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TopazLover 30,748 Views
Joined Jun 7, '08 - from 'Delaware. River and State'. TopazLover is a retired. She has 'a life time' year(s) of experience. Posts: 8,005 (86% Liked) Likes: 23,037
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Some of you are being rather harsh. The nurse asked about parameters. Some of you gave really good examples of the differences doctors, facilities, and our own nursing judgement provide.
Of course the suggestions to know your meds, look them up, etc. are great. I kind of got the impression this nurse was looking for the absolutes that novice nurses need until they gain the proficiency to evaluate internally rather than question each thing for an absolute answer.
It is frightening that some nurses don't look at lab values, recent blood sugars, or the look of the patient. With experience sometimes you just know and really have to dig to figure out why you have the gut reaction of knowing the right thing to do.
I don't spend as much time over this side. I prefer the Central side. Now I remember why I stopped coming to this side of the street. Nasty comments when a reasonable answer could be given.
Some of you are being rather harsh. The nurse asked about parameters. Some of you gave really good examples of the differences doctors, facilities, and our own nursing judgement provide.
Of course the suggestions to know your meds, look them up, etc. are great. I kind of got the impression this nurse was looking for the absolutes that novice nurses need until they gain the proficiency to evaluate internally rather than question each thing for an absolute answer.
It is frightening that some nurses don't look at lab values, recent blood sugars, or the look of the patient. With experience sometimes you just know and really have to dig to figure out why you have the gut reaction of knowing the right thing to do.
I don't spend as much time over this side. I prefer the Central side. Now I remember why I stopped coming to this side of the street. Nasty comments when a reasonable answer could be given.
I am definitely not a new nurse but I remember well those first few months and even the first year + when I did not feel competent to match my colleagues in knowledge, ability, or speed.
One thing I did that helped me a bunch was to write a journal. In it I had to write 3 things I did right that shift. Sometimes it was simple things like teaching post MI. Other times taking time to hold a hand. The hardest thing for me was to keep those negative thoughts out. I made myself not compare my work to others, just give credit to me for what I did.
It really helped me to gain confidence as I looked back and saw that I had grown.
Give yourself some time and pats on the back. Few others will do it for you. That does not mean they think you are not doing well. It just means they are focused on doing their own jobs.
Nursing is hard, and especially in the first years.With experience you get a little more forgiving of yourself for being human and just mutter when you waste a trip down the hall to do one thing when you could be doing two if you had it together more.
Best wishes for a long and happy career.
I can't think of too many terrible things I have said. I think that means there were too many to note.
Good think I caught it before I got to down, stay, and roll over.
I have been out to much with my son and had the waitress talk to us as if we were married. We were all embarrassed.
I have found myself babysitting and talking to the child as if it were my dog.
"Leave it" my dog understands. Great command. My dog will drop anything when I say that. The child not so much. I think I even once asked him to "sit".
Some of you are being rather harsh. The nurse asked about parameters. Some of you gave really good examples of the differences doctors, facilities, and our own nursing judgement provide.
Of course the suggestions to know your meds, look them up, etc. are great. I kind of got the impression this nurse was looking for the absolutes that novice nurses need until they gain the proficiency to evaluate internally rather than question each thing for an absolute answer.
It is frightening that some nurses don't look at lab values, recent blood sugars, or the look of the patient. With experience sometimes you just know and really have to dig to figure out why you have the gut reaction of knowing the right thing to do.
I don't spend as much time over this side. I prefer the Central side. Now I remember why I stopped coming to this side of the street. Nasty comments when a reasonable answer could be given.