®Nurse, MSN, RN 13,440 Views
Joined Feb 26, '08.
Posts: 1,140 (63% Liked)
Kaiser compiles the latest EBP into an algorithm that the RN uses, along with the nursing process and a heavy dose of critical thinking to work through the patient phone assessment in order to arrive at the safest outcome.
Even with all of the safe guards built in, if an RN doesn't explore the right symptoms, or has a lapse in "active listening skills", the algorithm will fail.
You utilize a combination of both to guide your advice.
You are forbidden from giving advice that is not listed within the established parameters. You cannot "go maverick" with a personal tried-and-true method of addressing an ill. You must only utilize the established evidence based practice methods. (i.e. honey for a continual cough, versus standing on one leg and holding your head back while jumping up and down).
There is precious little room for creativity, and it gets old, very quickly, taking call after call after call, while regurgitating a rote fix for someone's ills.
.....and then, there's the special little snowflakes (I don't want to go there....)
I applaud anyone going from LPN/LVN to RN.
I understand what struggles you have had to endure.
I don't know what "shands" is, I assume that is your place of employment.
I have a question for you: Could the Dr have been under the impression that you were a visitor/family member? ~ if so, I can understand the clarification "she is a CNA".
It is always best to ask questions/requests politely. I would have asked you to turn off the light in no different manner than if YOU were the Doctor.
I AM uncomfortable that this exchange happened in front of a patient. Next time, I suggest having a well-thought out discussion with the offender in private.
I have experienced nurse bullying on numerous occasions. The ones that I remember are: 1. An old nurse educator when I was in nursing school. 2. Old nurse at an assisted living facility. 3. Old nurse in a clinic setting. And probably more that I cannot recall at the moment. All three are old nurses who liked to "eat their young" as you may already know that term. I think to myself how immature they are compared to me (even though they are 30+ years older than I am). Bottom line.... the reason they are like that is because of pure jealously. Old nurses do not like when a younger nurse comes in the workplace for numerous reasons. Many of them def need to retire. Just my two cents
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