Never understood nursing - page 7
I know this is my first post on your forum, and I am a guest here. But I hopefully can get some answers to a problem that has seemed to plague me since I started practicing in medicine. I am hoping... Read More
Aug 15, '06Quote from earle58oh, I didn't mean to imply that all Nurses were "angels of mercy." I was just offering to the op what Nursing and Nurses were about. Of course you have your bad apples, but as a whole I think Nurses are very caring individuals that go into the profession for that reason. And yes, they are human and any time you deal with the public you run the risk of getting frustrated!i don't think nurses are all angels of mercy: that would be 1 end of the spectrum.
the other end of the spectrum: beastly, problematic, defiant, disrespectful power-mongers- obviously this too, is an extreme.
and that's why i struggle with this thread.
the problems the op has encountered with nsg, seems to pull to the other exteme in the aforementioned spectrum.
we all know there are some beasts out there, that work as nurses.
but to encounter so many?
it's just not credible.
i would be interested in knowing what all these other nurses had to say about this pa- how did he come across? what was their impression?
there are 2 sides here.
we are only hearing one.
but i am glad to hear that he has found a place of employment where he feels welcomed.
However, I stick by my original thoughts on what nursing is about. I wanted the op to understand what nursing/Nurses were about since he asked. It is the profession of caring and it takes a VERY special person to deliver this care on a daily basis.
Aug 15, '06Several comments made that I would like to respond to:
What does the facility being union or not have to do with it? I have never worked in a non-union shop and this stuff would NOT have been tolerated by our union....the strongest one in CA and one of the strongest in the nation.
OP: you don't write up your coworkers. Okay, fine, then that makes you part of the problem because you are not willing to be part of the solution. I don't like to write up my coworkers either, but if I see repeated offenses where a pt's well being is jeopardized, I write it up. As for the incidents you described, those nurses were practicing medicine without a license and that is something both the BON and the medical boards would be interested in.
Aug 15, '06Quote from husker-nurseWho's a student? The OP's bio doesn't say that.It appears through reading your bio that you're a student?
Aug 15, '06Quote from oONurseSharkOoAnd speaking of trolls......have you graduated from yet?were most of the hospitals you worked at union? if so i think therin lies your answer
Aug 15, '06Quote from TazziRNSorry, was referrring to ooNurseSharkoo; I stand correctedWho's a student? The OP's bio doesn't say that.
Aug 15, '06Quote from mercyteapotI think what the OP is trying to get at is why is it tolerated? I know I'm curious.It sounds to me as if what you don't understand is the attitude and behavior of certain nurses. It really doesn't have much to do with not understanding nursing.
Aug 15, '06Quote from EmpressAnd what I'm getting at is that it isn't and shouldn't be tolerated by everyone. No one takes advantage of you without your permission.I think what the OP is trying to get at is why is it tolerated? I know I'm curious.
Aug 15, '06PACPhD wrote:
By the way, the COO of the hospital, the director of the emergency department and every supervisor in between was an RN. There were no positions of supervision in the hospaital that I knew of that didn't have an RN in place.Last edit by PANurseRN1 on Aug 15, '06
Aug 15, '06jb2u; sorry for the misunderstanding; of course you're entitled to your opinion, and you were NOT the poster to whom I was referring.
Aug 16, '06Your experiences are very interesting and I believe it is the culture of an organization that determines whether staff behave "professionally" or not. Just out of curiosity, was the hospital you first described a "Magnet" hospital? Thank you for sharing!
Aug 16, '06Quote from PACPhDYeah, I seriously believe you have just had some really bad luck. But, please don't forget there is a reason some long time nurses are so defensive. Many of the other health care professions truly believe that nurses are uneducated handmaidens and have no problem delegating work to them. And why didn't you get your own UA's? There was a very good chance the nurse had a ton of her own work piled up, a majority of which may have been a stack of paperwork including documentation to justify her job. What were you doing?:spin:I know this is my first post on your forum, and I am a guest here. But I hopefully can get some answers to a problem that has seemed to plague me since I started practicing in medicine. I am hoping that you will be honest enough to tell me why things have gotten to where they are. And by the way, my wife is an EM nurse. That is how we met.
I started in emergency medicine 10 years ago in NY. I spent 10 years prior in EMS, and also did a residency in EM for two years after graduating PA school. I have a fairly decent background. Right out of school, I worked in 4 EDs. One hospital in Brooklyn, on my first day, the charge nurse and two others came up to me and said "You are the new PA, let's get one thing straight, we have 4 year degrees, you have a 4 year degree, you are no better than us. You need labs drawn, x-rays put in, IV started, you do them yourself. It's bad enough we have to do them for the doctors, we are certainly not going to do them for you". They were called into the ED directors office the next day. They brought the union who threatened to have the whole hospital walk out if the director had anything to say to the nurses. Then at another hospital in NY, I had nurses tell me and the docs what procedure they would "allow us" to perform on our patients. They ripped up my prescriptions right in front of me and told me when they would not "allow me" to give out narcotics. In Virginia, large level 1 trauma center, they refused to do UAs on most patients. They didn't feel the test to be important. I had them tell me if my UA was so important, "are your legs broke, why can't you get it from the patient and walk it down to the lab?" They played passive aggressive for years, not giving my cardiac patients nitro or morphine for up to 2 hours consistently, answering "I heard you, put the chart in the rack and I will get to it when I get to it". Of course they refused to allow me access to the Pyxis to get the meds myself. I had them yell at me whe I wrote parameters for Cardazem for BP. They told me I was to assume ALL nurses know parameters and how dare I question their knowledge. They then told me they will question all of my orders for at least one year until I prove myself to them. That seemed to be a reoccurring theme in most ED.
I have war stories that I could go on for at least 10 pages. I have just touched the tip of the iceberg. So after almost 10 years of this and 10 emergency departments, I got to the point that I started to hate nurses in general, and thought that this is what I could expect for the rest of my career. Then of all places, I came to Las Vegas. I asked about the nurses here. I was told the same as all of my other hospitals (no one ever tells you how bad things really are as you would never take on a new position there if you knew). But to my surprise, it has been the best experience I have ever had. They are so nice, so professional. There are no power struggles. We all work together. What a difference when I get up every day to come to work.
So what gives? I have never seen a profession where so many are hateful, unprofessional, uncaring about their responsibilities (patients) and could care less about how little they are performing their jobs. This did not appear to be the minority in any of the places I had previously worked. Have I just had the bad luck to have picked 8 out of 10 of some of the worst places?