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SoldierNurse22, BSN, RN, EMT-B 60,093 Views

Joined: Mar 29, '10; Posts: 2,233 (67% Liked) ; Likes: 7,043

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  • Feb 13 '17

    Welcome to I.Am.A.Nurse!

    I appreciate your straight shooting way, telling it like it is, ranting a bit, and then asking for advice. I sense no hidden agendas here.

    I can also appreciate your position as a manager, working long hours, spinning your wheels in superfluous meetings, and lacking support. These are some of the reasons I got out of the management area of nursing and am a floor nurse doing grunt work. I do my job and leave the work when I leave the hospital.

    No matter how hard you try to prove the opposite to those you supervise, you're still one of "them".

    The very best you, I.Am.A.Nurse in your endeavor work in a fulfilling position.

    BTW: If the Mods don't move your thread, check out this forum:


  • Feb 3 '17

    Quote from AliNajaCat
    Gawd, this sort of thing is so tiresome. I wonder if the only reason rants like this become "Articles" is for the clickbait, as evidenced by the fact that we're on #23 and the OP is still BS (and I don't mean "bachelor of science").
    MOST of the "articles" seem to be just inflated posts. Clickbait is right. But then we clicked, didn't we?

  • Feb 3 '17

    Gawd, this sort of thing is so tiresome. I wonder if the only reason rants like this become "Articles" is for the clickbait, as evidenced by the fact that we're on #23 and the OP is still BS (and I don't mean "bachelor of science").

  • Feb 3 '17

    Anyways, to get to my rant, the nursing home wasn't so bad. I actually was OK with it. The problems came with the employees. I worked with nothing but ratchet nurses that talk behind your back and CNAs that did half ass work due to their c/o "we gettin paid minimum wage so this place gunna get minimum wage work". The attitudes were horrible.
    What is a "ratchet nurse?" It sounds like a putdown. With your nasty attitude toward them, I'm not surprised that they talk about you behind your back. Your rant about the CNAs is horrible. I don't know your workplace or your colleagues, but you're complaining about THEIR horrible attitudes makes you look pretty toxic yourself. Surely there must be some nice folks there, some people you can respect even if you don't actually like them. And almost everyone has some likable aspect to their personality. If you have to work with these folks, it would behoove you to find something to like about them, then focus on that.

    The CNA turn around rate was also horrible. Always working under staffed and under paid. My relief even started making a habit of calling in at the last minute, leaving me there till a new relief could come. Nobody has any body's back in nursing. I became friends with a CNA and we became kind of close. We were close until she stole something from me and lied about it. I get stolen from a lot on my unit. I guess that's normal, right? On top of that aggravation, The family of the residents are always complaining because their loved ones ADLs are hardly ever completed due to the staff's attitude and under staffment. It's just so much stress being a nurse.
    The turnover rate for CNAs in general is horrible. They have a very difficult job and they get very little respect and the pay is inadequate. I've found that when I genuinely LIKE the CNAs I work with (and some of them ARE harder to like than others) and appreciate their contributions, they work harder and our teamwork improves. Maybe it isn't "fair", but it's up to the RN to show a little appreciation to the CNAs and strive to improve your relationship with them. If you're unwilling to do that, teamwork will suffer.

    As far as someone stealing from you, that's not right. But are you SURE that the person you're accusing is the one who actually IS stealing from you? If you leave your stuff unattended in the workplace, it does sometimes get stolen. I've been in workplaces where the thief was fellow nurses, janitors, bio-engineering, pharmacy techs, physical therapists, patients and visitors. At one job, the manager was stealing and at another, I swear it was the chaplain. And of course stethoscopes are constantly being lifted by the medical residents and even an attending or two. (OK, "constantly" is a slight exaggeration.) Perhaps since your relationships with all your co-workers are so negative, that is why you're finding so many of your things going missing. People are apt to catch on to how you REALLY feel about them.

    After a year and a half, I feel like it's not necessarily the work load that makes me hate my job, it's the stress of managing my unit and accepting the things that I can't control. I've changed as a person; I think I've even lost hope for the human race like it's gotten that bad. I've never met so many rude, catty, backstabbing, selfish people in my life. I don't know if it's because nurses are all stressed out or if it's me. I don't even know how some of the nurses that I work with even passed high school, much less have a nursing license. One nurse that I work with had to write an incident about a resident that fell on the floor. She literally documented "res found on flow."
    If you run into one rude, catty, backstabbing, selfish person in your day, that person is a jerk. If EVERYONE you run into is rude, catty, backstabbing and selfish, the jerk is you. Please do some self-examination to determine what you are bringing to all of these negative interactions. You cannot change the people you meet, but you can change yourself and how you interact with them.

    I just can't deal. I don't know whether to forward my career and become an RN, or work in a cemetery where there's no complaining. Did I mention that one of my older nursing co workers tried getting me to over dose my hospice patient. Oh his respirators are 9? Give him morphine he's going to die anyway. The saying that "nurses eat their young" is so accurate. Do you know what that makes nurses? Cannibals. Oh you passed your NCLEX? Congrats. Next step? Try not to cry too loud while your co workers eat you alive for their own amusement.
    Your attitude toward your colleagues is completely toxic. Nurses don't eat their young; nurses aren't cannibals. But it seems as if you have some real problems in getting along with your colleagues in your work environment. That's on you. You can change jobs if you like, but wherever you go, there you are.

  • Feb 3 '17

    I too would like to see this removed from the front page - it's not an article, it's a rant. Not trying to sound harsh, but 26K is expensive for an LPN program and it was your choice to take that debt on. I'm sure you're joking about thinking drug dealers have it better. You can pay that debt off if you get serious about it. I have no idea what your situation is, but if that's contributing to the stress, do what you need to and make a dent in it. I also think your welfare comments are inappropriate.

  • Feb 3 '17

    There is a bit of irony when a rant about rude, catty, backstabbing, bad attitude coworkers is riddled with insults of the coworkers in question.

    Its a bad work environment not NETY. NETY doesn't exist. Change jobs.

  • Feb 3 '17

    I am sorry that you work in such a bad environment. However, I feel worse about the residents who are forced to live there. They don't have the option to get up and leave. You do have that choice.

    If you enjoy the nursing work, then you should pursue your RN. The RN behind your name will open up more job choices. Perhaps you can then find a more suitable work environment.

    Nursing isn't easy. The job is tough, and you must work with all kinds of personalities and work ethics. As time goes on, you will become more comfortable learning when to assert yourself, versus when to let things slide. I have worked with nurses and techs with stellar work ethics, and some that are indeed questionable.

    As for the conditions for residents at your facility, if you feel residents are in danger, and family members are complaining, encourage them to file a compliant with the state.

    Nursing homes are regulated by the state, and should take such accusations seriously.

  • Feb 3 '17

    I have been an RN since 1989, and I use whatever size I want to for peripheral IV's. Never had a problem. Now I do use a 10cc on PICC's, as recommended.

  • Feb 3 '17

    10cc syringes aren't required for peripheral lines, central lines, or PICCs. So long as the line is patent, no size syringe will produce dangerous pressure levels, which is why the recommendation is to assess for patency with a 10ml syringe, then use whatever size syringe is most appropriate one patency has been established.

    And as a side note, syringe size does not produce a particular amount of PSI, it only determines a ratio of pressure applied to the plunger and resulting PSI if injecting into a closed space (such as an occluded line), you can potentially produce much higher pressures with a 10ml syringe than a 1ml syringe, depending on how hard someone is pushing on the plunger which is not a standardized amount of pressure.

  • Feb 3 '17

    The INS recommends using a syringe sized appropriately for the volume of medication being infused even with CVCs. The only difference with CVCs is that you verify patency first with a 10cc syringe and then use whatever size syringe best matches the volume of medication being given.

  • Feb 3 '17

    A 20g IV can withstand up to 300psi (pounds per square inch) of pressure. Remember that the pressure you generate is a product of both the diameter of the syringe and the force applied to the plunger. Even if you push a 3mL flush as hard as you can, as quickly as you can, you’re unlikely to exceed 300 psi. Using average or gentle force, you’re probably only generating about 35-40psi. PICC lines (non power injectable), are far more sensitive, with a maximum pressure as low as 25psi.

    So no, you aren’t going to damage a 20g IV by using a 3mL syringe. Or a 22g, or a 24g.

  • Feb 3 '17

    I wonder if they're mixing their info with central lines myself...

  • Feb 3 '17

    We do this all the time in pediatric PIV. Never heard of any issues

  • Feb 3 '17

    I have no idea what your charge nurse was talking about. That is true for PICC lines, but it has been standard practice wherever I have worked to use 3ml syringes for certain IVP drugs.

    You certainly didn't do anything to warrant a "chewing out". Maybe someone else has some input on this, because I am confused as well.

  • Feb 3 '17

    Like a previous poster already said, it is COMPLETELY appropriate to give morphine to a hospice patient with a resp rate of 9, because the reality of it is, they are dying. As nurses we try to make that transition as easy as possible. Dont be afraid to medicate hospice patients! Like your "cannibal" co-worker said, he is dying and in pain. Maybe take time to listen to your co-workers and respect them because they are a wealth of knowledge and experience, especially to a new nurse.