My externship is not going well - page 3

I posted this somewhere else but want some opinons. I am in between 2nd and 3rd semesters in nursing school and taking an externship. I just started my externship and so far I have found many... Read More

  1. by   A/A/OX3
    Quote from bluesky
    I was merely trying to accomodate her goal which is to have a successful career on the unit she has chosen as the only one she cares for. You are blindly accepting her characterization of the preceptor which clearly stands in contrast to that of all her peers. Your ad hominem argument about my quote is not relevant here. Women chose the right historical moment to make a stand, a carefully chosen one which will have historical meaning. This other nurse is just as disempowered as she is, in the end. She is not defeating an oppressive power or making working conditions better for herself or others with some kind of inflammatory exchange. I have had my share of inflamatory exchanges in the workplace in the past and have found that it does none of the things which I strived for i.e; build solidarity among workers, earn the respect of the "victim", or resolve the conflict.
    To begin with, I believe it is quite presumptuous of you to identify NP's goal as 'having a successful career'. Her goal may be to fatten her bank account. Her goal may be to snag a doctor husband. Her goal may be to please her parents. Her goal may be to use nursing as a stepping stone to greater things. It does not follow that because she is a nursing student, she wants a successful nursing career, particularly 'in that unit'. I have to believe that if she 'is the best' as she has stated, her goals are far greater.

    People, such as her preceptor, are people I refer to as 'fillers'. They are present for only one reason... to provide a 'body count'. 'Her preceptor' would be the person who's goal is a 'successful career in the unit', most likely because she has few successes elsewhere... rather like the bank teller that has complete control of your life for that tiny moment in time.

    You say that I am ' blindly accepting her characterization of the preceptor which clearly stands in contrast to that of all her peers'. My visual image while reading those words was Hitler standing over the open graves at Buchenwald. The SS claimed he was a swell guy.

    I am a CVICU CCRN in the Texas Medical Center in Houston at the DeBakey Heart Institute, Methodist Hospital. It is a 41 bed surgical heart unit. Our patient load includes AAA, CAB's, heart and lung transplants, 8 different types of VAD's (axial and pulsatile) and ECMO. I have worked in community hospitals and teaching hospitals. I have been in the game a long, long time. I know the preceptor to whom NP is referring. At St Margaret's, her name was Mary. At Community, his name was Joe. At Christ, her name was Kelley. At University of Chicago, her name was Kathy. At Methodist her name is Dawn. Because their cronies say they are 'swell nurses' does not make it so. It only perpetuates the abuse.

    How did Hitler's seige end? America stepped in and said, 'Not today. Not ever again'. As seasoned nurses, this is our job.

    You say, 'I have had my share of inflamatory exchanges in the workplace in the past and have found that it does none of the things which I strived for i.e; build solidarity among workers, earn the respect of the "victim", or resolve the conflict'. I am curious as to what other outcome you expected when your approach was 'inflammatory'?

    The scariest comment in that sentence was 'earn the respect of the "victim" '. Were you defending the victim for respect? I would hope that you were doing it because it was right and just. I believe that Emerson speaks to the respect I covet far more eloquently.

    "To laugh often and much; to win the respect of intelligent people and the affection of children; to earn the appreciation of honest critics and endure the betrayal of false friends; to appreciate beauty, to find the best in others; to leave the world a little better; whether by a healthy child, a garden patch or a redeemed social condition; to know even one life has breathed easier because you have lived. This is the meaning of success."

    He also said, "What you do speaks so loudly that I cannot hear what you say."

    Finally, in the words of Emerson, I say to you NP...

    "Do not go where the path may lead, go instead where there is no path and leave a trail."

    Go make some history NP.
  2. by   NP2BE
    Update-

    This morning after she refused to let me D/c an IV, she said "I got it" I decided it was time to talk. I know she can DC an IV, I am there to learn to become proficient in such skills. I asked her what I could do to become more involved in the skills side of nursing, the copout she gave me was. " well there are a lot of things you just can't do and I am not so comforytable with with my nursing license on the line" {This coming from someone who a week earlier showed me how she was giving a patient with high BS anywhere between 6-10 units of insulin ( she didn't look) even though it wasn't ordered. She said lets just not say anything about that and do it. ( about the insulin)) I said , maybe I will find something else to do this summer then. And politely thanked her. I never trash taked her ( although the reverse is not true, what she said I can't imagine). And was promptly reassigned to the only area they had left. Outpatient surgery. not what I wanted this summer but I'll take it. my new preceptor seems very professional and the staff is glad to have me there. I will make the best of it and learn a lot. I thank you all.
    NP2BE
  3. by   jaimealmostRN
    I am so happy for you NP2B. The new unit is lucky to have such a modivated and professional extern. Since it's outpatient surg, I bet you'll get to start and d/c more than a few IVs. Also, you'll probably be able to float to the OR one day or cardiac cath. Good luck, let us know how it goes from here. Ugggg, heres an embarrassing extern moment for your enjoyment. Today I consumed a great deal of caffiene d/t lack of sleep and we had a class to attend. Being so ahem, "up" I answered a lot of the questions very eagerly....I guess it doesn't sound to bad but I bet it was annoying....what a great first impression on the instructors! Soooooo embarrassing now!!!
  4. by   NP2BE
    Quote from jaimealmostRN
    I am so happy for you NP2B. The new unit is lucky to have such a modivated and professional extern. Since it's outpatient surg, I bet you'll get to start and d/c more than a few IVs. Also, you'll probably be able to float to the OR one day or cardiac cath. Good luck, let us know how it goes from here. Ugggg, heres an embarrassing extern moment for your enjoyment. Today I consumed a great deal of caffiene d/t lack of sleep and we had a class to attend. Being so ahem, "up" I answered a lot of the questions very eagerly....I guess it doesn't sound to bad but I bet it was annoying....what a great first impression on the instructors! Soooooo embarrassing now!!!
    Thanks for the vote of confidence! My preceptor is great. She mostly circulates in the OR, and mainly with the same docs,so to give me more experience, she is setting up to where Ill do PACU and pre-op one day, and work with different circulators on other days so its no so much repitition. So I am pretty excited about it.

    I know what you mean about the delayed onset embarrasement, I have had a few manic moments in class myself where I got invloved and talked to the instructors probably too much and could hear the sighs of my classmates, but was in such a good mood or jacked on coffee, that I didn't care.Then later I feel embarrased. Its okay though, the older students in the class are usually the only ones who speak up, and that includes me. The younger ones (80 % of our class) will mature eventually.
  5. by   Marie_LPN, RN
    Quote from AcosmicRN
    Hopefully, I was persuading her not to be an NP. It's sound advice; that's how NPs are treated where I come from.
    Let me clarify, because of your experience, then that give you the right to try to convince someone to not persue NP? Okaaaaaay. Guess i shouldn't try for one either.:chuckle

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