Ruby Vee's Nursing Blog

Ruby Vee's Nursing Blog

Ruby Vee, BSN, RN (69,934 Views)

Joined Jun 28, '02. Posts: 9,810 (68% Liked) Likes: 37,814

What To Expect From Your Preceptor

We all have had these fantasies of what our preceptor would be like: warm, nurturing, a mother who protects you from doctors, managers and raging Physical Therapists and a friend who welcomes you to the city and buys you drinks at your new favorite bar. We all expect and are certain we deserve an educated, experienced and competent preceptor who loves to teach (and does it well) and never says a discouraging word. Unfortunately, there are precious few of these paragons of precepting and too... Read More →

God Hates Nurses Now

I was sitting in the waiting room of my oncologist's office, about an hour into the wait, when I got restless and got up to ask how much longer Dr. "FamousCancersurgeon" would be. "Oh," was the response I got from a overtly tattooed teenager with Raggedy Ann red hair. "We thought you were here to see Dr. Upcomingandsoontobefamouscancersurgeon. Dr. FamousCancerSurgeon is at a conference on the other coast." "OK," I said rather pleasantly, considering the hour I'd been waiting next to an... Read More →

On Negative Feedback

There's being blunt, honest and plain spoken. There's saying what you mean and meaning what you say. There's giving it to you straight, not pulling punches and there's even being rude or brusque. But none of those things are mean, nasty or hateful. They're a communication style that not everyone is comfortable with receiving, but they're a legitimate communication style, and people who communicate in that manner probably are not out to get you. They're just being straightforward, not... Read More →

I Remember What It Was Like To Be A Terrified Nursing Student.

I can assure you that despite my 38 years of experience, I remember vividly what it was like to be a terrified student or new graduate nurse on the nursing unit for the first time. Most of us old nurses haven't forgotten what it's like to be new; we've just accumulated a whole lot more experience and quite a bit of wisdom as well -- and we can tell you that sometimes things aren't precisely the way you think they are. Sometimes your work colleagues really don't like you -- and sometimes... Read More →

Don't You Just Love It?

Don't you just love it when someone posts a "homework question"? Something like "Why are all doctors so obnoxious?" or "What do you do about lazy CNAs?", but with no context? If it's a real question, you would expect that there would at least be some context in the question. Instead of "Why are all doctors so obnoxious?", there could be an explanation of why the poster believes all doctors are obnoxious, complete with a story about being mistreated by a doctor. Or a story about a lazy CNA .... Read More →

It's Already Gone On Long Enough

My mother-in-law had a stroke last week. Details are sketchy -- she's several hundred miles away and the daughter who lives closest, a mammography technician, knows just enough to tantalize my husband and me with some of the medical details, but not enough for us to get the full picture. She had either a right CVA or a left -- Rosita isn't sure -- and has either left hemiparesis or left -- again, Rosita isn't clear. What is clear is that she had a diminished level of consciousness and wasn't... Read More →

New To The Forums

I discovered online forums back in the late 1990s, when the usenet was at the height of it's popularity and text-only newsgroups were the only thing out there. You had to have a usenet account, and once you scaled that hurdle, you had access to literally thousands of newsgroups on every topic known to man and hundreds I never would have thought of. Just about every sexual kink ever invented was represented in an online newsgroup, and when I stumbled onto one of those forums by accident... Read More →

New Grad/Hate My Job/Life is Miserable!

The first year of nursing is miserable. Everyone is miserable during the first year of nursing. You go from being a college student to being responsible for a full load of patients, and you aren't sure you're up to it and you're worried about what would happen if you made a mistake. Not IF you made a mistake, but when you make one because you just know that you can't do this and you're going to kill someone. You go home worried about whether you did enough, noticed any potential harbingers... Read More →

Domestic Violence: What Leaving Feels Like

Imagine you got up from your computer right this minute, and walked out of your house knowing you will never, ever come back. Maybe you had a chance to grab your purse on the way past the chair it's slung over, but more likely not. So you've walked out of your house with nothing but the clothes you have on your back -- not well chosen for whatever may come, but just something you threw on when you got up this morning. Old sweats, maybe, and flip-flops. Not even a pair of real shoes.... Read More →

Domestic Violence: Telling Her To Leave Is Not Enough

I know a little bit about domestic violence; I was once in an abusive relationship. Back then, healthcare workers didn't ask you, when you came to the hospital with injuries from "a fall" or "running into a door" for the third time this year, whether you might be in danger from an abusive spouse. If they had, perhaps I would have caught on sooner; but on the other hand perhaps not. Maybe I would have left him sooner, but on the other hand, perhaps not. When I did leave, I had just begun to... Read More →

The Worst Hospital Visitor I've Ever Seen

There are so many . . . . how to choose? There was the woman who'd had an aortic dissection repair, and things didn't go well. She had a perioperitive MI, a CVA and sepsis. All told, she was a patient in our ICU for six months. I didn't hear much about the patient's life from HER; she was confused and mostly nonverbal. Her sister, however, sat at her bedside for hours and wanted to chat with the nurse. The sister, Katie, was a nice person and since I had just moved to the area, gave... Read More →

Biting Your Tongue

Things I'd like to say to patients (or their families) and get away with: "I'm so sorry no one told you that drinking a liter of hard liquor a day could cause heart problems. This must be a complete shock to you, having alcohol-induced cardiomyopathy. But did you honestly think drinking that much daily would be GOOD for your health?" Clenched my teeth, bit my tongue and didn't say anything when the patient was going all "Woe is Me!" because of his cardiomyopathy and how unfair life is... Read More →

How To Be A Great ICU Colleague

Welcome to the ICU. We're happy to have you here, and we know you want to be a great ICU nurse. That's going to take a long time, but you can be a great colleague in the mean time. When you encounter someone new -- or anyone, really -- smile, say hello and introduce yourself. Do this as many times as it takes. Some of your new colleagues will remember you the first time. Others aren't so blessed with name/face memory. Some will remember your name or face but not what you're doing... Read More →

Managing 24/7 Visitors

A brand new ICU patient, whether they are crashing with cardiogenic shock, fresh from the ER in septic shock or just back from the OR, is a busy patient. There are assessments to be done, labs to be drawn and body cavities to be accessed . . . IV, NG, Foley? Intraaortic balloon pump? Chest tubes? But often times family haven't seen the patient since they kissed them goodbye in the pre-op holding area or at the front door this morning. If possible, it's good to have the family back briefly to... Read More →

The Case For Job Hopping

Actual excuse for leaving her fourth job in 12 months -- and remarkably similar to her reasons for leaving the other three jobs. While I won't deny that bullies exist, there aren't any more bullies in nursing than there are in the general population. If you're having that much trouble with bullies, it's time to do some serious self examination. Chances are REAL good that it isn't THEM, it's YOU. If you're having problems getting along with others, and those problems follow you from job to... Read More →