Good nurse vs bad nurse - page 2

Does anyone else constantly have this battle with themselves? Some days I leave work feeling like I was a good nurse who made a difference but then other days I leave feeling like a complete failure. I've been working PRN in LTC... Read More

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    Pain, poop and hunger. If your patients don't suffer from pain, don't lay in poop, and aren't hungry, you're doing well. If, on top of that, nobody has any life-altering events, you're doing really well. If you get all your paperwork done on top of those things it's a blooming miracle!
    Blackcat99, BrandonLPN, sun78910, and 1 other like this.

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    I feel like this a lot! Especially working on nightshift because I don't get to speak with the families and since I work ICU it feels like much of the time my efforts are futile. Some days I feel like I'm on top of everything and sometimes I feel like I could have done better. It also doesn't help that nurses put each other under a microscope constantly. We do what we can and try our best. I know I'm going to get a lot of grief for this comment...but at the end of the day it's just a job. I know we do very special things and touch the lives of many but being so hard on each other and ourselves isn't good for our profession. Many times we don't get to see the great things we accomplish because patients get discharged and we don't hear from them again. I know you do a good job because you care! Don't make things so black and white (good vs bad) because we all know the medical field isn't!
    Blackcat99, nrsang97, and joanna73 like this.
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    We all have good and bad shifts, and LTC is challenging. You're being pulled in different directions all the time. I've learned to reflect on my shift and leave work at work. I also leave knowing that I did the best I could, and it's 24 hour care. There are times when I have experienced distress over situations involving a resident, but those situations were beyond my control.
    Blackcat99 likes this.
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    I'll bet your CNAs work either the same or nearby assignments full time. They are the ones to ask if something is new or out of the ordinary. They'll also let you know how to do things the way the patient likes it to be done. They are a valuable resource.
    Blackcat99 likes this.
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    You've been working PRN since August?
    The old rule of thumb is that it takes 6 months in a new nursing job to feel like you are not dangerous...that is typically in a FT position.

    It sounds like you are doing okay. You just need more time to develop your skills and comfort levels.
    Be nice to yourself...we can't count on others to be nice to us.
    Blackcat99 likes this.
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    Quote from NamasteNurse
    there are definitely NOT enough hours in the day and there never will be. all you can do is your best. I never feel like a "complete failure" because I always do my best. Sure some days I don't feel like I even get to every resident, (I am responsible for 20, 1/2 my unit). But usually I feel pretty good.You are in school too, so you can't possibly give 100% to both. You can't. As you get older you won't look outside yourself for kudos, and in nursing you hardly ever get a pat on the back. Just do your best and hold your head up. Best of luck...
    Dear Namaste nurse,
    Your advice to PankaD89 was as colorful and idyllic as your rangoli (inset design). The best part of your post was, "As you get older you won't look outside yourself for kudos". That is so true. You do not need validation or the inane employee-of-the-month reward (because the very next month, they are capable of letting you go) or a pat on the back because you know your own worth and the difference that you make.
    Blackcat99 likes this.
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    My threshold for feeling like a good nurse is pretty low.
    I don't make any errors and everybody's alive.
    It's healthy for my self esteem.
    Blackcat99, cienurse, BrandonLPN, and 1 other like this.
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    @amoLucia-I couldn't have said it better myself! Why do we nurses do this to ourselves? Please remember that you DO make a difference every single day that you work in LTC. You might not realize it, but what about the resident who smiles every time they see you? Or the resident who will take meds for you but not for another nurse? These are all ways that you make a difference-think about the smiles you elicit when you're there. If you can finish your day with having made just one elderly person smile and feel loved, then you have made a difference in someone's life! Don't be so hard on yourself-the fact that you dedicate yourself to the lives of the elderly is making difference enough!
    Blackcat99 likes this.
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    When I leave my LTC at the end of my shift I always tell myself "I give up. Just let me go home now and let someone else have a try."
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    I feel like that @blackcat99! Only so many hours in the day/it's a 24 hour job/after 12 hours sometimes enough is enough lol
    Blackcat99 likes this.

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