Blue or white collar? - Page 7

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  1. Quote from Jingles39
    I'm pretty sure the blue collar bus driver who suddenly finds himself slipping and sliding down an ice covered highway in the middle of winter with a bus load of passengers is going to disagree with you.

    When I think of a professional, I think of someone well spoken, mannerly, knowledgeable in his or her duties, hard working and properly groomed. It does not take a college degree to obtain those traits.
    I cannot fathom why nurses are being compared to bus drivers! How many times would a bus driver be put in a life and death scenario as you described?
    How many times are nurses placed in that scenario?

    Professionalism is not based on how you groom / present yourself.
    Professionalism is education, licensure, credentialing and responsibility.
  2. Quote from Been there,done that
    I cannot fathom why nurses are being compared to bus drivers! How many times would a bus driver be put in a life and death scenario as you described?
    How many times are nurses placed in that scenario? I believe that would depend on what type of environment said nurse was working in. In the 9 years I spent working in outpatient clinics and private practices I never once saw any of the RN's that I worked with in that scenario.

    Professionalism is not based on how you groom / present yourself.
    Professionalism is education, licensure, credentialing and responsibility.
    A Harvard educated, top dog criminal defense attorney who cheats on his taxes, back stabs his co-workers and chases his secretary around the desk after hours is no "professional" in my eyes. I don't care what the 15 pieces of paper hanging on his wall say.

    You say potato, I say potahto...Here's what Merriam-Webster says:

    Definition of PROFESSIONAL

    1
    a : of, relating to, or characteristic of a profession b : engaged in one of the learned professions c (1) : characterized by or conforming to the technical or ethical standards of a profession (2) : exhibiting a courteous, conscientious, and generally businesslike manner in the workplace

    2
    a : participating for gain or livelihood in an activity or field of endeavor often engaged in by amateurs <a professional golfer> b : having a particular profession as a permanent career <a professional soldier> c : engaged in by persons receiving financial return <professional football>

    3
    : following a line of conduct as though it were a profession <a professional patriot>

    I see no mention of degrees, licensures or credentialing.

    Truck drivers must have a CDL license. Even those stinky, beer bellied, womanizing ones you see every now and then.
    Purple_Scrubs and grownuprosie like this.
  3. Quote from Been there,done that
    I am shocked that you view staff nurses to be less able, than you, to apply critical thinking and make decisions!
    I have worked on both sides of that fence. It is very often that nurses either get that"gut feeling" that something is wrong, note a trend, or catch something subtle .. that prompts them to call rapid response.
    The ONLY reason I don't handle it myself any more is because the hospital has already given me an unmanageable assignment... they know it, too.
    That is why we have a rapid response team!!! Certainly not because any of us have lost our skills.
    I agree with you Been there done that, but I can also see where what PMFB-RN is saying could happen. I don't think that an experienced nurse is going to 'forget' how to manage a patient crisis and all nurses should be able to identify an impending crisis, whether it's that gut feeling or a subtle sign or a trend or something else.

    However if everything is being left to the team to manage (because the nurse already has an unmanageable workload, as you say) I guess it's possible that inexperienced nurses might never actually learn what to do next after they have identified that something is wrong.

    Sorry, off topic I know. Back to collar colour!
  4. i am shocked that you view staff nurses to be less able, than you, to apply critical thinking and make decisions!

    *** well good news. you can put your shock away cause i don't have that opinion and didn't say or imply that.

    i have worked on both sides of that fence. it is very often that nurses either get that"gut feeling" that something is wrong, note a trend, or catch something subtle .. that prompts them to call rapid response.

    *** yes i am well aware of that. i get those calls all the time. but usually from experienced rns. my point was and is that in my hospital, and in hospitals that use a similar rrt model newer rns may not be developing the skills you have. our staff rns have little in the way of prns, protocols or standing orders that allow them to deal with things. they are not allowed to place an iv or ng or draw labs. about the only thing they can do one their own in apply o2 and get an ekg. i am not saying i think that's the way it should be. just that it's the way it is in one of the hispitals i work and that i am noticing the same trend in some other hospitals.

    the only reason i don't handle it myself any more is because the hospital has already given me an unmanageable assignment... they know it, too.

    *** that is not the case in my hospital. the nurse may have been given too heavy a patient load but even if not they are required by policy to call rrt whenever a trigger is met.

    that is why we have a rapid response team!!! certainly not because any of us have lost our skills.

    *** i suspect the real reason you have an rrt team is cause jcaho requires it. i am starting to wonder if you have gotten my post confused with somebody elses. i didn't imply that skilled and experienced nurses are losing skills they have spent year learning and perfecting. rather i am lamenting that newer nurses might not be getting the oppertunities you and i had as newer nurses.
  5. Quote from Jingles39
    A Harvard educated, top dog criminal defense attorney who cheats on his taxes, back stabs his co-workers and chases his secretary around the desk after hours is no "professional" in my eyes. I don't care what the 15 pieces of paper hanging on his wall say.

    You say potato, I say potahto...Here's what Merriam-Webster says:

    Definition of PROFESSIONAL

    1
    a : of, relating to, or characteristic of a profession b : engaged in one of the learned professions c (1) : characterized by or conforming to the technical or ethical standards of a profession (2) : exhibiting a courteous, conscientious, and generally businesslike manner in the workplace

    2
    a : participating for gain or livelihood in an activity or field of endeavor often engaged in by amateurs <a professional golfer> b : having a particular profession as a permanent career <a professional soldier> c : engaged in by persons receiving financial return <professional football>

    3
    : following a line of conduct as though it were a profession <a professional patriot>

    I see no mention of degrees, licensures or credentialing.

    Truck drivers must have a CDL license. Even those stinky, beer bellied, womanizing ones you see every now and then.
    I'm not talking about potatoes.
    I'm talking about the respect nurses deserve. If we don't see ourselves as professional, no one else will.
    I see you are not a nurse. When you have achieved your college degree,passed the state boards, and realize you have the responsibility to tell the doctor when their orders are wrong .... it's very likely you would like to be referred to a professional also.
  6. Well... it has to be White Collar for me.

    Through university I had to sit through our lecturers going on and on.... 'You are a PROFESSIONAL!' ....'evidence-based practice', 'responsibility', 'ethics', 'management...delegation...etc. I'm sure you get the idea.

    And after that many years of being drilled over how we are no longer considered trained/trade based learners anymore, but have shifted gradually into taking on more responsibility and being critical thinkers (All of us, original hospital trained and those leaving the schools).

    That to me places our profession now in the White collar category, we're stuck with so many expectations. We have to know why we do all the things we do and can no longer follow the miltary style or hierachal system that once was the core of the nursing decision process.

    If I can be sued/deregistered/told off for not researching everything I'm giving, doing, care and am 'expected' to keep up with latest journals and research, I think as a profession we've crossed the line into white collar territory. Although in the past I do believe we were a blue collar occupation and would be proud whether I was a white or blue as long as I'm still a nurse.

    However we're trying to place our role in one side or the other and I think the job has changed and we've left the realm of blue collar for a defination. Nursing has changed and with all the heaped expectations, I think we've also transformed (in my opinion) to white collar workers.
    Been there,done that likes this.
  7. Quote from pmfb-rn
    i am shocked that you view staff nurses to be less able, than you, to apply critical thinking and make decisions!

    *** well good news. you can put your shock away cause i don't have that opinion and didn't say or imply that.

    i have worked on both sides of that fence. it is very often that nurses either get that"gut feeling" that something is wrong, note a trend, or catch something subtle .. that prompts them to call rapid response.

    *** yes i am well aware of that. i get those calls all the time. but usually from experienced rns. my point was and is that in my hospital, and in hospitals that use a similar rrt model newer rns may not be developing the skills you have. our staff rns have little in the way of prns, protocols or standing orders that allow them to deal with things. they are not allowed to place an iv or ng or draw labs. about the only thing they can do one their own in apply o2 and get an ekg. i am not saying i think that's the way it should be. just that it's the way it is in one of the hispitals i work and that i am noticing the same trend in some other hospitals.

    the only reason i don't handle it myself any more is because the hospital has already given me an unmanageable assignment... they know it, too.

    *** that is not the case in my hospital. the nurse may have been given too heavy a patient load but even if not they are required by policy to call rrt whenever a trigger is met.

    that is why we have a rapid response team!!! certainly not because any of us have lost our skills.

    *** i suspect the real reason you have an rrt team is cause jcaho requires it. i am starting to wonder if you have gotten my post confused with somebody elses. i didn't imply that skilled and experienced nurses are losing skills they have spent year learning and perfecting. rather i am lamenting that newer nurses might not be getting the oppertunities you and i had as newer nurses.
    "however now my job as a full time rapid response nurse has led me to the point of view i have now. in my hospital any unstable vital signs, or anything that makes a nurse worried they just call rapid response and we deal with it for them. i enjoy it very much but i think we are concentrating the critical thinking and decision making skills into just a handfull of rns in the hospital. staff rn in non critical care units need only to recognize a problem, not understand what to do about it."

    i seems clear to me that you are not recognizing the critical thinking skills(therefore professionalism) of the nurse that calls rrt.
    staff nurses no doubt understand what to do about...they simply do not have the time to apply the necessary interventions when they have 8 patients. who is going to take care of the other 7 patients, when you are drawing labs, calling doctors and respiratory.. etc.
    btw.. those "triggers" are merely numbers. numbers that require critical thinking skills, that should be in place before rrt is called. i recently was surprised the team was evaluating my patient with a wbc of 1.9... what a waste of time on a chemo patient!
  8. i seems clear to me that you are not recognizing the critical thinking skills(therefore professionalism) of the nurse that calls rrt.

    *** well you are quite incorrect and i have pointed out to you how you are incorrect. i suspect you are reading things into my post that are not there. i think you are determined to see it how you wish to see it, reguardless of what was actually written or intended.

    staff nurses no doubt understand what to do about...they simply do not have the time to apply the necessary interventions when they have 8 patients.


    *** i am wondering how you can know so much about the hospital i commented on. no acute care nurse in my hospital ever has 8 patients. i have never seen more than 6 on night shift, 4 or 5 being far, far more common.
    there is considerable doubt the staff nurses at this hospital understand what to do in situations. there are plenty of really great nurses there. there are also nurses who, while being very bright, haven't been allowed, or given the oppertunity to learn these skills.

    who is going to take care of the other 7 patients, when you are drawing labs, calling doctors and respiratory.. etc.
    btw.. those "triggers" are merely numbers. numbers that require critical thinking skills, that should be in place before rrt is called. i recently was surprised the team was evaluating my patient with a wbc of 1.9... what a waste of time on a chemo patient!

    *** i reguarly get calls for (let's say) bp of 80/50. i arrive and check the bp and it's fine. i ask the rn what it was when she took it? the answer all too often is h/she didn't. the bp was reported to the rn by the cna. the then simply picks up the phone and calls rrt without even checking on their patient. most rns arn't like that but enough of them are.
  9. I don't care what I considered. The only title that matters to me is ER-RN
  10. Wait... scrubs have collars?
    Purple_Scrubs and roser13 like this.