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vivere 2,707 Views

Joined: Sep 14, '03; Posts: 46 (50% Liked) ; Likes: 47
critical care rn; from US
Specialty: 20+ year(s) of experience in ICU

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  • Aug 10 '14

    Quote from vivere
    Hey Ruby. I didn't get the impression that anyone had a grudge. I think people DO know if they have done their best, or not. Nursing is not just about the mechanics of nursing, to me. It is also about being a human being, making a connection with someone who needs your care, and trying to get along with the rest of the staff as well. I am a "senior" nurse, and I have also learned from new grads, about how to be compassionate to team members, how to go back and say "I think I came across a little harsh." I think new grads are already anxious enough, and trying to appear confident is part of it. Peace, Ruby Vee.
    I didn't say new grads don't know when they've done their best. I said they don't know when they've done a good job. They don't know what they don't know. It takes about two years before new nurses begin to have a solid grasp of the full range of what they don't know. There's a big difference between doing your best and doing a good job. (Well, for some folks it's a bigger difference than for others.)

    Perhaps I'm getting sensitive about people putting down senior nurses. It's been happening a lot lately.

  • Aug 10 '14

    Try not to let it get to you. It's pretty old fashioned that you are even doing cardiac outputs on a patient In two years at my ICU, I've never seen a Swann-Ganz. I think they talked about one once as a joke.

    Seriously though, it's part of working in a new area. It's an area you feel like you can't make a mistake in - but everybody does. There are a lot of big personalities and plenty of people that take pride in making new people feel stupid but honestly, one day you will get a sick person that you can manage on your own and you will be able to let it roll off your back.

  • Aug 10 '14

    I was once told that I concentrate too hard. Huh? But later understood that I should have my eyes open and be aware of everything around me, but it takes time to learn this stuff! Hang in there. When I started I didn't know squat but lasted many years. You will too.

  • Aug 10 '14

    I am in the same exact situation as you and have found that a book called "Critical Care made Incredibly Easy" by Lippincott Williams & Wilkins has helped tremendously. I am able to learn about procedures and equipment unique to ICU and when I am exposed to them at work I can now add the dots together. As long as your preceptor knows you are trying to learn and expand your knowledge they really can't be too annoyed.

  • Aug 9 '14

    I have a cardiology III and love it. I got it from medisave, they laser engraved my name on the bell very beautifully for free. I did end up getting a cloth cover for it, I never used one on other stethoscopes, but I found the tubing tended to stain with pen and other marks and I could never get it clean (with various methods), plus it had a sticky feel on my neck. But the cover means everyone knows which one is mine. :-)

  • Aug 9 '14

    I also use the Cardiology III. Wonderful, but honestly, it won't matter. You won't be required to grade murmurs, listen for opening snaps, midsystolic clicks, or split S2s (which I have by the way, wanna hear?) It's crackles or wheezes? (lungs wet? need breathing treatment?) NG tube placement okay? intubated in lungs or stomach? Very basic.

  • Aug 9 '14

    I definitely understand your pain. Do you have an educator? Most residency programs do. If so, you should talk to her and say your preceptor isn't working out for you. It is your right to learn in the most conducive situations as patient acuity allows. As for swans. you need to know the core theory behind it since critical care is all about hemodynamic stability. Don't take things personally, nurses like to eat their young. ICU nurses are known sometimes for being thick skinned.

  • Aug 9 '14

    Quote from SFANURSE2011
    I definitely understand your pain. Do you have an educator? Most residency programs do. If so, you should talk to her and say your preceptor isn't working out for you. It is your right to learn in the most conducive situations as patient acuity allows. As for swans. you need to know the core theory behind it since critical care is all about hemodynamic stability. Don't take things personally, nurses like to eat their young. ICU nurses are known sometimes for being thick skinned.

    Yes we have an educator. And actually we switched to day shift so I have a new preceptor now and she's great! Thanks guys for all the advice!

  • Aug 9 '14

    Being that ou have no prior nursing experience, it will take you a fairly long time before you are comfortable with everything. Just remember to see the whole picture of what is going on with your patient. Tunnel vision will kill your patient. Treat your patient and not the numbers, new nurses get hypnotized by all the cool color waves on the screen and then they go treating numbers, titrating pressors and then they end up chasing their tail because of it. The biggest thing is to ask questions without being super annoying and if you don't know how to do something or what to do ASK. It will take you a good couple of months before you're comfortable in your own skin.

  • Aug 9 '14

    When I was doing my orientation on my icu, I also had a very hard time. Nurses on my units have 10+ or even 20+ yrs of experience and they don't believe ICU should have new grads, they think that we are not good enough yet to work in ICU so they are SO HARD on me. Alot of them are very very nice of course, but one person is enough to make your day difficult. I remember once i had an unstable patient in the morning and halfway throughout the day, my assignment was changed; i had to hand over my patient to another senior nurse and go prepare for an admission from OR. My charting/stuff were obviously not uptodate at the point and i didnt go on my break until late PM. I was hungry and dehydrated working my butt off....and later on i found out she went to our management to complaint about me because I left too much work for her to do. I was devastated. But I'm over it now...just have to let it go, not worth wasting your time/emotion.

  • Jun 3 '13

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  • Jun 3 '13

    I have told a patient that behavior is inappropriate and disrespectful to myself or my colleagues. I have also refused to listen to being insulted or sworn at and simply left the room. Usually about 15 minutes later the patient is much calmer.

  • Jun 3 '13

    I had a patient who was questioning me and even though I attempted to answer her questions, she wasn't happy with my answers. She told me that I am a terrible nurse and to get out of her room. I said ok I will just don't disrespect me. She flipped out when I said that. Was I out of line to say that? Where I work they stress that pt satisfaction is most important so pts come back to us again

  • Dec 30 '12

    I am a travel nurse who worked JMH for a year very recently, and as much as it is going to hurt me to say is okay (for regular staff)....okay here goes the hard is a very good place to work...ow....that hurt. I had hoped word wouldn't get out as I would really like to return there (favorite place in 9 years of travel). I HATE being honest sometimes. Sometimes work is pretty hard, but staff is great (most floors). The only things I would change about this hospital are breakfast would be served in the cafeteria, and the house supervisors would be a little more supportive and never again say "deal with it". For whatever it's worth, I miss joking around with the CEO - yeah - pretty friendly.

    ps. If anyone goes work there, could you remind them that sometimes travel nurses are worth it? Thanks.

  • Dec 30 '12

    To the OP, really sorry you are having a hard time. I think the others who are urging you to "kill them with kindness" and/or go for more professional relationships for now, seem to have good ideas.

    i also wanted to be one voice on this thread, to stand up for us old broads.
    I'm probably what you'd call "old". I am friendliest, most outgoing, compassionate person you'll ever trip over.
    I've had some snotty rude, burnt out, grouchy coworkers who were super young,
    some awesome, giving, hard working, helpful, kind coworkers with gray hair.

    I just personally rather dislike seeing any group of people all lumped together as "all just the same/homogenous".
    It's also hard to believe you are only person who is not old on your unit, but, whatever.

    I'd also like to suggest,
    that even though most humans tend to connect better socially with their own age group,
    that in nursing,
    it might not be so much the old adage "Nurses eat their own young"
    but instead,
    "Nurses eat their own NEW employees."

    I'm older, and have traveled extensively, which results in my often being a new employee............ and i sometimes encounter coworkers, of ALL age groups, who seem unfriendly initially,
    even though i am standing there with a gray stripe of hair and decades of experience. It's cuz i am NEW there, a stranger to them,
    not cuz i am a new RN,
    nor am i young. NOt everyone is friendly by nature like i am, not everyone warms up easily to strangers,
    of any age.
    I've stood witness to what you are describing happen to
    "new to that hospital" nurses,
    too. It's not always about the new nurse's age,
    it's sometimes just cuz this new person is a stranger to them.

    Still, i'd like to see more nurses watch out for those who are new in nursing, of any age,
    and needing support, and do what they can to lend some support, and help the newbies feel welcome.
    BEST OF LUCK!! hang in there, it usually gets better, once they get to know you and get used to you.