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| No. 20 | 
Jun 29, 2009, 08:38 AM
 Re: Hit Right smack in the face with the "Nursing is a CALLING not a job" crap today
Frankly, the last thing I would expect given just a c/o neck pain is an MI. That's such a vague complaint that is MUCH, MUCH more likely to be indicative of something else--even just strain from being in a strange bed, with a strange pillow. [The following questions are mostly rhetorical and intended to display what my thought process might be in a similar situation acting in the capacity of a nurse] Did she have/mention any other s/s of MI, or any other major disorder? How were her VS previously during the shift? Did she have a Hx of cardiac problems? I imagine so given that she was on tele, but perhaps not depending on age and her other Dx/Tx.
I have a feeling that barring any other significant manifestations that the vast majority of nurses (including pretty much all of my coworkers) would at the most do a brief assessment and then administer PRN Tylenol and offer to help her adjust her position. I bet you Ms. Super Nurse Instructor wouldn't have caught it either, but she's such an insecure ***** that she had to belittle you in front of the class to make herself feel good. There are others like her out there, but don't let them spoil all of nursing for you.
I've posted before about how my mother had an atypical presentation (mostly GI symptoms, generalized weakness, feeling "horrible") and saw her MD a couple of hours before she he had her MI and was Dx with gastric reflux (she recovered fully--CPR for the win). Granted, this was when the different manifestations of MIs in women were just hitting the literature, but it still illustrates my point: no matter how much you know you will sometimes miss things that are subtle.
 | | Advertisement Sponsored Links | | | | No. 21 |
Jun 30, 2009, 09:52 AM
Re: Hit Right smack in the face with the "Nursing is a CALLING not a job" crap today
hi i'm a female nursing student and honestly dont see how you could have picked up on something you weren't trained to do or most likely have never seen before.I never would have linked neck pain to an MI myself well until now.Just wanted to say thanks for sharing your story.It taught me a new sign to watch out for and i'm sure your classmates learnt something too which i'm sure was your intention.I have only geriatric experience and there are other nursing assistants in my class who have worked in all kinds of specialties and i look forward to hearing their stories sometimes i even beg them to tell me some especially when we get a chance to breathe.Your instructor was just being an a****** you fill in the blanks.
| | No. 22 |
Jul 01, 2009, 10:44 AM
Re: Hit Right smack in the face with the "Nursing is a CALLING not a job" crap today Originally Posted by CrufflerJJ  Sounds like your instructor is both an idiot and a lousy instructor.
As usual, Angie hits the nail right on the head! 
Mike
Carolina Nights
| | No. 23 |
Jul 01, 2009, 06:21 PM
Re: Hit Right smack in the face with the "Nursing is a CALLING not a job" crap today
Hello all,
I had the same patient on friday (neck pain pt) I go in to check her vitals, she complains of a back ache, I check her vitals, yep she has BP of 145/112 and HR of 148. I call the nurse, nurse calls Doctor, puts her on cardizem drip, all is good in the world for now.
I took my cardiac test on tues, I made a 93, so that's done.
Thanks for all of the input and support with the neck pain and pain in the neck instructor. I'm sure instructor means well and I need to do better, BTW, I mentioned the butt chewing from my instructor to my charge nurse (20 yr RN) she said that she would not have automatically put a neck pain with MI and that if I should not come running to her saying MI everytime a pt had an ache or pain).
I'm on a 10 holiday school break, go back on July 13 and graduate Aug 13, man oh man, there is no way I'm going to be ready to be a "nurse" by then!!
Take care all
Tony
| | No. 24 |
Jul 01, 2009, 09:05 PM
Re: Hit Right smack in the face with the "Nursing is a CALLING not a job" crap today
Go to your board of nursing dean or someone in that area, explain what happened, and tell them exactly what she said. If she does fail you, you have a back up, and the board can reverse your grade through a grade audit. You were NOT a student when that occured, you were a CNA, you are not held accountable for that in any way, shape or form. Thats why you need to go to administration ASAP
| | No. 26 |
Jul 13, 2009, 09:07 PM
Re: Hit Right smack in the face with the "Nursing is a CALLING not a job" crap today Originally Posted by cardiacRN2006 I think everyone might have overlooked the part where the OP said he was working as a CNA at the time, doing things like trashing out. He was NOT in school, nor acting as a nursing student.
One of the last people who coded at my work said to me, "man, I don't feel well" and died.
If I ran the slew of labs, ekgs, phone calls, called a code, etc... on everyone who said that they didnt feel well then I'd never get to do anything else.
To the OP, the only thing you did wrong was share the story with your A-Hole instrustor. From now on, I'd just stay mum, and do what you gotta do to get out of school.
And I'm sure you'll make a fine nurse.
+123456
| | No. 27 |
Jul 13, 2009, 09:11 PM
Re: Hit Right smack in the face with the "Nursing is a CALLING not a job" crap today Originally Posted by Tony1790 Hello all,
I had the same patient on friday (neck pain pt) I go in to check her vitals, she complains of a back ache, I check her vitals, yep she has BP of 145/112 and HR of 148. I call the nurse, nurse calls Doctor, puts her on cardizem drip, all is good in the world for now.
I took my cardiac test on tues, I made a 93, so that's done.
Thanks for all of the input and support with the neck pain and pain in the neck instructor. I'm sure instructor means well and I need to do better, BTW, I mentioned the butt chewing from my instructor to my charge nurse (20 yr RN) she said that she would not have automatically put a neck pain with MI and that if I should not come running to her saying MI everytime a pt had an ache or pain).
I'm on a 10 holiday school break, go back on July 13 and graduate Aug 13, man oh man, there is no way I'm going to be ready to be a "nurse" by then!!
Take care all
Tony
Good job bro. I just took my CV/BV/Blood test last week and made a 96 also. Keep that head down and keep'a truckin'! There are plenty of people here trekking right along with you, including me. Keep up the good effort and learning from your mistakes.
Ryan
| | No. 28 |
Jul 13, 2009, 09:39 PM
Re: Hit Right smack in the face with the "Nursing is a CALLING not a job" crap today Originally Posted by CrufflerJJ Ummm...Angie??
Angie's not here, man.
Is that you, Angie?
| | No. 29 |
Jul 13, 2009, 09:43 PM
Re: Hit Right smack in the face with the "Nursing is a CALLING not a job" crap today Originally Posted by CrufflerJJ Ummm...yes she could have.
Before ending my engineering career, I had been employed at the same facility for over 20 years, under a series of company owners & CEOs. Some of the CEOs were decent, but one was an arrogant psychotic little gumby with a Napoleon complex.
Yep, it happens everywhere.
I was an engineer, too, and I also worked for more than one arrogant psychotic little gumby with a Napoleon complex.
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