A REAL Nurse

This article was inspired by the thread asking "Do you Tell That You're A Nurse When You Go To The Doctor Or ER?" Nurses Announcements Archive Article

When dad was ill, my sister went to the hospital and told everyone that she was a nurse and she'd be watching them. She is a nurse -- sort of. She's a "Gucci nurse". She comes to work in her Gucci suit and her Prada heels carrying her designer handbag and her coach briefcase and sits in her corner office with the gorgeous view making policy for a chain of hospitals. She hasn't been near a patient in over 25 years (except for that time where her "fire most of the RNs and hire non-licensed personnel instead" policy caused the remaining RNs to strike . . . (she arrived to visit dad wearing $100 blue jeans, a cashmere sweater and carrying the designer handbag and coach briefcase. I'm sure that her hair and make-up were perfectly done as well. She didn't like dad's room and insisted he be moved closer to the nurse's station, and then wanted a cot installed for my mother to sleep on and the food on the trays wasn't appetizing enough and . . . . Nothing, it seemed, was good enough. She was ever so polite, I'm sure, while making it excruciatingly obvious that no one was quite as good as she, either.

I arrived a day later in rumpled jeans and sweater and bleary eyes from an overnight flight. I got to the ICU about 6 am and, having heard from my sister about the 24/7 visiting hours, went directly to the nurse's station to ask if it was a good time to visit my father, Mr. Farmer. "who is your father?" asked the nurse rather strangely. "Mr. Farmer," I said. "my sister said he was in CCU."

"Oh," she said. "I'll get your father's nurse."

And so the nurse came hesitantly out of dad's room, peering around the corner obviously looking for my always impeccably dressed and groomed sibling and seeing only rumpled, overweight and dowdy me. "Did your sister fill you in on your dad's condition?", he asked. "she says she's a nurse."

I laughed and said, as I always do when asked about what my sister does for a living, "She's a Gucci nurse." This guy didn't seem to require the explanation about the Gucci suit, designer accessories and corner office with a view.

Dad's nurse began using layman's terms and a gingerly manner, to fill me in on dad's MI. Turns out it was the "big one." I asked questions, he provided answers and before either of us quite realized how it happened, he was giving me a nurse-to-nurse report using the big words and everything. For the first time since my mother's frantic phone call that dad had chest pain and she was driving him to the hospital, I had a clear idea what was going on. I sat with dad until physician rounds started and then, out of courtesy, I got up and started gathering my things to leave. My ICU didn't encourage family to stay for teaching rounds, and I wasn't going to expect "professional courtesy."

Dad's nurse surprised me by telling me I should stay for rounds. And then he introduced me to dad's doctor. "this is Mr. Farmer's other daughter, Ruby," he said to the group. "this one's a real nurse."

I never got invited to participate in rounds again -- I was never there at the inhospitable hour of 6am again. But dad's doctors made a point of seeking me out for the "family updates" and more than once, when my sister was highly visible on the unit, called me to their offices for a private conversation. It was probably far easier to talk to me, a CCU nurse who actually understood what they were saying than to either my mother -- who was probably already sliding into dementia -- or my sister the Gucci nurse. I've often regarded that introduction -- as "a real nurse" -- one of the nicest compliments I've ever received!

Specializes in Case Manager.

How dare she not want to reap the rewards and benefits of becoming highly educated and specialized in her field?!

Specializes in Home health was tops, 2nd was L&D.

The "gucci" nurse was not in her own facility , had no status in the father's unit, had no right to speak to staff in any manner which she would use if she were their superior, nor did the staff, hospital or anyone owe her any "rewards and benefits".. What's the deal??? I am sure in her own place of employment she gets all the "rewards and benefits" she deserves! Outside she was one of the man's daughters.

Unless she had some sort of legal document unknown to readers that gave her different rights and even then why be rude to staff.

This is supposed to be a place where nurses can vent, share, etc..not get attacked for sharing. Everyone is welcome to state a point but such rudeness to another posting nurse is uncalled for. of course the main problem was family dynamics but when in nursing any field any level, any degree does family dynamics not enter into care, hopefully it is the pt's family dynamics... and in this case both daughters/nurses were the pt's family. Yes, it would be great to hear the other side but this is not a court of law this is a forum for nurses to communicate.

I did notice those who seemed most appalled at the lack of "benefits" for the Gucci nurse had minimal experience in Nursing. Maybe they have not had enough time to experience the standard dysfunctional family we most meet in our careers. No offense meant..just see how it feels down the road or when it is your loved one. You might find it less appalling.

Specializes in PACU, OR.

In order to be referred to as a nurse-even if one is qualified-entails remaining at least reasonably competent in clinical practice and staying abreast of new trends and developments.

While most of the basics stay with us, much like bike-riding, if we do not practice our skills we become so rusty as to constitute a potential threat to patients if, for any reason, we once again find ourselves in a clinical setting.

Furthermore, any nurse manager who seeks ways to reduce staffing in order to cut costs and increase profits has indeed sold her soul to the company; she has forgotten the principle of "patient first." While Human Resource managers and company executives spend their time developing "improved" (read cheaper) standards of care, evidence on the ground as witnessed by the long-suffering nurses themselves is that patient care is deteriorating. There simply aren't enough nurses to go around.

I don't have a problem with designer clothes, expensive hair salons and makeup and pricey perfumes-if you can squeeze out the $$$ to pay for it, good for you, enjoy it, you owe it to yourself to spoil yourself, but don't distance yourself from your dedication once you're wearing 'em.

My daughter is an engineer, and she loves her designer clothes; but she has to go out on site wearing her overalls and protective boots; I call it her "industrial chic." I think, as has been suggested in another thread, that it would be a good thing if all management descended on a regular basis from their ivory towers and got into the trenches with their staff, and nursing managers should find nothing wrong in donning their "industrial chic" and getting out there with the staff and patients over whom they have so much power.

Specializes in Management, Emergency, Psych, Med Surg.

I have been on both sides of this fence. I have been what one physician referred to as a "clipboard" nurse as well as a nurse in the trenches. Any nurse worth his/ her salt never forgets what it is like to be at the bedside. I worked for a nursing VP once who was my mentor. She had been away from bedside care for a lot of years. There was a nurse manager who was cutting her staff to the bone in order to make budget. My boss when to her floor, fired her, called up a couple of the "clipboard nurses" from administration and they all went to the floor and took over patient care. Because there are a few basics that you never forget. You might not know how to use the infusion pump but you can put patients on and off bedpans, take vitals, feed patient, turn them, bath them etc. And although these nurses had not been at the bedside in a long time, they still understood what "sick" looked like.

I believe that it is my professional responsibility to keep up with all aspects of my profession from medications to new trends in care and treatment. And as I make my new transition into a non patient care role again, I hope that I never forget where I came from.

Real Nurses come in all types/areas of concentration. It sounds like your sister would behave this way no matter what her degree & work experience. A person who needs to flaunt her power and belittle those who are doing their job to make herself feel important sounds like a person who is insecure & unhappy at heart. Maybe your mom viewed you as self-sufficient and secure and gave your sister more attention because your sister needed more reassurance. Obviously, I don't know your family dynamics, but I bet your sister was always a bit jealous of you-were you always the competent one they didn't have to worry about?

Specializes in Home health was tops, 2nd was L&D.

Kudos to itybits! This article seems to have agitated many. The writer was telling a life story about HER FAMILY. Sure dynamics are messed up...whose aren't. Of course nurses can afford Gucci if they choose. "Gucci nurse" was a just a title to explain the lack of reality in her sister's world. She was talking about manners and human communication not lack of skills. Both were daughters, both were nurses, but both did not know how to handle the crisis of their father's illness. :)

Specializes in Med-Surge, ER, GI Lab/Scopes.

If we're going to perpetuate respectability among our diverse and escalating profession, we are going to have to realize that there are many definitions of a modern nurse.

Specializes in med surg.

I think that the article was not meant as a slam to a sister or fellow nurse, just a comment on how non-clinical nurses may have a differenct perspective of what is a priority and what is not.

I think that the article was not meant as a slam to a sister or fellow nurse, just a comment on how non-clinical nurses may have a differenct perspective of what is a priority and what is not.

Perhaps simple commentary was the OP's initial intention, but from the title to the last sentence of the article, it is definitely a slam to a sister and to a fellow nurse. "Gucci" versus "real"?

To successfully comment on differences in perspective, one has to understand and be able to reflect the perspective of each side in realistic and objective terms. There needn't be agreement, only evidence that there is understanding and empathy. In the article, only one side was presented as realistic and there was no attempt to understand or accurately reflect the actions/motives of the other side.

Specializes in LTC/hospital, home health (VNA).

Ivory tower or in the trenches...we all eat, sleep and poop pretty much the same. Can be frustrating when people with power think that they are better than those without - whether it is a nurse or not. In pretty much any situation, you need all players on the team to make it work

Specializes in Cardiology, Research, Family Practice.
This story doesn't do much to end the cutthroat culture that already exists in nursing and the us-versus-each-other environment that it perpetuates. With all the attention being given to workplace bullying and lateral violence and the need to end it, one would think that you could have come up with an article that wasn't so denigrating of another nurse.

I wish I could give you a thousand kudos.

Specializes in Cardiology, Research, Family Practice.

Where is the evidence that she thinks she is better than anyone else? All you said is that she wears expensive clothes and wanted a cot for your mom to sleep on. Those things should not be an indictment on her character. I sincerely do not mean this to be rude, it comes across like you are the one who thinks you are better.