Latest Comments by gentle

gentle 5,945 Views

Joined Dec 13, '05. Posts: 461 (21% Liked) Likes: 246

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  • 3
    tnmarie, tewdles, and PMFB-RN like this.

    To the OP, what have you chosen to do regarding the behaviors you have witnessed. Who have you reported the violence to? Have you documented what you've seen? Have you spoken with your Human Resources Department to have all staff throughout the organization re-educated regarding appropriate behavior? I am asking because, I too have seen exactly what you are writing about. I finally started speaking up. I am also more cognizant of when I am "losing control due to my own personal frustrations." There is much to learn and share from this topic.

  • 0

    Yes, I think I agree with Grandmawrinkle on this one to some extent. It just seems that this is one of those people you need to watch and document. He/she should certainly know what to do with a fax order etc. And also should be interested very interested in those details of the paperwork considering this is how facilities are being reimbursed etc.

    I'm not saying your colleague is as dumb as a rock, because they may be very good at customer service etc. However there are too many things to think about for me.

  • 0

    hmmmmm, it's so hard to read this thread without 1) agreeing that we're not paid properly for what we do, and 2) cursing loudly enough to wake up my children and the neighbors (sigh).

  • 1
    JB2007 likes this.

    This one I did actually say, "I'm sorry, Who are you?! Visiting hours are over."

    "Oh, you're the replacement???!!!!! Well, it's nice to meet you."


    The other things I would honestly like to say, really shouldn't be put into print. Guess it doesn't matter though. Whatever evil one puts out into existence, will most certainly return back to the original owner.

  • 1
    JB2007 likes this.

    One of the other members said the statement in another post. I'll try to recite it, but don't know if I can.

    It's from the Princess Bride????? or something. "Yes, I know you are intelligent, now SHUT UP!!!!!!"

  • 5
    Emergency RN, vashtee, getoverit, and 2 others like this.

    @vashtee:

    Just ask to be reassigned on days that you can't take the ignorance. You're human. We all are. This isn't about a witty comeback or anything else. There's nothing wrong with your motivations. Heck, I would have felt the same way as you did. And yes, I too have had to deal with patients and their visitors who didn't like me due to my nationality etc.

    Either way, don't stoop to the level of ignorance. You'll be frustrated with yourself later.

    When you have the energy to deal with an ignorant individual, you can handle the assignment. When you don't have the energy to deal with an ignorant individual, then try to trade with someone else. That's what I do; and to be quite frank, I'm sure you would have done that if need be also.

    However, in the end your deeper belief system won over. The deeper belief to treat others kindly. To treat the strangers in the land with kindness, so to speak. It may be engrained into your soul by your grandparents just like my ancestors did for me.

    Obviously, the belief system of kindness won over. You treated your patient well and they requested to have you back as their nurse.

    WELL DONE!!!!!! You've represented our profession well, despite your personal frustrations.

    That's just my .

  • 0

    There are tons of companies needing dialysis nurses. Find one and move on. Take the lessons you've learned with you and go. This nurse is a bully and isn't to be trusted. I work with one of those also. I stay far away and try to make certain that I know my stuff inside and out.

    And as another poster stated, you will always need a second job. So find one. I have learned to always keep my backup plan ready for use.

  • 1
    Not_A_Hat_Person likes this.

    Quote from newrn_ptbo
    You know, I never even though about that probably because we don't have the CNA's but that does make an awful lot of sense now doesn't it! So by the time they get to you they are ready for the medications and assessments and such. I am glad there are nurses out there like you who will explain the why about things. Its so important! I have been constantly learning since starting my first job and I'm lucky there are a few nurses I can go to with questions when I don't know where to find the answer that are nice about it and don't give me the eye roll because I am inexperienced...but everyone is right so far, there are just some cranky nurses out there.
    Yes, usually the students are ready for medications and assessments.

    There are some cranky, jacked up everything out there. Would you not agree?

    I really hate that some of the senior nurses chose to at you. I don't think that's fair or right. However, if they've told you the same answer several times and you still don't get it, then yeah, that might happen. It still sucks though.

    To be rude and cranky, is another persons choice and will not be yours or mine - thankfully .

    I'm grateful that you were willing to hang in through the posts to try to understand the "why". It doesn't make the problem better but it does help one to understand what both sides are facing. It helps to understand why someone is feeling the way they are feeling. The student nurse doesn't have to take on the feeling of being offended. Nor should they. Though that is much easier said than done.

    Unfortunately, the system is broken!!!! And this isn't going to get any better, at least not from where I'm standing in the stadium of life and healthcare!!!! So since, I don't like how the game is played . . . . . . . and I have to stay and work in the stadium until my shift is over . . . . . . . I have chosen to change my focus. I will focus on the patients and the students and how to give and take what I can/where I can. If no one wants to buy my popcorn and hot dogs (accept my help or advice the way it is offered), it's okay.

    Afterall, the people running the stadium (executives, administration, and board of directors) don't care diddly or squat about me. If I'm injured they will just replace me. I am not a human with a life. I'm not even a valued number. I understand this. I have chosen to value others and just keep moving. I can live with myself. And in the end, as I die on hospice, I will go peacefully. I have made good choices. And that is what life and nursing are all about! Make good choices for yourselves and your patients. Somehow, someway, everything will turn out okay. NOT perfect, but okay. And I can live with that.

  • 2
    GM2RN and pinkiepie_RN like this.

    Quote from dolcebellaluna
    I've been a nurse for about a year now on nights. I've learned some things but lately I've been feeling underwhelmed and wanted a change of pace. Nights has also wrecked my sleep schedule soooo much and it might be easier for me to attend school during the day if I worked days and lived a "day" schedule full-time. My nurse manager recently had trouble with a travel/contract nurse who was started on days and was supposed to switch to nights in 3 weeks or so but she's been having a lot of trouble accomodating to the shift and my NM, after discussion with the other nurse, decided she would switch her to nights earlier and I would be offered a temp (probably at least until September) to permanent position on days.

    I've done a few day shifts before (7a-7p) on my unit but I'm a little nervous because I've always just been staying late past my shift or filling in when they were desperate. I know there's an "in crowd" and while I know one of the nurses would willingly take me under her wing, I'm worried that I'll automatically get the hardest patients because I'm actually taking the place of a travel nurse who was having some difficulty picking up things on day shift and is going to nights where she's more comfortable. I'm also worried about backlash from night shift for me switching. Am I worrying too much?
    Do what you need to do. This is about your life and your health. And to be quite frank, it doesn't matter what your compadres think or do. If they give you harder assignments then so be it. Learn from the experience and treat them with kindness irregardless. Stay to yourself. Focus only on your patients. You will do GREAT. I believe in you and you can do this.

  • 1
    Fiona59 likes this.

    Quote from newrn_ptbo
    You do bring up some very good points and boy would I have loved nurses showing me how to deal with many of those things. At the same time, toileting, feeding, adl's, general patient interactions, health teaching are important things for students to do and depending on where they are in the program, the focus on clinical skills and critical thinking is different. If these are first semester students that have absolutely no experience with basic interactions, teaching them about the things you mentioned is great and very useful but that doesn't mean the basics aren't important as well. I think balance between the hands on knitty-gritty part of pt care and the critical thinking/assessment is important and the balance is determined by the care area and where the students are in their learning and experience. From your post I have the understanding that you do the medical part of patient care and CNA's do the other part of care that involves adl's? If these students are on your unit to only do the medical aspect of care because they will not be responsible for the tasks that CNA's do then I definiately see your point about them not being there to help with ADL's and toileting, however that part of care is still a learning experience.

    A day with you as a student would be wonderful as from the sounds of it the students that are with you for the day learn very valuable information and skills.
    Yes, I do understand what you are saying regarding adls etc.

    However, be aware that shifts in thinking must begin to take place within the brain once a student begins passing medications. My friends and I work with each student where they are and according to their program - when we can!!! Unfortunately, our patients' bodies do whatever the body wants and as such, we must respond accordingly. Rather than lose the student, teach the student. Rather than see a blank face, explain the whys and put the student in the thick with hands on. Yes, we will even throw you in the code or rapid response. You are not safe with avoiding experiences if you are with my friends and I.

    If a student is in the first semester, then why not pair them up with the cna? This is what the programs have done in the areas that we live in. As the students progress in their learning then their focuses become different. As do ours. Does this make sense?

  • 0

    I do wonder why the OP wasn't able to connect the dots when it comes to the differences between nursing student and full fledged nurse. Perhaps they hadn't read the first year nurses blog?
    Oiye, yes I see.

    Katy, I didn't communicate that thought clearly. I will try again.

    I am trying to word this correctly, so please continue to ask for clarification if you do not understand what I am trying to convey. I'm open and will try again if need be. That said, here I go . . .

    My thought, though not worded correctly, is that our nursing students would read what the new graduates are encountering on the floor. The levels of responsibility and frustrations that many First Year Nurses encounter. From this mental vantage point, I thought that perhaps it might be easier for student nurses to understand why we as older or more seasoned nurses are abrupt and seem rather cranky at times.

    Unfortunately, I am concerned that our profession will lose many excellent new nurses in the first year because of the stress and intensity required on the job. Some states put more burdens on nurses than others, which isn't good, imho. Hence if a nurse in his or her first year of nursing is practicing in a state that does not have acceptable patient ratio laws, that poor soul will be horribly put upon by a group of money hungry executives that do not care if the nurse is physically and mentally exhausted. That nurse will then become embittered within a system that isn't easy to escape. Leaving the profession isn't easy because typically nurses do make a decent income. Currently the economy is poor/jobs are scarce. The newer nurses then become more callous and a bit short tempered. Over time the newer nurses become the older or more senior nurses.

    It is a vicious cycle. My thoughts are to teach critical thinking so that you can save time, move faster and stay safe. I also think boundaries are important as well. It is less important to make money, if one is tired. The time spent making money, would be better spent with ones family. In other words, I would rather newer nurses be leary of picking up extra shifts. I would rather them spend time recuperating, meditating on things of beauty and things which will keep them balanced in all areas of their lives. Money isn't worth making sometimes.

    In the end, I suppose that I believed perhaps you and other student nurses would be able to read the first year forum and see what you were getting into. From there, it would be more clear why we as seasoned nurses respond the way we do.

    I apologize if my thoughts in this post are not as succinct in previous posts. I am tired now. Father's Day has been busy and good.

    I wish you well in all you do.

    Sincerely,
    Gentle

  • 0

    Quote from 68wildcat
    This happens everywhere, at least from what I have seen in my many years in nursing. Although I am only a personal support worker, we too get student psw's and some staff here treat them awful! I like to make newcomers feel welcome and am eager to show them the ropes and help them navigate their way around. I do this because I know how nervous they are and how much better it is for them and us when they get into the 'swing' of things. Unfortunately some staff are just plain mean and ignore their requests for assistance. And like a bad cold others get 'infected' and get an attitude towards students and new staff too. It's too bad this happens. It is not necessarry to be like this. All it does is turn people off and then they don't come in to help when we are short. Can't say as I blame them.
    Oh goodness, there is not such thing as only a psw. Without you my day is pure hell. I appreciate all that you do. Thank you for everything though you may not work with me, you may work with my friend. Or you may be the person taking care of my family member. Thank you. I am proud of you.


    Quote from Not_A_Hat_Person
    I vividly remember 2 bad experiences I had as a student.

    My first clinical rotation was on a TCU. My group had 7 students, and I don't know if the floor had dealt with students before. My class had 3 clinical groups: Thursday, Friday, and Sunday. The Sunday group started a week after the Thursday group. I was in the Thursday group.

    Our 3rd day of clinical, the charge nurse looked right at us and said "Thank God you're here! We had the Sunday people here last week, and they didn't know ****! They asked all of these stupid questions! I don't have time for that ****!" Yes, she said that to our faces. That day, our instructor told us to come to her, not the nurses, with any questions.

    My pedi rotation was in a home for children with brain injuries. Most of the nurses were 20-something LPNs, we were studying to be RNs. Anyway, one LPN had just gotten back together with her cheating boyfriend, and one was wondering whether or not to rent her sister's house. I only know that because they sent the entire shift talking about it. It was our first day on the floor, and whenever anyone asked a question they got very upset about us interrupting their conversations.

    Sometimes the instructor is the problem. One of mine kept disappearing. She also encouraged us to use the Dynamap for vital signs, instead of using the manual BP cuffs in every room. If you weren't very aggressive about doing procedures, you made beds, gave showers, and checked blood glucose all shift long.
    Quote from dudette10
    I spend more of my time in clinicals these days balancing personalities, being a mind reader, and reconciling what my clinical instructor wants me to do with what the nurse in charge of my patient wants me to do, and overhearing pointed remarks about what I did or didn't do (all the while being unable to defend myself because I'm just a lowly nursing student), rather than actually learning nursing.

    I can't wait until this rotation is over. I've never experienced this in any rotation before, and I hope to never experience it again. Bring on the next one! I'm done.
    Quote from sistasoul
    I totally agree with you. When I was a student I had nurses who treated me like a CNA and "extra help". I specifically had one of my instructors tell me to do just RN tasks and not aide tasks for the day. This meant to do assessments and give meds, chart. My one patient needed her teds put on. The nurse who was assigned to her said that I could put them on her. I told the nurse that my instructor wanted me to do RN tasks that day. She nastily replied that it was a nursing task. I was a CNA at that point and felt this was something that could be delegated to the CNA's. When I explained this to the primary nurse she got more argumentative about the issue so I just went and did it. When I have students I try to not treat them as aides but as future nurses. How are they going to learn if they are treated as aides all of the time?

    Under no circumstances would this be happening to any of you with my friends. You are to be given safe secure environments to learn. Be aware that some of us know you are encountering this and we are greatly displeased. This is not acceptable. I'm so sorry. This simply isn't okay.

    But again, this is why some nursing students are assigned to preceptors like me. One other note: Please do not ask me where your instructor is. I have no idea.

  • 1
    fuzzywuzzy likes this.

    Quote from fuzzywuzzy
    It seems like the OP is fishing for a specific type of response. She's already heard what she wanted to hear (that the nurses at her other clinical liked having students and found them helpful), and seems determined to be offended if anyone in this thread says otherwise. She is looking for validation that, as a student, the hospital revolves around her. It's a waste to even try to answer the question she asked, because it's not what she wants to hear.

    wow, gee fuzzywuzzy, you were less fuzzywuzzy than I was gentle. Perhaps, you are a bit more left brained with somethings and simply get down to the heart of the situation (kinda like me)? I'm not sure. but, I must say, it is nice to make your acquaintance. I would be glad to work by your side. You come across as no nonsense and let's take care of that patient.

    However, on the flipside, I must give care and patience to our younger nurses. I must communicate at least for a short-time so that perhaps others will understand the myriad of circumstances that we seasoned nurses find ourselves encountering when the newer RNs come to complete their clinicals.

    You see, as I get older, the younger ones must learn. I have much to offer as do they. I believe if we all work together we will survive for the better of society. I'm sure that sounds corny but it is my belief. It really is. I was raised with my Great grandparents values rather than my parents. (long story)

    Do I think the OP is gaining understanding from our posts or just seeking emotional validation? I don't know for certain. It may be that your assessment is correct. I'm not sure.

    I do know that if the other students are reading, I hope they will learn to look for experiences that will develop them as critical thinkers. In the hospitals, we don't always have much help (as they should already know). Once they are out on their own, they may find themselves struggling hard. They will need to make some decisions faster than others. Not everyone will be patient and give them the time they need to make decisions. It's rough. I do wonder why the OP wasn't able to connect the dots when it comes to the differences between nursing student and full fledged nurse. Perhaps they hadn't read the first year nurses blog?

    ( Heck your situation is worse . Another pet peeve of mine - why do we give so little to the elderly who tried to give so much to us? Why not honor the elderly by hiring enough staff to properly care for them? I don't get it.) At any rate, fuzzywuzzy, I do hope that you are well. Please protect yourself and your body. Heaven only knows how many times you have been placed in potentially dangerous situations in which you might have injured your back. Thank you for writing and I like your name. Be well.

    Sincerely,
    Gentle

  • 0

    Quote from vashtee
    I am not a student anymore, and the students I precept are generally responsible for TOTAL patient care, which includes (in addition to the important things you mentioned) normal ADLs. I don't know why someone can't do everything you mentioned and still be pleasant. They aren't mutually exclusive traits.
    Your statement is correct. However, you and I have 2 different priorities.

    Mine is to make sure the students understand the "whys" not just the "how tos". They will constantly be reminded of the ADLs once they are working. The ADLs will not have the potential to injure a patient.

    The "whys". Those can make or break a tough situation. My preceptees learn not just how to but why to.

    You and I are just 2 different people who look at one situation from 2 different perspectives. For me, no harm no foul.

  • 3
    kayty2339, Fiona59, and sistasoul like this.

    Quote from vashtee
    I adore having students! And yes, most of them DO lighten the workload to some extent, even if it's only that they help my patients get to the bathroom, help them eat, or help the CNAs with vital signs. (If the CNA isn't available, then I would be doing that.) Plus, students have time to interact with my people in a way I WISH i had the time for.

    I have to admit that when students are on our floor, I always warn them of which nurses to avoid. Odds are that if most of the students don't like a particular nurse, their coworkers don't, either.
    @ OP:

    I see this quite differently. I too work DOU. You aren't there to feed the patient, help the patient get to the bathroom or help the CNA!!! That statement isn't okay for me.

    You are there to learn. I'm going to explain to you why we are giving Mrs. X clonidine for her blood pressure instead of metoprolol at this point in time. Mrs. X will be fine if she doesn't eat her breakfast, lunch or dinner immediately. She won't be fine if her blood pressure is too high and heart rate is in the high 50s. I have a decision to make and you need to know exactly why I'm making that decision.

    I take your presence very very seriously. I want you to learn and grow. I want you to work side by side with me with understanding.

    I understand that my patients need emotional support. However, it sucks to provide emotional support to someone who is slightly dusky or has a small change in fluid electrolyte balances. Small changes can lead to big problems later if I don't pay attention. I want you to learn how to pay attention too.

    Meanwhile, there are other experiences I am more interested in you seeing. For example, I want you to witness a potential hostile situation being managed calmly and carefully with wisdom. You won't see this if you are taking someone to the bathroom. I want to explain to you why it was important for Nurse Y to use humor, with an irritated family member. Or perhaps it was better to provide an over abundance or empathy at that moment.

    Ever considered service recovery? When something goes wrong. How do we correct the situation.

    All these things cannot be learned and understood if you are taking someone to the bathroom or providing emotional support to a noncompliant diabetic who has gotten themselves readmitted for the 5th time in the last 6 months.

    And even if my posts come off rather brusque, guess what I am still trying to teach you. I'm trying to get you to understand what my goals are for you. Believe it or not, by the time you will have finished with me you will have gained more knowledge and wisdom, than with a nice nurse who isn't going to dig in and really teach you.

    Contrary to how media has portrayed nurses in the past, we are not always going to be nice. Nice is useless if my patient is crashing.

    Nice was also a useless trait Friday night when my patient had a bradycardia of 50-40 at 2300. Now it's your turn. Why did I consider nice being a useless trait for this 75year old man at 2300? There was no atropine ordered for use and the patient was tolerating the heart rate fine. His initial SBP was 142. I paged the cardiologist 2times by 0031 and he hadn't called back. SBP 139. Patient is a sweetheart of a guy. Has had diarrhea for a couple of days and is still having this problem. I gave the immodium. IVF are running. I work the night shift as you have guessed and my patient has had a long day. He's ready for some sleep. I spoke with the attending physician, who said to monitor the patient because the patient was maintaining his BP and was asymptompatic. My patient was on bedrest, so I bathed him because of the loose stool. He also wasn't diaphoretic or dizzy again my patient was on bedrest.

    Again, it's your turn now. What have your instructors taught you? Take the time on and off today and think through, why I might have been showing patience (character trait) but not necessarily nice. Why was I more concerned?

    To figure out the answer, you will have to ask me questions. I will be in and out today - It's Father's Day!!!! and We are off to make sure the Daddy has a wonderful day :redpinkhe


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