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Kooky Korky 15,250 Views

Joined Feb 12, '10. Posts: 2,650 (51% Liked) Likes: 3,367

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  • Sep 30

    People are people wherever you go. Some are awful, some you will love.

    Sometimes you will find, much to your shock and dismay, that the very ones you like and enjoy working with are the ones who will knife you in the back. They will be the ones who put you down. And you thought they were your friends. That hurts and shocks.

    I don't know what to tell you except walk quietly, do not gossip or discuss this sort of thing with anyone at work, mind our own business. Even then, someone won't like it or you and will then be after you to do you dirt. No matter what you say or do, someone will misinterpret it, misrepresent it, lie about you, and otherwise cause you trouble. That has been my over all experience with coworkers. I've had some great jobs and met some great people, but my trust in people was destroyed long ago.

    Try to win the lottery so you don't have to work.

  • Sep 30

    Quote from nicmdavi
    Hello fellow Nurses!

    I am in need of some advice and alternate opinions. I am experiencing difficulty making a decision on what to do. The situation is as follows:

    I am an LPN working for a General Surgeon and Nurse Practitioner. I am the only clinical employee in the office; so, needless to say, the work load is WAY too much. They recently hired a medical assistant for me to help. I was so excited to have a partner/coworker; and, even more excited to have a Graduate Nurse from an RN associates program. She graduated six years ago; however, she is not licensed. She failed the NCLEX five times and decided she was done trying. This was the reason she gave in the interview for not becoming licensed, "Family is more important to me and I didn't want to work RN hours." At first, I was perplexed but thought that maybe life handed her some higher priorities. Now I know she lied about it. I wouldn't have thought any different of her had she told me the truth.

    I guess I am rambling so I will get straight to the point. She has made multiple comments to me, the providers and the my other coworkers about her superiority compared to my LPN status. She has tried to tell me how to do my job ( mind you it is only her second week working ). She will cut me off mid-sentence when trying to teach her how to do something in order to let me know she is already aware of how to do it; however, she does it incorrectly.

    There are so many other things this person has done that disappoint me greatly. I would never ever disrespect a fellow RN or LPN and I have never been treated as a lesser equal by those RN's I have worked for. It is quite the contrary: They have asked me for help/advice in areas I was more knowledgeable in and vice-versa. Friends are telling me I need to assert my authority right away but I am a very passive person. Plus, I really wanted my assistant and I to have a great working relationship. Like police partners...sharing the load and having each others backs.

    I guess I am hesitant to assert my authority because I do respect her for graduating from RN school (even though she is not an RN, Not even a certified medical assistant) I know it is drilled into LPN's during school to always report to their RN;so, maybe that is why I am lacking in putting my foot down. Maybe in my mind she has some authority over me??? I am a bit surprised in the lack of her basic nursing knowledge for a graduate nurse, for example: not knowing what warfarin was, or knowing that Mycin antibiotics are not Penicillins. ( Maybe those are just some things she forgot right? I mean....I don't remember everything ) I feel so indecisive and confused. I guess what I really want to know is this:

    Would I be in the wrong for treating her like a medical assistant and not a graduate nurse?

    I gave her my trust and the privileges of a graduate nurse but now I am thinking the better of it. She doesn't respect me at all and has made that quite clear. I am so bummed out. Any suggestions, reassurance, advice or opinions would be MUCH APPRECIATED!

    -Nic
    Did you hire her?

    When she cuts you off, stop her. Tell her you want her to hear you out and remind her that you do not cut her off.

    Let her know she is doing whatever incorrectly and she is expected to do it the way you are going to teach her.

    Remind her that she is your assistant, not the other way around. Also that it is not acceptable for her to do whatever however.

    Get it into your brain that she is not a licensed nurse. You are the licensed nurse.

    Stop listening to gossip and do not talk to anyone else about her behind her back unless you are going to whoever the boss is with a formal communique. How do you know she has made comments to other workers? How do you know what she said to whom?

    Start keeping a written record of everything she does wrong, any rudeness, any inappropriateness, any unwillingness to be shown the right way, anything you try to teach her - dates and enough detail that you will recall the events later.

    Are you doing her evaluation? If so, be honest and thorough.

    Treat her like what she is - a woman who went to RN school and graduated, but is not licensed. She is NOT a nurse, whatever her background might be. How do you even know that she did actually graduate from RN school? Maybe she made that up???

    YOU ARE HER BOSS. But you have to act like it. It gets easier.

    Whoever hired her might have figured they were getting a bargain - a nurse for the price of an office worker. Often we get what we pay for.

    Did anyone actually do a reference check? See her transcript? Any real verification of who this person really is?

  • Sep 30

    Quote from Sour Lemon
    Oh, you're way too nice. If she's missing something, she needs to look within herself. What are we teaching people with "poor coping skills" when we give them exactly what they want for acting like jerks?
    We should be civil to everyone, never make fun of anyone. We need to remember we are in the workplace, not in the rumpus room with our pals at home.

    I understand what Autumn Apple said, I agree to a point - the point where we remember we are at work with a job to do. And that job is not to mother everyone on staff. That said, she makes an excellent point about recognizing who and what each staff member is and being decent and helpful to all.

    OP has already been doing this and her reward has been for the new worker to gossip about her (how does she know this?) and cut her off and tell her she's not really the boss, if not in so many words.

    New worker is bitter and resentful. That is not OP's fault. OP should not have to deal with NW's personal problems, which NW could probably correct with some studying and retaking NCLEX.

    OP needs to get it straight in her own head first, then go to the hiring/firing person with her concerns.

    Sorry if I seem cold. I just think people need to leave their personal messes at home and do their jobs while on the job. And in this case, there is resentment of OP and apparent badmouthing of OP to others at work.

  • Sep 30

    Quote from Rose_Queen
    No one should be messing with equipment they are not familiar with! That was your first mistake. You should have asked for the RT's help before touching anything. Yes, an incident report should have been completed and included the fact that you were trying to use equipment that you weren't trained to use. In the future, never touch equipment you don't know- ask for help first instead of after something has gone wrong.
    She says she asked for help, but the RT was not responsive. OP should have gone to her Charge Nurse or put the pt on 02 until help arrived re: the CPAP or ???

    This is a newer nurse who feared because the pt was desatting and the RT was unhelpful.

    I hope she can find a way to deal with this RT, who probably has a miserable life and brings her woes to work with her and should have been fired long ago.

    If somebody wants an incident report, they will tell the nurse to write one. I'd include the RT's behaviors in it.

  • Sep 30

    Quote from Aromatic
    online lecture yes, online unproctored tests and physical exam check offs, no


    we do TBLs but its still not as big of a waste as writing papers and research fluff.

    we aren't really comparing online vs BM. we are comparing sucky for profit education vs an actual challenging NP education.

    but anyway...

    all type of provider education should be difficult.

    Medical school does one thing better than NP school in that it sorta forces you to know the stuff you need to know to practice. You can't pass without at least getting enough out of it to provide safe medical care. Some NP schools do this too, but many of these nitwitU schools do not. Sure, some docs do a bad job, but id say its usually out of laziness.

    The happy medium for a provider really lies somewhere between NP school and MD school.

    But if you want to be a good provider you can put the work in through either path and do a great job without learning every nerve in the body and what it does bc I'm sure the hell not gonna remember this **** 7 years from now when I'm done lol.
    I hope you are responsible enough to review all of those nerves. Some future patient might be having trouble with some of them. And remember to look for zebras, not just horses.

    The reason rare diseases seem rare is that providers rarely think of them.

  • Sep 30

    Quote from nicmdavi
    Hello fellow Nurses!

    I am in need of some advice and alternate opinions. I am experiencing difficulty making a decision on what to do. The situation is as follows:

    I am an LPN working for a General Surgeon and Nurse Practitioner. I am the only clinical employee in the office; so, needless to say, the work load is WAY too much. They recently hired a medical assistant for me to help. I was so excited to have a partner/coworker; and, even more excited to have a Graduate Nurse from an RN associates program. She graduated six years ago; however, she is not licensed. She failed the NCLEX five times and decided she was done trying. This was the reason she gave in the interview for not becoming licensed, "Family is more important to me and I didn't want to work RN hours." At first, I was perplexed but thought that maybe life handed her some higher priorities. Now I know she lied about it. I wouldn't have thought any different of her had she told me the truth.

    I guess I am rambling so I will get straight to the point. She has made multiple comments to me, the providers and the my other coworkers about her superiority compared to my LPN status. She has tried to tell me how to do my job ( mind you it is only her second week working ). She will cut me off mid-sentence when trying to teach her how to do something in order to let me know she is already aware of how to do it; however, she does it incorrectly.

    There are so many other things this person has done that disappoint me greatly. I would never ever disrespect a fellow RN or LPN and I have never been treated as a lesser equal by those RN's I have worked for. It is quite the contrary: They have asked me for help/advice in areas I was more knowledgeable in and vice-versa. Friends are telling me I need to assert my authority right away but I am a very passive person. Plus, I really wanted my assistant and I to have a great working relationship. Like police partners...sharing the load and having each others backs.

    I guess I am hesitant to assert my authority because I do respect her for graduating from RN school (even though she is not an RN, Not even a certified medical assistant) I know it is drilled into LPN's during school to always report to their RN;so, maybe that is why I am lacking in putting my foot down. Maybe in my mind she has some authority over me??? I am a bit surprised in the lack of her basic nursing knowledge for a graduate nurse, for example: not knowing what warfarin was, or knowing that Mycin antibiotics are not Penicillins. ( Maybe those are just some things she forgot right? I mean....I don't remember everything ) I feel so indecisive and confused. I guess what I really want to know is this:

    Would I be in the wrong for treating her like a medical assistant and not a graduate nurse?

    I gave her my trust and the privileges of a graduate nurse but now I am thinking the better of it. She doesn't respect me at all and has made that quite clear. I am so bummed out. Any suggestions, reassurance, advice or opinions would be MUCH APPRECIATED!

    -Nic
    Did you hire her?

    When she cuts you off, stop her. Tell her you want her to hear you out and remind her that you do not cut her off.

    Let her know she is doing whatever incorrectly and she is expected to do it the way you are going to teach her.

    Remind her that she is your assistant, not the other way around. Also that it is not acceptable for her to do whatever however.

    Get it into your brain that she is not a licensed nurse. You are the licensed nurse.

    Stop listening to gossip and do not talk to anyone else about her behind her back unless you are going to whoever the boss is with a formal communique. How do you know she has made comments to other workers? How do you know what she said to whom?

    Start keeping a written record of everything she does wrong, any rudeness, any inappropriateness, any unwillingness to be shown the right way, anything you try to teach her - dates and enough detail that you will recall the events later.

    Are you doing her evaluation? If so, be honest and thorough.

    Treat her like what she is - a woman who went to RN school and graduated, but is not licensed. She is NOT a nurse, whatever her background might be. How do you even know that she did actually graduate from RN school? Maybe she made that up???

    YOU ARE HER BOSS. But you have to act like it. It gets easier.

    Whoever hired her might have figured they were getting a bargain - a nurse for the price of an office worker. Often we get what we pay for.

    Did anyone actually do a reference check? See her transcript? Any real verification of who this person really is?

  • Sep 30

    Well, Roggae, how did the talk with your boss go? I hope you told her all the things you said in your first post - like the pitbull (I know they can be very sweet, but you should not have had to be in the room with the dog. The dog could have spent the night with Security or in the Morgue or the Loading Dock area - somewhere where you would not have been afraid).

    And the rudeness of the Charge Nurse and her practicing Medicine without a license are completely not acceptable. In her defense, doctors and supervisors and Admin might have implied that she go ahead and do whatever it takes to not wake the doctors up and I do understand that. But do not allow her to make you practice without a license. They probably figure the doctor will just give the order in the morning. At a huge university teaching hospital where I worked Open Heart post-op many moons ago, the nurses would just give Maalox or a laxative or aspirin or whatever relatively minor meds, order diets, order activity, order respiratory and labs because all the surgeons and house staff were scrubbed. The floor had, more or less, standing orders and the docs did sign them when they rounded after finishing in the OR. So it could be this Charge is working under this mentality.

    I'm glad you understand that the Charge is supposed to do staffing, solve problems that staff can't solve, keep supplies and meds stocked, and deal with the dog type issues. Charge is not ever going to keep me from calling a doctor if I believe I need to do that. That is simply a tough but necessary part of the job, night shift or not.

    Yeah, the old "I hate conflict" issue. No one likes it probably, but we all have to deal with it. Do not lick this woman's boots. Keeping the peace is good, but you must draw the line - respectfully but firmly.

    Just tell her you do not feel comfortable doing "such and such" because a doctor must give an order - unless the place has written Standing Orders/Protocols for things like chest pain (VS, EKG, ABG's, nitro, monitor, IV access, 02, whatever), insomnia, constipation, etc. Even with written SO's, you must evaluate the pt and get a doctor involved if you believe it is right to do so, no matter what time the clock says.

    They likely won't do it, but what if an NP could be on call at the hospital at night? She could see the patients as a hospitalist would, thus relieving doctors of a lot of calls they'd otherwise get and preventing the Charge from feeling she must know all the answers and practicing medicine without a license.

    Good luck to you. Be brave and courageous. Check the Nurse Practice Acts as suggested. And stand your ground.

    BTW, you were overridden. They overrode you. Affect your license, not effect. No rudeness intended, it's just that grammar is an OCD thing with me.

    And it is, as stated earlier, common for there to be only an ER doc or no doc in a small community hospital. But the attendings are readily available (supposed to be).

  • Sep 30

    Quote from Meriwhen
    I use an exceptionally fine-point pen (seriously, they don't sell them in stores, I have to order them online) for charting. The point is so sharp it's also good for opening even the toughest med wrappers. And given how bad it hurts when I accidentally stab my finger with it, it'd probably be good for self-defense too.
    Oh, God, yes, I have stabbed myself more than once. Then it really gets fun, working in pain for the rest of that shift and the next one or 2.

  • Sep 30

    There are some pills that you just cannot open!

    Does anyone remember and miss the days when every single pill did not come in its own individual little package?

    And there was no need to struggle with wrappers because there weren't any!!

    I fought with one today for a full minute before it gave way.

    Not to mention there was a whole lot less trash when we did not have to unwrap, break through, dynamite every pill out of its own wrapper.

    I am going to let the manufacturers of the ones I find the worst know how they could make nurses' lives a whole lot easier.

    Yes, I do have scissors and a pen. Maybe switch to karate chops?

  • Sep 30

    Well, Roggae, how did the talk with your boss go? I hope you told her all the things you said in your first post - like the pitbull (I know they can be very sweet, but you should not have had to be in the room with the dog. The dog could have spent the night with Security or in the Morgue or the Loading Dock area - somewhere where you would not have been afraid).

    And the rudeness of the Charge Nurse and her practicing Medicine without a license are completely not acceptable. In her defense, doctors and supervisors and Admin might have implied that she go ahead and do whatever it takes to not wake the doctors up and I do understand that. But do not allow her to make you practice without a license. They probably figure the doctor will just give the order in the morning. At a huge university teaching hospital where I worked Open Heart post-op many moons ago, the nurses would just give Maalox or a laxative or aspirin or whatever relatively minor meds, order diets, order activity, order respiratory and labs because all the surgeons and house staff were scrubbed. The floor had, more or less, standing orders and the docs did sign them when they rounded after finishing in the OR. So it could be this Charge is working under this mentality.

    I'm glad you understand that the Charge is supposed to do staffing, solve problems that staff can't solve, keep supplies and meds stocked, and deal with the dog type issues. Charge is not ever going to keep me from calling a doctor if I believe I need to do that. That is simply a tough but necessary part of the job, night shift or not.

    Yeah, the old "I hate conflict" issue. No one likes it probably, but we all have to deal with it. Do not lick this woman's boots. Keeping the peace is good, but you must draw the line - respectfully but firmly.

    Just tell her you do not feel comfortable doing "such and such" because a doctor must give an order - unless the place has written Standing Orders/Protocols for things like chest pain (VS, EKG, ABG's, nitro, monitor, IV access, 02, whatever), insomnia, constipation, etc. Even with written SO's, you must evaluate the pt and get a doctor involved if you believe it is right to do so, no matter what time the clock says.

    They likely won't do it, but what if an NP could be on call at the hospital at night? She could see the patients as a hospitalist would, thus relieving doctors of a lot of calls they'd otherwise get and preventing the Charge from feeling she must know all the answers and practicing medicine without a license.

    Good luck to you. Be brave and courageous. Check the Nurse Practice Acts as suggested. And stand your ground.

    BTW, you were overridden. They overrode you. Affect your license, not effect. No rudeness intended, it's just that grammar is an OCD thing with me.

    And it is, as stated earlier, common for there to be only an ER doc or no doc in a small community hospital. But the attendings are readily available (supposed to be).

  • Sep 29

    Just as veterans and current military personnel are thanked for their service, we need to thank each other and be thanked, too, by others for our service.

    Let's start that new trend.

    A guote from "West Side Story" for Been There 2012 - "Ya done good, Buddy Boy". BB was a Jet being thanked by her fellow Jets.

  • Sep 29

    People are people wherever you go. Some are awful, some you will love.

    Sometimes you will find, much to your shock and dismay, that the very ones you like and enjoy working with are the ones who will knife you in the back. They will be the ones who put you down. And you thought they were your friends. That hurts and shocks.

    I don't know what to tell you except walk quietly, do not gossip or discuss this sort of thing with anyone at work, mind our own business. Even then, someone won't like it or you and will then be after you to do you dirt. No matter what you say or do, someone will misinterpret it, misrepresent it, lie about you, and otherwise cause you trouble. That has been my over all experience with coworkers. I've had some great jobs and met some great people, but my trust in people was destroyed long ago.

    Try to win the lottery so you don't have to work.

  • Sep 29

    Just as veterans and current military personnel are thanked for their service, we need to thank each other and be thanked, too, by others for our service.

    Let's start that new trend.

    A guote from "West Side Story" for Been There 2012 - "Ya done good, Buddy Boy". BB was a Jet being thanked by her fellow Jets.

  • Sep 29

    Just as veterans and current military personnel are thanked for their service, we need to thank each other and be thanked, too, by others for our service.

    Let's start that new trend.

    A guote from "West Side Story" for Been There 2012 - "Ya done good, Buddy Boy". BB was a Jet being thanked by her fellow Jets.

  • Sep 28

    There are some pills that you just cannot open!

    Does anyone remember and miss the days when every single pill did not come in its own individual little package?

    And there was no need to struggle with wrappers because there weren't any!!

    I fought with one today for a full minute before it gave way.

    Not to mention there was a whole lot less trash when we did not have to unwrap, break through, dynamite every pill out of its own wrapper.

    I am going to let the manufacturers of the ones I find the worst know how they could make nurses' lives a whole lot easier.

    Yes, I do have scissors and a pen. Maybe switch to karate chops?


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