Content That dream'n Likes

Content That dream'n Likes

dream'n, BSN, RN 8,799 Views

Joined Aug 28, '06. Posts: 825 (55% Liked) Likes: 2,150

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  • Sep 25

    I don't think I've ever given attitude. If anything, I think at times I sound down trodden. The worst has been when I've transferred a patient up to ICU, sometimes as a rapid response, and in that short amount of time the room was cleaned and within 10-15 minutes I'm getting report for a train wreck ED pt or PACU pt. Days like that I tend to apologize and maybe give a brief explanation- i.e. just transferred a rapid up to ICU. It's not the transferring nurse's fault, but it's ridiculous that you aren't given any time to recover. If I've just had a rapid or managed to transfer a patient up to ICU without one, chances are I've spent quite a bit of time with them and haven't seen my other 3-4 patients. I've had this happen twice in the past week and one of those times I got back to my unit to be notified of critical labs for another patient (requiring a split transfusion) then got a PACU ortho patient that had cardiac issues (we get so few ortho patients- not my units speciality- and they are my least favorite transfer. I'll take a pt with a fresh chest tube over an ortho pt any day).

  • Sep 22

    First and foremost, these overdose deaths are truly tragic...

    Thus, the story has an unnecessarily sensational spin to it. Nursing homes are not, and never were, intended for substance abuse treatment. Chronic understaffing and lack of employee training does not allow for addiction treatment in those places.

    Nonetheless, I foresee a greedy admissions manager at the nursing home who may have knowingly accepted new patients/residents with recent addiction histories without implementing any plan of care to properly meet their various needs.

    In other words, someone may have been trying to get 'heads in the bed' to keep the profits coming in by any means necessary. Unfortunately, people are now dead.

  • Sep 18

    Until I hit my 50s, I never had trouble finding a job even though I'm morbidly obese. So I think my lack of success after my early 50s had more to do with my age than my weight.

  • Sep 14

    The constant interrupters during report. These are usually also the same ones who don't listen and ask you about things you've just told them.

    Speaking of report, I also find it rude when I just walked on the floor and somebody hounds me to give report. Can I put my coffee down and get some report sheets at least?

    Standing at the pyxis just taking your sweet time and having a conversation while there are people waiting to get in

  • Sep 13

    It's September. Pre-nursing students have become nursing students and new grads are either starting new jobs or are well into orientation. And there seems to be a plethora of new posts claiming that nurses eat their young, that the poster gets no respect, that their workplace is full of bullies, that "everyone knows that nursing is mostly women and women are caddy," that the senior nurses on their units "owe it to me" to "take me under their wing and train me" and other claims that are "truth adjacent."

    We've all seen the threads, or the post within a seemingly inoffensive thread:

    "Yep -- It's true. Nurses eat their young. I know because I've been eaten."

    "Newbie here, and I get no respect."

    "Respect should not have to be earned; those old cows should just give me respect."

    "Nurses are supposed to be compassionate and kind, so where is the compassion for MEEEE?"

    "No negative posts. If you can't say something nice, don't bother to respond."

    Whether they know it or not, these posters are revealing far more about themselves than they are about the alleged bullies in their workplace.

    As a Crusty Old bat, preceptor and charge nurse, I owe it to the new employees on my unit to treat them with basic human courtesy and kindness. Respect, however, is different and when the word is used as defined, must be earned. (Respect: a feeling of deep admiration for someone or something elicited by their abilities, qualities or achievements.) When you're new, we don't know anything about your abilities or qualities, and the achievement we know about -- that you graduated from nursing school and passed the licensing exam -- is something we've all done. As you work with us for awhile and we get to know you, you will either earn respect for your abilities, qualities and achievements . . . Or you won't.

    Disrespect is defined as lack of respect, scorn, disregard, disdain or contempt. I often see early posts from a new member complaining that their brand new colleagues, preceptors, nursing instructors or some poor nurse who has been saddled with them for a shift lacks respect for them. The posts are dripping with contempt for the nasty old preceptor or addled older colleague who doesn't totally "get" their awesomeness and give them the deference they feel is their due. Posts claiming that "nurses eat their young" while describing said nurses in derogatory terms, claiming that they KNEW the workplace was full of bullies and they've been proven correct because they're currently being followed around by mean old bullies, or that "they should take me under their wing and train me" while verbally excoriating the very nurses they want to mentor them all tell me that the poster doesn't understand workplace dynamics and relationships and is having difficulty getting along with their co-workers. That tells me far more about THEM than it does about the co-workers.

    Like many of us, I've taken the time to write responses to some of these posts, hoping to point the poster in the right direction or encourage them to engage in some introspection before concluding that the problem is all in the other person they're complaining about. Some of those posts are long and detailed. I've thought about the original post and about my response for hours, sometimes, before I sit down to type out my response. And then the poster goes off on me, because my answer wasn't the one they were looking for.

    To those posters: AN has a wealth of information, thousands of wise old nurses and a metric ton of valuable advice. But you have to be ready to accept it. When you're new, you don't deserve disrespect, but you haven't earned any respect either. You deserve, and are likely getting, the basic courtesy we all owe other human beings. If your co-workers don't LIKE you, that's something else again, and this place can be very informative about why that may be and what you can do to change it. Nurses don't eat their young, but we do give negative feedback. Our job is too important and the consequences to our patients potentially too dire for me NOT to tell you when you're screwing up. If you cannot accept any criticism, you don't belong in nursing.

    The senior nurses who mentor or precept you deserve your respect, and you won't GET any respect from them until you GIVE it. Understand that no matter what the nurse in your clinical said, you aren't helpful and don't ease our workload any. If we've taken on the responsibility of teaching you, you have tripled our workload. Be grateful for each and every nurse who gives you that gift. And understand why some seasoned nurses just cannot offer that at this time. Try to exhibit the kindness and compassion for those nurses that you expect FROM them.

    Nurses don't eat their young, aren't predominately bullies and don't owe you. But if you're respectful and grateful, you might very well be the recipient of someone's best tips, time savers and teaching.

  • Sep 13

    ​What bothers me about People being rude?

  • Sep 10

    You sound pretty uptight. You might try loosening up. So what if some knows if you have kids?

  • Sep 10

    Quote from Aloe_sky
    Hey All!

    I am really bothered at work, I feel coworkers ask too many personal questions. I do not trust people and I really feel there is no point for a coworker to ask questions not related to work. I get some people just want to get to know people or view coworkers as an extended family but I don't. I am very observant, I see nurses laugh and smile with each other then the next minute talk about that same nurse they were laughing and smiling with. Before anyone says that's the unfortunate side of working in a female environment, that's B.S because there are 4 males on my unit that gossip just as bad as the females aND 1 of them is known as the gossip King. And I also know this happens in all work environments, not just nursing.

    I don't care how small the question may be (eg. My age). I don't want to share it. I am an extremely friendly person, I may share a tiny piece of personal information but I choose to share that (eg they wanted to change tge radio station at work so i told them the music I like to listen to). I have NEVER asked a coworker if they had kids, are married etc. Because I genuinely don't care

    This is a huge issue for me because I feel if I share this piece of info with a coworker, it is not their business to go tell other coworkers no matter how small the information is. I told a coworker where I was from the other day, I went to work and 3 coworkers started to approach me about the island I'm from. I knew that the person I told shared this information since she was the only 1 I told. Now this may seem small but I tend to look at the bigger picture, the worker I told talks too damn much I wonder why my name was brought up to begin with...why she chose to volunteer this information.

    This is exactly why I don't like sharing information at work. People don't know how to keep things to themselves. I've been told I'm very mysterious and secretive at work. That's ok, they already talk about me so I will not volunteer anything more for them to talk about

    Just venting.

    I know you're just venting but at the risk of offending you, I am offering you some advice.

    Nursing involves teamwork. Teamwork is the difference between hating your job and loving it, between succeeding at your job and failing. Teamwork is the difference between losing your job over a minor mistake and keeping your job after a major one.

    In order to be considered a part of the team, people need to "know" you a bit. If you are resistant to sharing ANY personal information, you are not going to be considered a friendly person. You are probably not seen as a friendly person or a person who wants to fit in on your unit. You may not like this way of thinking, but that won't change anything. Given that you really don't care about your co-workers, I would venture an opinion that you are actually NOT a friendly person. You sound downright hostile.

    You don't have to answer personal questions, but "are you married?" Is a matter of public record as is "how many kids do you have?" (Unless you aren't getting benefits through your work or you have lied to HR, your employer knows the answer to these questions along with where you graduated from high school and college -- where you're from -- and your employment history. They probably know your blood type, allergies and Hep B status as well.) Sharing a bit of personal information is social grease that helps you to become a part of the team.

    People are going to talk about you, you're right. Right now all you're giving them to talk about is negative -- you're secretive, unfriendly, uninterested in others. If you value your job, please consider engaging more with your colleagues. Give them something positive to talk about. Tell them about the island where you grew up -- most of us have fantasizes about growing up on an island. Share what it was like to have to take a ferry to the mainland to shop for a prom dress (or whatever it was like for you.). Chat about the music you like, what you like to read and your favorite hobbies. Express an interest in your colleague's precocious toddler, clueless wedding planner or sick mother. Be a part of the team.

  • Sep 10

    sleep on it, don't rush into reporting it, especially when not thinking things through is what caused this to begin with (I say that because you realized right after what you did!).

    If the teacher hadn't made the suggestion, you probably would not have done it. So its not entirely on you.

    Yes that was bad, but you are a student. You learned how easily a slip up can occur. that is a valuable lesson.

    Call me unethical and a terrible nurse. It is unlikely to be "found". Sorry, but if you knew with a high level of confidence, that you would be kicked out without consideration of the situation, why would you risk everything over this?

    I dont see the world in black and white.

  • Sep 10

    Did you take the screenshot with your phone, like a photo? Did you send it through your phone? We are not able to cut and paste or screen shot in the EMR even if we tried.

    I do not believe in throwing yourself under the bus for no reason. When it protects someone, or helps someone, then yes.

  • Sep 7

    Quote from dream'n
    You are tougher than me. I think I would have stroked out right then and there. But not until after the staffing office had gotten a BIG earful from me.
    Luckily we had a great clinical manager who was on the phone with staffing as soon as she walked in the door. (Although we didn't get another RN, they did contact bed control and delay our direct admits.) And both the clinical manager and our oncology coordinator were the type of management who weren't afraid to get their hands dirty. So they helped out between meetings and cancelled/delayed what other responsibilities they could. We made it through the shift, but it was a bad day.

  • Sep 6

    Charge RN of 26 bed inpatient oncology unit: 22 pts. and expecting 4 direct admits for chemo, floor split between 2 LVNs and 1 new grad RN (just off orientation & not chemo certified) and a float RN (experienced but not chemo certified or use to oncology). Staffing is trying to get another RN to come in for expected admits. (Our normal ratio on days was 1:4-5). Don't recall the exact number but at least 1/3 of the patients getting chemo, which is the charge nurses responsibility, along with hanging all the blood products & IV pushes for the LVNs (both of which are numerous on oncology). I knew it was going to be an extremely busy day but...less than an hour into the shift the float reports a chemo spill. In the middle of cleaning up said chemo spill new grad calls a code--had no idea her patient was going bad. We rarely run codes in oncology, most of our patients are DNRs. Thank God for code teams! Needless to say, it was a really bad day...

  • Sep 1

    You are a badass who put a gracious old nurse back in her garden. That is what you need to take on your well deserved vacation.

    The daughters have their own junk for whatever reason, just like anyone else who copes poorly under the pressures of fear and guilt and finds a scapegoat.

  • Aug 23

    Quote from Asystole RN

    Boo hoo.

    Who cares about someone's feelings when LIVES are on the line? The pursuit of organ donation should be aggressive and persistent. We owe that much to those who are dying and to the families to know what their feelings may cost.

    Organ donation is serious and should be treated as such, their tears will dry but dead is forever. Maybe their loved one's death will mean that others may live.

    Feelings v. Life
    your crude and rude response is part of the problem. i am thinking you may have lost a loved one that did not get that transplant in time, if so, you neutrality is shot.
    No, is NO. the end.

  • Aug 23

    Quote from Asystole RN
    Boo hoo.

    Who cares about someone's feelings when LIVES are on the line? The pursuit of organ donation should be aggressive and persistent. We owe that much to those who are dying and to the families to know what their feelings may cost.

    Organ donation is serious and should be treated as such, their tears will dry but dead is forever. Maybe their loved one's death will mean that others may live.

    Feelings v. Life
    This callous attitude is but one of many reasons why I am not an organ donor, nor do I want to be an organ recipient.