I think nurses share some of the blame for the nursing shortage. - page 2
I read recently that only 12% of all nurses are under the age of 30. Being a new graduate BSN and practicing nursing for 18 months, I found that statistic pretty horrifying. I have been visiting... Read More
Sep 3, '02I don't know why nurses eat their young. It is up to this generation of nurses to make changes to the way students are treated.
Sep 3, '02If you think your class was maxed out......we had 500 in our class. Sometimes our lectures had over 250 people in it. You could not get an ounce of attention or even get your questions responded to.
Nurses are known for eating their young. My preceptor was a witch and should never had precepted anyone. She was rude and nasty. At the end of my preceptorship, she evaluated me and said I was to nice and to helpful.........how can you be to nice to your co-workers?
I recently accepted a LTC job. Float. They said I would get a weeks orientation. I got 20 minutes! The LPN they left me with, went on a nice 1.5 hour lunch and asked me to pass meds and she would be right back. 40 residents. Dementia floor. NO way to ID them, no picture IDS no armbands. I did the best I could. I did not do two treatments and one IV as I did not know the code to unlock the pump. The admin and DON were out of the building and the other wing RN said she was to busy to help me-"Your on your own honey". I got written up for not doing the treatments- no one showed me the book! Also was written up for the late IV-no one told me the code. Then they had the nerve to tell me I was getting off on the wrong foot....I think not. I worked my 12 hours and told them I thought they were being very unfair and i could not stomach working there. I also got a "talking to" by the LPN as when I was on the floor alone, STNA was gone too, I changed two wet beds as the residents were pleading for my help. It was a nightmare.....I was told by the charge nurse-it is not your job to change wet beds even if the resident is pleading for help. God I would not want my family member in there. The residents both thanked me. The LPN also refused to help me get a huge woman out of bed. She said let the aide do it.......horrible.
Sep 3, '02It is great to see that there are RN's out there that had better experinces than me. I looking from the prosepctrive as a professional with a four year degree. Do yo see physicians, pharmisist, physical thearpist treat each other without respect. If they did not I would think that the application process would not be as difficult. There is acutually a waiting list to get into these programs. I don't think it is becasue the money, because nuses make pretty good money. If you are willing to work at least 50 hours a week, one could make at least $80,000 a year.
Nurses get little respect from both physicians and famlies at least what we could do to make the profession a lilttle more attactive to treat each other with respect.
I think that the ANA should icorporate internship programs for all nurses that is 18 months in length. During that time they would do 6 months on a med-surge floor, 4 monts in the ER, 4 months in the OR and 4 months in the ICU. That way most nurses would be profeccient on working any floor and have that great Med-surge base and know how other deparments work. If the profession would just do that with only nurse educators doing the teaching I would think there would be turn around for the better. The only orintation would be just to the floor.
This is my suggestion, I know there are hospitals that do have intership programs, and the lucky few who do get selected usally have easier time with orentitaion. Good luck to all nuses and wish the best for yor all.
Sep 3, '02[QUOTE]However, there are many nurses out there that nuture and mentor younger nurses. Do we hear of these very often? No, we mainly hear about the ones who eat their young. I know that 2 or 3 b***** nurses can ruin a work environment for 80 to 100 good nurses. It is too bad that the 77-97 nurses don't speak up and tell the b***** ones off.
Thanks Jenny.. I could not have said it better myself!
I beleive it is not revolution that will create this change. I beleive it is standing there and refusing to participate when these things happen to each other. It happens, on occasion, even here; but it does nto continue )IMO) because there are many of us who will NOT tolerate it.
When I was about to graduate , we were permitted to attend a staff meeting. I think the facility wanted us to gain comfort in their surroundings and hope to entice us to work there. Well... after hearing how poorly they spoke to one another there was NO WAY I would work there. Recently, I say how this same facility was offering a $ 13,000 sign on bonus (no thank you still).
I ca n only be responsible for what I do; again, I do not condone poor treatment of my colleagues or those around me,
Sep 3, '02Even JCAHO has realized that patient casualties are tied to gaps in nursing -as reported in my previous activism post.
Health Care at the Crossroads: Strategies for Addressing the Evolving Nursing Crisis
See: Create a Culture of Retention and Ways to Bolsture Nursing Infrastructure (all but decimated in most facilities due to budget cutting) in report.
From pg 30 of report:
"Once hired, new nurses receive an average of 30 days of training, in contrast with the three months of hands-on training provided five years ago.123"
THIS IS HAPPENING WHILE PATIENT ACUITY IS SKY HIGH!! Know wonder burnout is happening!
From Pg 31:
"Graduate medical education, which is funded in substantial part through the Medicare program, is standardized by discipline under
the purview of the Accreditation Council for Graduate Medical Education. For nursing, there are no structured residency programs,no standards, no oversight body to assume that the standards are met, and no funding."
SOLUTIONS offered on Pg 33 include:
"Establish standardized post-graduate nurse residency programs, a nursing equivalent of the Accreditation Council for
Graduate Medical Education, and funding to support this training."
Check out and support the recommendations JCAHO are suggesting. In your meetings with administration, trot out this report, for JCAHO has a lot of weight in getting conditions CHANGED (for fear of losing accreditation).
Sep 3, '02When I was in clinicals, most of the nurses didn't pay one bit of attention to us. The ones that did were nasty. I remember only one nurse manager being nice to us.
We basically relied on our instructor.
I swore to myself that when I became an RN, I would go out of my way to be welcoming and available to student nurses.
And I was. Those students were in shock. They just ate it up, like starving people. I thought, how sad. They appreciated it and me so much.
The next semester, the new class came on board. The students came up to me and said, "You're Cherry?! We heard sooooo much about you from the last class, you are great and we are soooo lucky to have you with us today!"
I felt great.
I mean, it's the LEAST WE CAN DO.
Sep 3, '02Ummmm. Have to say docs are notorious at my hospital for treating each other and other people (like NURSES) with extreme disrespect. There was even an article in the news archives here about the fact that doctors' poor treatment of nurses was one reason so many nurses were leaving. Haven't you ever heard of a code white?
Sep 3, '02Thegame
Am I the only one to see something VERY wrong here?? You stated that you "Told the charge nurse that you didn't like the way things were run here and left in the middle of your shift??" Can we say, patient abandonment?? Do you value your license? If I had been the charge nurse, not only would have I been glad to see you go, but also have seen to it that you were reported to the BRN.
Nio profession is perfect--want to talk about the 40 hr shifts the medicalbresidents do, because that's the way it's always been done?-that nurses seen to need a LOT more units of education than our non-nursing peers? I could go on and on, you get the drift.
when I was the charge nurse in an ICU fo a very busy teaching hospital, I have seen last semester students who I wondered about, they didn't have 2 brain cells to rub together, one was days away from graduation, when I looked in on her pt, who was birght red, asked her what the pts temp was, she smilled sweetly and said "Oh 98.5" "Yeah, when ?" "When I checked him" -which was 4 hrs earlier. You can't teach somebody to be smart-either they are or they aren't-not to mention common sense-then there were complaints when the instructor failed her.
Sometimes, you (don't mean you personally) just need a reality check. Like when you're told about the lunch hour, breaks, etc,
I agree that too often older nurses are seen as eating their young, but I also ask myself, " Are we better off with these people or not" when you mention about some of the nurses who left. Please understand, too, that I did my fair share of mentoring , LIKED mentoring and always tried to be respectful of others, BUT sometimes I truly wondered WHY some of these people had chosen nursing.
I also know my fair share of "retired-left" nurses, who now sell plastic partyware, cosmetics, married to the $$, and no longer work in the professsion. (and make more money too)
Life is full of choices. Isn't it wonderful
Sep 3, '02When I was a student most of the nurses were receptive, other than a few isolated incidents. I always made a point to thank the really good preceptors who challenged me to learn and did so in a nurturing way. The summer between my Junior/Senior year I did an externship where I was paired with a specific nurse. I worked exclusively with her when she worked. She was awesome. At the end of my externship I wrote a letter to her manager to be put in her employee file. I'm a firm believer in kindness and encouragement of both students and peers. Nursing is hard and we need to stick together. One of my nursing instructors told us, "If I see you on the floor after you graduate being snotty to one of my students, I won't hesitate to remind you where you came from". I always try to remember that.
Sep 3, '02You know it's funny but when I was a student...I can't remember one person who treated us badly! Since I have been a nurse for a very long time...and worked across he country...I have never heard even one nurse say..."Groan...we have nursing students today!" Not once! I was , and I'm still, always glad to see students on the floor! I have watched nurses going out of their way to help students...and challenging them to 'think"!
But I have seen students who made me wonder why they were nursing students! One such BSN student...had a pt...that I was assigned to. This pt. was to have his bowel program done that day! SHE chose to take over his care AFTER his program was completed.. AND after his bath had been done!!! In fact because of the student turning up her nose at doing this pt's bowel program... HE decided He didn't want her to be his student that day...!! Sad...very sad!
I must admit though that I did have the preceptor from HELL ...when I started in NICU!!! She made my life miserable...but she taught me a whole heck of a lot! She knew her stuff...and she hammered it into me!! She didn't do it for my good...though...she wanted to make me quit. But I didn't!! . On the other hand...my classmate who started there with me...got the preceptor from HEAVEN! I just figured it was the luck of the draw!!
But when I got on the nite shift I was welcomed by the nurses on that shift. And I worked in the L&D department...as we were crossed trained. I can't remember anyone who treated me badly....but I can remember those who helped me learn...and to them I will always be grateful...!
Sep 3, '02thegame.....i am a nurse in San Antonio Texas. I've been an LVN for the past 7 1/2 years and have worked slowly towards my RN. I have taken my time with it for several reasons. In, we were taught that we would make a difference and we would be paid well and we would be respected professionals, yada yada yada. My first job in December 1994 was in a nursing home where I was paid $10.50 an hour working 3-11. I started there with a 1 hour orientation in which I watched films and filled out paperwork. The place was very shortstaffed so I was "trained" to the floor by the med aide who showed up when she wanted to and left when she wanted to and nothing was done about it. I went to work one night to find the floor staffed with only GVN's (we had not yet taken the boards) and one med aide. No licensed personnel anywhere because there just wasn't any. It was horrible and if I told you the things I saw there you would just cry. I didn't leave though. that patient abandoment issue had been drilled into me so i was not leaving until i had relief staff. Anyway, I have worked dialysis, med-surg, post-partum, telemetry, long-term care, alzheimer's, ob/gyn in an office, and assisted living. I HAVE been confronted with situations exactly as you are describing. I have been told that LVN's are nothing more than glorified CNA's. I have been told that there are "nurses" and there are LVN's. we were not in the same category. I could go on and on. I finally got to the point where I could take no more and got out. I have been out of nursing full time for nearly 2 years. I work prn for an agency which is nice because I can work when i want. I am a full time auditor for an HMO and make more money, get better benefits, and get treated worlds better than in nursing. And yet, i miss the patient contact. I miss talking with them and making them feel better and learning new things. There are alot of things I do miss about nursing. So, I have continued my RN courses. I will become an RN and then I will decide what I want to do. I don't know that I will go back to nursing full time but we'll see.
Please don't let overstressed insensitive staff push you out of the field. It can happen. I have many friends who dropped out of the field after less than a year and were stunned that I decided to stay in full time plus for as long as I did. I stayed when the state threatened to shut down the nursing home I had just started working at. I stayed when the respect I surely deserved was not given. I stayed while getting kicked in the head by a patient when I was changing a dressing to her ankle. And more.
the best advice I can give, and I am only one small person (truly only 5'1" :chuckle ) is to keep a positive attitude, stay focused on what you are doing and why you are there, ignore the bitter, and don't let your heart get hard. If you go in with a smile and a positive attitude, you'll be suprised at how much better the day can be and how most of your coworkers will reflect that. The patients need you, the staff needs you, and there are much better places to work where you can be treated better. If you ever plan on working in SA, drop me an email and let me know where you are interested in and I can give you some insiders knowledge on many of the facilities. Nurses talk.
If you decide to go to medical school, i wish you the best. we really don't have enough doctors or nurses contrary to what others may say. The valley in Texas is critically short of both and so is New Mexico. I truly hope you find a place that makes you happy. Just keep in mind (in case you are going to medical school simply to avoid the downside of nursing) that without the support staff of nurses etc, nothing would get done for these patients. Docs can write all the orders they want...if no one is there to implement them, they mean nothing.
God bless you. Feel free to email me if you'd like to chat or whatever.
Sep 3, '02Hey, I want to clear my name. I did not abandone any patients my first night. I did no get report or even touch a patient my first night. My preceptor did not even show up for her shift for some unknow reason. I sat at the nurses station for two hours waiting for the charge nurse to pair me up with someone. When she did, I was never intorduced to the LVN, she went on to give me the charts of the patients and I sat there for another two hours wiating to start. When I asked if I could help with anyting I was told she to busy right now to show me anything. I told the charge nuse you are paying me to do notihing and would be better off starting another. Please do not say I was leaving pts unattended when I was never given any.
I have nothing against nursing. I gave it a shot and was not for me. I went into the professoin with an open mind and open heart. For a profession that is know caring, boy did I see little of that.
I finally found a great Medical Surgical unit and was there for year. I would have 10 to 12 patients at one time and still found time to welcome nursing students, and new nurses to the floor . Becuase I still remember my first day and how fustrating it was.
From reading some of the post a lot of fellow RN's agree with me and it seem to be a growing majority. Belive me I can tollerate a lot, I used the military to pay for my college degree and worked as a CNA for one year. Our attitudes pave the road for future nuses and would benifit the profession we would act professional instead of adolecents.
By the was TEXASSUGAR, where in San Antonio do you work. I currently practice in Texas. I will be applying to University of Texas in San Antionio?Last edit by thegame on Sep 3, '02
Sep 3, '02The intital posting makes me think you yourself should consider a new career. Nurses are overworked and underpaid and get very litle respect but you have to want to help others and not be looking for glory! Help mankind and the world can become a better place it has to start somewhere. Why not with you!