New Grad Stupids - page 5
Help! I am a new grad and my co-workers have forgotten what it's like. I'm not sure how this can ethically be done, but I need to hear the stupidest things you experience nurses have done, please.... Read More
Dec 2, '00I have NEVER laughed soooo hard in all my life!! This was the BEST...every story and every bit of advice A+. I agree with several people...looks like a storm brewing for that new grad, it's wiser to make a change than Fight this....Can you find a mentor? a nurse who's willing to guide you not spoon feed you? Take time to observe...it's the nurse who teaches well, gives clues, let's you in on what's going on...is organized but not ridged.It maybe some one in your area or maybe someone you've become aquainted with but off the unit or even works some place else.I had some great mentors and I hope to be considered one at some time. We do eat our young....hopefully we give that up and in the mean time the other nurses will help you mend. Best of luck
Dec 2, '00I am so sorry that you feel that you are not getting the help and guidance that you need as you are entering the nursing field. I am a full time RN and I also teach part time. I love to have new nurses assigned to me. I have not forgotten what it was like to be starting out new. Just do not give up. I had a horrendous orientation to nursing. a new grad going into a huge busy hospital to work with nurses who were a zillion years old.... BUT, I got the best education from them, and I will never forget how valuable their experience was in helping me learn. If you can see past the gruffness you may be encountering, you will do just fine. Even after 2 years there, as I was leaving to go to another hospital they told me, "stay here one more year and you'll be a GOOD nurse." Just keep a sense of humor. You will need it for your entire career.
Dec 5, '00I am not exactly a new grad, but I sure must have had a case of the "stupids." I have been in nursing for just the last two-three years. I have been working in the behavioral health field. I am so upset about my day at work yesterday, that I am seriously ready to resign and quit being a nurse. I had to give a patient two IM injections. The one vial was 25mg/ml. The patient was ordered 25 mg, so I knew that I had to give him one cc. There was some left in the vial, so I put the leftover back in the medicine cupboard. (It was actually a single-dose vial) There should have not been any medicine left. The charge nurse disovered the leftover medicine and asked what I did. I told her that I gave him 1 cc and the rest was left over. I was positive that I gave him the correct anount. She was questioning perhaps that I may have had air in the syringe. I really didn't think so. I asked that maybe the pharmacy just had extra in the vial. She said that she didn't think that they would have that much extra in it. (I drew up what was left in the vial, it was a half of a cc.) Now I am questioning myself. I did have some vision problems awhile ago, and perhaps they are returning. I have a chronic illness and it has affected my eyes before. I definitely injected him with one cc, but was it all medicine. There was no problem with the other injection which was also 1cc. I should have questioned it myself when there was so much leftover in the one vial. It was an anitpsychotic medicine, which I incidently give to my brother on a regualr basis. I'm sure the charge nurse thinks that I am a complete idiot. I am ready to go in tomorrow and give my notice. I am feeling quite incompetent to be a nurse. I just wish that I would have showed her the syringes before I gave the shots. But, I think it is time for me to quit nursing. I really cannot afford to quit, but I don't want to be responible for hurting somebody. I don't know what I did exactly, but I learned a lesson here - you whould always verify your syringes with another nurse.
Dec 5, '00Dear jllpn,
Do not resign. Your only mistake here was in not throwing away a single dose vial. Many times there is some extra med in the vial- so you can squirt a little out to get bubbles out or what not. I am surprised your manager did not know that. So, don't worry I am sure you gave 1cc as well- there was just some left over. Throw the single dose vial away when you have given a dose.
While I think having someone else verify syringes is a good idea, I give well over 15-20 IV meds each day, I don't think I could find anyone always willing to verify that much. Stick to your guns (or syringes in this case). You gave the right amount.
Dec 6, '00Jllpn
Quit beating yourself up! I don't think you made a mistake either, and even if you did...always remember....we all make mistakes at some time or another. Sounds to me like your manager is making accusations without firm evidence to back them up. Give yourself a break. Our profession needs people like you who show concern and responsibility.
Dec 7, '00OK, I must share this one- for all those who feel really stupid. Today I set up an a line with the intern. The pt already had a CVP transduced, so I figured I would be nice to the noc's RN and change ALL the lines. so I get the pressure tubing for the a line all set up- I go to do the CVP, and I think, well, the line has 2 more days, while the bag had to be changed today- SOOO, I pull the spike right out of the cvp bag, while it is still pressurized (300 pounds per inch). of course I showered myself, the pt and the intern with normal saline at a very fast rate. the pt was totally unharmed and not alert, so no problem there. I admit, after my initial shock, I laughed so hard I cried. Alas, I too, am not perfect, and feeling a little sub-human at the moment! [img]/bb/smile.gif[/img]
Dec 8, '00bbqchick, Oh yikes find another job. You may have noticed most of us have changed jobs several times. You'll find your niche. You WILL develop YOUR style. You will get a gut instinct. You will make a difference in peoples lives. It seems to me from reading what you've wrote...that you care. That's the key.
I know it's frustrating I think we've probably all been there(right nurses?). We've all worked with snakes as some point in time.
Pretty soon you'll KNOW you have what it takes to be a great nurse. You won't let others deny it. Have you gotten your first "Thank You" from a pt. Something special they gave you to let you know you made a difference to them. The paperwork will always be there..don't sweat it and don't feel intimidated.
I think the nursing profession is the most demanding, gut wrenching, soul searching, self doubting, enlightening, caring, touching, inspiring job there is.
Live it, grow in it and walk away at the end of the day KNOWING you did your best.
and I bet you'll make it.
Dec 8, '00During my clinicals in nursing school, i had the opportunity to give my first sq injection. Of course, i was peeing in my pants from anxiety, but i knew that I had to play it cool. So, with my instructor breathing down my neck, i gave the injection, and then i let go of it, and left it dangling from the man's arm. Talk about a good way for me to get the boot!!!! My first IM injection was also a disaster. I injected it into his Gluteal muscle, (thank god that he couldn't see me), and then my teacher said "draw back", and so I tried to pull it out before i even injected it. I totally forgot about aspirating. Luckily my teacher put her hand on mine, so i didn't pull it out. Talk about feeling like a retard. I never thought i would make it out here, but somehow, i got it together. I have been a RN for about 1.5 years as a charge nurse on a med surg unit. I have had to learn how to sink or swim!!!!!! Good luck! Remember, you never stop learning!!!!
Dec 8, '00Originally posted by bbqchick:
Help! I am a new grad and my co-workers have forgotten what it's like. I'm not sure how this can ethically be done, but I need to hear the stupidest things you experience nurses have done, please.
How long have you been on this paradise of a unit so far? How much orientation did you receive? Did you have a preceptor? Have you had any evals? Feedback? Has anything improved since your original posting in October?
Hang in there!
Dec 9, '00Thank you to all of you who are helping me to believe that there are nurses who are not evil and there are nurses have hearts. I was beginning to believe that the only time a nurse cared about a patient was to get a gift or kudos. I am still terrible at time management. I expect to be able to be everything to every patient. I still drop everything and fetch the ice water, or assist to BR, or check on "funny" cardiac rhythms. I still race to finish my med passes on time and still fetch, reposition, call for missing meds (every night), etc. I still try to remember to look for all my labs and catch the docs or call them for any abnormals. I still try to know all the details of a patient's stay and be informed and be able to rattle off the name of their doc or allergies at a moment's notice when asked by one of my veteran co-workers who would be so THRILLED to find something on me so they can write me up. I'm still trying to improve my relationship with my assists so that I can count on them to get my V.S. to me, the IO's done, weights done, fetch little things I was asked for to free me up for setting up PCA's or wait for phone call backs, etc. I'm still trying to understand all the in's and out's of the meds and actions and interactions. And I still try to keep my temper when I walk down the hallway and hear them shredding me behind my back about why I did such and such or why didn't I do such and such. And I still wish I had never been born every time I realize in the middle of the night that I will have to give report to a certain old white-haired nurse who expects all the duck to be laid out just exactly and moans and complains that I will never make it, if I failed to find a lab or complete every task. I don't think I'm stupid, I just don't see how you all have managed to get all of this done on one shift. Just the other night, I had a pt. back from a gruesome surgery screaming in pain. It took over an hour to get the order for a PCA and obtain the pump from central. Meanwhile, trying to finish other meds and teach pain control and make several phone calls to finish a discharge who was impatient and answer umpteen phone calls from family and doctors and then get an admit. I get questions answered if I ask, but I wouldn't dare ask for help. It would be broadcast all over the grapevine that I couldn't get my work done. I run and run and run and can't get it all done. Five more tasks pop up while I'm in one patient's room. It takes me a good ten minutes to asses one patient. If I want to see their back, it takes them eons to roll over. And they always want to go to the bathroom, EVERY single time I go to their room. If can't just leave them, I have to stop and help them. It's overwhelming. I love being a nurse, I know it sounds like I don't. I really like the patients. They are often appreciative and often thank me and give many compliments. I'm am just so overwhelmed and feel about 1/4 th inch tall at my inefficiency. The day shift nurses really struggle. Our evening shift nurses struggle. It's seems my worst problem is from the night shift, who maybe don't have so much time pressure. I don't know. But it can't all be me. No matter how fast I work, the snowpile towers over me. I have to make sure dietary sends the right trays and I'm too busy giving insulin and making sure that my assistant's get my accuchecks to watch all the trays. I try to use other nurses as models for time management but I spend so much time in patient's rooms, I miss a lot. I never get to sit down. It gets so bad that I feel like it's a conspiracy. When I sit down, a light goes off and the assistants are nowhere and I can't stand to listen to the lights like that. I'm smart, I'm good at procedures, I'm slowed by inexperience, but I must be the world's worst at using my time.
What other positions does anyone know of that would be better suited for someone slow like me?
Dec 9, '00Thanks to everyone for sharing their stories and advice! As a student on the verge of graduation I have found myself becoming more nervous with the idea of how much can go wrong, along with what goes right, on the job as a nurse. All of your stories have helped calm the nerves to some degree!
And to respond to bbqchick's last posting: It sounds from everything so far that you will do great doing anything you want, just not where you are. I also agree with earlier advice that it is no failure to know when to say when. As the news becomes louder across the US about the nursing shortage, there is no reason to suffer on a unit where you are not appreciated! Please remember that you, and all of us, have much-needed skills and knowledge. It would be a shame to let one uncooperative group of people taint the incredible career that waits in front of you. Hang in there!
Dec 9, '00From your reply to my post, I don't think anything's wrong with YOU!!!! You're conscientious, thorough, and I'd want you to take care of me, were I misfortunate enough to be in that unit.
I'd still like to know what kind of an orientation you got, and if you would feel comfortable talking to your supervisor, or if there is a more experienced nurse you can use as a sounding board/mentor.
I do think you need to think about moving on to some place more supportive. It's not WHAT you're doing, but WHERE you're doing it.
If it's any comfort to you, I've been a nurse for 32 years, in NICU for over 20, and if I hear a baby crving (which is kinda the same thing as a call light), I STILL need to check on them, change their pants, and comfort them until their nurse is able to come back. And if a nurse is sitting next to a crying baby charting, I can feel my BP rising....
Dec 11, '00Originally posted by wiskey:
I also am finishing nusing school (thank God). As a male, I have a story to tell you but one that stands is one morning I was asigned a 345lbs lady who had a gastric bypass 4-days earlier and had not voided yet and the staff were beginning to be concerned and contemplating putting in a catheter. Well that morning I go in her room, introduce myself, and help her get ready for a shower. so far so good. After her shower she was quite tired so she was sitting on the toilet while I helped her dry off and put on an IV gown. Well I have never seen an IV gown before!!! I had this lady sit on the toilet for 20 min while I figured out how this stupid thing went together. I had this lady laugh so hard at my comments during that unforgetfull 20 min she voided, and voided and voided. The lady thanked me for giving her the best laugh in years, the staff laughed so hard after they were told that some had to go to the bathroom and said that I should put my new way to help people void in the care plan. When I left the floor that day they gave me an IV gown to take home so I could make other people "pee their pants". To this day I'm still refer to as the "PEE MAN"! Don't get down on yourself, All the nurses I talk to say we are all human.
At my former hospital my nickname was "Aunt Bea" I did as charge make sure everyone got lunch.One tall well muscled young male RN would imitate Opie when I asked him to help pull up a patient, "Oh, all right Aunt Bea."
Now all from that place who visit this site will know who I am. Oh well. They were great to work with.