sandyfeet, ADN 5,055 Views
Joined Jul 26, '10 - from 'CA'.
sandyfeet is a RN.
She has '4' year(s) of experience and specializes in 'Emergency Nursing'.
Posts: 417 (40% Liked)
You know what this thread has taught me...
There is a particular personality type that craves superiority. These people go on the Internet and other public venues and insist on whipping it out and measuring to see whose is bigger. Nurse or medic it doesn't matter, I have seen both professions do just that in this thread.
When others do not find this behavior appealing then they are deemed as hating the attention seeking person.
What these individuals miss in my opinion, is that paramedics and nurses are specialist in their own right. The duties and skills may overlap, but one is neither equivalent or superior to another. They are simply different.
Heres a test. If your a medic and you think all nurses are stupid, or hate you. There is only one common denominator between all these nurses and you...it's you. Same if your a nurse who thinks all medics are arrogant and don't do anything right
If you encounter bad providers of either profession on occasion, then consider there are not so amazing and burnt out people in both professions and put not one more thought into it.
Follow my journey through nursing school - read Go to Nursing School? NEVER!! Ch 1
I am 43 years old. I have 4 kids - 2 in college, one in high school, and one starting 8th grade. I am on my second marriage, so the 4 kids I mentioned are mine, and my new husband brings in 4 more - 2 out of high school and 2 still at home. We have a lot going on. Football, soccer, track, band - extra-curricular activities for the kids means extra-curricular activities for me. With nursing school starting in the fall, I drop all of my odd jobs and focus on the kids and my one summer prereq course - pathophysiology.
I am floored when I get my book from Amazon - or whatever site I got the textbook from. It is bigger than the family Bible! Anyway, I dive right into my class. Since I live an hour away from the university I am attending, I am doing all my classes online. Nursing school - eline... I am not sure this is the smartest decision I have ever made, but I am not working, and gas is near $4 a gallon at the time. Everything is expensive and we are short on money. With 8 kids - oy - we have to save where we can!
The professor for my patho class is a doctor in the emergency department at the hospital I want to work at when I am done with school. He is really an amazing professor, and I am learning so much in the class. I don't have to study that much, because he is so great at the powerpoints and lectures that are posted. (Unfortunately, this professor is so great, and I am learning so much from his online lectures, that I set myself up for a rude awakening in nursing school!)
Fall is here - the long awaited time to begin my first nursing classes. I have spent an enormous amount of money on the "required" textbooks - most of which I will never use in nursing school at all! I am a little shocked at how unorganized the eline program is. No set due dates, no set exam times. It is a semi-new program for the university, so I suppose they are just working out the bugs. However, the disorganization leaves me in a state of confusion. Adding to my disappointment is the fact that none of the classes are like my patho course!
I dive into my classes (pharmacology, fundamentals, theory) and I drag textbooks to football and soccer games and read when my kids are not playing or... marching/drumming/or anything I should be cheering for. I have no clue how to study - I think I have been "winging it" until now, and from the syllabus for my courses, I am not going to be able to float through these classes anymore. So, I do what I think I should do - I highlight every single word I read...on every page. I should have bought stock in the highlighter company. Um...is it excessive that I have just highlighted all the pictures too - just in case!?!
This is the part where I turn into an insecure whiney brat. How is it that the words in the pharmacology book are written in another language? Well, maybe it is English, but OMG, seriously? I don't have a clue what I am reading. That being said, I have become a thorn in my professor's side. I email all of my professors constantly, begging for clarification, explanations, and "please spell this all out for me" type of emails. I need someone to hold my hand so that I can make it through this!
I have suddenly discovered that this nursing school business is for the birds! Apparently, nurses have to know more than just how to wipe butts and give shots....and it seems that the Board of Nursing is determined to make sure nurses know a lot about, well, everything! It is impossible, right?! With my first exam looming, I have developed intense heartburn and incredible anxiety! I am snippy and snooty with my family - I have no patience for anything or anyone. I am just not cut out for this! How in the heck is nursing school so hard?!?! My first husband was right when he said I am stupid and not smart enough to go to school - just like he always told me. This is really hard - I can't do this! I am FURIOUS that he might be right. I put off my first exam day after day, which is easy since there is not a deadline to take it.
As I stare at the yellow highlighted pages in my pharmacology book, I think, "Just take the stupid exam!" I will never move on if I can't get passed this. I am terrified of it. I have no idea what to expect on it, I have no idea what I should know. What more can I do - I have studied all I can - well, I have read all the pages that didn't make any sense anyway.
I put away my notes and my books and log onto the site to take the exam. One question after another "you gotta be kidding me" question. Um, I don't think that they took these questions from MY pharm book. By the end of the exam, I am in tears. I have no clue what just happened, but apparently, I got the wrong textbook. I submit my test and stare at the screen. My score comes up and I got a 58. OMG, I failed! I close my eyes and put my face in my hands. I am at a loss.
I send a plethora of panicked emails to my professor. One after another, and another. I am not ever going to be able to get this - how the heck am I supposed to understand any of this...this STUFF??? I have NO clue how to study! My professor for this class is NOT teaching me! My patho professor was so good and this professor is ... well, is NOT my last professor!
I whine the rest of the night to my husband, who patiently listens to me and then tells me for the first of hundreds of times, "If it were easy, everyone would do it". My kids can't believe I failed an exam, and I mentally see them slapping high fives to each other for all the times I have scolded them for any time they have ever received a poor grade (although they really were NOT doing that). Ugh, now what?!
The next day I am still wallowing in my pity party when I received a reply email from my professor, who has apparently had enough of my "poor, poor me" helpless attitude. "Dear Julie, it's time to put your big girl panties on and get down to business" ("to defeat the Huns" - I always have to add those words when someone says that. Is it just me or do you do that too?).
In hindsight, that was the BEST thing anyone ever told me! She totally snapped me out of my pit of despair! Somehow, I was able to pull myself up by my bootstraps and figure out this studying thing. I connected with others in the eline nursing program who helped me learn how to study and work through the coursework (God bless you Dawn, Rhonda, Erin, Lesley, Erica, Sarah, John, and Annie). I threw out the highlighters and I quit believing I could NOT do it and started believing I WOULD do it.
I was able to finish my first semester with 2 A's and 1 C (it is hard to come back from a failing exam grade)! Hey - if Mulan can do it...! Somehow - those seemingly harsh words in the email from my professor made me look inside myself and find something I never knew existed - resolve, willpower, and endurance; the ability to overcome adversity and rise to the occasion - a skill that is needed by every successful nurse. I learned to quit whining and start working toward my goal. The road to nursing is hard, and it is a road less traveled, but like my husband says - it is was easy, everyone would do it.
....and I realized, this "big girl panty" thing - it rocks!
Precisely why they recycle this sort of egregious ****. Faux News often tosses in something to jazz up endogenous catecholes just before it tosses more red meat to the plebs.
I, too, think most publically visible tattoos are tacky. I keep my mouth shut in public about that opinion. I, however, will need to make a decision whether I will get nipples tattooed on after breast reconstruction.
Those will not be displayed at work.
I have been working as an ER tech/PCA for about 4 1/2 months now in a level 1 trauma center, and have been through a lot already! But one of the most memorable things that has happened to me thus far happened this past weekend. A guy came in with what he said was severe chest pain, and when they brought him back I could tell he was in some major distress (not like the ones who are talking on their phones and laughing while you're trying to help them). I knew this was probably going to become a serious situation. I hurried to get an EKG machine, and got the EKG in under 5 minutes. I haven't had any training in reading EKGs yet (that class is next semester for me), but I had been learning on my own time in the past about some of the major signs to look for...as soon as I got a clear reading I could see that he was having an acute MI (inferior STEMI). So I rushed to get the MD and the nurses so they could do their work, and we got the pt up to cath lab in under 20 minutes. It made me feel great that the RNs and MD told me that if I had not acted as quickly as I did, the pt would not have had a very good chance of surviving. That is why I want to become a nurse....to make a change in someone's life.
I got the call on the EMS radio around 5 am. This is the usual time we get calls from EMS responding to nursing homes- The nurses are rounding on their patients to give am meds, and they find their residents dead or in distress. An 87 yo female, febrile, and in severe respiratory distress coming in. Pt is a DNR, but family is very involved, is aware, and will meet them in the ER.
I'm alerted that family is in the waiting room before the patient even gets there. I go out and introduce myself, tell them I will be her nurse, and that I will bring them back as soon as I get her settled in the room.
EMS arrives, and carefully transfers their frail burden onto one of my stretchers. You can see the relief on their faces, that they got her here and are able to hand her off before she dies on their watch. I'm now the proud owner of one very ill person. Temp 102+, Respiratory rate 14 and irregular. HR 50's, sat 84% on NRB, I don't need my Littmann to hear the rhonchi- Other hx is advanced dementia, DM, CHF. Has been in the nursing home for about 6 months- her husband had taken care of her at home as long as he could, but it finally got too much for him to manage, as he was also dealing with his own health problems at the age of 92.
I got her settled, and the Doc comes in- I give him the pertinent info- Not a whole lot we can do at this point other than make her comfortable and treat the infection. Chances are poor that she will make it, and we both know it. Doc moves on to deal with people he can help, leaving me in control of this mess.
I bring her visitors in, including her only daughter in her 60's, and several close friends of the family. I get them settled in and TRY explain to them what is going on. They don't get how bad off she is- I try to explain it to them in soft terms- They share with me who she is- a wife, a mother, a friend.I learn her husband is frail and elderly. I strongly suggest that if he is able, that he come. The daughter tells me she is going to leave to go get Dad. I explain that mom could go at any moment, each gasp she takes could be her last. I don't want them to have to deal with the idea that she died without ANY of her family around. But I REALLY wanted her husband there. The daughter calls her husband, who is dispatched to go get him dressed and here.
In this age of technology, we can keep up with a lot of things. I'm updated that son in law is at dad's house, he's getting him dressed, getting him loaded in the car with the wheel chair. I'm watching my patient brady down, 50's, 40's 30's.......The monitor is alarming, and my pt.'s daughter sees it. Husband lands in the parking lot, and the son in law is getting him loaded in his wheelchair.
Then she died, no resps, asystole on the monitor. The daughter asks me- "Is she gone?"
"Not yet" I told her her- I gave her some silly answer- the monitor isn't picking up anything because she is so sick. I mute the alarms, turning the monitor away so she can't see the flat line.. I send 2 of my male coworkers to go out and GRAB the husband, RUN him in.
He arrives, looking a bit baffled at the whirlwind of men running out to snatch him out of his van and deliver him to trauma room 3.
I kneel down and introduce myself. I told him. "I'm sorry, but your girl is dying." He looks at me without comprehension. I took his hand, and joined it with his dead wife's. I told him "Your wife is dying right now- tell her you are here, tell her you love her- these are the last things you will be able to tell her...........Tell her it's OK to go-"
He grasped her hand and brought it to his temple. "I love you baby....it's OK to go, I'm here."
I waited a minute and placed my stethoscope to her chest, made a big deal pronouncing her time of death as just then.
I lied- she died without her husband.......... but that is something they will never know, but I will live with forever. I know I helped the living, but damn, holding this stuff inside hurts. I tried to explain it to my husband when I got home. He didn't get it. This is something I carry inside.
I know my fellow nurses will understand. Thanks for letting me vent and get this out.
Theresa Brown has done it all and she shared her unconventional story with allnurses.com. She has the singular honor of being the only RN columnist at what has been called the best paper in the country. Obama knows her name as well as her patients and they both called on her for help. Brown is at ease in academia, the nurse's station and even the White House!
In a far reaching phone interview, NY times columnist and author of Critical Care: A New Nurse Faces Death, Life, and Everything in Between, Theresa Brown RN, discussed her story. Despite her busy schedule as a part time oncology nurse at a major hospital in Pennsylvania, Brown has managed to combine the best of both worlds.
She stays connected to the clinical side of nursing on the weekends, doing the classic 12 hour shift and this leaves her time to write for the New York Times, for her "bedside" column. Her next book, aptly entitled THE SHIFT: One Nurse's Twelve Hours on the Hospital's Frontlines is set to appear next fall. This journey has even taken her to the White House!
Brown's voyage to RN/ author was far from typical. This trip took her from the rarefied world of being an English professor at Tufts University to an accelerated nursing program. "Accelerated degree nurses like me, people wonder if (we) were really prepared".
Despite the rapidity of the degree, Brown hit the ground running, and has been working in oncology ever since, which formed the backdrop of this book. She discussed this and concludes that other career changers "weren't crazy either".
Brown cites Wall Street brokers, dancers, and junior high teachers as others who have done the same. She writes about this in her first book Critical Care, and discussed the commonality of nurses who have faced their "first death, bullying and negotiating with different groups". She went to nursing school at the University of Pittsburgh, where she graduated with a BSN after completing a Ph.D. in English from the University of Chicago.
Brown has the rare ability to translate nursing jargon into a story that the non-nurse can understand. They can walk away with the idea that they have been given entry into the special world of the hospital nurse, with all their tradition and lingo.
Brown writes about her first death, of her patient Mary, and describes her cancer and its ensuing sob (shortness of breath). She breaks down why the body reacts the way it does when faced with this dilemma. The reader is transported to this milieu immediately.
Brown intends to do the same with her new book, "THE SHIFT: One Nurse's Twelve Hours on the Hospital's Frontlines." Brown explained that this will deal with a typical day in the life of a nurse, and as a spoiler adds that it will spotlight "two puzzling cases...and look at a normal reasonable day, not eating lunch, on your feet for 12 hours".
As for the struggle between doctors and nurses, Brown explains that she has felt the friction, and she has learned to deal with the backlash. Some doctors have been supportive of her efforts to bring the world of nursing to the public. Others not so much and the criticism pretty much centers around her work as a writer for the New York Times, "bedside" column on the op-ed page and the New York Times blog, "Opinionator".
She has also written for the New York Times "Well" blog. There are some doctors who are "...internet trolls and write something nasty for the New York Times". She continues, "that those outside of the healthcare realm don't see doctors that way...we need doctors not to be jerks on the job".
Brown also talked about the controversial and probably by now, the world's best known nurse, Kaci Hickox, who defied her controversial quarantine in a tent in New Jersey to travel to Maine and return home. She then went on a now famous bike ride with her boyfriend.
Brown answers when asked if the image of the "Johnson & Johnson" nurse has been tarnished, does not think so, because ..." she (Kaci) went about it in a very smart way". She goes on to explain that she was not going to the mall in Maine, and she called her "brave".
Brown thinks that the crisis around Ebola will only serve to strengthen the image of the nurse. On the flip side, in so far as the media portrayal of the doctor in New York who returned with a full blown case of Ebola, the nurses fared worse. "I find it very upsetting, not strange" that nurses were being maligned more than doctors during this crisis. Brown was so concerned that she wrote an article for CNN called "Ebola will elevate respect for nurses" last month.
Brown is not sure that a nursing shortage may ensue due to the glut of baby boomers retiring. She cites the desperate need for nurses in rural areas. Brown would like to see more government support for the BSN if it becomes the entry level degree for RNs. Brown, by the way, is no stranger to politics. She was invited by President Obama in September 2009 as a guest at the White House when he talked about her column supporting health care reform (2009). He cited her story about a leukemia patient who had trouble paying for his hospital bill. Then she went back to work the next day on the oncology floor.
She is encouraging RNs to start their own blog, even if a small number of people read it, because stories about what nurses experience is of value. She cites evidence that nurses who journal are much calmer on the job and that even telling your story verbally of what happened that shift would help not only the nurse, but the public too.
Despite all her accomplishments, which include her essay "Perhaps Death Is Proud," which first ran in the New York Times Science Times in 2008, and was later included in the Best American Science Writing 2009 and Best American Medical Writing 2009 anthologies, she remains grounded. She explains that the New York Times told her that the nurses' voice was one they never heard. That is when they offered her a chance to write for their Well blog. When asked the proverbial question, regarding a future New York Times number one best seller and a movie, she answers "That would be great ...I love the writing...that gives me something to look forward to, working in the hospital."
A McDonalds?? In a hospital?! Good lord, talk about one stop shopping...does your cath lab offer a punch card?
She sounds like a thoroughly miserable person. Just be thankful you're not married to her.
Hot Lips Houlihan.
I thought she was the toughest, smartest, most amazing person in the world! She made me want to be a nurse when I grew up, because I wanted to be her. I watched her (MASH) everyday after school, at 5 pm - if I had finished my homework. I thought that life as a military nurse would be exciting and challenging! I never had the opportunity to have that dream come true, but I want to take this opportunity to thank the men and women who are military nurses.
I cannot imagine the lives you are living as combat nurses caring for our soldiers who are injured in battle. I can't imagine the equipment you carry, the layers of clothes you wear, the stoic persona you embody when bending over a young man or woman who has shrapnel in their belly or their legs blown off. I can't imagine how you move with agility when you are not in scrubs but in combat attire. Or how you comfort a soldier with fear in his/her eyes, as you hold their hand knowing they might die.
I imagine you are some of the toughest and smartest nurses, prepared to handle any emergency, any trauma, any illness. I imagine you are the soothing voice, the calming presence, the one they trust and put their hope in. I imagine you have comforted soldiers who are scared, in immense pain, who are angry, or feel hopeless and depressed. I imagine you have soothed the screams of one who wakes in the middle of the night with dreams of terror.
You may carry weapons, you have been trained in military combat, you are physically fit, and mentally aware of danger if you are in a combat zone. You work in sometimes frightening situations, and you keep going. It is what you do, because you have grit. You debride wounds, administer antibiotics and pain meds if you are in a wounded warrior hospital. You counsel, support, advocate, and fight for those who have fought for our freedom. You get the soldier back to as much of a normal life as possible, always encouraging, always helping with family dynamics, always doing some great or small action that will benefit the life of this soldier - and the family they go home to.
You care for all of the Veterans that come to you. Those who served as far back as WWII, Korea, Vietnam, Desert Storm, Iraq, Iran, and as recently as Afghanistan. You treat each person with dignity and respect, you honor those you serve. You are the "Soldiers' Angels", and you are just that - Angels. You serve in the trenches, in medical units, in small and big hospitals, in places with many resources, and in places where you have to make do with what you have. You are resourceful, inventive, innovative, and masters of creativity. You plan collaboratively to meet all the needs of your patients, and yes, you can pull rabbits out of hats if that is what it takes to help your patient - to help your brother or sister in arms. You save the lives of those who sacrificed without so much as a thought to how much YOU are sacrificing.
You make the world a better place.
I admire you; I envy your courage and your strength. You are the nurses that young boys and girls now look to - the "Hot Lips" - of this generation. You are tough, brave, and smart. I cannot begin to express my gratitude for your service to our country. I would like to take this time to honor you, my comrade in nursing, for answering the call to duty. I want to thank you for all you have done and all you are doing.
You are truly an American Hero.
I think it does. I have a concealed handgun license. I have a purse that has a place for my pistol in it. It's really none of your business what's in my purse. I don't show it, take it out, etc. EVER. In my state, you are trained in CHL class that you are never to let anyone know you have a gun unless you are prepared to use deadly force. So yes, I think it does have something to do with your question. Now, I don't have children, and I would never have my gun in my purse if I was going to be around my niece or anyone else's children. Other than that, what's in my purse is my business, not yours.
There is something about humans that make us fear the unlikely. We fear flying, but not smoking. People fear Ebola, but skip the flu shot. Obesity kills more people than shooting sprees.
From my observation, most of the gunshot wounds at work I see are self-inflicted.
I will carry my weapon no matter what. If it comes down to hospital policy .. I DON'T care about their policy. My weapon is concealed. They will never know.
Until the time comes that I need to use my weapon.
When I feel the need to brandish / use my weapon... I will have the advantage.. over the aggressor. My Glock is the great equalizer.
I would be interested to see the results of a study that compared cortisol levels & frontal lobe activity of armed vs. unarmed citizens.
OOOH a sign!
"Sign Sign everywhere a sign
Blocking out the scenery breaking my mind
Do this, don't do that, cant you read the sign!"
When it comes to my weapon.. and my license to carry it.. I can't read that sign.
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