An open apology - page 4

It seems as though I may have ruffled a few feathers here with some posts I made to a particular poster. Even though I apologized in advance to the poster in case I was commiting a faux paus, it... Read More

  1. by   mother/babyRN
    I was under the impression that asking questions was a good thing.....But, I also didn't feel an apolgy was needed, though can "see" that a nurse with one great big heart elected to do so anyway...Just the type of nurse I would want to care for myself and my family....
  2. by   SKM-NURSIEPOOH
    just wanted to post the situation that sweet nurse provided here for the benefit of those whom may not have any ideal why the apology even given by 2ndcareerrn. the topic matter has once again changed.
    originally posted by sweetnurse11 history of fall

    76 years old male patient was admitted in icu with history of fall from height , he is known case of uncontrolled diabetes mellitus type 2, he received 6 pint iv fluids in a&e, his blood pressure still in lower side, 80/40 mmhg , hemoglobin was 8.8 g/dl, nine unit o positive whole blood was transfused during night, in the morning patient complained of abdominal distention, the enlarge meant of abdomen was increased daily, hgb increased to 13.1g/dl, doctor had prescribed 30mg of tab dulcolax and soap enema was given and kept patient npo, but still bowel not open ,usg abdomen and ct scan of abdomen and pelvis was in normal limit.

    my question is does blood transfusion of nine unit which was given fast can cause abdominal distension and how?

    thanks.
    i believe the history of the patient was given in order for her to pose the question...yea she gave a lot of details, but she wanted us to have the whole picture so that we won't think she was asking an off base question.

    the question posed, in my opinion, wasn't that difficult of a question nor was it inappropriate. sweet nurse stated in her next post that she was a rn & had graduated a year ago...it appeared to me that she was asking on the behave of another nurse.
    originally posted by sweetnurse11...i'm a registered nurse working in icu since one year, i'm not student nurse doing research or rotation in icu, i have more interesting in reading and learning more about nursing care and practices in the world and how the nurse can give the best quality patient care in correct manner to save both nurse and patient.
    perhaps she works in an er department & seen, what might seem like to her, an unusual treatment for this patient. maybe she posed the question to see if this is what would've been done at other facilities or not.

    i like to take her at her word & believe that she's not a current student; however, whether she is or not shouldn't matter; any student, should be able to "look outside the box" when a situation occurs that can't be furthered researched in the 'traditional" ways...especially if she's at work where textbook are sparse but internet access is available.

    i know for a fact that in teaching hospitals, docs love it a lot whenever students pose questions to them, especially when it's a complex matter. they see students asking questions as being willing & wanting to learn more, not just wanting answers "spoon fed" to them. i've seen those docs interact with students all the time...making them "think critically" & "logistically". they've had them look at the situation, either from a pathology standpoint or just from a anatomy standpoint, & just walk them though to the answer or conclusion. in a surgical setting, the docs usually just explain what it is they're doing & why...no big deal ...these students are certainly not subject to "memorizing" those answers obtained by docs either. i've never heard one of those docs tell any student to "do your own research, that's the only way you'll learn by thinking critically, logically, or so that you won't be subject to just "memorization". to say or suggest that is absolutely ridiculous & unfounded, give me a break please...in order to be accepted into college, one has to demonstrate a certain level of critical & or logical thinking...can we just get passed ourselves for a moment & yes, get off our high horses for once???

    we do have to start thinking outside of the box folks as the internet has become a norm for research now days & university libraries have made it easier to make research & review articles available to students online. yes, it's up to the student to verify their research to make sure the information gotten isn't bogus. if students are suppose to cite their references, then using information gotten from nursing bbs, in this respect, would prove to be tricky (& may not be accepted by the nursing instructors), especially if the information gotten was provided by persons unknown; they should have other references with reliable data available to use. however, asking a question or two to settle some sort of curiosity or end the frustrations of a stumped nurse or student shouldn't be a problem. those whom are opposed to answering them should move-on & not participate, but do allow the rest whom don't mind to help-out.

    apparently, all nurses. com believe that students should have a place & are given a separate bb in which they can pose their questions or vent, like everyone else does on any of the general discussion or specialties bbs...why shouldn't they be allowed to ask if they desire.

    i'm a current student who come here to relax & unwind...i've never asked any "school-type" questions here as if yet, but should i get stuck on something, i would hope i could turn to someone here for guidance.

    plenty of students have started threads with a posed question in the student, general discussion, & specialties bbs that pertain to their class or assignments...i never seen their threads closed by any monitors nor have i seen anyone tell them that they shouldn't have pose their question as a new thread topic there either. i seen people support these same certain other students here on these bbs but are dead against this one particular nurse's question because she's perceived as being a student because she gave a thorough history on the patient before asking the damn question (excuse my french)...how hypocritical is that. :angryfire hell, sweet nurse might never return here because of all of this going on about her being a student, even after she denied being one; if that's the case, then that would be truly sad . sweet nurse is a human being with feelings, i'm sure not one of you would appreciate being called a liar, but that's just what many here have done. i've had my doubts at first, but in reflection, i'm quite upset with myself for not believing her from the start. in that respect, i do believe i owe sweet nurse a sincere apology.

    in this case, i doubt that sweet nurse is a student, i believe that she maybe inexperience & needed some guidance...to her credit, i salute her for knowing when & where to ask for it...i just hope that she gets the answer that she searched for & not be turned-off by this incident.

    this thread was initially started by 2ndcareerrn in order to offer an apology to sweet nurse about his post on the critical care nursing; medical intensive care unit (micu);..."history of fall" thread.
    http://allnurses.com/forums/showthre...threadid=16251
    most people here agreed that an apology wasn't warranted but i would like to know why it was posted here on the general discussion bbs as opposed to the critical care bb because sweet nurse might not know to come here to see it.

    with that said, this thread's topic, like so many other threads topics, have changed from one of an apology to sweet nurse into a topic of the appropriateness of students using, these, or any other nursing boards to gather information, whether school oriented or not.

    is it possible to just continue to give opinions on the apology topic??? can the other topic (students asking school questions on bbs in order to get a quick answer) be started on the off topic bb if it's one for further discussion??? i'm sure a lot of students would be very interested in knowing just how the majority of posters feel about that subject...as i'm sure other would be interested in knowing their opinions on the matter too.

    i'm getting off of my high horse & soap box now & go pray!!!
    Last edit by SKM-NURSIEPOOH on Apr 28, '02
  3. by   ageless
    Unfortunately, SKM-NURSIEPOOH, you only mention one of the many questions that was asked that day. Please go back and look at the others that were asked of this poster. Perhaps that will clear things up a bit.
  4. by   hapeewendy
    I think that some ppl should just chill out and not get so riled up about this topic
    an apology was offered, and in all probability will be accepted......
    end of story
    we were just volunteering our own opinions about how "textbook" like some questions are ...
    last time I checked we were allowed to have an opinion without being on any high horse....
    being on a high horse implies that a person believes their opinion is better and somehow "more correct" than others and voices that freely...
    while everyone obviously believes their opinion is the right one I have not seen anyone put anyone else down personally.
    and I do believe that the question/query you posted isnt the one that started this topic...
    the one that I thought was being discussed sounded right out of a textbook.........
    but thats not the point here.....
    the point is that we all know threads get off on different tangents , and we all have different opinions about this one, and all opinions should be respected without implying that some ppl think they are better than others
    we were all students, and its not an insult to be mistaken for one ......
  5. by   SKM-NURSIEPOOH
    ...and half are questions asking how to post a question...granted she goes onto many specialties bbs but shouldn't she be able to ask questions. perhaps she got carried away with the amount of questions asked, what difference should it make if it was one or 15 separate questions asked in one or spread-out in many days.

    the fact still remain, she wanted some sort of clarification on one topic or another.

    i just think it's a shame that people continue to carry-on & speak about her as if she was lying about her status. perhaps, she has a student of her own assigned to her & she was asked these questions & wasn't really sure about the answer; she come here & start asking away, so not to be embarrassed by her not knowing the question...just a thought.
  6. by   hapeewendy
    the amount of questions anyone asks isnt the issue
    no one knows everything
    we all seek clarificaction and knowledge
    as we should
    its a poor nurse who thinks he's/she's learned it all by now
    but really I didnt see ANYONE imply that sweetnurse was lying about her status as an RN.......
  7. by   Q.
    It does sound like a question directly out of a textbook. Maybe it wasn't.

    Perhaps SweetNurse should have offered her own conclusion about if the units caused abdominal distention.
    Something like...
    "I was thinking that the unit of blood could cause distention, since distention could be edema, air, etc. If the blood was given too fast, could THIS cause it, yadda yadda." Something to signify that the student is thinking on her own but also needs some guidance.

    No one is against guidance. But hand outs are a no-no. Again, simply giving the answer is not encouraging learning.
  8. by   SKM-NURSIEPOOH
    originally posted by hapeewendy
    i think that some ppl should just chill out and not get so riled up about this topic
    an apology was offered, and in all probability will be accepted......
    end of story
    we were just volunteering our own opinions about how "textbook" like some questions are ...
    last time i checked we were allowed to have an opinion without being on any high horse....
    being on a high horse implies that a person believes their opinion is better and somehow "more correct" than others and voices that freely...
    while everyone obviously believes their opinion is the right one i have not seen anyone put anyone else down personally.
    and i do believe that the question/query you posted isnt the one that started this topic...
    the one that i thought was being discussed sounded right out of a textbook.........
    but thats not the point here.....
    the point is that we all know threads get off on different tangents , and we all have different opinions about this one, and all opinions should be respected without implying that some ppl think they are better than others
    we were all students, and its not an insult to be mistaken for one ......
    ...and yes, that was the thread where sweet nurse poses a question which in turn got the response in which 2ndcareerrn made a comment about sweet nurse being a student. yes it true, he gave an apology, but i'm not so sure that sweet nurse would even come back to see it.

    again, any student who would take shortcuts by posing their homework or research questions here, take those answers & not verify them in order to get their homework questions done for them will ultimately get discovered one way or the other. it come-out in their testing & application of theory in the clinical area & is completely on them. why should the many suffer because of the few???

    the posters go on & on about her "probably" being a student & how wrong it is for students to ask their homework questions here on the bbs.
    how some who've commented here against that have them selves participated in other students' threads that were school based or they themselves was the student whom posed those questions speaking-out against students seeking answers to questions on these bbs...to me, it's like, they're pulling the ladder-up behind themselves or even being hypocrites.

    that's what i take issue with!!!
  9. by   SKM-NURSIEPOOH
    originally posted by susy k
    it does sound like a question directly out of a textbook. maybe it wasn't.

    perhaps sweetnurse should have offered her own conclusion about if the units caused abdominal distention.
    something like...
    "i was thinking that the unit of blood could cause distention, since distention could be edema, air, etc. if the blood was given too fast, could this cause it, yadda yadda." something to signify that the student is thinking on her own but also needs some guidance.

    no one is against guidance. but hand outs are a no-no. again, simply giving the answer is not encouraging learning.
    ...hand-outs shouldn't be given but guidance & advise should.
  10. by   nurs4kids
    Originally posted by ageless
    I believe that some posters are missing the point of this discussion. Asking a question for further understanding of the rational after one has found the textbook answer is perfectly respectable.
    This discussion originally centered around a member who was going to different discussion groups in this forum typing in her study guide questions. Whether she/he denies it or not..it was pretty obvious that she wasn't asking out of concern for the "other students" knowledge base as she stated. IMHO I don't care to work with lazy nurses and that is the beginning sign of one. one who for example will not look up their own medications in the PDR but rather have you do for them.
    I especially enjoyed the question about the pulse ox. For fun i typed pulse oximetry into Google.com and came up with all the answers to the posters question in one hit. Apparently, the poster was too lazy to even do that...we were asked to do it for him/her.
    I love student questions that have been asked after some effort on their part has been made and most seasoned nurses feel the same way.

    IMHO the poster was attempting to cheat on an assignment. Nursing and deception are a dangerous combination.
    AMEN!
  11. by   Robin61970
    I just wanted to make a statement.......I am currently doing prereqs for nursing and I USED to visit this section quite often....this is the first time in around 4 months or so that I have been here......I stay in off topic and student nursing because of things such as this.....apparently that is where the students belong according to some posters. It does make me hesitant to approach anyone here with any questions when I actually start the program....very sad......
  12. by   hapeewendy
    I'm still not understanding how ppl made students
    feel uncomfortable exactly....

    the point I've seen ppl make is that students should do their own research and while its fine, even great for them to ask questions here, they shouldnt rely on the responses they get here only.
    the work on their end still needs to go into any project or research they do.

    I think that this thread has turned into something totally different than originally intended
    and somehow has put nurses against students when infact thats not the case at all...

    students , or anyone for that matter shouldnt feel that they cant post anywhere they want. no one has said anything maliciously about students to my knowledge..... I dont quite understand where all the drama and hard feelings are coming from.

    we debate all the time around here
    its really insane how passionate ppl get about all the wrong things..
  13. by   Q.
    Originally posted by Robin61970
    I just wanted to make a statement.......I am currently doing prereqs for nursing and I USED to visit this section quite often....this is the first time in around 4 months or so that I have been here......I stay in off topic and student nursing because of things such as this.....apparently that is where the students belong according to some posters. It does make me hesitant to approach anyone here with any questions when I actually start the program....very sad......
    Robin, I think we all in agree in that we don't want to do you a disservice by handing out answers. We want you to actually learn and retain the information; by guiding you through the steps to arrive at the answer, we will be doing you a bigger favor than just spitting the answer out at you.

    Trust me.

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