This person outranks me?! - page 3

Since I started working in health care as a CNA nearly six years ago, I've had many experiences that have left me wondering how some people get into the positions they hold. I was not a youngin when... Read More

  1. by   Tenebrae
    Quote from Aunt Slappy
    Let's use a little critical thinking here. If you need a sample of pulmonary sputum for testing, and it now includes gastric contents, is that a valid sample?
    Stop trying to be clever and answer the question

    Given how vicous sputum is I suspect its easy to extract the for the culture.

    But then again I'm an RN going into my sixth year since graduation and I would be the first one picking up the phone to the lab and asking them because i have no idea
  2. by   KRVRN
    You have a collection of snippets of info that you know that he doesn't. You claim he should know more than you, but not knowing several snippets of info doesn't mean much. All areas of nursing have a body of info specific to it. As others have pointed out, "IVF" is an example.

    The knowledge base of a RN is much larger than a collection of snippets. If you truly think he doesn't have a clue, you need better examples that these...
  3. by   rkitty198
    You cannot accept a sputum sample collection with partially digested food.
  4. by   Jedrnurse
    While I don't agree that the OP provided examples of it, I do agree that there is such thing as a stupid question...
  5. by   JKL33
    Quote from rkitty198
    You cannot accept a sputum sample collection with partially digested food.
    That would certainly be everyone's first guess I think, but it's just not one of those questions that is beyond the pale, especially when it involves throwing away someone's sample.

    Quote from Jedrnurse
    While I don't agree that the OP provided examples of it, I do agree that there is such thing as a stupid question...
    And better ways to ask one ("I assume this sample is no good with vomitus in it. Correct?").

    And then there are those who think someone's question or statement is stupid because they themselves are lacking knowledge. Such as a ridicule I read here on AN regarding a physician who ordered an HCG test on a male patient, or the fact that long ago I once thought a resident was a moron for using the word "obstipation."
  6. by   Gimilion
    Let's use a little critical thinking here. If you need a sample of pulmonary sputum for testing, and it now includes gastric contents, is that a valid sample?

    Actually, you sometimes can use a sample like that. In patients who cannot produce a sputum sample, you can withdraw gastric contents from a salem sump ng tube first thing in the morning and test it. You are testing the gastric contents mixed with the sputum swallowed during the night. It's an interesting process.
    Last edit by Gimilion on Dec 14, '17 : Reason: quote
  7. by   Been there,done that
    "How in the world does this person outrank me?"
    That person outranks you because they have more education. As you have more clinical experience, you need to assist the RN in any way you can.
  8. by   Aunt Slappy
    Quote from Irish_Mist
    This person is a new nurse and is probably feeling unsure of himself.
    I guess you missed the part where I said he has worked in this building longer than me? He's not a new nurse.
  9. by   Thought
    As the saying goes, "the only stupid question is a question that isn't asked." It takes humility to go to another to ask a question. I'd much rather have a person ask me a million questions where I can answer those and point them in the right path compared to refusing to ask a question that could result in harm because of "injuring" their pride. Like other commenters have said, he might not have knowledge on some things (i.e. IVF). Medical terminology can have different meanings to different people. Who knows, it could have been an off day for him. Everyone has those. Your coworker sees you as someone he can go to to ask a question without fear of judgment or retaliation. Please don't prove him wrong.
  10. by   RJ 55
    When I was a new grad RN I started my career in a residency program in the ER. At that time we had ER techs (that were crosstrained as CNAs). We also had a handful of LVNs. I learned so much from them and developed do much respect. Many of these professionals don't get the respect they deserve. I learned tasks such as splinting, ekgs, drawing blood to talking down psych patients. In my early years I asked so many questions that one of the managers tool me aside and said that I was doing fine but I needed to stop asking so many questions. Well, I didn't really listen to that advice. You see, asking questions has gotten me out of doing things that could harm a patient or is out of my scope of practice. Now I'm seen as a leader in my unit. I precept many nurses. I not only teach that it is ok to have a question, I encourage it. You always need to know your resources. Maybe he shouldn't be using you as a resource. Some people don't like teaching and that's ok. I would talk to him and tell him to stop asking you questions. As a RN I don't look at my title as outranking anyone. Maybe we work a little different in the ER/Trauma unit but we are a team. I value everyone's work. Maybe you don't work in an environment like I do and people are hypersensitive under which rank they are. Maybe it would be helpful to find a new environment or new position where this mentality of rank isn't so profound. I wish you the best.
  11. by   FullGlass
    He is an RN and you are not. He went to school, earned a degree, and passed the NCLEX. You did not. RNs outrank CNAs. If you want to be his peer, then go to school and get an RN.
  12. by   canoehead
    Quote from macawake
    Sometimes abbreviations are specialty-specific and if you haven't worked in that specialty, you might be clueless. While I expect that some/most nurses know what for example ASA, MAP, CVP, PSVT, PEEP, FRC, RBBB and TRALI mean, I would guess most outside of my specialty don't have a clue what I mean if I were to chart TMJ (dysfunction) or SLV.



    Can we?

    I got 7/10!

    I would have guessed that the sputum would not be acceptable because of the acidity of stomach contents killing anything that had come up in the sputum. So nothing would grow, but it could still be infected.
  13. by   Pepper The Cat
    True story.
    I am checking in my assignment. I see for 1 pt CHG Vitals q shift. I think and I think and I think. What the heck are CHG vitals? I have 32 years experience. I finally ask the day charge nurse (I was working evenings) , she less experience than me. I say "what are CHG vitals?"
    She looks at me and says " I have no idea"
    So together, we look,thru the orders,
    The order? Change vitals to q shift! Duh!
    But there I was a very experienced nurses, asking a stupid question, but ask it I did.
    So the moral of my story is that sometimes you just have to ask the stupid question!

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