sparketteinok 2,510 Views
Joined Jun 11, '08.
Posts: 137 (57% Liked)
wow, after going on long breaks or should i say honeymoon/vacation?... Now i see why we are in a recession
i used to think that was gross...but all of you (especially leslie :-D) just made it seem cool...i would be graduating pretty soon, and would definitely add to that statistics... now i see why that big booty nurse gives me that look
If there were that much sex going on at real workplaces, we would have more stories about contented workers walking around with smiles on their faces. In reality, one would think the opposite occurs. Bad workplaces keep workers from getting satisfied at home so they are always grumpy.
I have been working the last couple years at a facility with a completely computerized med administration system (my first experience), and I LOOOOVE it. I don't feel it is particularly slower than the "old" way, and the system makes it very difficult to make a med error -- you have to really work at it, haha! (You have to intentionally bypass the safety mechanisms built in to the system, which a fair number of the nurses I work with do, I'm sorry to say ...)
I find the hospital pharmacy makes a fair number of dumb mistakes putting the orders into the computer system (we (nurses) all kvetch that if we did our jobs that badly, and made that many errors, we'd be fired, but nothing ever seems to happen to the pharmacists), but, other than that, the system works really well IMHO.
We also have a computerized Omnicell system for storing and pulling meds, so the system is pretty close to foolproof -- as I said, you have to really work at it to make a med error.
"Lateral Violence" is a huge issue in nursing and probably counts for about 10% of new grads leaving the workforce, and never returning.
It is very different than other industries because it is largely female based. A book that I think should be mandatory reading in nursing school is: "Odd Girl Out." You can get a copy for a few bucks usually on half.com.
The "female based" may sound sexist, but if you read the book you will understand. Males have a problem with each other and usually the outcome is: "Hey Bud, I got a problem with you." Face to face, the issue comes out into the light and is often resolved there on the spot. All too often females, since as a child they are taught to "stuff it," find it far more difficult to resolve power issues, and so the issues often smolder. Some learn skills of a passive-aggressive nature, as many here will attest to, and so victims are not believed, or are ignored. "Oh xxxx says you misunderstood, she'd never be mean." Well, behavior that worked in childhood often works in adulthood.
"Odd Girl Out" shows and explains how the Western Society deals with female aggression (or fails to deal) in children. It is fascinating to read and gives true insight to how to deal with the nasties of our childhood who, to the adults seemed "oh so innocent." Well, these bullies grow up, and guess what, many become nurses.
Around 2005 I read an article in a major journal of Nursing Education where the author followed three groups of recent nursing grads in "fast track" programs in major Boston hospitals. Amazingly at the end of the year more than half had quit these programs and virtually all cited bullying as a reason.
Bullying can be as "little" as rolling of eyes, and "didn't you learn anything at school?" to hiding supplies, withholding necessary information, or more overt actions. The bullies are often extremely skilled, having learned how to appear innocent, often with others backing them up.
Schools ought to have classes that teach how to deal with bullies, both co-workers and patients/family.
Dear Nursing Student:
I am sorry that you feel that you are a novice and nothing more; I hope you develop some confidence in yourself.
I am sorry if you think you have made my day long and bleak; the truth is, sometimes my days are long and bleak, whether you are here or not.
I am sorry if you think that I'm being mean to you, because I did not intend to be; Perception, however, is not reality, merely subjective belief.
I am sorry if I become frustrated with your constant questioning; you must remember that while it is admirable to seek to understand, there is a proper time and place for questions. I am always try to answer you, but sometimes there are more pressing things.
I know you are afraid. So am I.
I am afraid everyday I come to work.
I am afraid I will be faced with something crucial that I have not yet encounted;
I am afraid I will be expected to complete a task I do not yet know how to do, and will screw up in the process;
I am afraid I will, in the process of screwing up, hurt someone I am charged with taking care of.
I am afraid I will unwittingly wound and damage those new nurses that have been entrusted to me to train, or will teach them something wrong.
I do not have the comfort of a preceptor or instructor. I work under my own hard earned license that can be taken away from me. I may not be laughed at by others (at least not where it could be heard) but I am marginalized and disregarded by docotors, management, patients and their families, and sometimes by nurising students who don't always want to listen to me.
When I tell you to connect the dots, it is my desire to help you improve your critical thinking skills. You will not be a student forever. Someday, you will be an LPN, or an RN, or a NP, or a CRNA...and whatever your chosen profession, you will be expected to think quickly and to stand on your own two feel. When I tell you to see the big picture, I want you to try to take all those little pieces you have collected and combine them so you will grasp how everything works together. Nursing, more than anything else, is the ability to care for the patient as a whole being: mind, body, and soul. Nursing is seeing the big picture.
I have been a nurse for a very long time, and yes, I am very experienced. I have seen things that would make a nursing student cringe, or cry, or run away. And yet, I have stayed at my post, like a souldier at war, healing the sick and mending the wounded. I have never forgotten where I came from, and I never forget where I'm going. And I hope you know, that despite all of this, there are day where I still feel like a green-stick novice.
Dear Nursing Student,
Someday, I hope you are like me.
Someday, I hope you have all my experience,
Someday, I hope you will find those deep wells of confidence and patience that I know are inside you, regardless of what Nursing School did or did not do,
And someday, I hope that you realize you will never be an expert, that there will always be something you can learn, from everyone you encounter, whether from an old battleax, or from a baby nurse. Because in the end, there isn't much diffence between us after all.
to the ole experienced nurse
sorry i am a novice and nothing but a thorn in your flesh...i promise, i'll learn fast.
sorry that i make your day seem so long and bleak...i'm in your way, so i don't miss a thing
sorry that i think you're being mean to me...because you are. perception is reality.
sorry that all my questions make you want to tear your hair out...i seek only to understand
sorry that beneath all that swag i carry, you fail to see it for what it truly is- fear!
sheer fear at the amount of learning that i have to go through...
sheer fear at the thought of making a mistake..no matter how little...
sheer fear that nursing school experience even with all the stressors did not prepare me for this...
it is nothing compared to this...being on the floor on your own with no preceptor as a buffer.
fear that i would be laughed at and ridiculed..( oh don't think that i don't notice it when you do that to my fellow novice nurses....yes, sometimes to your colleagues too).
the same fear is what hinges on me that when you tell me to connect the dots, i fail to see it,
even when it is right in front of me...
and when you tell me to see the big picture, i try ...truly i do...it's just overshadowed by the little pieces i see
with the passage of time and a wealth of experience later, you forgot a vital component- you were once like me, a novice.
dear experienced nurse,
i finally realise something,
someday, i will be like you,
someday, i will have that experience..
someday, i will become an expert...
nursing school did prepare me for this...i just had to reach deep to find it.
the difference between us? i will remember how it was being a novice.
([color=lemonchiffon]could not sleep...trying out my poetry).
I nursed a patient who had Munchausen's. She had at least 16 abdominal ops from 9 different hospitals that we knew about. Her consultant at the hospital I worked at at the time had clearly stated "NO FURTHER EXPLORATORY SURGERY"
Guess what? She was admitted over a weekend and a further laparotomy was carried out. It showed multiple adhesions from previous (unneccessary) abdominal surgeries and the patient developed peritonitis and ultimately fistulae.
She was on the ward FOREVER. It took hours to dress the fistulae with stoma bags, paste, wafers etc. Within 10 minutes she would pull the dressings off and scream for a nurse.
She made formal complaints about pretty much every nurse on the ward including the Sister in charge and we dreaded having to care for her
She was on the call bell every five minutes. We knew she was a Munchausen's but her over-protective parents were also complaining 24/7 that we were neglecting their dear daughter.
Eventually she was transferred to another hospital. God help them.
You people who don't have jobs will have to be creative. So you don't get the big job in the big city, just be creative and take a nursing job in a small town. You will learn valuable skills in a smaller hospital and you will learn to work at a hospital with outdated equipment. Then you will have your experience and you can go to the fancy dancy hospitals with the newest equipment and it will be easier.Do what you have to do to get a job. Don't complain, just be creative and go for it. I did just that when nurses where a dime a dozen in the 1990s, and jobs were scarce.
I don't know if the hospitals are really paying the price. I think it is the nurses and ultimately the patients that pay the price, especially at these "for profit" institutions. They know exactly what will happen when they short staff but they even have even have the cost of law suits calculated to the last penny. Some people will suffer terrible consequences but the insurance takes care of that and that price of the insurance is also figured in to the bottom line. The system that licenses nurses is a great boon to management because it gives them a scapegoat. They appease the family and the public by firing a few people and turning them into the BON. As far as the institution is concerned everything is covered and they can smile all the way to the bank.
Be assured that a business, which in this country a hosptial IS, only the bottom line matters. There are no limits on how many a people a nurse can care for. RNs and docs are the responsible parties. AND if a situation becomes bad you can't just leave, that is called abandonment. Taking this path is one thing, not understanding what the path is another. Thinking that a hospital will ever "care" about its employess is merely a pipedream. The only way conditions will improve is if legally they have to or if hospitals and insurance companies have to take more responsiblity and less is taken off the nurses and docs backs- not gonna happen.
There will eventually be more and more importation of foreign nurses. This will happen also because nurses for the most part lay dowsn and take whatever is dished out and I have determined that is something that cfan't be changed. People attracted to this profession are mostly codependent, including myself when I got interested in it. WE put everyone else first and that is how nursing is set up, everyone else is first , you are of little value or importance. This is the attitude that is very prevalent in nursing. Now that I have recovered from codependency I feel I do not fit very weel although I am still trying to figure out how to use my education.
Well and here is the other thing...If the hospitals continue to pass on hiring new grads...where are they going to go to find "hospital ready" nurses fill hospital spots? We are sitting at home looking at the want-ads and meanwhile, every day our skills and knowledge base dwindles. I mean what do they think they are preparing us to do during school? Hospital Work. I am sorry, but after 5 years of college (yes I have a BSN), passing the nclex with flying colors, a hospital externship and 5 years working as a CNA, i am more then qualified to fill an entry level med-surg spot. I mean what more does it take to get a job in this country anymore?? Do they really think that if I go off to do some home care job or nursing home postion for the coveted '1 year of experience" that I will be sharper on all my med-surg knowledge and hospital skills? The answer, I believe is no.
God bless the origional poster and all the others trying to raise awareness about this issue. This is my dream. Be encouraged tho. There are more and more positions opening up every day, way more then 6 months ago. Their are jobs out there. I got a call friday to interview at a local hospital on an ONC floor and only 5 applicants!! Pray for me please!
I have discussed at length on this board in previous threads I have started about the plight of newly licensed registered nurses and new grads trying to gain employment. I have talked about how the patients will likely be neglected due to the systematic understaffing of hospitals and how the administrators who are “calling the shots” may very well be “shooting themselves in the foot” when it comes to what they may face later on due to the decisions they are making now.
The following article highlights in part what I have been talking about. It discusses a hospital that I have repeatedly tried to get a job at for a solid year now. I personally know people that work there and have been begging for help for well over a year. This hospital along with just about every other hospital all over the country just simply isn’t hiring nurses, particularly new nurses. Hospitals were understaffed before they by and large stopped hiring new grads during the summer of 2008 and the situation is just getting worse. Nurses currently working in hospitals are increasingly being over worked, asked to stay late to pull over-time, asked to come in on their off days. Their getting worn down and they, along with their patients are bound to suffer. We are seeing lately more nurses in hospitals protesting about the unsafe conditions for the patients as a consequence of the understaffing. Meanwhile you’ve got new RNs suppliant for jobs all over the country for well over a year now to no avail. Let’s not forget all those “recession-proof” nursing job articles (Forbes.com) that the media has been pumping out over the last year. I know all you unemployed new RNs out there just love those shoved in your face by misled people who think you are doing something wrong because you can’t get a job.
Back to the article at hand. Be sure to watch the news cast of the story as it appeared when originally aired by clicking on the video link provided within the article. I will provide a link to the article itself below. There is also a comments section below the article.
This could be you or a member of your family literally dying from bedsores.
Do you think the hospital might try to recoup some of its legal fees by going after the nurses involved?
How many of you med/surg nurses out there can honestly say that you consistently provide care to your patients the way that it should be?
How many of you have skipped lunch while on shift because you believed you just couldn’t leave your patient load long enough to grab a bite, and later received a tongue lashing for not taking that lunch break?
How has your work load been lately?
I could go on and on. My point is, the unemployment problems being faced by new RNs today can very well create problems for nurses currently working in hospitals. And there are a lot of unemployed experienced nurses out there as well. Just a little something for all you hard “working” nurses out there to think about.
Here’s the link to the article:
I think it's hilarious! Suggest you shed some layers of "sensitivity" and start learning to laugh at yourself. If you're so against animal dissection in the interest of learning how bodies work so you can later help save them, you may need to consider a career shift. People aren't made of tofu.
First of all, get over yourself. What is inappropriate is nursing students all over the place complaining and whining about things they don't want to do or they deserved this grade or that grade, or this part of the program is bad or blah, blah, blah. Chances are your college has carefully reviewed the program that you are taking and thought it was important or they would not have included it. We have ALL had to endure these procedures and we have all survived. While I respect your decision to be vegan and your choice in organic clothing and shoes, my question is...are you not going to inject certain insulins because some are obtained from animals? Heparin injections?? Will you go so far as to not administer certain meds or complete certain procedures because animals were killed and yes brutally dissected for the research involved. Where will you draw the line?? The truth is naive one, is that you are entering a field that is comprised on the study of animals, the use of animal products and parts, and that these poor creatures are killed for further research everyday, everywhere, all of the time. It doesn't make it right...that is just the way it is.
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