"The last place I worked, we did things differently!" (and correctly) - page 5

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   CHATSDALE
    i think that a lot of the problems are the manner in which a suggest is offered..as noted op title the word correctly is pushed so that anyone who does not agree with them are backwoods idiots
    docs deserve a night off once in a while when they swap 'on call' with an other doc they give report on the pts in the hospital and if there is a new admit from er the on call can get in touch with primary if they don't feel comfortable
    and the docs in the small town are not more disrespectful than large city ones this is the type of person not the territory
    if you have a suggestion give it with respect for the others, there may be a reason for the way they do it or they may listen to you and decide that you have a good idea and they can learn from it
    as was said before, open minds can meet in the middle for the benefit of both
  2. by   lovemyblacklab
    Hi,
    I've been a nurse for quite a few years and have worked many places. As a traveler, agency nurse and staff. I can honestly say that for the most part most hospitals are NOT comfortable with change- whether the change would be beneficial or not. However, if the elbow is twisted (by an outside agency such as JACHO or trying to make a "magnet status" then and only then is change accepted as freely) you might see some changes but very slowly. I work ICU's and have worked ED's and recoveries as well as Insurance in the past. I could say to you tonite I have had it with nursing. There is too much rhetoric now. I have seen a lot of good in different places, but have failed yet to see a hospital facility that I am truly happy with. Maybe it's because I have seen so much everywhere else. The Quality of patient care has declined, the acuity has increased with the stress levels. Paper after paper is filled out to make some demagog person in the higher echelon look good. Organization and flow makes all the difference and I just see it getting harder and harder for me to take care of my patients. When you attend "so called" hospital orientations you always hear "we welcome your suggestions from the new staff", however, in reality when those comments are suggested, guess what? You get the answer that a lot of you have given on this thread-- Get over it, this is how we do it here. It's a shame that the nursing profession will lose me soon, I am dedicated and conscientious, however I am burned out. Burned out in Phoenix.
  3. by   breegirlrn
    i am a nurse new to my facility and at the beginning i often found myself saying this. however, it wasn't because i thought my previous employer's policies were right - they were different, and i wanted to know why, since both places claim to base their policies on aacn guidelines and evidence-based practice.

    here's another thought - maybe people who left their old job where they were comfortable and are now in a position where they are constantly feeling like they don't know anything anymore- maybe it's their way of expressing they do know a thing or two????
  4. by   lamielpn
    I had the same experiance. I was told I was from UPtown. I was always told we dont do it that way here. My orders would disappear from charts. The nurses they hired were all from one local scool. It was like the stepford wives there. No one tought for themselves. I didnt fit in at all. I was always told that I was making waves. I reported them to the state. I also had the opportunity to get a visit while still working there from one of the highlevel execs. Who, when I said to her, Why arent these things being done this way/ that way? she wondered too. So, I was sort of vindicated before I left there. I would not want one of my loved ones there. It was a small town, with that good ole boy mentality and they didnt like outsiders!
  5. by   burn out
    In the words of my dear old mother, "There is more than one way to skin a cat." That doesn't mean one way is wrong and the other is right, there is just more than one way to get the same results.
  6. by   hogan4736
    Quote from lamielpn
    I had the same experiance. I was told I was from UPtown. I was always told we dont do it that way here. My orders would disappear from charts. The nurses they hired were all from one local scool. It was like the stepford wives there. No one thought for themselves... It was a small town, with that good ole boy mentality and they didnt like outsiders!

    exactly what I'm talking about

    funny, I used the Stepford wives analogy last week...
  7. by   hogan4736
    Quote from CHATSDALE
    i think that a lot of the problems are the manner in which a suggest is offered..as noted op title the word correctly is pushed so that anyone who does not agree with them are backwoods idiots
    docs deserve a night off once in a while when they swap 'on call' with an other doc they give report on the pts in the hospital and if there is a new admit from er the on call can get in touch with primary if they don't feel comfortable
    and the docs in the small town are not more disrespectful than large city ones this is the type of person not the territory
    if you have a suggestion give it with respect for the others, there may be a reason for the way they do it or they may listen to you and decide that you have a good idea and they can learn from it
    as was said before, open minds can meet in the middle for the benefit of both

    I completely agree...

    but our hospitalists don't report off to each other, or to the doc in the box...that's the problem...

    you mentioned the "type of person not the territory"
    agreed

    chew on this: the owner of the hospitalist group (that admits 75% of all inpts, to both hospitals) is also the president of the hospital board...

    do that math
  8. by   BULLYDAWGRN
    I tell them to shut their pie holes, that they are running with the big dawgs now!! Spend more time with your eyes and ears open and your mouth shut..don't touch anything unless we say and have your money ready for lunch cause the newbie buys.
  9. by   breegirlrn
    Quote from bullydawgrn
    i tell them to shut their pie holes, that they are running with the big dawgs now!! spend more time with your eyes and ears open and your mouth shut..don't touch anything unless we say and have your money ready for lunch cause the newbie buys.
    this mentality is the whole problem! seriously, what ever happened to a little thing we all want - respect - even for "newbies"? i'm so glad i work with much more supportive people than this. i mean, this job is demanding enough (at least it should be) mentally as well as physically - why make it even more stressful? does it make you feel better about yourself to be so demeaning to a new coworker?
  10. by   BULLYDAWGRN
    Well the wrong mentality is to show up at at new place and constantly be critical of everything they do from the way the facility charts to the protocols. Heck, I've even seen new people come in and email notes to the don and admin on things within 2-3 days of starting, forget talking to the unit boss. I'm been a newbie at hospitals before, and I kept my mouth closed and I didnt run around telling everyone wow backwards the facility was and how great of a place my last hospital was. Face it, nobody wants to hear that they are doing things wrong and you set the gold standard all the time at your previous super fancy hospital. And as far as respect, well the newbie will get some if they are not a overbearing "Ive done before and better than you" supernurse....
  11. by   AshestoBeauty
    Quote from breegirlrn
    this mentality is the whole problem! seriously, what ever happened to a little thing we all want - respect - even for "newbies"? i'm so glad i work with much more supportive people than this. i mean, this job is demanding enough (at least it should be) mentally as well as physically - why make it even more stressful? does it make you feel better about yourself to be so demeaning to a new coworker?
    i'm not so sure the original post was meant to be demeaning. it seemed to be made in fun. i'm just as sensitive as the next person but we need to learn to laugh don't we. maybe my skin is tougher than yours but i wouldn't go overboard with the original post and be overly sensitive. and honestly, i've really yet to meet that "supportive" staff. once you show what you know, with humility may i add, then respect and support will follow. i've been a newbie, i've had to put my foot down when it comes to snubby remarks thrown my way but i feel confident enough to know my job and i don't feel a need to jump in and correct everything and everybody. if you like me, great, if not, great. as a fellow nurse, i will always have your back, provided you're above board and legal, and my support and backing is not based on who's nice to me. :kiss
    and to bully, as for being a newbie, my policy for buying lunch is for you to keep waiting until after my first raise, luv. :roll
    lighten up a little,
    ashes
  12. by   NurseShelly
    [quote=AshestoBeauty;2131218., I've really yet to meet that "supportive" staff. Once you show what you know, with humility may I add, then respect and support will follow.


    Just curious, but why should you have to show what you know for respect and support to follow? I think along with remaining humble on both sides, no matter how long you've been at a facility, respect and support should be given to your new coworkers without them having to prove themselves. New coworkers should be made to feel welcome, I'm sure in order for them to be hired, there was hole somewhere that they're now filling, which only helps.
  13. by   AshestoBeauty
    [quote=Sophie123;2132112][quote=AshestoBeauty;2131218., I've really yet to meet that "supportive" staff. Once you show what you know, with humility may I add, then respect and support will follow.


    Just curious, but why should you have to show what you know for respect and support to follow? I think along with remaining humble on both sides, no matter how long you've been at a facility, respect and support should be given to your new coworkers without them having to prove themselves. New coworkers should be made to feel welcome, I'm sure in order for them to be hired, there was hole somewhere that they're now filling, which only helps.[/QUOTE]

    Sophie,
    I 100% agree with you when you say newbies should be made to feel welcome. I also agree that you shouldn't have to put in "time" to get that support and respect. But I don't find this to be the case in most instances. If an agency nurse shows up, I give her little heads up on certain patients and procedures. At first s/he may feel alittle defensive but I don't want this nurse to feel she's not welcomed. It's my way of saying glad you're here and I'm here to help out if you need it because every facility does things a little differently than the other. This usually breaks the ice and we have a smooth shift. I walked in on a staff newbie who was having trouble with a feeding tube. She had a look of panic as if I were going to yell at her and ask her what the heck was going on. Instead I dropped my stuff (I was on my way out the door), jumped in and helped her out. However, more often I've seen more newbies and agency nurses get yelled at. I don't understand this mentality. It's almost saying "get out the way...you don't know what you're doing". I've seen nurses get yelled at by other nurses at the nurses station in front of other nurses when it absolutely wasn't necessary. this burns me up. I've yet to meet a supernurse who feels the need to yell and belittle other nurses. I have met supernurses who will take you to the side and not embarrass you and show you a better way. Once you have proven yourself, there's less yelling and more acceptance but I wholeheartedly agree that it shouldn't be this way but unfortunately, it is this way. And for the record, the ones who yell the most and act as if they know the most actually are not as competent as they try to impress others that they are. But they usually get the resepct from others because they give a very good impression and when they do make errors, and believe me, they do, others usually dismiss it as s/he was just having a bad day. Bad day my foot. You'd be surprise how many errors or meds that didn't get pass that they do. And how do I know? Sealed meds or if you ask them where a specific med is they don't know. Strange because not only do I have to pass it, you were suppose to have passed it on your shift. How come you don't know where it is, yet you've signed off on it and you're yelling at a newbie or agency nurse over something trivial? I've read other posts (not this thread) about how this profession eats its young and I have found this to be more true than false.
    You make good points,
    Peace.
    Ashes

close