Requirements for new nurses - page 4

After having been in nursing for twenty years I feel that there should be some requirements for new nurses. It is nice to work in specialized areas such as ICU but you need to have an overall... Read More

  1. by   Enabled
    Melissa, we have started a group here called the Disabled and Injured Health care workers. Several of us have already approached our state nursing associations and had the doors slammed in our faces. ANA is just beginning to ask simple questions. There are so many nurses that are not only disabled but mature in age who could still be quite beneficial and ease the strain of the able bodied floor staff. The nursing associations say that we are a liability. Well, why didn't they back us when we wanted to file claims against employers? Why did they vetoe having a long term disability policy for nurses under contractwhen other employees were able to purchase. I would love to share my 20 years of experience with new grads and show them some tricks of the trade that will make there job and the patients comfort easier. I would like to advocate for patients who don't want tests done that docs order just because they think it might get them somewhere but it incurs further discomfort on the patient when it turns out negative and was from the start. Many nurses would like to stay with families that have had a death but with the workload we almost have to be indifferent to them this is were we could be utilized as we have experience. If you were to look at me other than being overweight and wearing glasses you would not know that I could not walk without pain or have a slight limp as most of my disability is related to a misdiagnosis by several physicians and I have had to pay the consequences of delayed treatment.
    Also, the parent with kids in school. Many could certainly use the extra income. I went from making 40K a year to !4K on Social Security Disability. If I did not live with family members I would be in the street and living in my car. Does my profession care apparently not. Facilities are going to wait till the last minute to hire and they will hire those that are inexperienced and can be paid at the lowest end of the pay scale. Is this fair to the patients? the already stressed and ready to resign staff? NO I wold rather work than collect disability. How many times is a diabetic shown how to give themselves a shot as they go out the door? Is that a liability certainly and the regular staff doesn't have a long time over days to go through the teaching an able minded nurse can. What are we telling those who are going to follow us?
  2. by   jude11142
    I too, believe that new grads should get a good yr on a med-surg floor before going into "specialty" areas. You get a vast amount of experience and learn so much esp that first yr of being a nurse. OK, so you went throught med-surg in school, it's still not the same. I am in no means saying that one can't be a good nurse because they don't get that experience, it's just that from an experience perspective, you can't beat it.
    Also, being a new nurse and going staight into a specialty, do you really know that is what you want to do? Probably now, so why not take a yr or so and learn all that you can?

    Just my opinion on this,

    JUDE
  3. by   Enabled
    Jude, I am glad at least one person agrees with me. I know in school there were so many areas to learn and have evals on that there really wasn't much time in any given area. I left the state I lived in for my first job and I worked med/surg. The people that I had as supervisors from the night head nurse on up the ladder we so supportive of the staph when the doctors were outrageous. I will never forget those initial experiences as until I was no longer able to practice due to disability I still relied on skills that I had learned during that time as time was taken to show how to do things in a calm way as well in a very hectic situation so that one could respond no matter what. Even now when I am doing something that I am not sure of I have reflected on what the nurses I admired would have said or done.
    PS the lyrics sound familiar. One knows when one is again when they remember the lyrics of a song written 20+, we'll say, years ago
  4. by   giggly1977
    I just have to say something to this ongoing conversation. I graduated in May and took my boards in July (they were hell), but anyways, I work on a tele floor, straight out of school. I somewhat agree with the med/surg thing, but for myself I knew that's not what I wanted to do. I love being a nurse, but I still don't know how I feel about tele. I have always wanted to be an oncology nurse but was talked out of it by an oncologist who said I should stay where I am for at least 2 years. So I'll see what happens. But the truth is, is that you get the experience no matter where you work. No matter what position you choose to take, you have to learn that area anyways. Everywhere is different and every nurse whether new or experienced (notice I didn't say old) needs to learn that area. Good luck to all new and experienced nurses with your jobs and the areas that you choose to work in. Oh and to the one who started this conversation, it sounds like it may be time for you to retire from nursing, sounds like your getting burned out. DON"T EAT YOUR YOUNG. We need your help and guidence on our new journey through the "Real World of Nursing"
    Karen
  5. by   Gator,SN
    Well, I thought with all this debate over new grads doing one year on Med/surg, maybe you would like to hear from a future new grad who is going straight into critical care.
    I totally fell in love with CCU when I went there during my clinical rotation. My thinking at that time was, "why limit myself to just one area, or one type of patient?" In CCU I can have experience with everything. Surgical patients, Trauma patients, cardiac/pulmonary patient, complicated OB patients, ventilators, end stage cancer patients, acute renal failure....you name it, this CCU gets it, even the occasional peds patient. All the skills that a med/surg nurse utilizes apply here too. I will be trained to be a CCU nurse. It will take me some time (years really) and so I don't want to spend any more time on a med/surg floor and then still have to spend years feeling comfortable in CCU. The skills learned on med/surg are the same don't you think? And organization is geared toward what is expected and is unique to each unit.
    I have a lab instructor who has been a OB nurse for umpteen years and when I validated for trach care and asked several questions she replied. "I don't know, I'll look it up" I was frustrated and she informed me that I should realize she is an OB nurse and doesn't get very many trachs on her unit. I don't think that implied that she couldn't do the skill if she had to, just that she was not used to it. She spent 2 years on med/surg before going to OB. I don't see any reason why I should spend time on a unit that does not interest me. Even if I may aquire organizational skills or whatever. I will learn those skills specific to my area of interest and what is expected according to my unit. I don't think that extra time spent on med/surg will make this any easier. Anything that is perfected takes time and practice. I feel certain I'll get plenty of both in CCU. Maybe you all will think that I am naive, and you can flame me, but this is my experience. When I am on OB meds are different and the patients care for themsleves for the most part and the baby (rooming in) at least I did all 3 times I had a baby. I learned to breastfeed and bathe my baby. My sister had an epidural, They don't teach that on med/surg. On peds I see kids in tents and the dosages are different etc..... Adult med/surg is not going to make me any better at this type of care, If I were interested in peds or OB.
    I have worked hard to get this degree and I will work hard everyday for the rest of my career to make sure that I give people the kind of care that I would want. I think that I can do that without doing a year on med/surg. The facility that hired me must think so too. One of the comments that the director made was that we didn't have any experience, and we didn't have any habits either. So, they can mold us and train us and teach us what we need to know. I don't feel at a disadvantage because I'm not going to med/surg. I feel relieved because I know that I would not like it or be interested in it. Now I can concentrate on what I want and give it 100%.
    I hope that makes me a better nurse in the long run.
    Gator

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