Latest Comments by noellepage2000

noellepage2000 666 Views

Joined Nov 1, '09. Posts: 10 (30% Liked) Likes: 6

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  • 0

    Hi,

    Can you tell me from a clinical instructors perspective what a day in medical surgical ward constitute with student nurses? I will be teaching for the first time and I will be bringing 10 students to their 2nd Med surg rotation in the hospital. The school does not really give any orientation and so I am on my own. Can you tell me how the day goes in the hospital? I understand that the students will be going to the ward the night before and get their patients and do their nursing care plan to be reported the following day w/ the class . I on the other hand will be meeting the students in the morning, give a little rundown of the plan for the day and send them to their respective wards/units. I will stay with the students in the base ward w/c is med surg and visit the others in the other units . Are the students allowed to give medications? What time do I have them leave so we can discuss the day and they can report their nurse care plan? How do I grade them? I have to read and study the grading system at my place and what criteria you grade. But a little advice from the experts would mean a lot. What do I do with the students that did not do their homework? Some instructors told me they have them leave. Can you tell me some proven techniques to deal with challenges in this area?

    Thanks a lot,
    Noelle1975@hotmail.com

  • 0

    What does it take to be in the leadership position? What are they looking for?

  • 0

    I was recently interviewed and was not hired. Apparently they contacted my previous manager whom I had a spat with eventhough I did not put her as one of my references. I applied to the same hospital that manager is currently working. What is the law or guidelines about calling references and what are they allowed to ask or not ask legally. I had a spat with this manager indirectly because I felt she did not do anything about this incident I had with a doctor who likes to scream at nurses. I felt like nothing has been done or it has been addressed so I talked to higher ups in the hopes of effecting a change that nurses shouldn't be screamed at and we can go over the problem in a professional way. Apparently this doctor had a string of history of screaming at staff nurses. My only wrong was resigning. Now I wanted to go back and the manager seems to be stopping this process because most of the hiring managers call her for reference when I did not put her name as a reference. What do I do if this is happening? What are your take on this?

  • 0

    I want to get feedbacks on what to specialize in MSN? I am thinking of going back to school and taking my masters. I have a BSN so it should be shorter to finish MSN. However, I do not know which area I should specialized in? I like working with the doctor in the office, or working in the hospital as a Nsg supervisor perhaps and I also like education... Which one? I am at a lost...


    How much do you normally spend in taking MSN?

  • 0

    Putting them in their place is a skill. I feel like if you put them in their place, there is a feeling of animosity and I do not like that feeling where I am working. Not putting them in their place without causing this animosity or ill feeling is a skill I still am trying to learn...I hope one day it comes to me as I get older... I have my share of people I have ill feelings with. I don't like it but If I didn't do what I did, they will just walk all over me.

    And you are absolutely right. It is the same no matter where you go just different faces but same ol things...

  • 0

    Thanks guys! I appreciate all your comments and encouragement.

    I have moved around quite a bit in my >10 yrs of experience as a nurse mainly because of these kinds of issues that I see and experience at work. The only way I could think of at those times was to relieve myself of the stress and anger I have from these politics. But it sure proved wrong maybe because I will always be new to a unit or floor because I move a lot eventhough I am an old nurse. It is only good for short term but in the long term , moving around is to my disadvantage.

  • 0

    I do most of the time but at other times I just keep quiet. It is getting old each time I have to ,it seems like, explain myself . Why do I have to prove myself each time when I had finish 4yrs of nursing, took the tests, has about >10 yrs experience do I hv to prove myself? Why can't people just give you a basic trust that you know what you are doing. I actually thrive in environment where people trust each other mutually, eventhough you are new you are treated with respect (from past experience) and not with mistrust that you are going to mess up. As if messing up is your goal for the night...Who wants to mess up their license? Nobody.

    I am now going to reset the alarms eventhough at my other job you are not allowed to play with your alarms below or above what the policy says. I think my problem sometimes is I am by the book and it is mistaken by some as a new nurse. I'm anal and I'd like to do it by the book. That is not a crime. I used to be a skills expert teaching other RNs skills on the job based on our policies so this is how I got trained from the start. And what is it about nurses who think they know everything and mention it to the point of bragging? In reality, even experienced nurses don't know everything so I am apalled at the act that they know everything about nursing and you don't kind of attitude.


    I only talk of leaving because apart from this there are other issues I do not like on the unit such as politics. If you hang out with the charge RNs outside of work you just might become a charge RN yourself. You are given easier patients , made a leader etc when you know that the nurse hardly turn her pt., possibly copies assessment of another RN in the computer, doesn't clean until 4am when shift is almost done...among other things. I actually want to put a stop into moving because it is not doing me any long term good, perhaps short term relief from a situation I don't like but in the long term I am the one who is at a disadvantage from moving around. What is my best course of action? Keep quiet and endure it? If I talk and made my concerns known it seems like it is going to be a big deal and to my disadvantage. They don't like complainers...IF you don't talk, then you are walked all over or taken advantage of...sigh!

    Thanks for all the replies and the encouragement. I wish I talk to a bunch of co workers like you guys... Life will be better.

  • 1
    Not_A_Hat_Person likes this.

    Leaving and switching jobs because of all these nursing related issues has left me an old nurse who will always be new.
    There are times when you really need to move on for the sake of your mental health but I have been in this path many times and
    I am frankly not sure if what I did is right. I have over 10 yrs experience as RN, 2 of them in the critical care and all sort of
    issues comes out where I felt as though I am being treated as new all the time and of course it is a pain in the neck because I have over 10 yrs nursing experience and I look young but I am new on that particular unit. It is tough to work and have fellow nurses eat you.

    Like the other night, my a-line is constantly alarming because the pt is moving his hand as he is dominant on that hand despite the arm board. I have tried all sorts of action from changing the whole dressing, taping and retaping the arm board, angling the hand and taping it, ensuring no bubbles , length of tubing, etc but the wave will dampened as soon as I come out of room after fixing it and the bp drops which is inaccurate . Then this travel RN talks about how my patient has been alarming all night and I am not doing anything about it. She doesn't know a thing about what I did and yet she has the nerve to talk like that. I asked her to see if she can work her magic into it and of course she was boasting and teaching things I already know at the bedside ( I used to work in CCU where we handled multiple swans and a- lines) and boasted she fixed it bec. the wave is excellent so I said ok as soon as you sit down it will dampened, lets see...and lo! and behold it did dampened after she came out of room. This pt needs his a line for a q1 hr blood draw and she is talking about discontinuing it . If this is not enough she is not done making my otherwise nice night a living hell, by complaining about my 2nd pt who is alarming because of sats of 89-91% on a 70% fio2. This pt has bad lungs and the doctor accepts a low 02 sats of >88% and to think she has had this pt the previous night, she boasts "not on my watch". She was a military RN and I do not know how they do it there but she sure is upsetting. Now, how best do you handle this kind of person who thinks she is the only high and mighty RN on the unit???? In my younger days I would leave and find a different job as these kind of upsetting things piles up but I do not think this is an option to my best interest at this point in my career. My hospital is unionized , values seniority, and for profit.

  • 1
    tatara likes this.

    How do you deal with the fact that your coworker whom you had started working with at the same time now has been being assigned as team leader because she jives with the other senior nurses on the floor and mingling in the social setting with them
    outside of work? It reminded me of my previous jobs where we call this "cigarette socialization" where you have cigarette smoke
    with the charge nurses and you just might end up a charge nurse yourself. There is no leadership . If one appears cool and easy and effortless , and it is not because she did everything she needed to do for the pts such as turning q2, really assessing and not just copying someone else's charting in the computer and and not allowing pt to sit on their poops until 4 am when the night shift is almost over so that you only clean once. How do you get past this advancement when you know things are not done right. What everyone sees is that a nurse who appears effortless, or not panicking when there is a code when other nitty gritty things of the job is not done , a leader? It seems like the name of the game is to show off a certain image not necesarilly doing the job thoroughly and socialize more and you will end up advancing. When you do the right thing ensuring nursing tasks are done as right and as complete as possible you are viewed as a neophyte , or a new inexperienced RN? Is this backward thinking or am I the backward?

  • 4

    Leaving and switching jobs because of all these nursing related issues has left me an old nurse who will always be new.
    There are times when you really need to move on for the sake of your mental health but I have been in this path and
    I am frankly not sure if what I did is right. I have over 10 yrs experience as RN, 2 of them in the critical care and all sort of
    issues comes out where I felt as though I am being treated as new all the time and of course it is a pain in the neck because I have over 10 yrs nursing experience and I look young. It is tough to work and have fellow nurses eat you.

    Like the other night, my a-line is constantly alarming because the pt is moving his hand as he is dominant on that hand despite the arm board. I have tried all sorts of action from changing the whole dressing, taping and retaping the arm board, angling the hand and taping it, ensuring no bubbles , length of tubing, etc but the wave will dampened as soon as I come out of room after fixing it and the bp drops which is inaccurate . Then this travel RN talks about how my patient has been alarming all night and I am not doing anything about it. She doesn't know a thing about what I did and yet she has the nerve to talk like that. I asked her to see if she can work her magic into it and of course she was boasting and teaching things I already know at the bedside ( I used to work in CCU where we handled multiple swans and a- lines) and boasted she fixed it bec. the wave is excellent so I said ok as soon as you sit down it will dampened, lets see...and lo! and behold it did dampened after she came out of room. This pt needs his a line for a q1 hr blood draw and she is talking about discontinuing it . If this is not enough she is not done making my otherwise nice night a living hell, by complaining about my 2nd pt who is alarming because of sats of 89-91% on a 70% fio2. This pt has bad lungs and the doctor accepts a low 02 sats of >88% and to think she has had this pt the previous night, she boasts "not on my watch". She was a military RN and I do not know how they do it there but she sure is upsetting. Now, how best do you handle this kind of person who thinks she is the only high and mighty RN on the unit???? In my younger days I would leave and find a different job as these kind of upsetting things piles up but I do not think this is an option to my best interest at this point in my career.



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