced nurses not supervised correctly and patients actually suffering physical harmpatients brought into an admission ward yet no staff available to assess them and patient suffering cardiac arrest as a result.Eanswer a mobile phone when in middle of catheterising a male patient.pa patient relative attempted to throw a wheelchair at me as he felt his relative had waited too long to see a dr-that i made a difference to their experience.you are a lovely caring person'Lack of medical intervention in a timely manner. I informed the senior registrar of situation to get medical review and management for patients. I HAVE ONLY EVER GIVEN GAVISCON OR PARACETAMOL TO PEOPLE WHO REALLY NEEDED IT AND I WAS SATISFIED THAT THEY HAD NO ALLERGIES AND THAT THIS WAS A USUAL MEDICATION FOR THEM AND ONLY WHEN THE DOCTOR HAD SAID THEY WERE TOO BUSY AT THAT MOMENT TO COME AND PREA PATIENT TRIED TO BITE ME WHILE I WAS GIVING HER AN INJECTION, THIS STARTLED ME SO MUCH I JUMPED BACK AND SUSTAINED A NEEDLESTICK INJURY.Having to staff other wards where you have never worked. You don't feel safe or that the patients are been looked after well as you don't know where anything is.`when patients potassium is low given supplement and apperients got them cleared by doctors latertransfering patients to my specilised area without correct monitoring equipment appropriately trained staff and sometimes with a member of staffwho doesn't know the patient@have a personal disagreement on the phone with partner/expartnerZconfused male patient needed monitoring refusing to stay in bed needed 4 staff to restrainI find it very frustrating when the clinic is short-staffed, because i'm not able to give quality care. This is compounded by coleagues who pretend to be working!An example is being too tired to explain a procedure properly to a patient because you want to rush through, to save some time for the other patients. The patient may not co-operate or the patient due to lack of understanding may take tablets wrongly.bThe patient did not take it kindly that he had to wait longer than usual because of understaffing.OGenerally patients say nice things. Things like, 'you are just like your name'.incressing paperwork, and all the new assessments go on seperate sheets, why can't they be combined onto one form?. I work in CCU and ITU and staff are regularly moved to cover wards or extra capacity bed by managers as on paper we have more staff thaO2 + GTN spray given when patients have chestpain with ischeamic ECG changes + know they don'y have any contraindications, as Dr's are reglarly a long time befor they can review. (I work in CCU)patients transfered to our departments (ITU/CCU) with out the apropriate monitoring or equipment should they deteriorate in the coridor. reduced staffing leveals, however sometimes this is unavodable as we are unable to use bank staff due to the specaraised voices are oftern used to instruct patents who are deaf or confused or diorientated from the side effects of drug wearing off, but only for the own safey.)you and 'X' saved my life when i came in.Fbeing paid less than the people i am in charge of within the ward areawhen i was a student a 'collegue' lied about giving insulin. she failed to document it so patient was given 2nd dose. i and another s/n signed prescription sheet. the s/n then went on to sign kardex in front of me, then told other staff she had signed it+dressing up a collegue prior to her weddingmostly violence is from dementia or septic patients who do not always know what they are doing. mostly this is when they try to leave the ward and we are preventing them from doing so. although some do kick off for no reasonLthanked me for all i had done for him. he was very ill and died the next daymany things - but probably mostly it is managers telling us to move pateients from a/e to avoid 4 hour breaches when it is not in the patients best interests to do so. And senior nurses fudging figures! working shortstaffed in busy a/e"triaging patients without training1inappropriate discussion? within patients hearing,knife pulled out on nurse, a/e staff punched i'm an angelaTrying to juggle patient care and bed managment when in charge of the unit on a day to day basis]We are sometimes expected to look after our 2 hdu patients plus 'wardable or pre op patients'2Checking personal emails and making personal callsI was attacked by a patient who was withdrawing from heroin. She pushed me up agaisnt a wall and threatened to punch me in the face.oAny time a patient says thankyou or shows appreciation for the things I am doing for them it is a nice feeling.Amanagers that have had no training and caanot manage effectively.!was punched by an abusive patientCthat they were glad i was the nurse with them when they were dying.boss6pass wind when rolling a deceased patient & blame themintoxicated teenage male with facial wounds lashing out with fists & feet, kicking doctor, spitting & shouting personal verbal abusive at myself & other staff7thanking me prefousely for the care of a dying relativebank nurses who are able to do the job ,do not need to train and know our hospital were going to be swapped to permanent contract which mean't we would have been fully staffed . due to ? who ! a new matron was put in charge decided it had to go to adverremove sheath from femoral artery as haemotoma was developing and could not be controlled and the patient was at risk. i have only seen things like this when a patients safety is at risk. no nurse would ever attempt things they are not trained to do unlespeaking on a mobile to pregnant girlfriend while with a patient, which i took off him and explained he was not to use mobile in work time only on his breaka staff nurse knew to this country was looking after the opsite bay to me. i went on my break and a patient waved to me over the bed curtains ,it took a couple of minutes to realise she was higher than the curtain. i went into the bedspace and found a csa patient who was very confused pulled out a arterial line i tried to save central line and he hit me away from himna patient sent me a thank you letter for my care and their relative sent a letter to chief exec mentionning meThe medication was written up as a wrong dose and not signed, the patient was desperate and no doctors were available to rewrite perscription.>Ward manager shouting at members of nursing team for no reason7Seeing stressed staff being rough and rude to patients.If a patient needs something minor like paracetamol, it isn't fair to expect a doctor to drop everything and come. If it's a doctor I trust I would give the drug and let them sign the prescription when they are free. More urgently, something like a nebuThe most frequently occurring issue is that of too many transfers between wards. Every transfer carries a risk of some important information being forgotten in the handover, and the patient has to get to know and trust a completely new set of nurses eachwhen you bend over backwards giving excellent care to a patient, medically, emotionally and physical. It is so frustrating when relatives complain when there really is nothing to complain about. Most of the time it seems to be an expression of guilt thahave regularly had to stay on duty for an extra shift, working 14 hours with no break. not unusuak to be only nurse in charge of 28 patients, with staff of only 2 auxilliaries and maybe a student./usually pain relief or nebs when pt cannot wait&talking about patients inappropriatleyVThank you for all your help and support and helping me become a more confident parent.8Working short< of staff after changing shift to help out.Night duty with 2 staff and over 20 patients in a psychiatric ward. Sent on escort to bring aggressive patient back to hospital in car.,Two nurses had almost came to blows (female)uOn nightshift, one nurse was lying on a trolley while the other pushed trolley down corridor, crashing through doors.ZWork in psychiatry so have often been punched kicked or spat on. Almost a daily occurence.+I was punched in the face by a male patientNot being listened to take bloodsring in sick every weekendKa doctor telling a patient to "quit drinking or die". I found it too blunt!being told by managers that working on intensive care is a cushy job. Being accused by managers of bullying and harrassment for asking a junior mameber of staff to take off her cardigan before performing personal cares to a patient. When asking not to caallocation on itu is one to one. expected to care for 2 ventilated critically ill patients because of staff shortages. management could have closed beds but wouldntif patient on hdu or itu has required fluid bolus to bring bp up quickley it has been administered after speaking to dr on phone and he has come down as asoon as possible to prescribe it in retrospecta newly qualifoed patient tried to give a aptients medication orally when she had a feeding tube fitted. The patient repeatedly tried to tell her that she couldnt take them orally but the nurse repeatedly tried to get them in her mouth.patient had receivcjump on a pateint,rip theri pyjamas opena dn start performing cpr when patient was actually asleep.<a colleague was assaulted by a patient and required surgery.Ethat i was the only in the place that seemd to know what I was doing!6Patients operations being cancelled at the last second/Lots of things- I am an 'angel', a 'saint' etc!DKJDKJ sorry confidentiality~making patients wait for beds in dayroom or moving beds to accomadate more females or males which takes you away from patientsunsuitable patients placed on our ward which is a ENT/Max Fax ward and given little or no support/education on how to care for themcUnable to get a specialist doctor at weekends due to their having to cover 3 hospitals in northwest Taken a sickie when had hangoverwe told one colleague she had to wear a plastic apron around her head when serving meals as a hair had been found in the mash, and until the appropriate headgear was issued the apron would have to do.we all did it at lunch and stood back and laughed whenA patient spat in my face once. also physically attacked sustaing deep scratche to my arm which require A/E attention plus a tetanus injectionthat they would not mind getting ill again if they would be treated on my ward by me and my colleagues, she had never had so much fun!Three staff nurses when there should be five, a ward of 17 acutly unwell patients and we were told that a one of our patients from itu were to come back to the ward who needs were great. Talked to the matron about staffing levels being poor and our fearaLow staffing levels, poor skill mix due to staff sickness, Dr not acting on important information book holidaysa patient having problems with their diagnosis of cancer i expect there reaction to be of anger and distress it soon resolves with my support1i' a star, a very special lady, a wonderful nurseWorking with Social Services(Phsychiatric Ward, a culture of bullyingYou are an angelrelatives who complain about things outwith our control like an opearation being cancelled for a non cancer reason when we have no icu beds and lack of staffbaccepting a critically ill patient when the nurse in charge has to look after them and run the icuZwhen a doctor is dealing with another emergency and the patient needs life saving medicinehangoverpatient hitting out at me/how i helped give them the chance of life again,just shouting due to stressful circumstances]not said, but a smile from a patient for holding their hand in the last moments of their lifejDealing with relatives who ,despite your best efforts with the patient, are unhappy with the care you givepunched in the stomachrestored their faith in the NHS)Mentally ill patient kick and swore at meThe change from quality nursing to quantity nursing as in payment by results. This is very difficult in psychiatric nursing as patients need time.2I have seen a colleague hit a patient in her care.gWhen asking a patient to come to the table for her meal she attacked me. Fortunately I was not injured.You're an angel!!Is seeing food delivered to patients and left just out of reach Petty health and safety rules they work against proper patient careI do not have time to give patients the time I would like ie attend to sore elbows heels etc. or help them with washing or eating .BI have seen collegues handing out medicine without a double check.I have seen patients returned to the ward from the operating theatre without being given insulin I rang at once to the theatre and was instructed to administer the correct dose staff came from theatre to make sure the patient was alright.*I once gave a patient the wrong medicationA patient called me an angel%difficult to keep on top of paperwork*injections by students without supervisionmy hair pulled6dont know what they would have done without my supportpoor performers not being dealt with appropriately by the management, therefore having to be 'carried' byt the remaining staff.lack of appropriate training and/or supervision prior to nurses being left to work independently, therefore a potential danger for the patients.something simple like paracetamol which should have been written up anyway, and I got the doctor to write it up as soon as s/he was availabledepends what you mean. e.g. nurse has not been deemed competent by that particular trust to do male catheterisation, say, but I know she has done it elswhere and is safe. So technically she is not qualified, but only by that trust.&spend all night playing computer games5A confused patient gave me a black eye (30 years ago)That I was truly an angel (!) Dealing with aggressive patientsI work exclusively with people with learning difficulty and often in acute states. Consequently there can be diffficult occasionsNot having enough hours in the day to get things done and having people getting on at you all the time. Patients and relatives thinking that they are the only ones in the hospital and you are their private nurse.I saw a senior nurse administering drugs down an NG tube without getting an aspirate. I told him he could not do that and it was dangerous. He said that he didn't need to check because if the tube was in her lungs he would soon know about it. I report@Using a drip stand to pole dance in the middle of a night shift.#Attacked with a bottle by a patient-I would probably be dead if it wasn't for youBeing taken through a performance review by a boss who in my option a liar and untrustworthy. Other than that I will say no more.Understaffed night shift - only 2 staff (1 qualified 1 unqualified). Had to transfer patients to other wards in order to admit new patients. Also, at the same time had 3 very poorly patients and 4-5 aggressive and potentially aggressive patients. Mana&Paracetamol and indigestion meds only.^To stop a acutely delirious patient. Shock is sometimes needed when they refuse to co-operate?Said thankyou and brought me a card to thank me for their care.So many, but usually its attempting to find equipment, stock or machines, and machines that often dont work that nobody has reported - usually as they're too busy to do so.Frequently given too many patients to care for safely due to understaffing. Frequently pressured to take patients to a ward from A&E as they're about to breach the 4 hr or 12 hr targets, despite that the patient has care that needs to be given in A&E. In emergency situations in A&E meds are frequently given before the dr has written them. They are given on verbal instructions only.Senior nurses have given common meds in an eme< rgency situation before drs have prescribed (verbally or written). The majority of my colleagues and I are adult trained nurses, however we are expected to treat children in A&E, including in emergency sitWhen A&E is busy (occurs frequently), or understaffed (occurs even more frequently) we physically cannot assess all patients properly. Therefore emergency treatment is delayed.When attempting to prepare a morbidly obese dead patient for last offices and being unable to move them due to their size (despite 4 staff assisting). 6Patients shouting and swearing due to the wait in A&E.Thank you, you really cared.eUnable to care for women in our low risk birth centre on a one to one basis as constant understaffingDHaving to look after upto 3 women at once, all in established labour Thank you!!aAt the end of a 13hour shift, there were no night nurses to hand over to and so I couldn't leave.hnebulisers to acutely breathless patients while waiting for urgent assistance from prescriber to arrive.yIn emergency situations nurses have taken on roles for which they have competence, but not qualified without supervision.Patients who ought to have had eg ward based x-rays have been forced to travel to xray departments with junior nurses as no radiographer could come to us.A colleague with an alcohol problem was eventually dismissed for being hungover at work and unable to concentrate and taking a large number of days sick without informing the ward that he would not attend.Had to give an outpatient consultation in a car because car parking is so limited that the patient could not properly park and attend clinic.sHad been pinned against the wall by a relative who had misunderstood what was written in his mothers bed end notes.cThanked by a dying patient and told that my help had made a big difference to their last few weeks.doing off dutyni often wear several hats take care of patient, charge of the unit and cover outreach and caridac arrest calls tyhank youI work in a hospital in Wales. The last ward I worked on was failing due to poor management, low staff morale and racism. The racism was the ward had to run to accommodate the small minority of Welsh nurses. They chose the hours they worked, would treatRecently refused to give drugs to a patient who had no ID tag and could not identify himself. This was on another ward where I had been called to give the medication as non of the ward staff were qualified to give this type of medication. When I refusedDNursing Auxilaries changing drip tubes when told to by other nurses.A patient recovering from theatre went for me with a razor. I managed to get the razor off him but was very shook up. When I told the ward manager a young doctor who was present laughed and said it is a safety razor no need to worry. A porter who heard tA patient didnt want to stay in hospital and became aggressive when we approached him with the advise he was too ill to discharge himself That I am an angelA collegue can make false allegations against my maneger, refuse to work for 2 years, we are left without replacement staff, no communication at all and the collegue concerned receives 100,000 severence payout. It felt a huge insult to the rest of us wh9some times you need to shout at deaf or confused patientsthat she was very fond of meI ticked that I felt that patient's lives had been put at risk because there was no box saying if I felt that patient's safety is put at risk. Everytime we work understaffed and over tired, patient's safety is at risk.jthank you! doesn't happen very often so when it does, really makes a different. Its nice to be appreciate.Not being supported by the nurse in charge. Having to cope with too many tasks at once for example: caring for three post surgery patients with observations due every fifteen minutes and having to serve supper and tea as there are no support workers or dThe frustrations of not being able to do my job to the highest standard and the constant worry of 'have i missed something?' continues to leave me highly stressed when i finish work and im at home. I find myself unable to sleep as I can not 'switch off'.`I have witnessed on a couple of occasions a colleague being verbally aggresive towards patients.I have experienced shouting several times from patients, mainly due to confusion. I have been called a 'stupid bitch' and to go 'fuck off'. I have been scratched and thumped by a patient when trying to help change them as they had been incontinent. I hOne patient said to me I was the nicest nurse on the ward, they looked forward to me being on shift as i was always kind, helpful and had a lovely smile that made them happy.kBeing left in charge of an acute ward environment having only had 8 months experience as a qualified nurse.7Put IV cannulas, mentor a student, give IV medications."flirting with a patient's relative^A patient's relative shouted at me in front of many people and threatened to "see me outside."&Thanks for looking after my (patient).|The poor standard of care that some staff give, and the rules which sometimes compromise patient care for the sake of speed.SColleagues rushing through things such as bedbath so they can go and have a gossip.<That they really appreciated everything i had done for them.YOU HAVE PUT ME AT EASE.FTrying to be in lots of places at the same time due to staff shortage.."You have made being here a genuine pleasure."dk NNot enought time in the day to do everything that is expected of me in my job.wGiven more work by seniors even although I am already working flat out and still need to do these existing duties also.=Kidded a colleague on that they had one the hospital lottery.fBeen attacked by patient along with a colleague. I was relatively unhurt but colleague hurt her back.0Thanks - I appreciate what you have done for me.Too many people in offices in front of computers not in the reality of what is going on on the front line where staff has been cut and cut and our population has got larger and larger, one district general hospital too manage twice the population of 20yeOn the community visiting up to 50 patients per day with only 2 or 3 nurses, covering at least 30 or 40 miles, not enough hours in the day, can easily miss or forget to eg order prescriptions or visits as too much for one person to rememberPatient's sister was very frustrated as her sister was being moved to another residential home and at the last minute it was stopped on two occasions. So she was angry and shouted but later calmed down and was sorry.@Several Thank you letters for caring for them and their familiesMany similar examples, working with severely disabled children: lack of communication and funding leads to families receiving very little support, and parents have to juggle 24hr nursing care for their child, needs of other children, jobs, money worriesStaff sickness (and the recent snow) can leave nurses on children's wards with far too many patients to give each one the attention they need. This lead to a child falling off their bed, which would not have happened if they could have been properly enteNot too bad: staff on night shifts use the internet for Facebook and similar, and hospital phones are used for personal calls, but in general this is during quiet night time periods. I have never seen this endanger patients although I do accept that it iA child's parent shouted, screamed and kicked objects. He was removed by security and fortunately did not hurt anyone. He had mental health problems and was under a lot of pressure as his child was ill. The situation was well managed.I was left a note when a patient left on my day off, which said something like: "thank you for your role in our daughter's care, you have treated us with compassion and kindness, and we are very grateful" Having less staff but still being expected to provide the same amount of care, which makes you feel guilty because you can't be everywhere at once.Record keeping is excesive. Day to day paperwork is getting out of control, it prevents you from looking after your patient an< d often you stay late after work to complete it.Patients come out from theatre to the ICU and there is frequently no drug chart written. The patients are critically ill and need fluid/sedation to maintain blood pressure. If a doctor is not avalible it is unsafe to wait.When doctors are inexperienced in the speciality they will prescribe too much colloid. Experienced nurses are essential, I have questioned them and not given it.12 hours caring for a confused patient one to one would test anyone! Especially when they have no idea that if the pull out their invasive lines they will bleed, alot!(I have been called an angel a few times.Agenerally attitude towards patients by hospital and many nuursesnregular occurance{Being understaffed and still being expected to take patients and jeopardise the care of the patients already under my care.tHAve had to take patients as hospital busy but was understaffed and struggling to care for those already on the wardWNeeded a bag of fluid writing up, and dr wrote it up in the morning to maintain iv line=being put in charge of shift that was beyond their capabilityIn our theatre department, unqualified orderlies stay with patients in the anaesthetic room then take them into theatre to position them. One particular orderly is keen to help put ladies' legs up in lithotomy and looks at their private parts. I have repI saw it just once. A surgeon was doing a procedure under local anaesthetic on an old lady's ear. She kept moving cos it hurt and he shouted at her to keep still.Patients would say nice things when I was a young student. Can't remember specifically but some would say I was going to make a very good nurse. That was really nice.uhaving to put paper work before the needs of the patient which i refuse to do and often get into trouble for doing soZcant look after the patients to the best standard when we are 1 or 2 nurses down per shiftzother nurses have lost their temper due to tiredness working too mahy shifts- some people i work with work 80 hrs per weeki wish you were my mothercThe amount of paperwork that is now paperless but the system we need to use is not fit for purpose.In an emergency when not able to get hold of on call doctor quickly enough and "as required medication" has not been written up. ie in medical emergency occulargyric crisismDress up as a new patient who did not want to take her coat off on admission, doesn't sound funny but it was.SAs a student nurse 30 plus years ago a trained nurse h it a patient for hitting me.dThat with my help they have been able to rebuild their life and that they no longer need my support.working with lots of women cannot not cannot sayUnderstaffing. It is so frustrating having to pack into every shift, when I am caring for patients, the need to sit by a computer and phone and arrange about 25-30 bank staff shifts each week. What is more frustrating is that the staff don't know the wPatient's relatives phone up the ward asking how their relative is. That is fine and acceptable but when many relatives phone up for the same patient and keep you on the phone asking how they are, it takes you away from patient care. Sometimes, I have8In emergency situation, I have been left with no choice.Relatives shout at me sometimes if they are not happy with the plan of actions. Patients sometimes shout at me but they can't help it. It is most of the time for an acceptable reason. I have witnessed in my career, some nurses shouting at patients.{The best thing in the world for me is when a patient smiles when they thank you. There is a lot to be said for the unsaid.UPRN paracetamol for someone in pain at night when you know the on call team are busy Ehad to leave patients needing assistance to attend to another patient6they would really miss me when i stopped visiting themWlack of time and low staffing levels. there are too many chiefs and not enough indiansscipts that you know will be extended, but have run out, then I will give. Basic painkillers, when I know that I can get someone to prescribe latertBe so hungover that they were sick on their way into work, but still carried on working, while obviously still drunk&This is a regular occurance in my unitThank you a lady who was dying, once got me a birthday card, and left it on the nurses station for me to have the following morning on my birthday. I arrived the next morning, and she had died two hours before I got on duty, but the card was waiting forAI was attacked and punched in the face by a patient for no reason{Beauracrcy preventing me employing someone from an agency because my hands were tied as to how much pay i could offer them.AIve seen colleagues beaten so badly they need hospital treatment.zMoving into a new area and experiencing bullying by foreign nursing staff - took 6 months to settle into the new position.In ITU we often have a verbal order to issue medication, where it hasn't been prescribed - and may not be prescribed until the end of the day. Overall, however, if I'm given a verbal instruction I ask them to sign the prescription chart and having been3Sit on the computer and ignore patients (colleague)I work in ITU and patients are frequently confused. Violence was directed at me when I put padded gloves onto a patient to stop him pulling at lines - he used his already gloved hand to punch me in the head - which lukily didn't hurt as it was a paddedI once spent a lot of time with a patient and her husband who asked lots of questions and required a lot of my time. A few days later they brought in a card and chocolates for me to say thanks - normally all chocolates and cards are for everyone workingA patient's relative threatened me. I followed procedure, and called hospital security. However, my senior staff nurse (who was from the same country as the patient) ignored the verbal abuse and set about appeasing the patient and carer. This typeSexual harrassmentCI have threatned a patient with violence when they tried to hit me.2work in CCU and give drugs in emergency situationspoor doctors decisons fallen asleepverbally aggressive relativesi saved their lifeRnot enough staff which means I cannot give the level of care each patient deserves/too few staff. It happens often and is reported fall asleep8threats of physical abuse and of reporting to management#How gratefeul they were for my helpZno beds available to put post op patients into because we run with a capacity of over 100%Cfluid when a patient bp too low and no doctor immediately available-once had an agengy nurse arrive at work drunkbeen kicked punched pushed slapped by post op patients on numerous occasions,some d not know they r doing it due to anaethetic, some r aware of their actions.senior managers that have forgotten what it is like to be on the wards and instigate daft policies and procedures that only hinder and add work to the nurses.li work in a high secure hospital where violence is a regular occurance which very often leads into seclusion thank you!Swapping between day/night shifts in one working week and working beyond length of shift with no break due to work pressures (understaffing caused by the process of replacing staff taking so long with panels and CRB checks)making me so tired allI do on mI work in palliative care in a hospice, patients and relatives are often under emmense stress and no one has ever shouted at me and not apologised afterwards - its part of the jobDealing with staff membersT if a patients blood pressure became too low we would administer fluids as necessaryInstead of administering oxygen in an emergency situation to a patient they put in on themselves fist, no harm happened the patient!!Ra patient pulling a nurse from a very sick patient to get his mother to the toiletvThankyou for saving my life, and from a relative thanking me for brightening up the last few days of her mothers life.PBeing called at 5am on my only day off to come in as they were so short staffed.r4 hours targets mean moving patients who would be better being stabilised pr< ior to moving to a lower staffed area.I have experienced violence many times within my work, generally from members of the public/relatives/friends towards staff. I was once pinned in a small assessment area which a patient kicked and threw things around and towards me.How caring I am.was left a small sum of moneycolleagues and hoursma_it was on standing order, pethidine during labour all docs had gone in to an emmergency sectionnakjbnbndgnx{Amounts of time availble to spend with patients is limited due to the sheer volume of paperwork that needs to be completed.I have witnessed other staff members shouting at patients when they do not conform to what that colleague sees as "acceptable behaviour." For example I witnessed a lady being taken to the toilet who was in the advanced stages of dementia. She was very coOne lady I treated in ghospital I also then saw as part of a community placement. She said to me that she had always remebered me and wanted to thank me for the care she had recieved when she was in hospital.ratio of nurses to patients in hdu allowed good level of care but in larger wards definately not enough staff to give individual care needed_when patient in extreme pain/distress obtained consent over phone prior to writted confirmation%colleague shopping onling during workvisiting palliative patient to replenish syringe driver, problems loading syringe although quickly resolved. husband of patient bacame verbally abusive and threateningyou are an angel7Take some medication from the drug trolley for self useZFIGHTING IN THE A&E DEPARTMENT BETWEEN TWO PATIENTS. SECURITY AND POLICE HAD TO INTERVENE.1NEVER FEAR, WHEN THERE'S A PROBLEM, EMMA IS HERE'wMy boss telling me she has no idea how to transfer out a sick patient despite having responsibility for policy making!!OLong shifts where you cannot get away even for a break - often 14 hours or moreunder staffing, poor skill mixYStaff on social networking sites at work, staff who are too tired to concentrate properlyBA doctor slapped a hysterical patient in A & E to calm them down!!Poor staffing levels and increased paperwork leading to an inability to provide the kind of high quality care i want to give my patientsbeing a newly qualified nurse (less than 6 months experience) and put in charge of the ward on both days and nights. walking onto a ward to find i am the only qualifed nurse to care for 30 patients with the help of 2 hca's until further h help can be foiAdministering iv abx because there is no one else to do it. Administering iv fluids for the same reason. Using the ward telephone or checking facebook whilst at work is not a crime nor is it something to be ashamed of or reprimanded for. Nurses are after all professional people and should be treated as suchthe strangest thing is walking on to a ward to find it is fully staffed with a good team providing high quality care for patients Being accused of 'writing anything at any time' in a patients notes by a relative who didn't believe that her mother had seen a dr.Being shouted, pushed and spat at in front of patients by same relative.whilst completing a risk assessmenton an acute psychiatric ward being told by a fellow training nurse to "just copy the previous one"Watching my Grandama die in an NHS admissions ward with no privacy or dignity, being nursed by satff that clearly did'nt give a damncHavinf to care for very acutely ill patients on a general ward that shouold have really been in HDUnA registered nurse that was found to be completely unsafe giving IV drugs and a blood transfussion incorrectlyComing in with hangovers No particulary bad incidents)Nothing major just Hepsal to flush a lineWorried that because there was a complication with their ifusion (extravasation of chemotherapy)I would be late off shift even though Iwas more concerned about their welfare than me being late again.Recently...Had to wait 10 months for new computer. We had to share between 10 of us 1 computer. This was extremely frustrating and we could not do our jobs properly.FAs a midwife having to look after too many patients on delivery suite.EHaving to look after too many patients. I filled an incident form in.The funniest was during a New Year eve shift I had to call the crash team as a patient had a cardiac arrest. The crash team arrive wearing pantomime costume. They were at an entertaining party!eI work with people with challenging behaviour, it's just the job, not a case of "the worst instance". thank you.^not having enough time to actually give care to patients as tied up with paperwork continuallyunderstaffed on a shift, or with so many agency nurses on duty as to make the ward unsafe as they do not know the patients or procedures of the ward=there are certain medications which can be 'nurse-prescribed'/I work in mental health - it is common place!!!That I made them smile ...QUnderstaffing places patients in danger as things which are important are missed.2I have been assaulted several times working in A&E<That I had made a huge difference to their time in hospital.Having my ward re-open after a short closure and having to deal with 9 admissions on one shift while caring for 19 others. All admissions were acutely unwell and we were given no support.Patient who was septic on admission, had a pyrexia but had not been prescribed an anti-pyretic, so I administered 1G of paracetamol after checking for allergies. Medical staff later apologised for the oversight and prescribed the drug.Medical staff not informing nurses of changes to treatment, on-call teams prescribing care which the Consultant had already dismissed. In these cases I spoke to a senior member of medical staff.)Ignoring or arguing with patient/relativeLI have seen a colleague strike a patient. This was reported and dealt with.A patient's son was shouting at me over the telephone and said that if his father died he would come to the ward and "knife me".#You are a credit to your professionus constantly being told there's no money for staff or equipment then management wasting money on expensive office furniture for example.I have taken a verbal prescription over the phone when a patient has been in need - we're no longer allowed to do this but I'd rather get in trouble than see a patient suffer.8seen a male nurse get aggressive with a female colleagueI have been threatened or hit many times throughout my career. The most frightening was a 6ft+ known thug shouting in my face and threatening and swearing at me - police had to be informed.bunderstaffed when high risk patients on the waard putting staff other patients at risk of violenceI work in a mental health unit so violence is common, other staff member suffered fractured ribs following violent incicdent with a patientLow blood pressure; anaesthetist with another patient have given ephedrine which would normally have been prescribed but on this occassion had not been; obtained permission by word of mouth rather than proper prescription.spatient sent back to general surgical ward because no bed space or rather insufficient staff for bed spaces on HDU.RBeen grabbed hard by a patient waking up from anaesthetic on the arm bruising onlyGusually just grateful for care given, its what makes my job worthwhile!we are accommodating a lot of married couples within the trust and it feels that there availability often takes preference over other shift optionsdthe pressure of lack of staff means that you cannot spend enough time on tasks and things get missedZhealth care staff (untrained) have unattached iv drips to enable easy dressing of patients slept during a night shift breakJwe regularly have alcoholic patients withdrawing, they are very aggressivePwritten my name personally in a thank you card so other staff were aware of thisneeding paracetemol *Patients shouting especially when confusedthank me for the kindnessyou really careFThe amount of increasing paperwork we are faced with on a daily basis.Thank you...working with children it is usually the parents < who show their thanks..showing their gratitude with word is all it takes! Some parents don't appreciate even your best!^Not being allowed by my manager to return to my normal duties following a period of sick leaveYou're my best bedtime nurse.I work as a child and adolescent mental health nurse in the community and our referrals have tripled in the last 5 years. I feel frustrated that my caseload is so high and feel I am constantly over-working and don't have the same flexibility to spend indHaving longer gaps between appointments than necessary. having to be reliant on untrained staff (sometimes from other organisations e.g. education, voluntary sector) to do work that would previously be definately considered skilled work that should onlyI work in child and adolescent mental health, and have seen colleagues take on pieces of therapeutic work they are not experienced enough to do, e.g. taking family therapy appraoch when there was no family therapist employed in the teamBeing shouted at and threatened by teenagers and families, often with frustration at other services that I cannot help with easily, e.g. stating they need a house move or demanding that i help them access benefits that may or may not be appropriate. HoweYou've changed my lifeHaving aggressive patient and families giving you abuse and getting no support from those more senior we are treated like scum and it is breaking my heart. all i want to do is a good job but we get no support people who are not working in hospital;si had a manager who used to have us coming off 12 hour nights to days and back to nights within a week . Concerns that this affected work output fell on deaf ears. i work extremley hard and i love my job but i just feel that i am taken the piss out of byi have felt at times that decisions regarding care could be made more quickly I am an experienced nurse but it is possible i dont fully underst6and the complexities of the patients treatment but sometimes i feel that the medical staff drag their heelsi have phoned my wife no more than 5 times in the past 2 years only when my mobile phone battery waas dead and usually when working past my finishing timeOi have worn a Santa hat and delivered ptresent to the patients on Christmas dayi have had to be tough with violent patients who were putting collegues , patients and myself at risk These are patients in Alcohol withdrawl and then aggressive patientys whio fell they will get away with shoputing and beibng physical abusive tio staffI dont need thanks i just dont want abuse .It hurts. Thanks is nice when it comes but it is not essential ..i know i am doing a good job even if its nopt appreciated. I have had many families tell me i am great and fab and etc. i feel i have helped pat3Person needing paracetamol who is not prescribed it(understaffing. Wrote an incident report Been bitten, scratched, punched0Thank you for everything you do, you're an angelQGenerally, when you report that something is unsafe or dangeorus, and get ignoredRegularly working short staffed. Staff being sent to other areas to work which leaves you even shorter. Being given cleaning jobs when I am employed to look after patientsBallowing the ward to accommodate more patients than there are bedsOUnstable patients moved in order that they don't breach A&E/ EAU waiting times.Thank you for saving my lifeRelatives shouting abusively at you for things that are out of yur control. Like waiting times to see a doctor, x ray's etc. These waiting timesare usuallydue to the higher volume of patients coming through the system. All who have much higher expectatioAdvers staffing. I have been left looking after 16 patients by myself in an emergency area. These patients had been referred by their GP and they had not been seen by a nurse for upwards of three hours before being seen by a nurseI have been pinned by against a wall by a drug addict that was waiting for the doctor tocome and write up his methodone prescriptionneeding to vacate beds, mop floor,cleaning bed and area so bed available, before all patients under care are washed and patients having to sit in dayroom on day of discharge as bed neededrecording ecg's@colleague leaving the bath running thinking it turned itself offrelative was demanding that their relative (a patient) was attended to immediately even thou everyone was busy i was in mid task toileting a patientyou are a lovely person nurse~The thing which is most frustrating and stressful is the lack of care and consideration for the staff as well as the patient'sapatient's often have long aneasethic due to the lack of equipment lack of staff lateness of staffJThat there stay had been pleasant and that I had helped and reassured themBeing unable to take time off to take my own mother to hospital- I gave the ward plenty of notice but they said I would have been better just phoning on the day and saying I couldn't come in! The nhs does not care for its own staff ![patient was in need of painkillers- I gave them a type that an be bought over the counter .othe worse thing I have seen a colleague do at work is falling asleep in the middle of the day in the staff room`I have sung to patients while they are having procedures carried - keeps them happy ( I think !)D K9A patient once said to me that I was born to be a nurse !lit is frustrating when a patient need is identified but cannot be provided due to lack of resources/finance.i work on an eatind disorders ward where patients have very low body weight and need a lot of emotional support. when we are short staffed sometimes we are not able to fulfill a patient's care plan, ie we may not be able to supervise them during or aftei have only had one experience of this. i have seen a health care give out medication from the trolley when it is only qualified staff that can do this.Ai have seen colleagues fall asleep on a night shift occasionally.i have seen the ward manager shout and argue with another patient when the patient has refused to have the prescribed fortisip. Both patient and ward manager were shouting at each other which i didn't think was appropriate and unlikely to achieve anythitoo many to mentionThankyou'having to chase people for appointmentsworking with extra beds open , with insufficient staff. Management refused to cancel elective sugery despite the hospital being on red alet for over three consequtive weeks.Patient care was compromissed 2junior staff left to manage dangerous patient loadGbe drunk on duty- i made official complaint and the nurse was suspended1hit with a chair, causing facial and arm injuriesOThat i had given thei husband the very best of care abd made his death bearable2working so many extra unpaid hours daily for years<Juggling staff on a night shift to ensure all areas are safeYEvery shift more than one area in the hospital are working at least one staff member down1Health care assistants fiddling with IV equipmentI was head butted by a patientTo be told I am very caringrif i have any suggestions on how to improve the service, it could take years for it to be addressed or implemwnted>THAT I HAD MADE ALL THE DIFFERENCE TO HER AND HER FAMILYS CARETrying to finish all my tasks before the end of shift and still give care to the best of my ability,sometimes Ifeel as though Iam racing against the clock because of my workloadHaving to look after five babies on a neonatal low dependency ward. It is difficult to keep up with all the feeds and nursing care needed and can make you feel really stressed. When this happens I often have shorter breaks so that Ican keep up with whatdInappropriate conversation in front of relatives of their patientse g how much they drank last nightIn the labour ward after delivering a baby where the mum was understandably a little out of control in labour her husband told me I had the patience of a saintd kQThe amount of e-mails one is expected to go through before doing one's proper jobnTwo nurses One qualified one auxilliary bathing a patient and had failed to recognise the patient had a< rrestedA nurse friend of mine was asked to give a patient a commode but he was not to get out of bed. So she placed the commode on top of the bed and the patient's head appeared above the curtains. A very clever accomplishment for her!xI was working on the acute psychiatric ward and was bathing a male patient and he just struck out and hit me in the face6" I don't know what this hospital will do without you"1you are so kind and gentle better than the doctor2defining parameters of role with higher managementwork within mental health for older persons. I am night sister and cover many wards during night, not being based on any ward in particular. went onto a ward one night, several highly agitated, volatile and unpredictable patients. only 2 staff on duty foif a patient request meds that can be bought over the counter (paracetamol/brufen/senna) and a doctor is not always available to prescribe (quite usual on a night shift) i would give then. Or, if a PRN medication chart had not been rewritten when full i,using defib equipment without being trained.resus trolley in very poor state, out of date meds on it, broken or missing equipment. staff not knowing how to use hoist equipment adequetly.Impossible to say. work in mental health so face violent behaviours every shift. can range from verbal insults to punching, kicking, biting, scratching, having items trown at me etc"it just doesn't happen on my wardsbPatients relatives continually nagging at you even when the patient is quite comfortable and happyBI have been left on the ward by myself when I should not have been7administring medication when they have not been allowedCMainly relatives or patients who are totally impatient shout at me.I really look forward to the days you are on because I know I will be looked after proberly and that I am better at getting the needles in.Having to work short staffed and then being told by a manager that I have no choice but to admit 4 patients even though I am the only Registered nurse on duty with 2 healthcare assistants. They don't have the right to put my registration in jeopordy.$understaffing as detailed previouslyunderstafing as previously/physical attack by patient with a walking stickGThank-you nurse, I don't know what we would do without people like you.1relentlessly repetitive and unnecessary paperworkweekday staff numbers are 5 per shift. They go down - without any reason but finance - to 4 per shift at weekends. When temporary staffing has let us down it's frequently 3 staff on a shift. That's more than 7 acutely ill patients to care for each on a s;Bullying behaviour. Working when obviously sick or stressed6I've seen a colleague lose their temper with a patientPI have been punched in the face, thrown to the ground and had my hair pulled out9"I really appreciate what you've done for me. Thank you."I would love to care for my patients to the best of my ability but I haven't got the equipment I need and there's so much paper work there isn't enough time to give good quality care to my patients.sexual advances on a colleagueThanks for your help beurocracyi am an accredited safety representative working with a trade union & i just cannot get the NHS organization i am employed by to involve me or staff in important health and safety decisions they make which affect everybody.managers are now only concerned about ticking the correct boxes because they don't have time for anything else. the NHS is now an oppressive organisation to work for, there is so much paperwork and it is so frustrating to get anything done because of theJusing clinical supplies to check their pet animal's urine for an infection_a colleague lost his temper in an argument with another colleague in full view of service users^a colleague was caught using clinical supplies to test his pet animal's urine for an infection\i asked a service user not to do something and they hit me repeatedly on the arm in responseXThat i helped them through a difficult time in their life & they will always remember methe fact that as nurse's we work 24/7 but the rest of the hospital doesn't so that means at weekends and nights everything you need is shut and you cant get anything done.To witness staff who are absolutely exhausted being made to work extra hours to cover for understaffing and sickness (sickness that has been brought on by being overworked)Having worked in A&E it is a regular occurance for nurses to be shouted at and to be on the receiving end of patients frustration, either through verbal or physical means.iseen it - not done it myself, people look at facebook, or ignore a patient because they are too demandingcold man I was helping back to bed just hit me in the face and said that's because you are a woman !&you're a good nurse - made me smile :)i work in the community, so sometimes only get verbal consent from gps. will increase insulin or medication via sd, then get consent written up correctly compression bandagingQlooking up holidays. work in the community so computers we use arent so stringent chat up gpspts relative not understanding why we were removing mums catheter. said didnt consult her n didnt have her mums best interests at heart. we did, thats why we took it out - getting blocked every 2-4 days, even silver coated. increased risk of infectionpthank you. really appreciate what you have done. all you nurses do such brilliant job and no one acknowleges itIn ICU the nurse is supposed to have one patient because of the nature of their critical illness but many times we are expected to take more than one patient because of understaffing. This often leads to one patient being neglected over the other and yoIt would be more in the case where a PRN (as required) prescription is available but would usually still be requested by the doctor. If the patient's blood pressure drops, I might give them a fluid bolus to prevent them from cardiac arresting. If bloodWe have had a nurse on the ward lately who is not trained in giving IV drugs but did so anyway and without checking the drugs with another nurse. She is now constantly under direct supervision.I think that doctors can sometimes be a little too experimental in their treatment. One doctor was carrying out a trachaeostomy and used a different tube than normal. It proved extremely difficult for him to insert and the patient's oxygen levels becamThe worst instance was when a patient ripped off her collar (to protect her neck and spine) and hit me with it. As usual, she was ana alcoholic. They are generally violent when they are coming off the drink and especially if they have been sedated froA lovely gentleman said to me, "you must have been sent from heaven because you're an angel". It sounds very corny but it meant a lot because I had really bonded with him and spent a lot of time with him because he had been paralysed from the neck down.mnot being able to sit and reasure patients due to staff shortages and the seniou not thinking it's important.will you marry merThank you very much for looking after my father so well, he was very comfortable and peaceful when he passed away.the cleaning of wards should never have been removed from nurses' resposibility as the contract cleaners do not do the best job.!relationship within hospital timeGdon't really think that patients do say nice things about nursing stafftGiven Paracetamol to patients with high fever or pain when doctor not available to prescribe medication immediately.Being told to go to a study day on accountability. when feeling by going to the study day i was neglecting my patients needs and by not going i was being accountable for my practice. Getting my manager to understand this eas very difficult.dress up as fairies xmas dayhead butted by a patientJThank you and sent a personal card from him and his paretns as a thank youWhen management implement several different changes to the way we work in a short space of time, without full consideration of the impact on our workload.7I have been left in an HDU to look after five patients.< wWhen it is over the counter (ie paracetamol) and the patient has no known allergies, and I can get it written up later.WWhen women have been left to labour unattended in a waiting room due to a lack of beds.'Night staff falling asleep at the desk.wPatients relatives becoming verbally abusive when not allowed into a labour room (when the woman did not want them in).)That my smile helped them through labour.ward closures to save money:put too much in a masher machine and it exploded over me. Ron elderly mental health ward a patient pinned me up against the wall by my neck. Ithe petty rules, regulations and double speak involved in nurse educationjToo many patients on operating list and too many overweight patients that we are expected to move and lift$i have been pushed by patients twice8receiveing letters expressing how well they were treatedThe amount of paperwork, endless forms to fill in. Computers slow everything down. Outliers from other specialities in the ward.Colleague drunk at work.!You really know what you're doingunderstaffing on all wards, leading to poor care, low morale, increased sickness,lack of education and support, causing lack of expertise...vicious circleFtoo many to mention, medical humour often too dark for general public!it's usually elderly confused in acute care setting. i've been punched,kicked,bitten,scratched over time. usually it's not the patients natural disposition, so not the sort of circumstances which would require police involvement. have been threatened:you are an absolute angel,thankyou, you have saved my lifeconstant telphone calls from work in off duty time to come in and cover extra shifts because they won't pay for agency. paperwork takes most of our shift so real patient time is limited No consideration from management about our personal life Most shifts are understaffed Not enough people to monitor those at high risk of falls One person to feed 6 highly dependant people so the last few get cold food and, surprisingly do not get adequte nutrition Too exhuasted to make complex drug caAUsing specialised pumps to deliver controlled doses of mecicationwaterfight on the warddn~Doctor, standing tall, hands on hips, shouting at elderly lady to get up and walk when she was saying she was in too much painCSending patients home too early to keep with the government targetsI have witnessed unqualified staff who have no experience of hospital work, come into the hospital and be expected to look after patients who are critically ill. I feel this is a dangerous situation.i have seen patients looked after by unqualified HCA's or nursing auxillaries who have no experience of recognising deteriation or adverse reactions_Poorly patients should be monitored by qualified or competent staff. Have reported to a manager?i have seen colleagues use the computers for their own purpose..my colleague punched in the face by a patient.~Several patients have approached me and said that they appreciate all my help and that i am a credit to the nursing professiondiscussing a rugby match with a colleague, 4 days later i had 2 seperate managers interrupt my clinic on 2 seperate occasions to tell me there was a complaint that i had to respond to. a patient had complained about my unprofessional manner, they felt iother senior nurses/junior nurses leave but recruitment frozen and expected to do own job as well as cover those other jobs of unreplaced staffspatients on trolleys in A&e with inadequate staffing. not enough nurses on wards to care for basic needs of patientVa real argument from a relative over the quality of food in hospital, quite unpleasant cant rememberI had to leave a dying lady in her urine and feaces for hours because there was not enough staff. Noone would help me because they were so busy.Routine observations not being done because we were just too busy. Responsible and accountable for looking after 12 very poorly pts on a MAU with no support 1 HCA to 24 ptsMRoutine observations not being carried out. complained to senior management iPt suddendly jumped out of bed and grabbed chair. threatened to throw it at me and trapped me in the bay.%You are the best nurse I've ever met!Working with other people who are lazy - you always get the people who are prepared to sit around and let others do all the work. Communication can be a big problem.>Been very appreciative for the work we do and said "Thank you"Chaving to send children home when staff sickness can not be coveredThe cramped, antiquated environment in which I work that imposes so many difficulties on those that work in it and the patients who we care for.dDue to inadequate staffing I cannot maintain the high standard of the care that I strive to achieve.When completing a property list I checked a gentlemans wallet with a colleague and we found a used condom in the stamp compartment. We were in hysterics because it was so disgusting.A relative holding his hands round my throat whilst he told me he knew who was on duty that shift if anything happened to his wife. I have told all my friends about you because you are what I call a 'real nurse.' You do the extra things beyond those that I expected that have made my experience more bearable.XPressure on you when working short staffed or restricted by polics of the ward/hospital.hWhen recieved verbal but not written prescription for a drug-patient in extreme pain or life threateningNot maintain their professional boundaries with a patient, became good friends (both female) which impacted on her ability to treat patient objectively?Wear pyjamas to work !! For boxing day shift on children's wardvViolent teenage patient admitted with injuries from joy riding. Very physically and verbally agressive-needed securityghaving to repeat paper work. computers just being introduced,and still having to do paper work as well.night shift hours are too long 6patients wanting tablets for headche.nurse lead ward thankbbank nurses with poor skills making up most of the team putting incresed pressure on regular staff]on shifts with bank staff who do not know ward or job and having to nurse dangerous patientshumour is frowned upon within the health service these days! we are meant to be professional robots not human beings dont you know. wonder why sw are hard to come by well good nurses will be next as the goodwill factor has been destroyed by business mehave been atacked on numerous occasions both verbally and physically that they all tend to blur into one. same goes for most of my colleagues.=have been thanked many times but tended to be many years ago.6Only nurse on a ward with 12 patients to take care of.Parents expecting too much Short staffed@Parents getting frustrated when we have had to send a child homeHLack of stock to carry out basic nursing jobs due to budget restrictionsQStaff being left on own in understaffed unit to staff another short staffed ward.INursery nurses doing more in general than their job description requires.Parent of a child didn't agree with childs care and lashed out verbally to myself. Directed to speak to my manager if unhappy with my care.3Thankyou, it means so much just when they say that."HAVING MANAGEMENT THAT WONT LISTENVRECOVERING PATIENTS POST OPERATIVELY WITH FAR TO FEW STAFF. IE 3/4 PATIENTS TO 1 NURSEA HEARTFELT THANKYOUI was helping to look after a 93-year-old lady who has sustained a serious fracture of her upper arm. As she was confused, it was agreed by the physiotherapists and the nursing staff that the lady required cot sides for her bed. Earlier in the day I hI have seen a patient die because observations were not carried out regularly enough, resulting in sepsis that carried onto a cardiac arrest. While the patient had cancer and was dying, they could have and should have lived longer and didn't because of n As before.I have often seen patients left in their own excrement for a number of hours and patients left on wet sheets/in wet clothes for hours.One morning, I had had a minor disagreement with a pensione< r over how much money I had given to the Royal British Legion back before Xmas. He also told me that I looked pregnant when I was wearing a unisex (read: non-flattering and baggy) tunic, a commenThe worst instance of *intentional* violence towards me was with a drunk woman who my colleagues and I tried to undress and put into a gown. She shouted at me (a few expletives) and she dug her nails into the back of my hand. I slapped her back on the haFThe care I paid them was the best care they'd received in a long time.when different relatives of 1 patient come and ask the same question you have just answered to a different relative even when they can see your dealing with another patientladministering salbutamol nebs that havent been prescribed to help a patient who is have difficulty breathing-a relative tried to punch to members of staffI was an angel"too many chiefs not enough IndiansRone wanted to get a petition as my boss moved me from my district round after 8yrsgThat I have really made a difference in their treatment, and made them feel very relaxed and reassured.Being a nursing assistant means the qualified staff don`t always listen to our concerns now. Most of them are foreign so are not used to listening to us.Or it`s an ego thing.I work in mental health. If you get a member of staff that likes telling patients that they can`t do something it can lead to aggressive situations.Nothing._Don`t know where to start! Mental health can be hilarious- and that`s just the staff sometimes!%I was assaulted with a rubber mallet.Lots but can`t think specifically! Sometimes actually them just knowing your name when you think they are oblivious to everything touches your heart!XNever enough staff on dutie therefore there is not enough time to devote to the patientsoColleagues who become nurses because it gives them a degree though they don't actually like people focused jobs%Mental health issues amongst visitorsThe huge amount of paperwork we have to complete for every patient on admission. There is no benefit to patient care; it's all just to prove we're doing what we've always done anyway, but now we have less time to do it as we have to spend so much time fiRepeated shift pattern of late followed by early, so only ten hours between shifts. This can happen several times a week and is exhausting. Much more so than doing nights! Being told we have to 'special' a suicidal patient on a general medical ward butUnderstaffing in a critical care area is ALWAYS dangerous. Staff are under pressure to discharge patients back to the wards to make way for the days theatre open heart cases, and you find a large percentage of these bounce back. This happens on a daily bNewly qualified staff who have just come into the numbers after a period of being mentored, looking after open heart surgery patients straight from theatre without proper support from the team leader who more often than not has a patient of their own to^I've heard of many occasions of drug errors, fortunately none resulting in any deaths, SO FAR!Staff who leave for another post elsewhere are subjected to a traditional send off, i.e. put in a laundry cage and soaked with freezing cold water and various other liquids!A patient had been admitted with kitchen scissors embedded in their chest(self afflicted) after murdering their partner, after theatre the patient was eventually woken up from the anaestesia and went beserk, along with the police it took eleven or so staeThe majority of patients always thank you for looking after them and tell you how good you have been.during our training all students were initiated by dunking in a bath filled with gunk when they left the wards after their placements not allowed to do things like that now, probably brought up for assault!!)cold hands warm heart, born to be a nursewWhen applying the policies and then being reprimanded by not providing a patient request even though against the rules.NNot trained to be an "on call manager" but am expected to carry out this role.Administation of a medication that was intended but had not been correctly prescribed by the doctor. P.S. the dose administered was the correct dose but the quantity prescribed was wrongly prescribed. Failure to administer would have left patient dead. M=Someone came into work completely drunk. They were sent home.Humour does not exist in the NHS. To do anything amusing would be a diciplinary offence and would be gross misconduct leading to a disciplinary hearing and termination of employment.JBeing attacked with a knife. Shouting was a minor element in the violence. Thank-you.BVERY heavy work load and no help available.this was my last shift.Dtoo numerous to remember all,happens most shifts esp geriatric wards;mainly things like gaviscon or senna not anything stronger.seen a staff nurse pass a gastric tube and cause a rupture causing the patient to die. also seen a student nurse do a manual evacuation and the patient suffered a rupture and died. both cases covered up.as they usually are.this happens whenever a ward is short staffed which is often esp acute geriatric wards where some patients might be VERY ill but can't be placed on ITU. I could not do much in these situations just battle on. written complaints no use at allsaw a drunk senior sister who thankfully fell over and gave herself a head injury otherwise I would have had to report her myself.think she was just patched up and sent home-driving herself home in her car having had two bottles of baileys that afternoona staff nurse decided to fill a condom with water in the patients bath. 24 lites before it exploded ,we were all hysterical but the patients didn't hear us laughing I hopean old woman chased me down the ward with a very sharp fruit knife.she was disarmed by another nurse who just happened to walk in at the right time.&I love you . this was a very old man !\The verbal and sometimes physical abuse a nurse has to contend with almost on a daily basis. Attacked physically by a patientHaving to support staff during service redesign and seeing the impact this had on thier working and personal lives and their mental health. The contnual change that never seems to be consolidated before the next change is anounced.JJunior staff undertaking work that should not have been delegated to them.Being spat at by a man whilst attempting to restrain him until the police arrived. He had Hep C and appeared to deliberatly be trying to spit in to my eyes knowing that this could infect me. I had to have blood tests for 9 months after but was clear.Many nice things happen in the course of my work - which far outweight the bad things, After 25 years as a Mental Health Nurse I still love working with the service usres and carers.This time of year it's little things like not being able to print out vital paperwork because the hospital is so far over budget we're not even allowed printer paper any more! Half of the lights in all staff areas have now been switched off because theLHealth care assistants in another team regularly scrub up for 'simple' cases\chased sister around theatre with an amputated leg because she's squeamish about amputations3chased sister around theatre with an amputated leg!POne colleague squeezes patients spots and blackheads when they are anaesthetisedXA patient once hit me over the head with a glass cordial bottle, knocking me unconsciousPressure to get as many patients through the system as possible, meaning that staff have no time to do the basics, cleaning, tidying and stocking up of necessary equipment. Putting the biggest, longest cases last on the operating lists, which then overruDa patient attempted to strangle me and another kicked me in the face,Any appreciative comment is nice to receive.Having a large caseload, and not having the time to do the increasing amount of paperwork - then getting told off for not completing a paperwork contact deadline in time. . . . always this type of thing happens.SThe examples are from yesteryear. I now work in the community and mostly on my ownThese times have bee< n when working on an acute psychiatric ward and not having enough staff, if you have emergencies and other at risk patients without enough staff to go around it can lead to near misses.0neglecting to do their work and 'messing around'6Slap an elderly lady, this again was several years ago3A patient tried to attack me with a knitting needle;My life is so much better and its all down to you, thankyouADressed up as a ghost and played a practical joke on a colleague.Colleague received broken nose however this was one of many instances, worked on acutely disturbed psychiatric unit, violence and aggression was commonplace from patients who were acutely unwell.ZIf it was not for my help and support they would be lying dead at the bottom of the river.Quite often we are understaffed and it can lead to patient care suffering. I know that where I work we are less understaffed than many places and so are quite lucky but often I feel I cannot spend as much time with my patients as I would like to due toI was hit in the face by a patient for removing his bib after lunch. He had dementia and as I was doing a bank shift I did not know that he did not like people removing his bib for him.that I was 'a wee angel'$vervally abused by patients relative5Nursing a patient in a cupboard because no beds left.Lack of important drugs in medical emergency with other ward managers refusing to supply them because of petty 'office politics'. Student nurses left alone in charge of seriously ill patients in a resus area because of understaffing.Patient in ED tried to punch me and several colleagues after ripping out IV lines and other monitoring equipment. He was not arrested and was moved to a ward shortly after.I can be told I'm a saint or an angel by one patient, I've been told I make people feel better just by being there - but in the next bed can be someone who thinks I'm the devil, so it's a bit swings and roundabouts, really!A newly qualified project 2000 trained staff nurse who I was working with gave the wrong medication to a patient causing the patient to lose consciousness. In a practice where I worked at one point with 5 other nurses we all made drug errors with immuniA male student nurse going to bath a newborn baby in a large adult bath tub when asked to bathe the baby by a midwife. Too many other funny things have occurred over the years to write them all.One night duty a patient trying to find a knife pinning me up against a wall and raising his fist to hit me and he only stopped from actually making contact with my face when another member of staff banged the door against they wall as they came to helpsThank you is always the nicest and I have had several letters written to me saying thank you which have meant a lotiend of shift, children to collect from school, and there are still ?20 things to do before you can leave.$giving someone B12 instead of Hep B.went for a pu, was so desperate that I did not notice the seat was closed so had pu down the back of my legs/seat/floor, you can imagine the rest.)put hand in feaces and scratch me with itnI gave a Patient a bath, he said I feel so good I could kiss you all over. I reply A thank you is good enough.relatives who come into ward shouting and asking for things that are not possible a relative told me i was starving a patient a toldme i would lose my job when in fact their relative was unable to swallowapatient with chest pain or infectious dieases sat in chair because no beds avalable for over 8hrs'understaffing and equiment not avalable2drunk patient tried to hit me with fire extinisherthat i had made a differenceRtalking to another member of staff about their personal life when activley on dutyA patient and their relatives objected to the delay in being seen, and became quite agitated and distressed. They calmed down when I could take time to talk through the situation.that I was a lovely girl.No praise is given when a job is well done but a minute complaints they come down like a ton of brick! Too many chiefs and not enough of red indians.Have to stay back until 1am because of staff shortage from a 1.30pm shift which I started because the patient came when I was about to leave the shift and the patient was so ill I stayed and assist the doctor and the next day I was on an early shift I wYou have save my life.Not having time to spend with patients doing the little touces that would make a difference to them e.g washing their hair, talking, -it's always the essentials only, sometimes the bare minimum only - too much papaerwork and risk assessment also.cPatient in extreme pain - doctor not answering bleep/says they will come "later" - not good enough.Incompetent nurse allocated a very sick patient and was not carrying out the correct observations at all, let alone hourly- it really upset me as I had built up a relationship with this patient and had got to know her well. I was too afraid to whistle bl3physically rough and verbally abusive to a patient. Slapped in the face by a patientConstantly being given other peoples jobs to do because sick, on maternity leave or left and not replaced and having to spend inordinate amount of time showing temporary staff what to do only to find they do not return and it is someone else to repeat exAs an educator have gone on shift to support new staff - to find 3 most senior staff off sick and left to run unit and cover thier patients and supervise the new staff - took 8 hours to find enough help to release meGining drugs when not certified to do so Giving intravenous mediaction when not certified Performing procedures without experience/traiining - tracheostomy managemnt, complex therapies/machinery/technology useIntensive/HDU care - insufficient staff to be with the number of patients in unit OPERATIONS ON PATIENTS BECAUSE THEY WILL BREECH THE 18 WEEK RULE WHEN THE ITU FULL AND EMERGENCY ADMISSIONS EN ROUTE AS WELL - BECAUSE MANAGEMENT SAY WE MUST DO ITi PERSONALLY HAVE NOT The nhs hospital I work at blocks as non-professional interent sites and provides an internet cafe for staff free to look at personal email (when wit works) I have been responsible for discipling staff for many of the offenceWork in paediatrics therefore to entertain children the bizarre is often done - dressing up as a large pink bunny one easter looked rather humerous - this week I pretended to be a cat to get a child to take medicine Real tiger kittens to visit the childUpset and stressed parents react badly to distressing news about their child in Intensive Care. We have been threatend by knives, hit, verbally abused and received threaening amil plus staff have been stalked/had threats to thier families by distressedSo many ylovely things Best is usually thank you for saving my life Over many years - the little girl who said she was so grateful for the hosptial making her better (several heart ops)that as repayment she wanted to work on the unit - which she diNFrustation is very frequent due to increased client load and shortage of staff-Too many clients unable to give adequate care4Unable to get client reviewed by Dr in timely manner1Partner pushing and grabbing the arm of a midwife/That I was helpful during a difficult situationunderstaffing and paperwork;How the care I have given has made a big difference to themthe person i work with 'Ward staff not using their common sense_Patients not being observed closely enough, patients not being recognised as sick by ward staffGTaking verbal orders for giving medicines before prescrition is writtenrPatients who were obviously sick not having their observations recorded and when done were found to be really sick/Content of conversations in earshot of patientsWA patient verbally attacked me for no reason and then threw a bottle and a chair at me.3Just recognising the support that I have given themMconstantly running out of supplies and having to search for equipment needed.\Being asked to scrub for a case, or being in a theatre for cases, that I was unfamiliar withGo home in scrub uniformPIts always nice to hav< e a "Thankyou", but I can't think of a specific nice thing'Lack of staff to provide adequate care.Dk having to work internal rotation. and when i am on nights having to work 33 hours even though i am contracted for 30 hours a weekccoming of a night shift and then a day shift i find it very hard to adjust and i miss alot of sleepn/a doing obs etcBnot having the resources to cope and having to turn patients away.,rudeness and disrespect to patients familiesQI've had lots of nice things said to me, it is difficult to pick out one instanceI have many frustating experiences, I am an unqualified nurse (HCA) and in most hospitals HCA's get to do all sorts of things - we just get to shovel poo!!! I was a student nurse and am actually quite good at a lot of things like blood pressures, pulseI suffer with polycystic ovarian syndrome and outside of work I also look after my partner, who has mental health difficulties. This quite often means I am exhausted as the ward manager refuses to allow me to go on permanent late shift. Just the other dDK - would prefer not to say.QProbably on Christmas Day, I came in so hungover I couldnt move for three hours!!I once burst into giggles in a ward meeting - one of our patients likes to wander and he wandered in, did a long, loud fart and wandered out again!!!!!!!!! Everyone else looked faintly disgusted but I thought it was hilarious!!! And on Christmas Day wheI was getting a patient ready for bed last Tuesday. There were two of us and this gentleman is an ex-high ranking police officer, and he does not like female intervention. He is also very strong and attempts to hit out so his hands have to be held at allWe look after dementia patients, so its usually the relatives that say the nice things. We recieved a card recently from the family of a gentleman who had been a long-term patient and I had the priviledge of helping to nurse him in his dying hours. +Attacked by patient with a pair of scissors You are an angel & saved my lifepnever having anything to hand no being able to find things you need never having enough stock of essential items'1 member of staff for 12 acute patientsFsimple pain relief or anti emetics on nightshift when no doctor aroundBshort staffed with acutely ill patients - complained to managementpunched by a patientconstant understaffing - one nurse and 2 auxillaries with 24 dependant patients on a ward. High sickness and poor pay lead to lack of motivationBthat there is a place for me in heaven (he was a retired minister)Doctors forced HDU to admit a neurological patient as they needed to make a bed in ICU. No nurse in HDU had any neuro training or any idea how to care for this patient or spot early signs of problems developing. We have also been forced to admit obstetriI have given over-the-counter drugs such as paracetamol and indigestion remedies before they are presecribed. If there are no contra-indications to their administration - ECG changes or drug interactions for example - I feel it is unfair & unreasonable tA patient was deteriorating overnight. The doctor covering HDU at night is a junior surgeon in training, with no experience of critical care. When reporting that a patient's condition is deteriorating it's not uncommon to be told to 'observe overnight anA patient called my colleague over and told her that there was something wrong with his catheter bag. As she bent down by the bedside to check the bag he grabbed her hair and punched her several times in the face. He wasn't confused and told us to call tA patient had quite a stormy post-op course and several times we thought that he might die. I looked after him for much of his stay, and as he was leaving to go to the ward he held my hand, kissed it and told me that he couldn't have done it without me.Trying to develop an expert specialist service without the funding for staff training and development. The PCT wants the service expanded to the GP setting - forgettiong that the sickest people are in the hospitals and the the hospital staff need supportFalling asleep at my desk because I have lain awake at night worrying about how to develop the service as DEMANDED by my bosses, PCT and GOVERNMENT. As I have worked for 40 years in NHS and given everything and feel undervalued and ' a nuisance' for cAs I work as a SENIOR specialist in Diabetes I am adjusting medication dosage as part of my work and as part of the learning process that people who have to live with it all day have to learn! I do not feel that FULL prescribing is necessary as workinInappropriate treatment of Hypo or hyperglycaemia on the wards. Usually due to lack of understanding/knowledge about diabetes on the part of ward nurses and junior medical staff working with patients who are in hospital for a reason other than their diabFall asleep at my desk at 7pm - working late to catch up with emails and reading as the clinical caseload and work demands do not allow time for this during the day. Frustarting as any queries that arise have to be dealt withthe next working day - not mapatient was not taking medication to control his mental illness but had not told anyone before admitted, so behaviour became erratic and he tried to attack me using a fork from his meal. luckily i moved away but it was quite disturbing for mei once shared a few night shifts with a lovely old chap on a ward in manchester. He was dying of cancer...but when he left after treatment phase and he sent me his own recipe for tomato soup and I treasure it to this daySstudents are treated like second class citizens given no opportunity to fully excelkstundet told to rupture membranes when head too high and midwife changing documentation to hide her mistake:i did nothing no system to tell without incriminating selfWith NHS Trusts becoming more mindful of being sued for malpractice & having vicarious liability, the amount of paperwork has increased especially 'core care plans' such as moving & handling, MRSA, mouthcare, eye cae, pressure area care.....As shift manager I have to allocate staff according to patient needs and the experience of staff. Sometimes I lack the experienced staff I can rely on & need to monitor junior staff (and junior doctors) closely. Other times instead of being involved iWithin Criical Care, the need for immediate intervention can be high. Often plans are discussed 'what if'. If medical cover is absent due to other emergencies then I will implement cautiosly some of those plans without them being prescribedRChanging ventilator settings, drug infusion rates without the background knowledgeSeen a Dr 'prescibing' opiates for patients in other departments, checking the controlled drugs out, knowing that the drugs were for his own use. Problem has since been sorted.YA Dr in A&E wore a Kaftan to work. He said was to make the local population feel at home.ZBeing expected to carry out audits on the ward when I should be carrying out patient care.Junior staff nurses being told to take on tasks that they are certainly not qualified for or beyond their experience. Understaffing resulting in being unable to care for the majority of patients on the ward when there are a few very poorly patients to cGiving pain relief by verbal order without the written prescription because some doctors are unable to prioritise their workload or 'can't be bothered'. Giving intravenous fluids without a prescription.aLooking after patients requiring non-invasive ventilation. Administering intravenous medication.Usually medication errors. Although usually harmless, some junior doctors seem unaware of basic prescribing rules resulting in staff nurses chasing them for corrections and causing delays in treatment.1Making fun of confused patients in front of them.A staff nurse pretending to be a ghost in front of 2 confused patients by covering themselves in a sheet and making ghostly noises.Being chased by a confused patient along the corridor with the intent of causing harm - albeit unintentionally due to confused state.zOccasionally patients give sincere thanks for the work I've done and write l< etters of thanks post-discharge from hospital.A Consultant telling me to tell the patients who had been waiting for over two hours to be seen(outpatients dept)to make another apt, as it was way past his lunch time>I look forward coming here to see you, your smile makes my day/THanked me fopr my hard work lack of resources, junior less experienced medical staff performing proceedures that should be done by more experienced staff. Have contacted consultants and asked them to come and help/take over.>police having to be called to restrain abusive people from A&EA genuine thankyou&You're going to make a brilliant nurse$Slept behind the alter in the chapel9Other managers not taking responsibility/passing the buckLack of emergency backupColleague was overfamiliarCWhen student - saw patients being treated without dignity by SisterToo many to mention!some staff off on long term sick leave the ward manager is aware of this but refuses to book bank or agency staff to cover as they feel it os too expensive/the staff on will cope. Staff on shift end up unable to take a break all day and paitent care sufworking with disabled children, unable to consent to medication being given so in agrement with the MDT and the family medication is given covertlyunderstaffing led to nurses looking after to many paitents important medications were being givne late of forgten which had a negative effect on the pateints<play gladiators on the swivel chairs (on a very quite shift)paients care was unhappy with the new plan of care accused me of lying about what we were doing for the child got right up in my face shouting abusive things then pushed me against the wall before someone else intervenedQsaid that i have a lovely heart and that the trusted me to look after their childI have a machine I need to use regularly which has not been serviced for years and is out of it's contract due to age. It needs replacing because it needs to be accurate in it's measurements and I don't know if it is. It costs about 5000, not a lot inI have given out paracetamol to patients with minor pain such as a headache. This was years ago before prescribing became an issue.NI gave a baby an immunisation for MMR not realising the mother didn't want it.A patient was irritable that I did not know his doctor had arranged to meet him in our minor injuries department and he lost his temper and shouted at me. Another doctor intervened.WThat I make a difference to her life and she doesn't know what she would do without me.Having to deal with the short timescales in which changes have to be made. dealing with the dictates from Whitehall by politicians who haven't a clueaIn 1984 I saw a charge nurse return from the pub drunk and sleep it off in the patient dormitory.-I have been assualted on numerous occasions. P"You have made a difference to my life. I will never forget what you did for me"4Having ex retail managers making clinical decisions.yHeavily understaffed for days on end because the hospital would not sanction agency nurses to cover the gaps in staffing.aI've witnessed colleagues verbally abusing patients, mostly out of sheer frustration & tiredness.}My old ward Sister dressed up as the Stue of Liberty using a "blue roll" and a sheet to calm a situation down, and it worked!8I've been attacked with a used needle and a razor blade.You made a difference.Xto never believe that the work we do is unappreciated as we truly are angels in disguise;dealing with the influence of politics in delivering care zto give laxatives, and drugs that i would normally give in my area of practice that the doctor will I know prescribe laterXhit with sticks, punched, by patients threatened with violence by relatives and visitorsThere is almost always a patient on the ward that is very confused (post op)and will tend to 'lash out'.\also have been verbally abused by either a drunk or a drug abuser.I wish you were my daughter'qclinicians having to spend so much time on administration...."lorenzo" database very frustating and so pointless!being so overwhelmed with work and patient demands that I have burst in tears in the middle of the ward in front of patients and relatives... and then been told by the "modern matron" that is "perhaps would be best" if I did not complete an incident formhemergency situation. patient blood pressure falling and unable to contact doctor on call. gave IV fluidsmost often health care assistants and increasingly assistant practitioners who seem to think they are more qualified than the nurses they are supposed to be assisting. I have seen them commence IV fluids, start PEG feeds, do dressings and I was not happy hit a patientthis is horrible.... patient was up in a hoist and nurse leant underneath him and he managed to poo all over her head! I have never laughed so much!nurse hitting patientthat as soon as she met me she knew things were going to be OK now and that I would be the person to make things right, that I was an angel (!) and that she honestly didnt know how she would of coped without my inputFewer and fewer QUALIFIED nurses (band 5 and above) relates to higher levels of patient mortality (as supported by many American pieces of research on healthcare workforces - google MAGNET Hospital for information) More QUALIFIED nurses = fewer adverseQI sustained cracked ribs whilst dealing with a patient resulting in time off workhaving manager's make decisions affecting my clinical practice, yet they don't have any/enough clinical experience to understand the realities of working at the coal face of patient care. They are too divorced from the reality.Nphysical assault from a patient, knocking me to the floor, in a ward corridor.uI'm so glad you're my nurse. Thanks so much, I couldn't have done it without you.... (and lots more similar comments)I think the thing I find most frustrating is when a woman comes in to antenatal clinic and clearly needs more time from me than I have, so I have the choice between giving her the time she needs, and making others wait, or giving less good care in orderAs a second year student I was left alone with a woman who was in labour and beginning to get urges to push, she had had 2 children before so things can progress fairly quickly at this stage. It worried me, although in the end there was a midwife with me^The worst thing I have seen is a midwife making racist comments about asian and bengali women.The funniest thing that I have done is forgetting to cut the babies cord after delivering it once. This baby had made a rather sudden experience, and was the first time I had really only just got the delivery pack open and my gloves on. Once I had caughtI remember once I was caring for a woman whose baby was becoming distressed, and was not pushing well, a senior midwife came in and shouted at her a bit to try to get her to push harder, because we were worried about the baby, but in the end it was a forLast week I completed a booking appointment, and the woman told me that I was just as good as her usual midwife- I am a third year student, and my mentor has been a midwife for over 20 years.That I'm an angelNot having the time to actually care for patients and being consistantly bullied by management to make free beds and moving patients to other wards/hospitals at any time of the day or night to free up bed space.pWhen the doctor will be arriving to my area shortly i have given minor medication such as paracetamol or peptac.TNurses not competent and not recognising when a patients condition is deteriorating, Thankyou.Staff on maternity leave and long term sick not being covered. The team end up exhausted and sick rate increases as well as morale being lowered.ZDonors donating who blatantly lie to be allowed to donate are putting recipients at risk!MA collegue turn up with a hang over which made her quite a risk to work with.Donors can give staff alot of grief especially if we are busy or short staffed. People do not like to wait and some become verbally abusive and a few have been known to throw objects at staff< . One donor threw a file at a member of staff and shouted abuseLI hadn't meant to tell anyone about this but you were so easy to talk to....3cancelling patient activities due to staff shortage UnderstaffingSocial Workers.when working with a person with learning difficulties , the staff team would not follow any guidelines i put in place . I ended up being threatened and the staff team congratulated on their hard work. the person with a learning difficulty was excluded fr ' canoodling' in the linen room.hide the food stores from the opposite shift .Qsent a student to another ward for a long stand . i know its sad but i did do it.4i have been told ' if i had a gun i would shoot you'vjoining a new trust with a non-existant orientation programme, no leadership within the unit and lack of peer support.when times are busy it is a rgular occuranc to have to look after more wome han it is possible to give quality care (or sometimes any care) tooinexperienced staff caring for complex cases with little support from senior staff, staff to patient ratios are often poor. i have written incident forms to highlight staffing issues9that i made their whole birthing exprience more enjoyablelHow they wouldn't have been able to have a natural birth without me and how I will make a brilliant midwife.|Shortages of staff, unapproachable manager, cliques on wards, staff not being valued, low morale of staff amongst many more.Paperwork and making sure that the ward 'looks' nice, gives the right impression when having visitors, which is a false impression, prevents you from dealing with patients.nHad a hot cup of coffee thrown over me and attempted to assault me physically. Many intsances of verbal abuse.Talking over patientsQualified' is not the correct word. Nurses, AHP's, doctors, etc are qualified, bit people regularly do things where they may not have had their competence verified. This does not mean that they are not competent but it would be difficult for them to pro[Hit out at by patients, verbally abused and pinned into a corner and threatened by visitors5Ward nurses not appreciating my experience or my roleworking 10 hour shifts, too tired to function at the end of shift Patients looked after at night by only 1 junior doctor on siteKDoctors in theatre so noone available to prescribe pain relief or IV fluidsYjunior doctors assessing patients at night and not getting a senior to come in and review4witnessed staff speaking to patients inappropriately turn up drunkpatient being verbally abusive'Having a letter thanking me for my care&understaffing and u have to cover themput myself into pressure'doctor not around when u need them mostLong hours Shortages of staff Bad managers Lack of support from managers Lack of support from Health Board when things go wrong Lack of ongoing trainingAll reported to RCN who were useless! Not enough staff to legally work a ward Not enough properly trained/qualified staff to work a ward legallyToo many to list Said "thanks"falling asleep!relatives shouting abuse at staffNmanagement obsession with government target paperwork rather than patient care6doubling up on one to one patients as not enough staffnurse punched by patientVUnderstaffing and lazy staff who don't do their share and weak, inefficient managementZAs a relatively inexperienced staff nurse I have often found myself without senior support Very very poor infection controli have often been shouted at, threatened and hit out at by disturbed elderly folk or more likely junkies who want medicines that they are not allowed to have. It is common - far too many incidents to list8That I'm a really lovely person and have a lovely mannerthankyou for looking after me6Patient was confused at time and apologised afterwardsGunderstaffing which means work longer hours than contracted without payI was bullied and humiliated in public by a consultant for something that I had not done. I raised a complaint and was prepared to take it to a disiplinary hearing. I received no support what so ever from management despite the fact that when I first comRegularly I was required to care for more patients than I could safely. Even when I complained and asked for any empty beds to be ringfenced because of lack of staff they were not and management continued to admit out of specialty very sick patients justThe proper procedure for analgesia is that it is prescribed on a medicine chart. If there has not been anyone to prescribe and the patient has been in pain I have given the medication and got it prescribed later.I have seen Health Care Assistants make decisions about the care of patients when they have not had the knowledge to do so. THis is necessary because there are often insufficient staff to supervise them adequately.A patient was to be sent for a CT scan. This was ordered by a doctor according to written protocol for the management of that group of patients. It was totally inappropriate for this patient to be sent from the ward as her condition was grave. I refusedWhen I was doing my midwifery training I was allocated to an extremely good community midwife who was very well liked and respected by all of her clients. However she did not have a very good memory and often forgot to write down details of calls that shI was asked to explain to a patient at an outpatients appointment that unfortunately the date of her surgery had to be delayed a few days because of a need for another patient. ( The replaced patient was going to breach the Government target so the datesSeveral patients wrote to me after they had completed their treatment and said how helpful I had been and how it had helped them to cope and understand what was happening.I have been physically assaulted at work (a number of times) and threatened by the male patient (a known drug-dealer) that he would find me and get me. A female threatened to cut my throat. 2 male skinhead relatives of patient that I had asked to leav!thankyou - and actually meant it.the managementnew computerised recording systems whilst good in theory are much slower than paper system in practice. More time spent on bureaucracy and statistics / government reporting, than on patients ( drug worker)Where GP services and other departments have ignored our department's advice on prescribing. Services were informed / reminded of their errors and of existing protocols, incident reporting and critical incident analysis where appropriatePatient threw a chair across desk at Doctor, Exterior door kicked in dislodging panel when patient discovered service was closed, Patient tried to drop-kick me when informed no Doctor available so I couldn't arrange a prescription until following day. Se;waiting to see the boss while she gossipps on the telephone use equipmentDStaff using tequipment thay arer not trained to use or familiar withNSeen collegue usining trust time for private calls too tired to work properly,I have gone on duty with two different shoes1Nurse shouting to get her point over to a patientKeep smiling and tahnk youThe whole PC factor, I find it extremely frustrating always having to watch what I say or do. It is also frustrating that patients and relatives can treat you like something they have stepped in because they 'have rights'. Nurses should have rights too bPA lack of staff means patients are not given the amount of time they should have Thank you!ltrying to administer medications on round whilst being interupted by patient inquiries,depts,porters,doctors6I have the patience of job and the wisdom of solomon. Athank you for looking after me , you have made my day alot betterTrying to get pain relief for patients post operatively when some anaesthetists are reluctant to prescribe anything forcing you to chase them and hassle them, whilst also prevents acting as an autonomous practitioner and the patient's advocate.Not enough colleagues on shift and looking after 4/5 patients in the immediate post operative period. It has occasionally reached the point where theatres have had to stop running to all< ow patients to be looked after properly. Being the staff 'pool' fo?Staffing levels meaning staff to patient ratios are incorrect.>A dance where the whole room full of people joined in at work.]Upset and emotional patients and relatives have shouted at me in very difficult cicumstances.;Thankyou You're wonderful You've made me feel much better?not being ale to do the best job possible du to staff shortagesa pt tried to throw a mug at me%they thought i was a brilliant nurse.Understaffed post-operative areas, too many patients on lists, consultant surgeons expecting nursing staff to perform tasks beyond their training/scope of practice. The list is endless.....LCannulate patients. Remove endo-tracheal tubes from post-operative patients.nInexperienced nursing staff allowing patients to satndup out of bed immediately following general anaesthetic.Funniest thing that has ever happened to me....I was walking through the area where I work, carrying a used urinal bottle. The telephone rang, and I tried to be clever, and answer the call. Unfortunately, this caused me to look foolish, as I promptly empI was trying to calm a patient down, who was becoming increasingly restless. He suddenly grabbed my uniform at the chest, and pushed me backwards. I fell over a stool behind me, and suffered leg and back injuries. I wa off work for 6 weeks. However, the Marry me!Lack of staff, poos skill mix, too many demands placed on nurses for the type of patients they have. Bed management rules and regulationsgGo on a night out between 2 shifts and not go to bed. Reported to senior nurse on and nothing was done%Very little to laugh at at the momentThaving a manager who is not prepared to act even when there is obvious bad practice.vgiving paracetamol without it being prescribed to a patient in pain. Always get doctor to prescribe later in the day.community nurse passing an ng tube in patients home unsupervised when she has not done this for 25 years and admitted not knowing what she was doingunable to get a doctor to attend a patient due to understaffing. repeatedly calling for a doctor and stating urgency. patient subsequently died without having been seen by doctor.Ragressive patients hitting staff and destroying furniture/fittings in a side room.patients & relatives unrealistic expectations of 1:1 care in a busy 30 bedded ward situation with only 3 qualified staff nurses supervising the carePut IV fluids up without prior training carrying out procedures unsupervised without prior training not asking for help when unsure & not acknowledging personal limitations8not carry out correc t hygiene procedures eg handwashingpatient threatening to hit me with a walking stick & gripping my arm tightly digging in her nails & breaking skin, kicking me as wellsaying to another patient "she's alright that nurse she'll do anything she can to help you" , then giving me a cuddle when being discharged & saying "thank you you're a lovely nurse don't ever change."In general it is difficult to do my job as well as I would like due to lack of staff. Also the expectation to go without breaks and to stay back late on almost every shift is unfair but is a regular ocurrence - you are almost frowned upon if you say that/patient pyrexial and paracetamol not prescribed7That we are all angels and are worth our weight in goldwhen it was obvious to nursing staff that a patient was becoming ill but medical staff would not examine them because the statistics showed 'normal' readings - no acknowledgement is given for our personal familiarity with the patient's demeanour30 post stroke but not acutely ill patients- one trained member of staff(me) and 3 carers two of which were agency. I spent all my shift telling people what needed done, filling in forms and doing drug roundsprefer not to sayfput on a nightie (over her uniform) to convince a dementing patient that everyone was going to bed nowpatient's relative had hidden in the building after lock up and appeared on the ward demanding to sleep with his wife- police had to be calledHaving to frequently stay after the end of my shift to complete essential paperwork which I have not been able to complete because i have been caring for patientsDkbWorking with a psychiatrist who had her own agenda,was secretive and didn't care for the patients.Strike a patient*Acharge nurse brought a monkey onto a ward7A patient had his cheek badly gashed by another patient"This charge nurse is firm but fairoDispensing medicines for patients to take home. Giving medicine which needs to be prescribed which hasn't been.Make a horrible comment about a baby which was still in utero and was still alive but delivery was imminent and the baby was going to die._I couldn't have done it without you. Can you come home with me. Can you be there for the birth.being told by the trust to answer phone calls and bells promptly when staff so stretched and busy that it is all we can do to keep on top of the basic care of the patients. Having 12 hour shifts intoduced by the trust, the reason why I recently left w>under staffed wards with poorly trained or inxperienced staff.patient not monitored closly post op usually due to work load. It's imposible to care for 28 patients with only 2 trained nurse and 1 shared HCA coving 28 patients, patients need to be taken to theatre and collected by the trained nurse resulting in timeGiven the incorrect dose of a drug. the chart was poorly written, I had been moved from my regular ward to another hospital and ward in the trust. The dose I gave was not an unusual dose but the wrong one for this patient. The error occurred half an hourI was hit on the head by a metal bed pan that fell from the wall mounted holder and had to go to A & E. caused great amusement in A & EPatient and relatives frequently shout at staff, generally because they have been waiting a long while, are frightened or in pain or they feel nothing is being done. I have had to reprimand staff for reacting inappropriatly to these situationsThat I have made the situation bearable and they are always glad to see me. I have also been called a lavitory attendants daughter by a homeless man. My all time favorite insult, it showed such imagination!rang in sick when i wasnt;i work with children, so i get lots of kissess and cuddles.ksmudging' figures to make it look like targets are being met when really the problem is just being shifted.Use of language"That i had a nice, welcoming smileracistbullying and intimidation%thank you. You will make a good nurseYgrading recently, pressure to get through numbers of patients rather than quality of care emergencies,/little time away from patient care for training nurse stabbedthanksstaffing pressures due to working time directive and also understaffing in the wards. also the amount of people who are off sick and rewarded for iticornered in a small room with patients daughter and her husband shouting and threatening me with violence Paperwork!"im a fantastic mental health nurseoOver 28 years there are many but the worst is not having enough staff or time to care properly for the patients`very sick patients with minimal staffing making the unit unsafe and putting the patients at riskMainly short staffing or inexperienced staff looking after very sick patients. Informed senior nurse in charge, informed doctors, filled in critical incident formsMany years ago when a patient died during visiting time so as not to distress other patients and visitors, put the deceased in a wheelchair, pretend they were ok and wheel them out the room to a more private place to be able to care for them effectively7Shouting at a chronically ill unco-operative adolescentAn adult said to me "You can always tell when a paediatric trained nurse is looking after us because they anticipate our needs before we have to ask and are more sensitive to our requirements"/Have been kicked in stomach and punched in facebkerudeness/ verbal abuse/aggression from patients relatives can make my job much harder and frustrating< *That I do a good job and that I work hard.Knowing you have a heavy workload throughout the day and no time to spend on the floor making sure the patients are cared for to a high standardI have noticed some shortcuts in patient care that I rather wouldn't have wanted to happen. Not dangerous situations, mainly sloppy nursing care. It is difficult to oversee that all care is carried out to my standards.sI have come in to work after a night out hungover and probably still intoxicated. (not in a NHS post at that time.)/I receive lots of lovely comments from patients-we no longer have time to get to know patient*patients left on trolleys for hours on end|patient left on trolley for 9 hours because no bed available,cleaners not doing job and leaving vomit in washbasins in A & Edrunken behaviourfather of a young girl i was looking after got angry with me and shouted at me, it was his daughter in labour and he couldn't understand why we appeared to be doing nothing with herMi have recieved a lovely thank you letter from a patient and thank you cards.^Observed a colleague overtly responding to no obvious stimuli i.e responding to hallucinations3You really are angels, what would we do without you_length of time it takes to get anything done e.g. it takes 6+ months to get vacant posts filledbed management rulesemergency situations no fun left/great midwife made birth a memorable experience4Bieng undestaffed and increasing amount of paperworkxDue to understaffing and increasing paperwork unable to provide nursing care. Patients haved died on thir own or fallen.,For headaches - paracetamoll, bowel medicine7Seen a ward manager in a close embrace with a paramedicTo many to list0Verbal abuse from patients swearing and spitting Thank YOuI work within a prison healthcare department which caters for some severely mentally ill patients, on an in - patient basis, who can be prone to sudden and unprovoked acts of violence on staff. Their actions may be due to the nature of their illness or dI get a lot of praise from patients who appreciate the work I put in. I run a smoking cessation clinic within the prison and have helped many men to give up smoking. I try to be available to offer support. I cannot single out particular instances but I gNot having enough staff"People shouting out of frustration$Just general thanks and appreciation?shortage of staff anf then being moaned at for not doing enough;frustration from relatives for being kept waiting in clinic'thank you fro everything you have done PBeing short staffed and not being able to provided high quality care due to thisit happens quite often dkPatients having their operations cancelled at short notice due to the limited staffing and/or bed resources available. In part this is due to managers overbooking operating lists in order to cut waiting lists. This workload is not always achievable aIThis was under direct supervision of a doctor, in an emergency situation.Use equipment they've not been trained on. Cannulate patients without the necessary assessments being done. In this situation the practice was challenged, and ceased.It's the individual 'thank you' - we don't expect it as we are there to do our job, however it is nice to hear when you have made a difference to the way a patient has received their care, and they have appreciated the effort you have gone to to help theToo many ineffective managersaWard staff not given protected teaching time which has a direct knock-on effect to the patients.kMost annoying is when you want to spend time with patients but don't have time because of all the paperwork+Ignore a patient or not take them seriouslynPerson had mental health problems and was psychotic - was resolved by staying calm and de-escalating situationthe introduction of PARIS an electronic method of documenting patient records, its a waste of money and is frequently not working. The trust I work for is closing units and reducing beds to save money, and yet truat headquarters are very uptodate and modoctors not acting or listaening to my or my colleages concerns regarding a patient's health. Doctor refusing to change a supra-pubic catheter and leaving a female patient in unnecessary pain4 another nurse was being overfamiliar with a patient7I have seen a colleague be overfamiliar with a patient, I have been punched by a patient,you are my angel who smaokes and drinks wine{Spending ages trying to find a drug or piece or equipment only for the doctor to change their mind and not need it anymore.Not enough staff to care for patients properly, especially when there are several high-dependancy patients or patients who need 2 or more nurses to move/ turn/ change them. Sometimes we have patients who need one to one care that we aren't able to providwStand on a chair and do a rap, because she told the patient (a child) that she would do that if he took his medication.As I walked past a cubicle, a patient's father called me in and said 'is there something wrong with you?'. When I said no, he started shouting at me, because he said no one was looking after his child and we were all shit. It turned out he had been drinkAThank you'. It's simple to say but seems so hard for some people.Spatients becoming aggressive due to removal of smoking rooms in mental health unitsinadequate staffing levels with unpredictable patients with mental health problems. staff not trained in management of violence and aggressionmany incidents all involving clients with mental health problems. During 1 incident where client fighting with staff, police intervention and staff team got pepper spraye<i hated you at the time but you are alright!! firm but fair!(One of very many and a less extreme one) A patient was discharged home one day when I was working a long shift. They had been on the ward for quite a long time and whenever they were about to be discharged they would 'have a funny turn', although this tPatient with a temp of 38.8C wasn't prescribed any paracetamol or medication which included paracetamol. Other cooling measures weren't bringing the temp down and docs weren't answering their bleep/were tied up elsewhere/unavailable so I administered par;I think it's just when they appreciate you and tell you so./unprovoked verbal abuse during a telephone callzThe lack of active listening and the feeling of worthlessness as there is no recognition of when you have done a good job.Relatives were abusive towards me as I was unable to give them the information they wanted as their relative had requested that it not be passed on. When asked to discuss this in a calm manner I was hit by one of the relatives. Zero tolerance should be i{That she could see my wings and that she knew I was an angel and was there to help and with that help she would get better.Tbeing unable to work because the CRB took 2 months to renew my enhanced police checki have given pain killers that werent prescribed. I had no access to a doctor but knew they would have been prescribed if I had@I saw a nursing assistant calling a patient a horrible dirty mani saw a junior doctor making a punch out of mediswabs and an over anxious patient drank some of it before we had chance to stop hera patient kept pulling his catheter out , after the 3rd or 4th time I lost it slightly and 'shouted' oh for gods sake will you just stop it!?"I dont know what I would have become like if it wasnt for you"Being unable to provide care which patient's deserve due to lack of resources/staff and increased pressure placed on health care provision by management/ministers who either have no idea about or don't care about providing high quality health care.dpatient care and safety, and that of staff, is regularly under threat due to lack of resources/staff"Most often give ill advised advisePatient's are frequently placed in inappropriate wards/locations due to lack of appropriate beds, i.e lack of HDU beds, medical patients located in surgical wards, and on occassions admitted direct to surgical wards with acute issues when should be in me< have breakdown~happens frequently. Abuse doesn't have to involve violence or shouting. Most nurses are abused to some degree on a daily basiskeveryday is a frustrating expereince, patient care does not exsist in the eyes of the managers, targets do.Zits normal for patients to behave this way after a general anaesthetic in the theatre suitHa patinet sent a letter to the chief ex to say I was the best nurse everKI was assaulted by a patient during medication round and received injuries.#they just smiled and said thank youThe ridiculous time consuming paper work. For example we have to fill in numerous audits, one even informing management for every thank you card and box of chocolates we receive from patients and relatives.FWorking in an ICU anvironment with not enough adequately trined staff.One example is when an ICU patient is on prescribed medication but the prescription has ran out and needs re writing but you have to keep the infusions running. Another example is giving pain killers to children and just taking a verbal order from the doqLack of staff. Put an incident form in which goes to the hospital management but these arent usually followed up.dI have been into work whilst ill as if you have sick time you have to have a meeting with management>A colleague a few years ago committed suicide in my departmentI work in a dept where patients have suffered major trauma which inevitably leads to problems with stress. The patients relatives are generally worse than the patient as they do not like to see their relatives in pain. I have regularly been shouted at anGThat I am the nicest nurse on our ward and they had enjoyed their stay.Had a very bad hangover and called in sick the following day, I see the cause of my illness as preventable so this is why I consider it my 'worst' thing.-a colleague joining in with patients dancing.A psychotic patient was asking for assistance which he did not require as he was not physically disabled but rather lazy, when informed he could perform this task himself he became very abusive and threatening.''I can tell you've been raised well'' MPaper work and computer work. Forgetting that the patient is who is important@Patients in unsuitable bed spaces no access to oxygen call bells Paracetamol?been hit several times by patients not always the confused onesJust thank you and meant itsome bosses/managers tend to use their position as a position of power over staff beneath them, that includes talking to them like a piece of dirt. i work in forensic mental health and being the youngest and newest member of staff i am spoken to like oneas i work in forensics but the unit is massively understaffed the staff members are put at risk a lot of the time as there is a lower staff:patient ratio than there should be. also, even though i have worked in the job for a year now i am expected to worworking in the forensic mental health services this happens all of the time. also, it is sometimes neccessary for a staff member to shout at a patient in the right circumstances, when the patient is being violent towards a staff member for example.a few patients have told me that they are grateful for the work i do on the ward as i treat them as people rather than children, like some of the other staff members do. things like that actually make it rewarding to go into work, as much as you hate goi'healthcare assistants giving medicationreported to sister.gave me a childrens book that they had writtenTHANKYOU6implementing the Knowledge and Service Framework (KSF)%understaffing I find most frustratingA parent was angry because his daughter was hungry but was fasting to go to theatre. He hadn't given her breakfast as was suggested, and her theatre slot was delayed. The father shouted at me demanding an explanation as to why we were denying his daughte\The same father later apologized to me, and said he wasn't angry at me he was very stressed.'being constasntly expected to work latehaving too many patients to care for at any one time - therefore needing to prioritise care as unable to do everything needed of me all at the same time dont know]confused patient (due to medications) became aggressive verbally and physically towards staff"DK"having to work to targets all the time rather than to patient and family's needs is the most frustrating and time consuming part of my worka patient was about to pull their breathing tube out, thus putting themself in danger, i called the doctor but had to give sedation before they could get there for the patient's own safety7usually doctor related incidents, not nursing incidentsI was working in a private nursing home about 21 years ago & we had had this new resident in. At the time I was on night duty with 3 others ( I was the only qualified, they were Carers ) I had given out the night medication & I went to give the new ladyDI have been told that I am a very caring person & excellent nurse!!!It often happens that the postnatal ward I work on is under-staffed, so although the 'neediest' women probably get reasonably good care, those without obvious problems can easily get overlooked. And care-giving is constantly interrupted by the need to aIt's not possible for one midwife (plus a care assistant or two) to give proper care to 20+ newly-delivered women, several of whom may have just had Caesareans...As a midwife I can prescribe and give pethidine to women in labour, but not the anti-emetic (cyclizine) we use to prevent its common side-effect, nausea. So if I can't find a doctor I do sometimes give both drugs, then get a doctor to sign the prescriptIn an email to my boss about me, from a woman I'd looked after in labour: 'She was just excellent, calming, caring and made me believe I could do it.'Having new bosses who are pushing for foundation trust status and cutting everything right to the bone especially staffing levels. This in turn has destroyed the good relationships that where evident between staff, who are now leaving in their droves.When the police did a drug search on a patient's girl friend. He was a prisoner attending a clinic. Subsequently the father of the girl came into the clinic and threatened me. I also ended up with a knife cut in the wall of one of the tyres on my car fThank you, that has helped me. Spending time completing paperwork that is duplicated. Not having patient time and having to rely on HCA's with inadequate training to pass on informationbsituations in ward I should have been dealing with but have been completing paperwork in duplicate_Un qualified staff exceeding there remit due to qualified staff completing duplicated paperworkWhere risk assessment has identified a risk and where staff have to decide between observation of said patient (who may have made threats) or compleeting paperwork which is often duplicatedauxiliary nurse shouting at elderly patients, following example of senior nurse on night duty. I spoke to her later on day duties and praised her for one particular act of kindness and she showed a gentle caring side afterwards without the senior nursesthank you for my baby's life. 8 theatre staff couldnt hear foetal heart exept me I insisted it was there, surgeon only went ahead with caesarian at mothers insistant, baby emerged screaming, there were tears all round.When I was a Sister in an A&E Dept some years ago I was pinned up against a wall by the throat by a male patient who went berserk.-sEEN A NURSE FALL ASLEEP WHILE HOLDING A BABY]Relative shouting at me because he did not agree with the treatment prescribed by the doctor. Thank You'I was physically attacked by a patient.That I was a nice, kind lady.Just when you sometimes go on a shift there is not enough staff, or if the ward is fully staffed another ward trys to pinch your staffnothingI work in mental health and the only funny thing was seeing a worker, while on level 3 observations fall asleep and the staff nurse putting there hand round their neck to actually frighten them. So they would not do it again, as that could have been theYes as i said befo< re i work in Mental Health, and on the intensive care side, so they are very poorly patients. So i feel that they are not intentionelly being horrible. But i do think that some people are in the wrong job or get a power trip. Thankyou you are so kind.The size of my caseloadnI once discovered that a student nurse was stealing drugs and selling them. She was dismissed and struck off.=I once saw a patient tip their breakfast over a nurse's head.SAs I work in Mental Health the violence is usually relted to the patient's illness.nI had a really nice letter from a patient I'd discharged thanking me for my input into getting him well again.PCTs running out of money, NHS Trusts over performing and not getting paid. Payment by results is a farce - it doesn't work. Redundancies, vacancy freezes but still expected to do more work without being able to fill your vacancies. Trust calls inSurgeons who take too long to do some operations, refusing to admit that they are too slow, and shouldn't be doing that type of surgery. therefore patients are on teh operating table and anaesthetised much longer than they should be.Assist surgeons - as manager of this unit, I stop this and staff are reminded of their accountability and the potential that if they ignore my directions they could be disciplinedNot recently in my present job. But have seen completely incompetent surgeons, which Trusts or Medical Directors have refused to do anything about despite concerns being raised by nursing staff.I have found staff playing games or googling on computer. Frm itemised billing found that staff are using work phones for personal calls. Nursing staff have stopped this now, but medical staff sill doing despite requests not to.AUnhappy patient at waiting so long for surgery. Was quite abusiveIt is, in my experience, fairly commonplace for a doctor or anaesthetist to give verbal consent for the administration of an analgesic, prior to written prescribing.I work in a day surgery setting. Patients often get frustrated when their procedure is cancelled because they have not read the pre opreative information given to them prior to the day of their procedure and they have not starved for at least 6 hours bef/Thank you so much for looking after me - 11/10!5Lack of understanding between training and assessment4Lots of things - nurse was removed from the register%had my arm twisted round by a patient Nominated me for a nursing award|being told that lack of time to take breaks is caused by my time mismanagement when there are too few staff for the workload&IV injections when haven't done course7That I radiate caring and made her feel secure and safe/not being able to give really goos patient carethank you for caringtSo many audits or people with clipboards getting in my way A lot of staff unable to speak or communicate in EnglishAt weekends there are limited nos of doctors so patient may have to wait long time for drugs to be written or a decision to be made Short of staff but understandebly patients relatives often ask the impossible Because Trusts try so hard for standardsA patient has his/her own medication that should or must be taken at correct time when I know that it will not impede any medical condition that is current - usually consult with peers if no Dr. available If patient is in pain - have administered eg pJunior doctors sometimes are reticent about calling for help/advice from their seniors or even specialist nurses. Have seen overprescribing of intravenous fluid without taking into account kidney function. Did try many times to point out the imbalances -9tend to eat lunch at nurses desk - this is a strict no noNSee colleagues answering mobile phones or e mailing friends or read magazinesFColleague once asked a woman of about 83yrs when her last 'period' was"Oh thank goodness its you on shiftover crowding in deptHaving the courage to whistle blow on a senior manager who was subsequently removed from position and I no longer have any opportunities for career progression. Age discriminationuI was removed from one post and put into another post with no training or support and then pressured to meet targets.DChanging prescriptions Documenting in notes without second signatureMy most recent experience is when a senior manager requested me to change a document so as not to disclose that patients were at risk. I refused and felt that he was forcing me to go against my moral, ethical, professional and legal responsibilities.*I have seen a senior manager take coccaineI have not experienced anything that could be expressed as funniest. Straingest is the deliberate and offensive attitude of senior management.Because I work in mental health and sometimes with patients that also use substance misuse, I have been exposed on a number of occassions where I have experienced violence and aggression.You make me feel better.too many people telling you how to do your jobsomeone being in discomfortBEING KIND AND GENTLEbeing sworn at and being put down and belittled by a doctor in front of a patient and their family. Also having to put patients into a dayroom before they have had their breakfast or washed & dressed so that their bed could be used for an elective admiPrepared by YouGov plc BACKGROUNDYouGov plc make every effort to provide representative information. All results are based on a sample and are therefore subject to statistical errors normally associated with sample-based information. %TotalLEDITOR'S NOTES - all press releases should contain the following informationThis spreadsheet contains survey data collected and analysed by YouGov plc. No information contained within this spreadsheet may be published without the consent of YouGov Plc and the client named on the front cover. For further information about the results in this spreadsheet, please contact YouGov Plc (+44)(0)20 7 012 6000 or email enquiries@yougov.com quoting the survey detailsAny percentages calculated on bases fewer than 50 respondents must not be reported as they do not represent a wide enough cross-section of the target population to be considered statistically reliable. These figures will be italicised.oMethodology: This survey has been conducted using an online interview administered members of the YouGov Plc GB panel of 185,000+ individuals who have agreed to take part in surveys. An email was sent to panellists selected at random from the base sample according to the sample definition, inviting them to take part in the survey and providing a link to the survey. (The sample definition could be "GB adult population" or a subset such as "GB adult females"). YouGov Plc normally achieves a response rate of between 35% and 50% to surveys however this does vary dependent upon the subject matter, complexity and length of the questionnaire. The responding sample is weighted to the profile of the sample definition to provide a representative reporting sample. The profile is normally derived from census data or, if not available from the census, from industry accepted data.yq - YouGov is registered with the Information Commissioner - YouGov is a member of the British Polling CouncilNOTE: All press releases or other publications must be checked by YouGov Plc before use. YouGov requires 48 hours to check a press release unless otherwise agreed. Please note, multiple press releases will require longer. Channel 418 to 3435 to 5455 +London Rest of SouthMidlands / WalesNorthScotlandNurse in an NHS hospitalMidwife in an NHS hospital6Nurse midwife or equivalent but not in an NHS hospitalOtherNot applicable  I don t work4I have worked in an NHS hospital in the last 5 years&I occasionally work in an NHS hospital8I have not worked in an NHS hospital in the last 5 yearsFull-time staffPart-time staff Full-time agency nurse / midwife Part-time agency nurse / midwife'I do both agency shifts and a staff job Don t knowA & ETheatre MaternityICU/ HDUOn other Wards< Only day shiftsOnly night shiftsBoth day and night shiftsNot sure(Not applicable  I do not work in shiftsLess than 6 hours 6 to 8 hours 8 to 10 hours10 to 12 hours12 hours and over0Nursing or Midwifery Manager/Any Higher PositionNurse Specialist/Consultant Sister/Charge Nurse/Ward managerStaff Nurse/Staff MidwifeStudent Nurse/Student MidwifeAgeRegionWhat is your main occupation?BWhich of the following applies to you?[Please tick all that apply]EWhich of the following best describes your current employment status?CWhere do you usually work in hospital? [Please tick all that apply]Which shifts do you work?$How long are your shifts on average?VWhich of the following best describes your job role or position as a nurse or midwife?It is better nowIt hasn t changed muchIt is worse now6Not applicable  I did not work in the NHS 5 years ago<Not applicable  I did not work in this hospital 5 years agoIt has become easierIt has become more difficult1Not applicable  haven t been working for 5 years1  Extremely dissatisfied&3  Neither satisfied nor dissatisfied5  Extremely satisfiedStrongly Agree Tend to AgreeNeither Agree nor DisagreeTend to DisagreeStrongly DisagreeDon t know / Not applicable1I would get out of nursing / midwifery if I couldOWorking in shifts really takes it out of me and I am exhausted most of the timegI always stick to the rules even if this means not being able to attend to patients' needs all the timeDo any of the following things about being a nurse cause you frustration either all the time or some of the time? [Please tick all that apply] No nothing causes me frustration-Yes  the amount of bureaucracy and paperworkYes  my boss(es)Yes  my colleaguesYes  the patientsYes  patients relativesYes  the long hours%Yes  the petty rules and regulationsYes  understaffing Yes  othercAnd do you feel any of those prevent you from doing your job properly? [Please tick all that apply]1No nothing prevents me from doing my job properly6Yes  the long hours / tiredness / physical exhaustionuWhich if any of the following situations have you witnessed / found yourself in at work? [Please tick all that apply]I have been too tired to work@Management has expected me to do work that is beyond my training3I have had too many patients to look after properly,Patients have been put in unnecessary danger None of theseaHave you ever issued medication to patients without obtaining the required permission in advance?No  I would never do that&Once or twice in special circumstances(Occasionally  if the patient is in needDon t know / Prefer not to sayEHave you ever seen colleagues do things they are not qualified to do?No never Yes sometimes Yes oftenDon t know / prefer not to saysHave you or anyone else you know done any of the following at the place where you work?[Please tick all that apply]HMade private phone calls to a boyfriend/girlfriend from a work telephoneRChecking on a computer site (e.g. Facebook) when you/they should have been workingFallen asleep while on dutyCTaken a day off work and called in  sick when I was not really ill+Had sex with another nurse/doctor/colleagueuTaken recreational or performance enhancing drugs (ie. stimulants) without prescription that effect you while working%Acted in some other inappropriate way>The patients I deal with are generally appreciative of my work{Patients these days show very little respect and are generally unaware of the pressures of work and needs of other patients0Have you ever ignored a patient who needed help?*Why was this? [Please tick all that apply]5When I get to see them they often don t need anything\You get to know pretty quickly the ones that need constant attention and the ones that don tQI have to prioritise and some people have to wait longer than they would want to.*There is too much paperwork to get throughJWe are short staffed and there are too many patients to deal with properly Other reasonsDon t know / can t rememberPWhich if any of the following have happened to you? [Please tick all that apply]I have shouted at a patient%I have been violent towards a patient/I have seen another nurse shouting at a patient9I have seen another nurse being violent towards a patient'I have seen a doctor shout at a patient1I have seen a doctor be violent towards a patientA patient has shouted at me%A patient has been violent towards me1A patients relative or visitor has shouted at me<A patients relative or visitor has been violent towards you"Nurses and Midwives"/FIELDWORK DATES: 13TH FEBRUARY - 3RD MARCH 2009On behalf of Channel 4 YouGov plc 2009All figures, unless otherwise stated, are from YouGov Plc. Total sample size was 1,096 adults. Fieldwork was undertaken between 13th February - 3rd March 2009. The survey was carried out online. The figures have been weighted and are representative of all GB adults (aged 18+).Sample Size: 1096)Fieldwork: 13th February - 3rd March 2009!YouGov / Channel 4 Survey ResultsGenderMaleFemaleNurse Midwife Not NHS NHS last 5 yearsOccasional NHS Status (non NHS)Current Employment StatusFT StaffPT Staff FT Agency PT AgencyBoth&Where do you usually work in hospital?DayNightJob Role or PositionManager Specialist Ward ManagerStaffStudentAll InterviewedWhat is your main occupation? K[BASE, All nurse, midwife or equivalient but not in an NHS hospital, n=181]The next few questions are specifically about NHS hospitals, please think of your experience with them when answering the following questions. YThis survey gives you the opportunity to express what the day-to-day life of a nurse and midwife in the NHS is actually like. We want to know what you love and hate about your job, but also what you have seen and done during your time as a nurse that makes your job exciting, difficult, stressful and sometimes just downright fun or ridiculous. @First, we want to ask you some general questions about your job.([BASE, all hospital nurses and midwives] E[Excluding those nurses / midwives who don't do shifts, BASE, n=1018]6Now thinking about patient care in the NHS in general.And in your own hospital, do you think patient care is better or worse now that it was 5 years ago, or has it not changed much? pDo you think patient care in the NHS is better or worse now than it was 5 years ago, or has it not changed much?\Now we would like to ask you some questions about job satisfaction and pressures of the job.Aside from any promotions and taking on further responsibilities, do you think your job has become easier, more difficult or has it not changed much over the past 5 years?On the scale of 1 to 5 below, where 1 is extremely dissatisfied and 5 is extremely satisfied, how satisfied or dissatisfied are you in your current job?NTo what extent do you agree or < disagree with each of the following statements?=I love my job so much, I couldn t imagine doing anything elseThe next few questions will ask you about some of the frustrating, funny, embarrassing and even naughty stories that you may have witnessed during your time in healthcare. As always with our surveys, your identity will not be disclosed to anyone and your answers will be kept completely confidential. In any case, we would never ask you to breach any patient confidentiality, so please refrain from doing so. If there are any questions you would prefer not to answer, please tick don t know or  prefer not to say where available, or write in DK for textboxes.>No  I don t need permission, I am allowed to issue medication[Frequently  it s silly that I m not officially allowed to use my discretion to some degreeYes, occasionallyYes, frequently~Are there circumstances you ve experienced or witnessed in which you feel patient s lives have been put at risk unnecessarily?MCome to work with a hangover, not really able to concentrate fully on the jobNo, none of thesebTo what extent do you agree or disagree with each of the following statements about your patients?Yes, once or twiceYes, I do so frequently4You said you have ignored a patient who needed help.=[Excluding those who have not ignored a patient, BASE, n=241]This survey has been conducted for Channel 4 for a forthcoming Dispatches programme. They are looking into what life is like for nurses, midwives and patients in NHS hospitals. They would be interested in hearing from nurses and midwives about their job.Many people - because of the nature of their long term condition - consider me to be : - the only person who listens expert in diabetes (better than the doctors) the one person who helped them to come to terms with their diabetes, understand it,Nyou have made a difficult experience so much better than I could have imagined6understaffing and lack of appreciation from managementwhere you are unable to spend proper time ddealing with patients emotional needs because you are so busy due to being understaffed.VWhen i changed a patients dressings during visiting, the relatives weren't very happy.`That i am a very caring and hardworking nurse and that they feel safe with me looking after themGoing to sleep drunk on dutyonce the two nurses on duty both went outside to take rubbish out and the door locked behind them,leaving the patients asleep inside.They had to smash a window and climb back in.Frequently relatives shout at you. Sometimes the condition of dying people is harrowing for relatives.I work in a hospice and there are frequently complex family situations,These instances are to numerous to recollectVHaving to run services where politicians are forcing budget cuts simply to 'win' votesRegularly assaultedxmanagement disregard for the care of the staff...who are trying hard to give their best for the patients in their care..vmembers of staff bullying patients and management doing nothing about it ...but staff who report it being messed aboutpatients being restrained when the issue could have been dealt with by communication and understanding...patients not being given medication to calm them down which would have saved them being put in seclusion later.Dpush patients around...swear at them..bully staff members below themDpatients being told to fuck off because they ask for a cigarette....^that it makes them feel safe when I and the other member of staff I work with come in to work.reported the incident_been grabbed round the throat and also have been hit and punched more times that i can remember[if i was writing a book i would put you in as one of the nicest person i know at the moment'Wasting time doing repetetive paperwork5Paitents often shout & loose their temper with staff.>Thank you - when I've held their hand as they've slipped away.Dealing with rude and obnoxious patients, and those patients who will not comply to treatment but still insist on being offered other services.In the past understaffing has resulted in only one member of staff have been at work caring for and trying to visit 15+ patients, while having to deal with patient messages and inquieries.Saying thank you:incidents than can be dealt with on ward have to go to a+eemergency dr not availableforge patients obswent for a long standassualted by relative drunkstupid red tape and things being duplicated so many times. Bring back Matron that my mum keeps talking about. As she sorted out all this and we didnt have these superbugs as wards were spotless then.0Dressed up in sheets and pretended we were nuns.Qa patient grabbed me by throat up against a window he was having a phykotic breakdemands of my time distract from client care. Managements unreasonable demands & time limits, "bully boy" tactics. helped me to decide to leave the NHS again!!!over work, petty rules & restrictions, "big brother", letters of complaint taking precedance from day to day service, petty complaints, lack of managers support or understanding.+lack of staff, especially experienced staffwheel chair races, volley ball match over curtain rails, during the very rare quiet times in A&E, usually mid week early hours of the morning. no harm to anyone,no patients about, helped to maintain a happy & alert teamseveral times physical abuse, bruises to show for it , either by patients but often relatives or their friends. often verbal abuse, sorry to say it goes with the job!thank you, you have made a difference. a bereaved young mother wrote poems as a way of helping her to grieve for the loss of her 18/12 old son, I was mentioned in them, she very kindly gave me permission to use them in a presentation I had to undertakemanagement and staffing levelslack of staff and being unable to spend times with patients apart from giving basic care needed. hospital bosses only caring about saving money and not patient care or staffOdealing with aggressive patients on a ward with vulnerable patients to care for0being physically abused by an aggressive patientthe ward staff were wonderful3ill thought through changes and box ticking cultureThank you for listening to melong time ago, as a student nurse, I was overseen by a SEN. We had a procedure to perform and she was not doing it correctly. I was not allowed to challenge her about the unnecessary discomfort she was causing the patient. He required a retal washout anUMedication has been given without doctors opinion, incorrect dosages have been given.When patients need constasnt monitoring I have seen them left alone for several hours, not sufficient supervision when patients moving to the day room, untrained staff left to cope by themselves.oMixing medication and almost causing a severe re-action from incorrect medication - the patient could have diedPClimb into a bath with the patient while fully dressed as they needed assistancePatients get frustrated because they have to remain in hospital, staff get frustrated because they only have one pair of hands and the pressure of work can get too much. I have seen a patient rip out his catheter and cause himself physical damage.I wish you were here all the time and it didn't hurt like it did when the other nurse did it. This means that I was doing my job correctly.di work night on a mental health ward n< ot enough staff on nights when patients are having a bad night$seen a member of staff hit a patienti have been stabed\have been given a book writen by the patient with thanks for looking after them writen in it Thank You.I work on an acute trauma and orthopaedic ward. We had a patient Mr D. who was in his late fifties, he'd had a fall and broken his hip and collarbone. Mr D. also had suffered mental health problems all his life but had lived happily at home before hisI have frequently gone into work and there hasn't been enough staff to safely man the ward. patients have not all been able to have had a wash!AS an emergency.I've known of a HCA get the sack for getting up to sexually indecent acts in the hopital car park whist she should have been working on the night shift. It was caught on cctv.YA male colleague once tricked me by pretending to be a patient in a bed on a night shift.I have been punched in the stomach 3 times by a patient who was trying to escape out of the doors whci i was trying to lock. The patient had mental health issues.I received a birthday card from a patient that had been discharged weeks before. It was nice to think she still thought of the staff when she was home. paperwork'work in Psychiatry so happens regularly)Thank you , you are a breath of fresh air:NOT HAVING ENOUGH TIME TO JUST SIT AND LISTEN TO A PATIENTTAGAIN JUST A HUGE WORKLOAD WHICH DOESN'T ALLOW QUALITY ONE TO ONE TIME WITH PATIENTSZGIVE A CONTROLLED DRUG WITHOUT A SECOND NURSE TO WITNESS IT - AGAIN DUE TO STAFF SHORTAGES0A CARE ASSISTANT WHO MOCKED A PATIENTS UNDERWEARA PATIENT WAS VERY AGRESSIVE, SPAT AT ME, SCRATCHED MY WRISTS AND TRIED TO BITE AND HEADBUTT ME. HE ALSO PUNCHED ANOTHER NURSE IN THE CHEST. HAVE HAD A FEW PATIENTS SHOUT AGRESSIVELY AND ALSO PATIENTS RELATIVES HAVE BECOME VERBALLY AGRESSIVEPYOU ARE THE NICEST NURSE ON THE WARD, YOU HAVE MADE MY STAY IN HOSPITAL BEARABLEIm a Auxillary nurse , and i find the time that trained nurses have to spend on paperwork ridiculous when patient care is needed most.TI was sworn at and nipped , then thumped on my arm and i had to restrain the patient9That im a good nurse and have a kind and patient nature .giving peg feeds and meds 1washing their hair in the middle of a busy clinichit by a violent patientThow much they appreciate what i do and have bought me flowers and a card a few timesNot enough beds to cope with demand and management put pressure on transferring, discharging patients who are not ready or well enough to go home resulting in a patients returning the next day. I have been told to make patients eat faster to free upElderly patients left for hours waiting for transport which no escort or nurse. The hospitals is busy they are forgotten about, no drink or food given or assistance with toileting. Risk of falls. One incident I took the patient on to my area of workBullying amongst staff.^ignoring patients who need care. not answering call buzzers. sleeping on duty (night workers).Thank you for your kindness and support throughout my stay, even when busy you remained kind and caring. I watched you with all the patients and could clearly see what kind of person nurse you are and I am grateful that I had an angel looking after me. Mmanagers not understanding the shop floor workings and being focused totally on budgets and targets which affects the standard of patient care that can be given.Have been shouted at many times by relatives and also threatened with harm. My patients are mental health and I have been shouted at and hit at by them when they are unwell.I work in the community.8Many nice things said in appreciation of help been givenDK The very nature of the A&E environment lends itself to violence and aggression towards staff. Whilst the hospital does exercise zero tolerance, its not always so clear cut and straight forward. The general public have a lack of respect for health profeWhilst my work environment can be the sadest place to work it can also be the most rewarding as it is where lives are saved or lost. The patients and relatives on the whole are usually enormously grateful for what you have done for them and don't hold bGthe visiting times people always try it on when its time for them to go6just get shouted at for the visiting times quite oftenWorking as a bank nurse and being left on my own in a six bed bay on a male urology ward. Nobody asked if I knew what I was doing. I had 3 patients returning from theatre and 3 others, one very distressed. I had been living abroad and although I had cBeing told to change a dressing, when I asked what the wound was being cleaned with and what other products to use (never been on that ward before) a large tut, as though I should get on with it. Because I insisted that I had all the information I requi Yes, but not in the last 5 yearsNot in the last 5 years, but many years ago on a great acute medical ward when we all enjoyed our jobs, we used to dress up and tease some of the patients. Usually regular patients and they all joined in with the laughter. That ward was extremely busyNot in the last five years, but a recovering head injury patient on a younger disabled unit, did not want his helemt on asnd when I tried to put it on he gouged my face.Thank you is all that you need!;Would you be willing to be contacted by Channel 4 directly?Yes, Channel 4 can contact me.No, Channel 4 cannot contact me}Please describe your most frustrating experience below. [If you don't know or would prefer not to answer please write in DK]Please describe the situations you witnessed or found yourself in. [If you don't know or would prefer not to answer please write in DK]2Please describe the situation below. [If you don tPlease describe what sort of things you have seen colleagues do for which they were not qualified. [Please write in below. If you have experienced many of these circumstances please write in the most recent experience. If you don't know or prefer not to What were these circumstances and what did you do? [Please write in below. If you have experienced many of these circumstances please write in the most recent experience. If you don't know or prefer not to say please write in DK.]/Please describe that  other inappropriate way?What is the worst thing that you have done or seen a colleague do at work? [If you don't know or would prefer not to answer please write in DK]What is the funniest or strangest thing that you have done or seen a colleague do at work? [If you don't know or would prefer not to answer please write in DK]oPlease describe the worst instance below. [If you don't know or would prefer not to answer please write in DK]Finally what is the nicest thing a patient has ever said to you? [If you don't know or would prefer not to answer please write in DK]There are so many.. I think relatives are the most frustrating part of our work because they always want to be able to find something to critisise. They always compare when had babies how much better the midwives were and they never believe anything yToo few trained staff looking after too many patients at the same time. It has taken too long to increase our staffing levels and its taken 3 maternal deaths to see that we need more staff. Why does it take a disaster to improve services?Sometimes Doctors are unable to be contacted so medications are needed to be given in emergencies. It should be made easier to issue medications without the Doctors prescription. It would her patient care.DKStaffing levels are dangerously low! Doctors are often undertrained for the jobs they undertake and undersupervised, in obstectrics particularly.I have witnessed a patient hit a colleague and the management did nothing about this. Every day staff get shouted out and more frequently they are being subjected to physical assault.Ive made a difference.I'm not sure if I have a most frustrating moment, but I get frustrated with Nurses< Doctors not washing hands, wearing correct protective cloathing, not cleaning comodes properly, and sitting down playing on the computer instead of talking to patients wheWe do play tricks with each other, although in the place I work now it is not such a friendly place. In my last Hospital they had a good sense of humour.A patient was being violent towards other patients I shouted at him. I have often been spat at hit, sworn at by drunk or drug patients. Often elderly patients can be violent due to their condition. Also family of patients can get abusive as they want you]I have had many nice things said to me to show appreciation. Definately more nice than abuse.dkemergency drugseverything stops at the weekend)patient attacked me, had to defend myselftoo many to mention. thank younunderstaffing regularly means that it is a struggle to carry out normal care - feeding/ washing/ toileting etcpost surgical patients not having as regular observations as they should due to lack of staff, and patients being discharged too early because beds are needed&care assistants disconnecting IV linespatients not having the observations post surgery that they should due to lack of staff,(3 nurses, 30 patients) on occasions complications have not been picked up early enough but would have been if patients were given the observations they should have/physically threatened and spat at by a relativethankyouNot being aloud to give a patient (who is requesting) food and drink because they are "Nil by mouth" following assessment by SALTBeing the only person on duty with any experience, ie, working with newly qualified staff, on an acute medical/cardiac ward with very poorly /dependent patients.Only meds which could be obtained over the counter by the patient. Would never give anything else without at least getting permission over the phone .4Only petty things. Nothing putting patients at risk.Usually to do with junior medical staff not recognising dangerous situations such as deranged blood results, not checking them or not requesting obvious tests.Also regularly prescribing wrong medication. It is ALWAYS THE NURSES WHO PICK UP ON THIS SORT O A patient threatened to kill me.uCan't think of a specific one. Some are very appreciative and make up for the awful ones. They make it all worthwile."You will make a great nurse".under staffing, its very dangerous on our wardi have had 10 children to look after at once as the ward was very understaffed, i didnt have time to change the babies or give feeds or medicines on timethere were no doctors on the ward to prescribe pain relief for a child who was in severe pain so i calculated the dose off weight and checked it with a colleuge before giving it-students giving ng feeds without supervision,gone to work with a hangoverhad a water fight with syringesi was pinned up against a wall by a parent who felt i wasnt doing anything to help her child even though she could see i had been dealing with a fitting child?i got a personalised letter thanking me for my care of her baby)giving drugs before drs consent signaturethankuEpeople who are upset sometimes lash out verbaly at anyone around themBnever being forgotten as the midwife who delivered babies at home.being asked to move patients round to a ward area, when they reach the 4 hour access target in A&E when either the environment is unsafe or the patient has suddenly deteriorated and you make a decision to leave the patient where they are for safe clinicavery short staffed, an A&E department which usually runs on 14 members of staff only having 5-6 on shift, and managers wondering why you have not achieved the 4 hr access target, there is a safe staffing level for a reason, and when short staffed, patienI frequently give out medication but it is under PGD, so therefore is allowed. I am also a senior nurse in an ED so usually if i want a particular type of medication such as pain relief they medical staff will write it for me.give IV medications when were not quallified to do so. however this should be addressed by the regulartory boards, it is stupid, IV is after all only a route of administration and nothing else, you can kill someone just as easily with oral medication.8wheel chair rases around the department when it is emptybABH during notting hill carnival last year - whilst at work by a young girl who had drunk too much8thank you, a smile and appreciation goes a very long way understaffingdue to staff shortage which management will not address from the cost issue, I am expected to look after 2 ICU patients and be incahrge of my shift -Dunderstaffing people who are very tired and not able to perform wellassalt a patienta doctor strike a patientspending so much time undertaking non nursing tasks such as bed management, paperwork and taking on more and more extended roles and therefore ending up neglegting the patient care, talking to patients etc13 hour plus shifts, no breaks due to short staffing / innappropriate establishments of staff - patient ratios, late finishes of shift etc"too few staff- patients care needsBeing held hostage in a room for 1 hour plus with a confused and potentially violent patient with security and the doctor laughing outside the door.9thank you, happens more infrequently now than ever beforerhaving to spend more time on documentation than on actual patient care, because of the constant fear of litigationi work in community and so we do not have a set number of beds like on wards where when they are full no more patients can be accepted. so it often happens where (especially on a Friday), we just keep getting more and more referrals mostly hospital discgdoppler examinations when they have not had sufficient training because no one else available to do it.qi have seen a collegue on face book at work when everyone else was busy and running around like headless chickensseveral occasions, when dealing with eldery dementia patients who have wounds which need dressing, they are ofter verbally abusive towards me and on many occasions bite, kick and scratch. But it is a very difficult situation because if they have a nastyyLots and lots of things, usually every day someone says something nice even if it is just thank you and I appreciate it. Understaffing.dk %was wrestled and bitten by a patient. relativespatients been left alonedealing with violence,agression;not being able to double check procedures with other staffloss of temperracism,belittlingPatients relative was not listening to the suggestions I was making about their mother - they refused to try to see things from our perspective, and wanted to speak to a consultant. When the consultant said the same things that the nursing staff had saidSpent time talking to their boyfriend and not looking after a patient. I also am aware of colleagues that have checked their social network sites when a patient has become very unwell.{The ward clerk butted into the Consultants ward round to ask a doctor if they were on Facebook! Consultant was not amused!!A nurse accused a patient of soiling themselves on purpose, and shouted at the patient that they were disgusting and ought to be ashamed of themselvesVThat I am a great nurse, as I genuinely listen to my patients, and care for them well.Being given a new duty by my manager that was unrelated to the job I was doing at the time. These duties took me away from direct patient care and meant I was forced to lessen my caseload.Staff in wards for people with dementia regularly find themselves working short haded and unable to care properly for their patients. My job is to give them support and education and it is very frustrating to see this happening to them and the patients aPeople caring for people with dementia who have not had any training in how to work with this client group. This is often the cause of mismanagement that leads to 'challenging' behaviour from the patients. After epople receive training their behaviour of;Come to work obviously intoxicated and had to be sent home.Two nurse phys< ically manhandled a patient with dementia into a seat, dragging him across a large room in front of other patients and relatives and throwing him into a chair. They then told him not to move in an aggressive tone.bYou've made a real difference to my life here. It was miserable before you came and now I'm happy.shouting PaperworkInadequate monitoring of patients whose condition is deteriorating - sometimes inadequate knowledge to even recognise this is necessaryPatient in pain, waiting a long time for doctor to arrive on ward - would only issue basic analgesia in this case until stronger analgesia prescribedPatient not passing urine - senior nurse not grasping the seriousness of this - eventually persuaded that medical intervention necessary. This suggested to me that nurse had a poor understanding of basic physiologyBeing rude to patientsTried to mobilise a patient myself - at the end of a hard shift, hardly anyone else around - and I disrupted the patient's woundSaw a colleauge come in with a very bad hangover and treat the patients badly, meaning given attitude and delaying giving them things they ask for because they had asked more than once.The nurse was frustrated at not being able to cannulate a patient and shouted at the patient because the patient wanted to be treated by someone else and blood was already all round the floor and patient.KYou will make an excellent nurse. You smile like an angel, and very caring.Completing incident report for low staffing levels on ward as patient care was compromised - as per protocol - then suffered bullying from manager to such an extent was forced to move jobsI have now moved to non-ward based work as I could not cope any longer with being made to take responsibility for which I had not been trained, and having too few staff to properly care for patients=Understaffing situations, particularly if an emergency arises]Dr - rough with elderly patient when cannulating, resulted in large skin tear to her forearm.<Patient saying she would put a curse on me, that I would die8They are happy that I am on shift as they feel cared forlack of funding for staffing and supplies. The red tape that is involved with ordering goods, changing processes ( even if it is for the better). Insufficient time to do all that is required leading to work being done at home in my own time.Lots of patients say lovely things to us all the time - the majority of patients are grateful to you for the care that they receive.NWhen to work still under the influence of alcohol after a new years eve party.|Once when I was a student I put a thermometer into a patients mouth then forgot all about it and it was there for two hours.4I was attacked by two relatves of a terminal patient Thank youyou've got lovely big eyes5Petty minded staff who continually split staff teams.Being overruled in a clinical decision to suit a line manager's ego whereby a patient was put at risk in a potentially dangerous environment.7A psychotic patient who had developed oculogyric crisesbGiving IM medication using the wrong technique, i.e. not administering Depot by z tracking method.Over use of rapid tranquilisation. Registered concerns with charge nurse, ward manager, ward doctor and consultant psychiatrist.+Walked in on colleagues having sex on duty.UHad my nose and two ribs broken by a patient and threatened with a gun by a relative. Thank you.Targets and monitoring. 5Understaffing with high risk of assault from patientsWorking with patients with dual diagnosis (learning disability/mental health), physical and verbal agression from patients towards staff is all too common!gIt doesn't happen often but can be rewarding when told the advice you have given has been very helpful.I was assisting a woman from a soiled bed to a chair, she said she was in pain, I gave her some pain relief first and slowly proceded to help her from the bed, she said she could not do it and started screaming at me calling me a bitch and saying she was-That they could not have been cared for more.UHaving to please the meaningless political priorites that are whipped up by the media6That 'I am an angel, and he will remember me for ever'[dealing with sickness and not being able to let under-performing staff go without a battle!No DK. Sorry. Organised a wedding on the ward!Fire Extinguisher thrown at me!'"I couldn't be any happier. Thank You."the previous question does not really allow for good answering yes or no, the most frustrating thing and demoralising too is watching someone die and not being able to do anything for them for a variety of reasons, last week the doctor on call said she wbeing the only trained nure on duty, in charge of a busy acute medical ward, senior nurse so called back up unhelpful and then to make matters worse a bed crisis where you are made to admit to ward new very ill patients , you cannot possibly care approprjsimple meds usually for mild pain, laxatives , or drugs needed for continuous care such as syringe drivers2injecting certain drugs through prohibited routes, A PATIENT BITE ME AN ATTACKED ME THANK YOU=Colleagues, who are noisy when they work. singing banging etcPProcedures that they have seen done, but have not been signed off as capable of.AToo many to remember. several times strangled, sometimes punched.My most frustrating experience has been working with a particular colleague who is from the EU. This person was employed as a health care assistant while she was waiting for her nursing registration pin no. to come through from the NMC. Her understandiA colleague was typing a letter to a friend she used to work with on the computer at work. She printed out the letter and forgot to close the word program leaving it open for everyone to see. In the letter she had made very inappropriate and rude commeXAll my patients are under anaesthetic so I have very few opportunties to talk with them.fNot enough time to see as many patients as i would like due to the amount of paperwork to be completedZColleague rolling her cigarettes in the office when she is on duty and also falling asleepyI have had many nice things said to me over the years, mainly thanking me for being kind, helpful and making a differencekBeing short staffed in a busy surgical ward with 10 post operative patients and 2 registered nurses on dutyrPatient was being sick and i administered the patient cyclizine medication then got it prescibed later in the day.set up a date with a patientDThat my care had made their staff in hospital a wonderful experienceTtrying to meegt targets set by management and maintain quality care at the same timed/kGLack of co-opration / joint working between disciplines and departments2verbal abuse from relatives is increasingly common#a simple thanks is always rewardingThe fact that the NHS is so closely alligned to political agendas - it should be left to the professionals to manage and develop services. I feel that there is so much guidance and policy and lans that a lot of them now contradict each other, and the pro\showing pornographic material on the computer which was in full view of patients on the ward8Being hit in the head by a patient whilst i was pregnanthcant remember exact words, but patients have expressed genuine thanks for the care that i have delivered DKWILL YOU MARRY MEIn day surgery recovery theatre patients come in at random times, sometimes more operations finish at the same time than you can comfortably deal withDK oWorking in a care home with severly demented patients whilst a student nurse, pretty well constant shouting etcThanksAmount of papwerwork.0Adminster mediicne when not authorised to do so,Reported the event.Take excessive phone calls.Put a wig on a patient.4Yes, a patient hit me and sveral have shouted at me.That I helped his life.{sent a personal letter stating that they really enjoyed their stay in hospital over xmas cos I was there to keep them safe.My manager was one a witch hunt and went out of her her way to getstaff suspended (including my< self. One I told her I was leaving nothing was done, butsome of the staff who stuck their heelsin are still suspended. Complaints were made but nothing wasor ii one worked 5 tweleve hours shifts in a row.I had one patienttha needed specialising, human rights and solicitors were involved.By the last dday I was mentally and physically frazzled.nif someone as a high temperature then it is aceptable to admit Paracetamol, to try to get the temperature down-high dependancy patienst and not enough staff;i have seen a colleague print out a complete Next directoryi HAVE HAD MY HAIR PULLED,BEEN PUUNCHED IN THE STOMACH, SLAPPED ON THE FACE, HIT ON THE HEAD, SPAT AT. WE HAVE TO TAKE IT.IF IT HAPPENED OUTSIDE OF WORKTHEPERSON WOULDBE UP AT COURT FOR ASSAULTGTHAT I WAS LIKE A DAUGHTER TO THEM, WITH THE TREATMENT THAT I GAVE THEMPbeing moved from working on the wards to working in an office away from patientssGTN for angina when the patient normally takes it but not yet written up. extra nebulisers if patient is breathless;I saw a senior colleague hurt a patient by twisting his armtoo many things to writea lady detoxing ran amok around the wards and when I tried to stop her locking herself in the loo she gave me a right uppercut. too many experiences to recall with patients and their relativesUyou are an angel and I'm writing to the prime minister asking for a pay rise for you.5patients and relitives frustrated at theatre delays .GThat i am an excellent nurse and really care, go out of my way to help.When you are left on duty without enough staff on to do the job, and you get some agency staff. Who are paid a lot more than us and tend sit on there backsides and do the least amount of work possible. Agency staff are either very good or very bad. The gI often worked longer shifts than I was suppose to. You cannot just walk off the ward if somebody is having a heart attack or wants a bed pan. You have to stop and deal with it and with low staffing levels it is always later than it should be when reportNearly put up the wrong bag of blood on a patient because I was tired. However I just noticed it before I turned on the drip feed. So I quickly rectified my error and no harm was done.When I was taking a patient to theatre and her partner did not want her to have the operation. Consiquently there was a lot shouting abuse and then the security guards were called to show the partner off the premesesMost of the patients say nice things and send cards with chocolates, to show there appreciation. I think generaly the public are supportive of nurses.2idiotic managers who dont know how to staff a wardconfused patients , advocacyDK -- no doctors thats why=incompetent members of staff and due to chronic understaffing5saw two colleagues having a quicky in stores cupboardstabbed in chest with a penThe continued reduction in staffing levels on the grounds of cutting costs, yet struggling damned hard to maintain patient safety. Good patient care costs!! (Repeat 20 times after me.................)Patient nearly successfully suiciding due to lack of staff to be where needed. Aggression dealt with by less staff (now only 3 to conduct therapeutic control and restraint). Lack of managerial support never see the nurse manager on the ward unlessPrefer not to say - but the circumstance was that a colleague acted for the best intention of the patient in view of the reduced staffing level.FNot lives put at risk, but safety at risk Otherrwise i cannot comment aSmoke on duty x 1, as unable to leave the ward for designated meal break due to reduced staffing.Rap the handover report Pick an example from 30 years of working in the NHS!!!! Violence increasing, despite policies such as the NHS SCotland Zero Tolerance approach - reduced staff to defuse any potential incidents / deal with the violent incident / post incident debrief eRarely hear any direct feedback - however (from post discharge questionnaires etc)prise for professional knowledge, objectivity, and empathy Life Threatening incidents.=Give a patient an injection not realising that they had died!%Thank You for all that you have done.9when a patient was in pain & a doctor was not available !dress in fancy dress when on duty>i've had my hair pulled, been spat at , bittenand called nameszall the paperwork and forms needed as evidence that I am doing my job properly are so frustrating, it itakes so much time.Being given work to do that is impossible to achieve on my own, and having nobody to apeal to. Another big annoyance is the amount of clerical work expected, also to take minor doctors dutys over. I feel so much time is being taken doing other peoplesAs a community midwife, I have found myself ringing women to ask if they are o.k. as I cannot visit them, because it is physically impossible. Due to the work load.6many years ago a young psychiatric patient attacked meThat i helped themnThe time and staff not being avaliable to offer the patients the personal and important car that they require.Psimple analgesia prior to a patient being clarked as they are obviously in pain.The wrong use of language"Fall over with wee in their hands?Confused patients can ve violent or those detoxing from alcohol can be violent and they can cause unnessecsary stress and damage to staff and at time other patients.wgetting patients to fill in reams of paperwork when they've just had a heart attack - shocking! Having to pay to park!JLEFT IN CHARGE OF A SURGICAL WARD HAVING ONLY BEEN QUALIFIED FOR 4 MONTHS.(LEAVING NEWLY QUALIFIED STAFF IN CHARGE.I KNOW A NURSE WAS STRUCK OFF FOR TAKING A PHOTO OF A PATIENT ON THEIR MOBILE PHONE WHILST THE PATIENT WAS COMING ROUND FROM ANAESTHETIC!A NURSE A FEW YEARS AGO APPARENTLY FLUSHED A BLOCKED CATHETER WITH COCA COLA BUT WAS ALLOWED TO CONTINUE TO PRACTICE BECAUSE THEY COULD JUSTIFY THEIR REASON FOR DOING IT!A PATIENT WHO RAN AROUND THE WARD SCREAMING THAT HE WAS GOING TO KILL EVERYONE. HE HAD TO BE SEDATED AND HANDCUFFED TO THE BED! THANK YOU!on daycare alone with 13 patients because other nurse rang in sick at last minute and i had no time to try and find another member of staff to help & no one else offered to assist me.Vanti-emetics & analgesics when doctor is too busy elsewhere to come and prescribe themcome to work after night out with partner very late night drinking, no sleep etc. not hung over but too tired to concentrate on work.1 colleague speaks to our resident ghosts and walks on the field at dead of night feeding and talking to the badgers because the patients are sleepingOwas attacked by psychotic patient and had cuts and bruises from where he hit meihaving to jump through hoops to meet government targets irrespective of whether they enhance patient careplayed tricks on other staffLverbally abused by a patients relative in a public place within the hospital<they will never forget me for what i did for their loved one6Looking after several labouring women at the same timeManagement expecting you to deliver a high standard of nursing care, but do not ensure the correct staffing is available, and when they come round, they say, "sorry you will have to manage", the patients still require the care, so it often means we do nsThe opening of extra beds on the ward, but no extra staff to deal with the patients, some of whom were very unwell.Junior Doctors being expected to treat patients without the relevant knowledge, or support from their senior. Gave advice as to how that type of patient is usually treated, and advised them to seek further guidance from their seniorpatient became abusive and violent when a doctor did not come to see them, they were not acutely ill and eventually self discharged, other staff on the ward came to assist.because i usually try to have a laugh with my patients, many of them have said how nice it is to see my cheery face on duty, and that they feel better when nurses have a laugh with them, and why can't other nurses do the sameJinstruments being dirty, not properly washed at the sterilising department#dk, the case is u< nder investigation8there are loads but the best laughs are the water fights~it's not shouting at patients in a bad way, we need to shout at patients sometimes when they wake up badly from an anaestheticTemm....was offered a proposal of marriage but most patients are just really grateful9Being three nurses down and being told to get on with it.PWitnessing very junior staff left to take over next shift due to staff sickness._Given GTN even though not prescribed but patient was used to taken it whilst having chest pain.0Junior staff making and administering additives.iMultiple examples of patients and relatives shouting and swearing at me and my colleagues whilst on duty.it happens all the time, but dealing with relatives who want you and stand in front of you, along with patients that need you, the doctor that needs something and the telephone ringing, all at the same time. And then somebody falls on the floor and theyDressed up in fancy dress.being short staffed, 20 sick children 3 staff and being refused help from another paediatric ward who had 4 staff and 6 patients. this was not a high dependency unit and is a frequent occurrence2 staff only on ward one child needing transferal to high dependancy other very ill cildren on the ward. Consultant on duty stayed with the child until transfer as insufficient nursing staff to give adequate safe car to all the patients on the ward. thi1. fitting child, known fitter no emergency medication prescribed. 2. asthmatic patient sent to ward from A & E department with no prescription therefore in theory unable to treat (this despite having been assured prior to transfer that prescription wouqThreatened by a person taking a patient from the ward without authority. verbal agression then threat of violenceGetting to work on a night shift to find a family waiting to go home they had been dischrged in the afternoon , but the little boy wouldn't go home because he hadn't said bye to meThe lack of communication when it comes to cascading down information. If it often the local newspaper that we read things in first. It is not possible to give support to the management if you do not know where they are going. It is also very unsettlinThe constant changing of use of ward areas causes stress to nursing staff. Boarders from other specialties cause problems as the nurse training focuses too soon on a speciality. A patient needs the same basic tlc regardless of specialty, this gets lostTaking responsibility for doing observations or making decisions about equipment that they have not been trained to us. They also sometimes stop iv infusions if they are not sure what to do, rather than ask first.Phoned in sick when they knew the department was short. This was because they did not wish to work with one particular doctor. The doctor in question was good to work with, but they did not like him. 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