Latest Comments by SusanKathleen, RN

SusanKathleen, RN 7,159 Views

Joined Mar 11, '07. Posts: 378 (33% Liked) Likes: 238

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  • 1
    wooh likes this.

    I worked for a time at the Detroit Medical Center. We wore scrubs, of course, but the RNs all had a big ole hard plastic badge with RN on it, that hung below our ID badge, and the RN was very visible from a good distance.

  • 1
    Anya11 likes this.

    VivaRN has a good point. Some units are more helpful and less political than others. I'm new and in an ICU, and I decided to keep my head down, do a lot of listening, and only contribute with light-hearted, neutral comments. The biggest problem for me was that when doing a procedure one way (as taught by a preceptor nurse), another nurse would tell me that I wasn't doing it properly. I am not kidding you when I say that this was so commonplace, with almost every little detail of typical procedures, that it drove me (silently) nuts. I checked with written protocol, charge nurses, the manager - to no avail.

  • 0

    I was in this exact situation 2 weeks ago. I'm a new nurse, and working for the past 6 months in an ICU - love it. I had an interview at my 'dream' hospital upcoming, and after some thought, decided that it was unfair of me to 'blind-side' my nurse manager. So I told her that I was thinking of finding a job closer to home, and that she may be contacted over the next few weeks by the other hospital. The very day after I told her this, I had an interview in an ICU at my dream hospital, and they hired me after the hour-long interview and a 1-hour shadow that turned into 5 hours. The new nurse manager informed me that I had the job, pending a talk with my current manager. My current manager spoke well of me, and I was really glad that I had done the right thing. I was fearful that she would be angry that I only stayed there for 6 months, but you know, there are lots and lots of good nurses out there looking for jobs. She'
    ll find someone else to replace me with no trouble.

    I start my new job Monday, and have already begun the orientation paperwork.
    Good luck to you - hope you find a great new job.

  • 1
    Up2nogood RN likes this.

    Quote from oncrnpa
    the op asked a community of nurses for a 3rd party situation analysis of a clinical situation. the op asked for constructive opinions... she mentioned the patient had a heparin drip and active bleeding... while i cant speak for nerd2nurse i will say that even as a second semester student there should be some sort of connection between these two facts even if the correlation between ptt and titration/protocol is well beyond the scope and current educational level.

    i am surprised by many comments in this thread that are just supportive pats on the back while they make the op feel better i dont see how they are useful in the longterm. if the op just wanted moral support then please put it in your post so that others that will spend time explaining clinical things can find another post.

    we are quick to judge the instructor and blame it on "eating younger nurses" but fail to recognize that the op was reportedly upset and interpreting the situation as such in her view. there are 3 sides to every story yours, mine and reality.

    op did nothing wrong however did appear to need some assistance determining clinically what could have been done differently or additionally because it was not outlined in the clinical description. nothing that i have read has been anything but supportive from the other posters. i think it is responses like yours that keep clinically intelligent dialogue (which everyone benefits from) from occuring. its too bad.

    to oncrnpa: i loved your post for just this reason. i am a new nurse in an icu, and did not have preceptors who were able to communicate as you do - that's why i come to this message board. please remember that hundreds or more nurses are reading this, and we all have benefited from your knowledge and experience. what a great piece of advice you gave: separate out the blame stuff, and concentrate on the pt and what is going on there. a good reminder for all of us that are new and still thin-skinned. thank you for a great post.

  • 0

    This is why I like the Modified Ramsay Sedation Scale. Specific enough to describe the behaviors well. Obtunded to me means 'comatose', but I discovered that vague terms, like 'comatose' or 'obtunded' don't relay accurate information.

  • 2
    twinkletoes53 and talaxandra like this.

    Quote from leslie :-D
    dig that carol....always. the soul never sleeps.

    leslie
    I was participating in a code a few weeks ago (my first one - I'm a new nurse, but an old lady) and the dear woman I was doing compressions on had been in MODS for most of the day. As I was compressing her, I looked at her face, and she was already gray. I began talking to her, but in silence as there were 8 other people in the room doing their work. I told her that I was sorry that we were 'beating her up', and that I knew she was already gone. I looked up in that moment toward the corner of the room, which was slightly behind my left shoulder, and she was standing in the corner watching me.

    How wonderful.

  • 4

    Ruby Vee. She's already famous. I have a nurses' calendar with lots of her quotes from this message board.

  • 0

    Try 99% aloe. It's fairly inexpensive. Lots of different companies make it. It helps to really slather it on after I get home, and on my days off. I also avoid (as much as possible) the alcohol-based stuff in the pumps in every pt's room, and just wash my hands all day long at work with their anti--bacterial soap. We keep cocoa butter at the nursing station.

  • 3
    montinurse, DogWmn, and SuesquatchRN like this.

    Holy Crap! I don't think there's a way out of this, other than restricting daughter's time in room, and designating one person only to discuss all matters with. Good luck.

  • 0

    Quote from NurseCutie
    Are these two quotes not contradictorary? Put down newer nurses who want to pursue higher education...whatever it may be and then the next quote you want to say "not put down someone else's motives" for being a nurse? What give you the right to input your opinions on someone else's future goals and aspirations?

    Who's to say the new nurse may not be a great CRNA, midwife or ER nurse once they get experience under their belt? Everyone has to start somewhere in life...Remember you were once a newly graduated nurse w/no experience as well.
    I think you completely missed Ruby's point.

  • 0

    Quote from janhetherington
    management nurses should have to do one shift every two weeks.
    wow - great idea! i had a few clinical instructors who did this, and they were, of course, my best instructors. i'm thinking that in order to agree on anything, all parties need to understand the reality of the conditions in the first place.

  • 0

    Do not take away my nursing station - phone calls to docs - to other units - to ED - etc - grouped tele monitors- greeting/communicating with people entering the unit, including RT, OT, PT, etc. It's an important place for communication.

    Just a quick side note - we had to change the name of our COWs to WOWs (WiFi on Wheels), b/c someone complained about the name COW, suggesting that it was a "mean" name.

  • 0

    Count me in, too! I started here as a pre-nursing student, and am now an ICU nurse (just what I wanted), and you helped me repeatedly over the past few years. Love you, man!

  • 3
    roser13, leslie :-D, and lindarn like this.

    Hi,

    I read your entire post, and am staggered by the idiocy of your managers and HR. I am so glad that it worked out well for you. I also disagree with a few posters who implied that your tone was inappropriate. Since when does sweet, kind and caring translate into 'treating them like a child'? Sheesh! Don't change a thing SaraBeth - you sound like a wonderful nurse to me, and you can take care of my mom anytime.

  • 0

    I too, love my job. I wanted ICU, and got it......BUT it's a trauma/burn unit. I NEVER previously thought I could handle something like this, but took a chance. Love, love, love it! I love the dressings, I like the one-on-one, and the total care of the patient. I like my co-workers, I like my manager, I like the docs.


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