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Kooky Korky 26,373 Views

Joined Feb 12, '10. Posts: 3,685 (52% Liked) Likes: 5,027

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  • Dec 9

    Like the dead sea; you'll never sink when you are with me.

    The Lumineers lyrics.

  • Dec 9

    I am retired. My experience with Doctors and I am sorry to say Nurses,has been extremely frustrating at times. As I have aged so has my exposure to the patient side of things. My Internist and her Nurse are great. I hate being called "honey". I dislike being talked over, interrupted, feel like I'm talking to the wall, worst of all....that blank look that conveys "what could you know your older and retired". I use clinical terms, keep it brief, and do not expect miracles. I have an email with my user name....a little humor goes a long way!!!

  • Dec 9

    I gave blood last month and I kept the paper that has the pint identifier on it. I got an e-mail the other day saying my blood was sent to the hospital I work at. What are the chances, I infused my own blood into my patient the other night (not that I would tell the patient). Small world, made me glad I could make a difference- in more ways than one.

  • Dec 9

    Gifts say, "Not only do I appreciate all that you did for me, I also took the time to think of you right back".

    I have a fake cut crystal soap dish a family of an ICU patient gave me +20 yr's ago (I keep rings in it) and every time I look at it I still smile.

    Technically we weren't supposed to accept gifts, but I could tell not accepting it and giving them a truly heartfelt hug would be insulting. Plus, I'm sure it didn't cost more than a few dollars, which makes it more special.

    Get him or her something, it doesn't have too be expensive. They will be pleasantly surprised. And write your feelings in a card. That will mean a lot to your preceptor.

    You have a good heart to think of that person.

  • Dec 9

    Find an ally. Go out of your way to befriend someone on your shift. Find out about who they are, people love to talk about themselves. Then slowly start doing coffee or social events together. You don't need to be friends with everyone, or even most people, just start with one person.

  • Dec 9

    You can't complain if you don't try to befriend them. Invite them to a movie. Offer to go pick up coffee for the person who is watching your patients. Set up a secret santa gift exchange.
    Set up a staff morale boosting activity.
    I did that when my floor was falling apart. Everyone was leaving 6 nurses in 6 months. Another nurse who is very quiet (sounds like yourself) set up a bowling night, we all payed separately and it was so fun! Then we had things to talk about and we connected more at work.
    You also could have said hi to them in that situation. If they didn't say hi back to you then that would be rude and I would consider asking one of them what their problem is. But put yourself out there a little. I am an introvert, it's hard, anxiety producing to put yourself out there, but it is worth it. Makes your work more enjoyable, you have people there to help if a patient is crashing, more support after a tough shift.
    Just go for it, you have nothing to lose. They aren't a part of your life now, so nothing to lose, a friend to gain. Or consider it networking.

  • Dec 6

    Two things you are doing well...establishing a creative collaboration at work and planning and organizing tasks in a timely manner.

    Two things you could do even better...Encourage other staff members to deliver to the expectations at hand and recognize the potential of every staff member to be the best at what task they are assigned.

    Is this Admin speak enough?

  • Dec 6

    So glad the outcome was not worse, and so glad he had you to help identify he needed help and further evaluation! Great work!!!

  • Dec 6

    It is really possible that there is a UTI.

    Are you comfortable that it should possibly go UNTREATED?

    Rule out the OBVIOUS first.

  • Dec 6

    Everyone has different gifts in life. I'm the type that needs a lot of space and is inwardly oriented. I need to retreat into my bubble and tune out others often in order to psychologically protect myself.

    Expecting someone like me to incorporate a learner into a 12 hrs shift in the role of student is a recipe for failure.I can handle maybe an hour, tops. After 12 hours of it, I would be in severe social-sensory overload.

  • Dec 6

    I feel that if said nurse is so against precepting a new nurse, then maybe they should not do it. The quality of the teaching would surely reflect that nurses attitude towards it. Not everyone has the patience to teach/coach/precept. I understand your frustration though.

  • Dec 6

    I took a class a while back on Legal Medical Documentation. I learned a lot about charting. When 2 much charting is just as bad as not enough. As a nurse most of us know what is crucial to patient care and what the Physician will be looking for when he reads the chart. It would be helpful to take one of these classes if you can. I stay in touch with the lawyer who taught the class and it is amazing the errors she finds in charting that helps her win her cases.

  • Dec 6

    Quote from Tele RN 92
    On my unit I leave late every shift because of charting. The other nurses always leave on time, and they leave A LOT of charting blank.
    Quote from Tele RN 92
    I do SO MUCH work through a shift and I want it all charted. What if I go to court one day and it looks like I did nothing my whole shift?
    Quote from Tele RN 92
    I have had 5 jobs and they are all like this. Any feedback?
    (my bold)

    Reading your post I have to wonder if perhaps you chart excessively. You say that you've been leaving late at all five (!) places of employment and that everyone else in all these places managed to leave on time. I find it hard to believe that every single nurse you've worked with has failed or fails to chart appropriately.

    I think your fears about that day in court might be somewhat exaggerated. I'm not a U.S. nurse so I don't know this for a fact, but I would expect that you wouldn't have to account for every single minute of every shift if you ever have to testify. I would assume that you would need your charting to support/show that you did the relevant/appropriate things for that specific patient and situation, but not every single thing done or every single word uttered, in the shift.

    Is there someone you can ask for advice and who might be able to tell you if you do indeed chart in unnecessary detail?

    Good luck!

    Quote from Sour Lemon
    Those are the nurses I observe leaving 1-2 hours late every shift. I think they're nutty.
    Nutty's a bit harsh I think a lot of it is anxiety. Sure, some people are just naturally long-winded, but I do think worry is often the root cause. I remember when I was a new/recent graduate, I certainly charted more out of fear of omitting something relevant. My charting is much more focused and bare-bones today

  • Nov 27

    Quote from jennylee321
    A good question to ask yourself is what would I hand over if the family is present, because families being there during handover is the way things are headed, at least in peads.
    You won't need to describe the family during bedside report because they will be there and their behaviour will speak for itself.

  • Nov 24

    It's why I left my previous position. An entire team of 9-12 people were either told not to come in or sent home early pretty much every day. The same 9-12 people every day. Can't imagine why that particular team is hemorrhaging experienced staff...