brandy1017 30,449 Views
Joined Jun 30, '02.
Posts: 2,027 (67% Liked)
Coworkers are not your friends.
Don't trust anyone on the job with any information, regardless the nature.
If a patient looks you in the eye and tells you they are going to die - take that seriously.
Even if there seems to be no reason for reason. I've diverted a helicopter a handful of times direct to a cath lab on "I'm going to die" declaration because, no you will not die if I can help it. Perhaps the EKG wasn't diagnostic, but the declaration was prognostic.
Since death tends to be very still, you get a small window of time to move very fast. Don't miss it.
My "Spidey Senses" have saved MY LIFE many times over. They have also save the lives of my PATIENTS. Only when I've talked myself out of heeding them have I found myself in the deep doodie. Avoid the doodie. Nothing good happens in the doodie.
That it is not enough to save a patients life, they EXPECT it, and they EXPECT it to be done without pain, fluffed pillows, iced apple/cranberry juice cocktails served with a 3 course meal post op, q2hr dilaudid with a friendly reminder hourly, prn dilaudid because the dressing came off again for the 3rd time this shift and dilaudid is ordered for every dressing change...Within a second of pushing their call light.
Never expect, that your employer keeps his promisses.
Care about yourself.
The facilities you work for do not have your back and will throw you under the bus in a heartbeat!
Despite so many hospitals' noble mission statements and humanitarian platitudes, I soon learned that so much of healthcare today is all about the money. Sadly, that realization took away my naïveté and my smile
the hard truth (s) I've learned are 1. there is never enough time or staff, ever. 2. hospitals do not care about their people or patients beyond the extent that it increases revenue. You are a number and a dollar sign. the "patient first" loving and caring picture they paint is utter BS. the money made in this industry is off the backs of every one of us and goes straight into the pockets of elite and upper admin.
There are things much worse than death.
My references are my references, my previous supervisors are my previous supervisors. If they can't be contacted with the information I have on hand, there is nothing I can do about it. One reference who was retiring for good and leaving the area, informed me when she would be out of the area, otherwise these were not people I socialized with. The only problem I ever had was when a former manager promised to be a good reference and then did the opposite. I never would have known that was the case, had not a prospective employer informed me. An employment attorney dealt with that problem for me.
Do what is best for your career, if you are going to become a NNP, it makes more sense to stay put in the nicu where you enjoy the patient population and you are gaining valuable experience. If you are going to become a FNP, it makes more sense to move on, maybe to emerg where you can gain experience with assessing a diverse group of patients with a variety of symptoms. Making a decision based on your emotional response to your colleagues' incivility isn't going to help your career.
If you aren't truly lonely in your life (and it sounds like you do have a life, with plenty to enjoy), then honestly I think you just need to care less and focus instead on providing excellent patient care while at work. My personality would prevent me from even considering the idea of wanting people for friends who don't appear to want me for a friend.
Groups where people make effort to exclude others who have done them no wrong go hand in hand with "meow" factor. You might just as well take their rejection as a compliment. Keep being kind and helpful towards them when opportunities arise. Try hard not to reply in kind.
If you are seeking more socialization there are numerous opportunities - focus your search outside of work. Book club, professional organization, something in the arts, or a group based around one of your other interests.
Don't leave because of this, especially if your management is supportive of staff and you are in a place where you're able to provide excellent care and gain knowledge.
No, of course not. But if you are going to report a colleague or supervisor, or facility for that matter, it better be for something really serious.
And even then, you may have to realize that you will fall on your sword for doing it. And when all is said and done, all your next job is going to know is that you might report them, that you go behind your bosses back and report him or her, that you think you're better than others, that you will be spying on others, and that you have trouble working as a team.
Because here's a fact: in any given day at work there will be medication errors, neglectful care, ignorance, failure to call a doctor, doctors who don't call back to give an order, etc., etc., ad nasueum--every single shift. So, what sword are you going to fall on? Because you can only do it once.
And no, they can't fire a whistleblower, but you will make mistakes--every single shift, I guarantee it. And they will just start looking at them. And that's how they will get rid of you.
I know this sounds negative, but I really don't see it that way myself. It's definitely Machiavellian, but it's neither negative or positive. It's just the way things are, and nurses burn out all the time for not understanding it. That's all I'm trying to say.
One might could have acted like everything was just great. That would be the easy way out for sure. I guess some of us are just need to learn for ourselves the hard way that life ain't fair! No one ever said it would be, right?
We want to try to correct things, that unknowing to us at the time, aren't going to be changed but at least we tried! You don't know unless you try though.
Good luck getting out there again. More power to you brother!
What I find funny now I would've never found funny two years ago.
1. Burnout can happen in less time then you think.
2. Nurses take out their personal problems on patients and coworkers.
3. Sometimes high pay = high stress and the job just isnt worth a poor mental health.
4. Family members abuse disable family members in many different ways.
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