Quote from PeekabooicuRN
5 things you need to know as you graduate nursing school:
-You don’t know what you don’t know- keep learning, keep growing, and never feel too comfortable in any situation.
-Nurses can and will eat their young.
-Teamwork is an essential for survival.
It's, like, #TeamNursing on my floor. LOL I work psych so it's necessary, but I don't understand how anyone (let alone, a new grad) could make it in a dept where everyone didn't interact or support each other.
Four heads are definitely better than one, as I see it. Where I work, we bounce ideas off each other. Everyone pulls from each other's knowledge to brainstorm or back up a course of action.
I was a little surprised when the more senior nurses asked my opinion about things.
About meds or whether we should send a pt out or whether I agreed that a particular nursing intervention would be appropriate?
I sometimes have a hard time trusting my judgement, but no one ever makes fun of me or pushes me towards the 'kiddie table'.
I've made one med error (non-narc) and I don't know what I was thinking. It was just a day of distraction. I was all over the place. I was rushing and thinking about one pt's O2 levels when I realized that I'd forgotten to take the b/p+ pulse before I gave the -olol to another pt...even though I brought the freakin' cuff in the room!
Yeah, 'one of those' mistakes. Stupid!
I didn't even think about it until I went outside to chart. The problem? Her vitals were low to begin with: 80-something/60-something. Pulse was low. I don't even remember what it was. It was between 50 and 60.
So, I was embarrassed and a little scared to say anything. No one wants to be 'The Dumba--s New Nurse'. But...I went to get a set of vitals, put on a brave face, marched to the nurse's station and was like, "This is what I did. Here are her vitals. She's ok at the moment. No resp difficulty. No strange heart sounds/activity?"
No one crucified me for it, though. They were remarkably calm.
"Yeah, that is low. How is she doing....? Ok, you're going to --"
In the end, I tried to push fluids (water). I gave her a soda. Monitored+took the vitals q15 min for an hour...and I took the vitals so often because I was silently wigging out at that point.
She was fine. Her vitals held steady.
It feels good to contribute and to know that these ladies (and some gents) support me.
Don't get me wrong? They can gossip and talk pooh with the best of them --
As one senior nurse (now my coworker) told me 2 months back?
"I usually don't like precepting people. But I'll train you because you don't annoy me."
Was that a compliment? I'll take it! LOL
-- but they're good people. They're not the types who'll let you flounder about and sink. They'll back you up.
I'm not sure that nurse's eat their young. Maybe it's the environment? Nurses don't seem to care for nursing students, though. That seems universal. LOL
I haven't been at it long, but I have some to add to the list:
-- For a career in healthcare? A backbone is not optional.
You need to learn how to stand up for yourself.
I say this, especially, to those with no healthcare experience. It's not what you think. You flouncing around in scrubs Florence Nightingale, reincarnate?
No. You're dealing with people at their worst...and their families are usually bonkers.
These people will try you. I'm talking about pt's, their families (especially...the bulk of which are insane), management, the providers (yes -- I recently ran across a b...tchy NP who's clearly forgotten her roots). Where I work? I was treated well - but I've seen and heard of management shafting the crap out of baby nurses.
-- An extra uniform set should be kept in your car. Always.
-- Treat the patient, not the numbers
I never really understood this saying until I began working as a nurse
-- 'Pt teaching' occurs on and off the job.
Studying doesn't end in nursing school.
I don't know what it is, but everyone from pt's to families to CNAs to family members to perfect strangers (how weird is that?) will track me down and ask random medical/pharmacological questions.
In addition to wanting to know more to help my pt's? I have to stay on my toes for the public. I don't want to look stupid.
People hear that you're a nurse and treat you like their personalized WEBMD. LOL
"Hey, I got a question. I got this boil under my left arm and --" or "What's it called when --" or "I went to the ER with Tasha and we were the first ones there but waited 3 hours to be seen...' pauses to assess my reaction before continuing.
From one of our fabulous CNAs who overheard me talking about melatonin with a resident, "Melatonin. What's melatonin? Does that knock you out or what, because my doctor prescribed --"
While assessing a pt's ulcer wounds, a CNA says, "What do you mean by that?" and "What's silver nitrate? What's that do?" So, then I had to explain. Signs of infection. Wound care.
This past week, I had to explain to one of my cousin's what a stress test was. She couldn't be seen by the doc because she wouldn't get the test done. BUT... she wouldn't get the test done because because her kids didn't want her to do any 'invasive' procedures.