Am I stepping on senior nurses toes? - page 3

Hi. Have a question for you. I work in an ER which is staffed with one nurse and one doc for each shift. Small hospital. Anyway, I have noticed that when I am with a critical patient and cannot... Read More

  1. by   azerrn
    You stepped on toes when yu assumed that no one had done anything with the forms in that cabinet for the past 12 years ...

    We have unit meetings and a unit director. New ideas, like form packets, are presented to one or the other. As any good marketing person can tell you, 95% of the sale is presentation and 5% is the product.

    Presented differently, I bet most of your co-workers would have jumped on board with the form packet idea, as it is a good idea.

    Better luck with your next good idea!
  2. by   PANurseRN1
    Quote from GardenDove
    She sounds just like our oldtimers in ER. They are the crustiest, most hardened nurses around. We call them silverbacks, because they are like mean old gorillas. She probably wants to keep the whole paperwork thing a mystery so keep some of her own power, just like a cranky old silverback doesn't want any newcomers eating from his favorite tree.
    This was totally unnecessary, disrespectful and inappropriate to the experienced nurses here.
    Last edit by PANurseRN1 on Mar 16, '07
  3. by   PANurseRN1
    Quote from azerrn
    You stepped on toes when yu assumed that no one had done anything with the forms in that cabinet for the past 12 years ...

    We have unit meetings and a unit director. New ideas, like form packets, are presented to one or the other. As any good marketing person can tell you, 95% of the sale is presentation and 5% is the product.

    Presented differently, I bet most of your co-workers would have jumped on board with the form packet idea, as it is a good idea.

    Better luck with your next good idea!
    Exactly. We work as a team, so there should be input from everyone if there is going to be a change in forms/procedure.
  4. by   b eyes
    No one HAD done anything with the forms in twelve years!! I left them for people to go through and people did not know what they were used for. Presented differently, Like how, I asked them what they thought. Presentation would not have mattered. The only thing that would have mattered is if one of them had thought of it. They do not have to use them. Blank ones are available as well. But thank you anyway
  5. by   PANurseRN1
    Well, at least you're open to another POV. Whatever. That told me enough.
  6. by   chickenlegs999
    I'm a "silverback" and I would have loved it-save this old bird some time now she's slowing up!However-how long would it take to run it by others first?-Respect and consideration to your colleagues-good communication is vital in our work.Just a thought.
    Christabel
  7. by   UM Review RN
    Is it possible that she was upset on the belief that making up the packets constituted "more work" for someone, possibly herself, down the road?

    What would happen if everyone loved the idea of packets but no one took responsibility for making the packets?

    At our hospital, the Unit Secretary on night shift makes up our admission packets. They've been doing it that way since before the dinosaurs, too. Good system, helps the newbies out tremendously.
  8. by   b eyes
    Quote from Angie O'Plasty, RN
    Is it possible that she was upset on the belief that making up the packets constituted "more work" for someone, possibly herself, down the road?

    What would happen if everyone loved the idea of packets but no one took responsibility for making the packets?

    At our hospital, the Unit Secretary on night shift makes up our admission packets. They've been doing it that way since before the dinosaurs, too. Good system, helps the newbies out tremendously.

    making up the packets does require some work, however, nobody has taken the initiative to keep the packets made up besides me. one nurse is mad because the management position was taken away from him for poor managemnet skills and not being a team leader/role model, one is off on leave, and the other one is the one who feels I have stepped on her toes. so they do not want to give anything extra. we do not have a unit secretary.

    b eyes
  9. by   cherilynn36
    GREAT idea, just maybe you could have gone about it in a better way? Team work, remember is hardest for the assertive ones -like me too! I've learned the hard way that when you want to change anything it is best to let others in on it before you make the change. NOT ask their opinions really but, just tell them that you want to organize things a bit better for you- all. Unfortunantely, Sometimes when asking for an opinion we get just that.. too bad it had to be so discouraging. Keep your chin up! :wink2:
  10. by   sodiumH20taffy
    12-year old forms in a cabinet are not current regarding patient information and safety. JAHCO wants hospitals to develop standards for continuity of care. Since each hospital has mandated procedures, it sounds like the nurse may be resentful and feeling insecure about her role. You got caught in the crossfire, but if it helps, I believe that your idea has merit.
  11. by   GooeyRN
    I used to work with a crusty old nurse, too. But it wasn't in an ER. It was on an adolescent psych unit. There were no such things as admission packets. Nothing was organized well. One sheet would be in one filing cabinet drawer, another in another drawer, another sheet in the closet, another sheet in the desk drawer, etc. She seemed to like it that way, so she could watch the newbies struggle with all of the paperwork with a new admit. She liked being the only one who was able to find everything fast. I also wonder if this nurse you are discussing gets a little satisfaction watching newbies struggle.
  12. by   WYRN1
    No way! I think its great that you have taken the initiative to make your work place more efficient and organized. She seems to have a chip on her shoulder, and maybe has another underlying issue that she is dealing with. I've been nursing for a long time and find my younger colleagues with fresh ideas welcoming and am all for anything that will make our jobs easier, just try to keep in mind that your older colleagues have put in there time so to speak and also have much valuable insight and knowlege for you to learn from also.
  13. by   CRNI-ICU20
    Well, the ole crusty battleaxe! She likes her shelves dusty, her papers disordered, and her coffee black, thick, and putrid....
    And here you come...all fresh and ready to help out...do a good job....and you did this nice thing.....and you end up stepping in her territory.....
    (shall we all raise one leg and mark our territory, here??) A seasoned and less toxic nurse would have thanked you....and saw your effort as a way to make life more efficient.....
    You did a good thing....because ultimately, time reflects off of the patient laying there...and if you are scrambling to find whatever it is you are looking for....it's less time for your patient's needs...
    It's a shame that in her acquired years, she's lost her compassion and ability to support a newcomer...
    Don't let the ole grizzled one get on your nerves....even when they haven't been in nursing a long time, they can develope nasty attitudes....some people are just born that way....
    Stay your helpful self....and don't let some old crank rattle you....
    ICU20

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