Aurora77, BSN, RN 12,570 Views
Joined Aug 4, '08 - from 'Midwest'.
Aurora77 is a RN.
She has '4' year(s) of experience and specializes in 'Med Surg'.
Posts: 888 (60% Liked)
And has absolutely nothing to do with how they practice nursing. Never forget that!
Hypothetical - If someone has such an assignment and lives in a rural area, completing their BSN online with no known nursing contacts, what is the best way to go about tracking down someone for an interview.
(I am not in this situation, just thought the question should be posed for many who are)
I actually had the opposite experience from Stargazer. I couldn't stand much of nursing school. All the NCLEX style questions that were so ambiguous and assumed that nurses are incapable of two things at once. The instructors trying to rationalize the answers that flew in the face of logic (not that I blame them, they were good, it's just the testing style that drove me nuts). The busy work group projects. I liked the actual nursing part and finally began to thrive when I had my final preceptorship. I'm 8 months in to my new career and while I know I have so much to learn, I love it, because even though conditions don't follow the book, they make far more sense to me than the book ever did.
I think Guttercat is spot on--the reality of day to day nursing is far different than the fantasy sold in school. Again, not that I blame the schools; until you're actually doing a job, you can't possibly understand what the reality is. Clinical experience gives a person a taste, but not the full experience.
Nursing is billed as a profession. In the U.S., professionals are equated with white collar jobs, where brain power outweighs the physical. The reality of nursing (at least bedside nursing, the only kind I have experience with) is that it takes a combination of the physical and the mental. Some days I go home physically exhausted. I don't think most people are ready for the sheer hard work that goes into being a nurse. The general public thinks we do a lot of hand holding and comforting; nursing school portrays us as using our brains doing all that "critical thinking," while real live nursing includes both of those, plus running up and down the halls, transferring patients, lifting them, etc. To those who are expecting all of this, I bet it's a huge shock.
Something I try to do as a night shifter is anticipate needs and call the provider earlier in the night. Much if the time a trend is already established, like pain not being managed by 10 pm or so. I'd rather call someone at 10 rather than have to wake them up later. Obviously, I'll do what's best for the patient, but I really try to respect the providers time as well.
Are you sure it's not your responsibility? What's your facility policy?
I only take labs if I trust the nurse to follow up. Our lab records the name of the person taking the lab, not the name of the primary nurse. It has to be addressed within 30 min. It doesn't matter who the primary nurse is, the person who took the lab is responsible for follow up. Documentation by anyone within that time frame is sufficient.
What always amazes me is that the actual Really Sick People and their families tend to be the nicest, easiest to work with, while the not so sick can be PITAs.
It is ok for a nurse not to be comfortable doing something.
It is ok for a nurse to choose not to do something.
This does not make them less of a nurse.
Perhaps if nurses showed a bit of compassion to each other, the way we're supposed to be towards our patients, then there wouldn't be a problem.
What's your patient load like? Do you use computerized charting--what about it is taking 2 hours to chart? Something that helps me is to take notes immediately after my assessment. I write a little outline on my notes so I can fill in the blanks. Maybe making up some kind of more extensive flowsheet would help so all you have to do is circle what you need to chart.
Can you delegate more to your CNAs? Sometimes it's easier and faster for me to help out pts when I'm in the room, but if there's something you can delegate while you get back to passing meds (or whatever else), do it.
How do you prepare for your day? I work nights and pharmacy leaves at 2300, so the first thing I do is set up my meds for my pts--basically verifying that everything is there. They stay in the locked drawer ready to go when I need them (with the exception of narcc). That way I can just pull them out, do a quick recheck and admin.
I hope things get better for you!
Edit--I realize I'm not sure how I'm coming across with this post; I hope you don't take offense to anything I've said.
I've only been a nurse for a few months, but I worked for years in a production environment (I was a professional potter). I was really good at what I did and was very efficient. The thing that helped me develop my art as well as make a living was that I had a routine. I did the same things, in the same order, every time. It may sound restrictive and counter-intuitive, but by having a semi rigid routine, I had the flexibility to create works of art and be part of a successful business.
I have tried to use these same skills in my new nursing career. I realize that it's not the same and there is always the unexpected. BUT, I try to have a routine when I come for my shift and do things the same way every time (as much as I can anyway ). I try to do this with all of my skills, so that don't miss a step. I do this with my assessments and with my med passes. I still have to spend a lot of time looking up meds, but I know I'll learn more as I go.
Now I really am done. I hope this helps.
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