Latest Comments by JBMmom - page 4

JBMmom, MSN, RN 8,629 Views

Joined Jun 24, '09. JBMmom is a Nurse. She has '4' year(s) of experience and specializes in 'Long term care; med-surg'. Posts: 476 (42% Liked) Likes: 830

Sorted By Last Comment (Max 500)
  • 7

    Quote from JKL33
    The reason for sighs about this terminology is that it's not accurate.

    Surely you are able to do more than lie in the same position on your back and wave your arms and legs, crying when something seems amiss? Those stretchers can have a mind of their own regardless of their driver's advanced skills, BTW.

    We believe in you all! You have a lot to learn but you are certainly not helpless. We all have different personalities and that's why it strikes some of us as an unfortunate word picture that many new nurses would just as well be called "baby" as something like "novice" or even simply "newer nurse."

    It's all good; just some food for thought...
    This was my angle. I guess it's like many words that can be derogatory in one tone, or to some, but not to others. I tend to not be easily offended myself, but I feel like referring to anyone as a baby nurse is discounting the work you've put in to get to start your new career. Far from helpless, you're putting skills you already know to good use, and learning new ones. Best wishes.

  • 0

    Good luck finding what's best for you (I don't think other people can really assess that best), but be prepared for some backlash on your statement "I want the quickest way possible to become an FNP, but I also want to pay the least amount that I can". As someone that obviously doesn't have any nursing experience yet, your motivation to bypass the entry level nursing stuff and move right to the advanced part, will be questioned by many. Good luck.

  • 1
    BCgradnurse likes this.

    Hard to assess your chances not knowing the program or population that you'll be competing with for admission. Different programs will look at different aspects, your volunteer service might help at one place, and not be considered as part of admission criteria for another. I know when I applied to nursing school, my original master's degree in the science field was considered irrelevant and didn't even factor in, which was disappointing. Good luck finding something the works for you.

  • 2
    futurebsn92 and Allie94 like this.

    Any employer I've worked for will only confirm that you worked there. They don't have the time to talk about the details of everyone that worked there with all the job inquiry calls they get. Unless you did something that was classified as criminal I don't think they'll do anything other than confirm that at one point you were employed there. Good luck.

  • 11
    errn02360, DallasRN, Raicho, and 8 others like this.

    Congratulations on (almost) reaching the end of your journey, best of luck in your career. Your question is quite vague, and I think that much of the advice people might have is specific to a work environment. Certainly if you end up in long-term care you're going to have a very different set of skills you're using than if you're in an ICU setting. If you're already planning on applying to a specific area you might ask for tips in that realm. And I'm sure you didn't mean that you want to cut corners in your career, but when I hear the work "hack" I think- way to get around the right way with something that just gets by. Just my opinion. And I'm not trying to be condescending in any way, but I don't think you should refer to yourself as a "baby nurse", you're going to be a professional and you're going to be just fine after you've got some experience, you're in no way a baby (that's just a term that gets under my skin).

  • 3

    A career in any field is going to have benefits and drawbacks. You'll get out what you put in, and no one else can really tell you what you should do. The very nice thing about nursing is that the field is so diverse that if you don't like one area, there are likely opportunities to move, although sometimes you have to suck it up to get experience. Some people are called to nursing, some are more pragmatic and come to it for reasons of pay, schedules, flexibility, etc. Don't read too much into negative posts. People are far more likely to share a rant or frustration than share a positive experience, certainly some of the initial thread posts tend to be negative, but as you read through I think you find that in my threads there's a balance between those that are happy and unhappy. Good luck with your decisions.

  • 6

    You're early in your career and you can learn from this and be successful. But there are a few key points that are based only on you that will determine your success. There are plenty of people that don't find close relationships at work a necessary part of their job, I'm one of them, but you have to take care to not sabotage other people and the overall morale of a unit. I see plenty of people that choose to spend time at work on their cellphones. Mine stays in my locker the whole time I'm working, but it's not really my business to the police that actions of my coworkers. Whether my charge nurse chooses to sit around and do nothing or not, it doesn't really affect my ability to do my job. If I need help, it's my responsibility to ask for that help, and it's unlikely that any of my nurse colleagues would refuse a direct request for help. Have you really founded coworkers unwilling to help you? And what is it that you think would have been avoided if they were there to help you?

    The three medication errors you mention may have indeed been minor, but look at them in a bigger sense. You say you entered the blood sugar incorrectly and that resulted in an extra unit of insulin. What if you had transposed the number and ended up with a dose 10 units higher? Are you certain that would have triggered you to stop and look closer before administering the insulin? Then the pyxis had the wrong dose still active, how long does it take for your pyxis machine to catch up with current orders? Are you trying to administer before the pharmacy has verified the order? It's fortunate that no harm came about because of these errors, but certainly adopting a defensive tone about how you were wronged is probably keeping you from accepting and learning from them.

    You mention other people make errors "all the time", how do you know this? Again, how do the actions of other nurses really impact your ability to be a competent nurse? You need to concentrate on your own best practice, and not be as concerned with feeling superior to nurses that have already proven their ability to work in the field.

    Good luck, you can find success in nursing, but I recommend moving forward with a slightly more humble attitude.

  • 11
    cleback, RainMom, TriciaJ, and 8 others like this.

    Quote from msannaa7711
    Last night I was asked to sit one to one with the patient. I asked for a break for like 3 1/2 hours so that I could get something to eat and drink and go to the bathroom. If I took the time myself, I would probably be in pretty big trouble .
    Well, sitting 1:1 is a completely different ball game, that's not your regular nursing assignment and you do obviously need to be relieved for breaks. I can understand the frustration with that situation, but is it happening that often? Why are nurses sitting? And if you call the nursing supervisor, you should definitely be able to get your break.

  • 1
    SafetyNurse1968 likes this.

    It's an interesting concept and I'm glad you found something that worked for your son, and may help you as well. Good luck making the changes you desire to improve your career outcomes. You're obviously very self-aware and that's an important part of addressing any problem.

  • 7
    RainMom, jennylee321, matcha-cat, and 4 others like this.

    Wow, I'm sorry to read that you're so appalled by the position you now find yourself in as a nurse. Were your clinical experiences so different from your experience now? How did you expect that it would be different? As far as the points about getting something to eat, drink, go to the bathroom and get a lunch- you're right that no one is going to "offer" you that time. You need to learn to take it yourself, no one's "letting" you go without the basic necessities. Goodness, no one expects you to urinate on yourself so you can get someone else their pain medicine. You're still new and working on time management, you need to find a minute to get a drink and use the bathroom. Yes, there's an emphasis on patient satisfaction, and you are expected to provide care in not only a competent manner, but with a positive tone. Certainly if I or my loved one were patients, I wouldn't want a nurse that projected the attitude of hating her job, it's not really the fault of the patient that they are there and need care. I hope that you're able to find some good in your job, otherwise you might be right that looking for something else is best for you.

  • 0

    Quote from ally1991
    I probably didn't word it correctly, I don't have many patients who yell for trying to give meds or draw blood. There are currently 2 patients like that on the floor. They've been with us for a while now because they're homeless, and they've got nowhere to go, no shelter wants them. I get one of them almost every time I work, he requests me because I'm on time with pain meds (I don't want any trouble from that guy, so I work my day around and try my best to be on time with his Q3 pain med). Staff is happy to go with his request because no one wants to be his nurse. It doesn't stop him from saying all the terrible things to me. And it's okay if i got pts like that once in a while, that's fine, I can handle that. But every other time I work. On days that I don't have him, coworkers will ask me to help them out with him like "can you give med to this guy please?". And I go in, and I deal with him. The reason I don't ask for help is because my coworkers are busy, and won't go to the room right away, they'll go in 10-15mins whenever they're available. And who pt will be calling complaining and yelling that the nurse is late with his care(pain med primarily)? Me! So it's faster to do things by myself. So that's the story with that. I do get good amount of good patients as well, but this one just sucks all the positivity, self esteem and work enthusiasm out of me
    Ah, well a particularly demanding patient can definitely suck the joy out of any day. Try not to let it become the focus of all your experiences. Hopefully this patient will move on from your floor soon and will no longer monopolize your time. Until then you should feel free to set some boundaries. I've had patients to whom I have stated "I will be happy to provide your pain meds as soon as I am able, however, you have no right to speak to me in a disrespectful manner, and if that continues I will call security and they will have to come up here." Some don't care if security is called, some are still tough, but others settle when they realize I'm not going to put up with yelling and/or abuse. Sounds like you've already shown a pattern of conscientious behavior in responding quickly, now set the boundaries for what's expected of a patient. And someone must be working to get him out of there, case management? You can't keep someone forever without a medical need. Good luck, and don't let one bad patient get you down.

  • 0

    Maybe that school/program is doing something different. The students on my current floor are also assigned to patients and have a PCT/nurse role with the instructor. The do vitals, care, and meds with the instructor. Maybe you should talk with your management and have them clarify with the school the goals of their program to balance that the responsibilities of the floor nurses. Certainly we can all take some time to help students since we were once there are well, but if it's interfering with the care that you can provide then it's not in the best interest of the patient, or your hospital.

  • 5
    umad, snowflower2016, elkpark, and 2 others like this.

    Well, it certainly sounds like you've had a rough start. However, I think you may also be looking at your experience through crap colored glasses.I agree with part of your assessment of the med-surg environment that the job can be very task oriented and not allow for the quality of care that you would like to provide. Have you really not had a single positive experience with the patients you've cared for? Certainly someone must have expressed a small amount gratitude for quality care. But even if they didn't, did you get into nursing so people would express gratitude to you, or did you get into nursing to provide the best care you can for patients that need it? Your homeless patients that constantly want dilaudid- maybe they have chronic (and acute) pain from a hard life lived on the streets. If people are really yelling at you for every interaction, like checking blood sugars, is it possible that you have adopted an antagonistic attitude that's inviting conflict? And do you really have that many patients refusing blood draws? I can think of maybe two that I've had in recent months, maybe your lab people need to be more persistent? Maybe you're just miserable and only the bad experiences are standing out in your mind. In that case, maybe you should find something else to do. I've certainly had patients that were very frustrating, but the ratio of those to patients that I felt I really helped is pretty small. Not many have expressed gratitude, but that's not why I'm there. If I get to the end of my shift and I know for myself that my parents were cared for to the best of my ability I'm happy enough.

    There are going to be positive and negative aspects to every job in the world. If you can't find the positive in yours, that's probably a clue you want to move on. But if you can reframe your experience in a more positive way, you might find that you don't really hate it as much as you think you do. Only you can really make that call. Good luck.

  • 3
    Davey Do, Sour Lemon, and prnqday like this.

    You made a mistake, just the first little one, and edema will resolve itself without issue. Things like this will happen, just do your best to keep track of things and don't let it get to you too much.

  • 6

    As caliotter mentioned, this is not a phenomenon specific to nursing, I think in all areas, those with children are perceived to have a higher priority with regard to maintaining schedules, getting time off for sick kids, etc. I think you're well within your right to speak up if you see this treatment and remind a coworker or management that your time is no less important because you don't have children. When I was working in a different field, my husband was home with our kids so I wasn't impacted by sick kids, snow day at school, school vacation, etc. However, I had many coworkers that considered it a free day off if their child was home sick. Wouldn't use vacation time, sick time, etc. would just stay home. Clearly this was a different work environment, people could catch up on things on another day. But, some people definitely took advantage and it was frustrating to those of us that didn't use this "benefit", management can run things well, or poorly, best you can do is hope yours makes things equitable.