"The last place I worked, we did things differently!" (and correctly) - page 4

What about nurses who come from other facilities, who constantly critisize the way things are done where you work? They are always talking about where they previously worked, as if it were the gold... Read More

  1. by   GardenDove
    Quote from AshestoBeauty
    Just wanted to ditto on that. Why not first learn new facility's policies and if something doesn't jive with you, go to the DON about it. By telling me and all the other nurses on the floor is suppose to accomplish what? In the end, its the supervisor who changes policy so go directly to her. I'm not going to do it for you. There is a time to talk and a time to just be quiet, look, listen and learn. If my wound nurse says to use a dry dressing, I'm going to do it her way. S/he has reasons for it. If a new nurse disagrees, go to the wound nurse and express what changes need to be made, don't complain to me about it.
    Ashes
    Well said! :yeahthat:
  2. by   mamason
    Well, I can relate to this. I just started a new job and we did things differently at my old place of work. We were doing them wrong and a sloppy job at that. So, I'm pretty receptive to how things are done at the new place. I am willing to learn mainly because I respect the facility for holding us nurses to a higher standard. I feel as if they are promoting professionalism which was seriously lacking at my old place of employment.
  3. by   hogan4736
    actually mercy, I've lived in small towns most of my life (40 years)

    I've just nursed in a big city...

    that being said, if you are excusing docs that berate nurses on the small town mentality, then shame on you (or anyone)

    and just because we live in small towns, that doesn't mean pts don't deserve the same standard of care as in the big city...dilantin without a filter????

    drug advancements (Cerebyx) apply to everywhere, not just big cities...

    I do agree w/ using discretion, but when you have one community college, and 90% of the graduates work in the ONE hospital, and always have, that can lead to a one sided view of the (nursing) world

    and my old big city jobs could have learned a thing or two from the small town...so it definitely does go both ways
  4. by   mercyteapot
    Quote from hogan4736
    actually mercy, I've lived in small towns most of my life (40 years)

    I've just nursed in a big city...

    that being said, if you are excusing docs that berate nurses on the small town mentality, then shame on you (or anyone)

    and just because we live in small towns, that doesn't mean pts don't deserve the same standard of care as in the big city...dilantin without a filter????

    drug advancements (Cerebyx) apply to everywhere, not just big cities...

    I do agree w/ using discretion, but when you have one community college, and 90% of the graduates work in the ONE hospital, and always have, that can lead to a one sided view of the (nursing) world

    and my old big city jobs could have learned a thing or two from the small town...so it definitely does go both ways
    I hope I'm not the mercy to whom you're referring, because I don't have the slightest idea what you're talking about. Big city? Small town? Dilantin? I didn't say anything about any of those...
  5. by   GardenDove
    Quote from mercyteapot
    I hope I'm not the mercy to whom you're referring, because I don't have the slightest idea what you're talking about. Big city? Small town? Dilantin? I didn't say anything about any of those...
    I think that might have been my post.:smilecoffeecup:
  6. by   hogan4736
    :stone my sicerest apologies mercy, I meant gardendove...I was confused

    the message remains the same garden...cyanide toxicity happens ANYWHERE, regardless of the town size...

    pts deserve better than a "doc in the box" when they're on a levophed drip, and the nurse has some questions at 0200...

    I'm not sure of your defense...

    medicine and nursing should (for the pt's sake) be held to the same standards everywhere...

    plantiff's attorney to Pharmacist: "Why is there no cyanide toxicity kit available after 2200 for your ICU pts on a nipride infusion"

    pharmacist: "uhh, because it's expensive, and we're a small hospital"

    jury back in 10 minutes with a huge cash award for the plantiff...

    we didn't use Cerebyx when I got here...now we do...(an infiltration on a kid in a hand vein, no filter...none of the ED nurses had even heard of Cerebyx)

    I raised hell, pissed off the pharmacist (who actually told me we didn't use it b/c it was too expensive)...6 months later I reminded him of our conversation 6 months prior...He also said "doctors are the ones that make those suggestions around here"

    NOT ANYMORE

    Pts deserve the best that's out there, no matter where you live...
    Last edit by hogan4736 on Mar 5, '07
  7. by   caliotter3
    Am in agreement with what mamason said. It would be such a pleasant occurrence to encounter a group that holds to high standards. High standards never hurt a patient's care nor the morale of a worker.
  8. by   fultzymom
    Quote from GardenDove
    What about nurses who come from other facilities, who constantly critisize the way things are done where you work? They are always talking about where they previously worked, as if it were the gold standard.
    I'd tell them they should go back there if it was so great!
  9. by   NurseShelly
    Quote from Blessed2BeMommy
    I think also, sometimes it's a way of saying, "This is what I'm used to, please tell me how it's different here so I don't do it wrong...." It's a way of saying, this is who I am, this is what I know.... not necessarily a criticism.


    I'm moving to another state. I have only been an RN for one year, and the above quote is exactly how I'm feeling already. I'm just planning on keeping an open mind and remaining humble.
  10. by   SmilingBluEyes
    Quote from RN4NICU
    Perhaps keeping an open mind would be the best advice for both parties involved.
    This says it all.
  11. by   SmilingBluEyes
    Quote from Sophie123
    I'm moving to another state. I have only been an RN for one year, and the above quote is exactly how I'm feeling already. I'm just planning on keeping an open mind and remaining humble.
    And with this attitude, I promise you, you will be fine.I have worked 4 different hospitals in 2 states. Things vary by place and state. I have caught myself saying "well we did it this way at County hospital" and had to bite my tongue. Probably a better way would be to share how it was done and why, but be open to learning the way things are done in your new place of employment without too much protest, unless you know for a fact, such practices to be dangerous.
  12. by   Spidey's mom
    Attitude is everything - on both sides.

    As to small towns - I've only worked in a small rural hospital and we couldn't be further from hogan's reality . . . for which I am grateful.

    I work on the med/surg floor, in OB and in the ER and our docs are all great, notwithstanding a few quirks (like the nurses). Our pharmacist is also topnotch. We do not have him in-house 24/7 but are part of UC Davis pharmacy and have access to them when he is gone.

    We are also part of telemedicine from UC Davis.

    I wouldn't call us backwoods . . .

    steph
  13. by   SmilingBluEyes
    The rural hospital at which I was employed was not backwoods, either, Steph!

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