Content That sandyfeet Likes

Content That sandyfeet Likes

sandyfeet, ADN 5,342 Views

Joined Jul 26, '10 - from 'CA'. sandyfeet is a RN. She has '4' year(s) of experience and specializes in 'Emergency Nursing'. Posts: 419 (40% Liked) Likes: 387

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  • Jul 9

    Quote from RainMom
    I find it interesting that the majority of comments after the article think it's a great idea, even those that claim to be nurses. ������

    There are 26 total comments. Of the "for" arguments out of the 26, I suspect four shills, and three mouth breathers.

    In other words, it would take a lot more public commentary to weed out outliers from the central tendency.

  • Jul 8

    Quote from boston.nurse
    She didn't misinterpret anything. Its Nurses like you that keep the eating of the young relationship going.
    I would like you to know that although I have been an LPN for many years and trained new employees in that role. I just graduated with my RN this April, I am in a residency program and being precepted around my facility (as we do several shifts on any units that our "home unit" interacts with regularly.)

    The advice I gave was what I do when interacting with my preceptors. I have not had a negative experience, so I was honestly hoping to help OP have a more positive situation.

    Maybe I am the only person to overhear a conversation and thought I understood it totally, just to find out later that I was wrong. Her statement said she didn't feel well and then went on to say how the situation
    Quote from boston.nurse
    I was being talked to if i was dumb and it was making me feel discombobulated.
    I can understand how this would make her not feel well, but it is very different from having a sore throat, cough, N & V, which she didn't mention at all.

    I'm not excusing anyone's behavior, but since her preceptor isn't here I can't advise her to take responsibility for her actions. I can only ask OP to look at the situation, see how she take responsibility for making the best out of it.

    My preceptors didn't get paid extra, and often didn't know I was assigned to them until the morning I showed up on the unit. That can be really hard, and we may not always see people at their best.

    OP is no longer a student, and she does need to speak up, in a non-confrontional way, when issues arise. Which is what I was advocated. And no matter where you work, you will find at least one person in which those skills will come in handy.

    And just as you want to give OP the benefit of the doubt, why am I so bad at wanting to give her preceptor, (who she never actually talked with about the issues and is not here to give side of the story) the benefit of the doubt. And why do I eat my young because I say "So take a big breath, remember how much you have learned and that you can do this. Give yourself a break for not being perfect and give others the same break."

    I'm not copping a tone here, so please don't read that into my post.

    I still believe that OP can learn to advocate for herself, present questions in a way that shows what she already knows and learn to be assertive without being confrontational, before taking it up the chain of command.

  • Jul 8

    Quote from boston.nurse
    That is the point of having a preceptor, who gets paid extra for precepting. Is to precept.
    Not everyone is paid extra to precept. My unit does pay extra, and it's a whopping $1 per hour. Big deal. After taxes take about $4 away, I can get a $8 lunch in the mediocre, overpriced cafeteria every shift. That's such a huge reward.

    I agree that preceptors should precept well, but I also know that not every preceptor wants to precept. I wasn't asked, I was just assigned someone to precept this summer. And my hospital makes a lot of big noise about how it asks for volunteers to precept. We are supposed to go to a preceptor class before ever precepting someone - my unit leader is now making a big deal about me getting signed up to go since I am already precepting. I refuse. I'm not going to pretend I volunteered for this when I didn't.

    That being said, my person has no idea that I didn't want her. It would be rude to tell her that I was angry when I heard I was getting her, and it would be rude to treat her like she's a major inconvenience. She's even told me she's glad she has me because another orientee who is a friend of hers is having a bad experience, so it seems like I am doing an excellent job as an actress.

    I'm not excusing the OP preceptors' behaviors, but acting like being paid to precept is such a huge deal is ridiculous. I think I should make double time if I am going to have to have all of my current responsibilities PLUS be teaching someone else my whole shift. Preceptor pay is a joke, and not even remotely adequate compensation for all the extra work that having an orientee brings.


    To the OP - it wouldn't hurt to change units. The culture of your unit is not acceptable, period. It is hard to learn with someone beating you down. I doubt these people are going to be any more receptive to your questions when you're off orientation than they are right now. Not wanting to answer you when it's their responsibility to answer you is a huge red flag.

  • Jul 8

    Quote from Sun0408
    OP, the fact that you posted so much back information on your IV skills or lack there of makes me think you avoided changing it. It's a skill that takes practice. If a pt complains of pain with a IV it is best to just change it. You blew the pts complains off. She or he probably didn't say anything again because you brushed them off the first time. I know it's hard when you have a ton of other things to do but you just make time and do it. Same thing applies to dressing changes or cleaning pts. It never happens when you have extra time lol.
    I tend to agree. If your patient complains of pain at an IV site, you should at least investigate starting a new line. I did that in the ER just a couple days ago. My patient was complaining of pain at the original site started in the ER just a couple hours prior. I looked, found a new site, started a new line and it flowed very well. Here's the key thing: I told the patient that I would look for a new site, and give it ONE go at it before I pulled the one that didn't feel so good.

    Never ever pull a working line before you have established a new patent line. The day you do (because you think it'll be OK) the patient will suddenly code in front of you and you won't have an easy time re-establishing vascular access.

  • Jun 2

    Quote from calivianya
    On the flip side, I had a patient have abdominal surgery and wake up with me in ICU. She was very startled that someone had shaved her pubes. She asked me why it was done and I told her that I honestly had no idea. Her surgical incision didn't go that low or anything, and ALL of the pubes were gone.

    The lost pubes bothered her more than the surgical pain - just the idea that someone would shave her pubes without asking her was intolerable, apparently. She said if she wanted her pubes shaved she would have shaved them herself. Something about the whole situation struck me as really hilarious.
    I guess sexual assault is hilarious to some people.

  • Jun 2

    Actually, my nurse shirt says "I'm a nurse, if you Fib, I will paddle you".

  • Jun 2

    Realistically that shirt should say "I sacrificed my bladder and lunch to save your life."

    Because you know... "Breaks"

  • Jun 2

    If you call in according to policy guidelines, i.e. 4 hrs before shift, it's only your business what the reason is. That being said, sleep deprivation can impair judgment as badly as drugs or alcohol.
    If you make an error because you're overly tired, it will be said that you should have known better than to work in such a state.

  • Jun 2

    When someone says "I'm in a situation that leaves my cognitive abilities impaired, so I'm calling off one shift because I don't feel safe to practice,"

    ...it feels so very odd to me that common responses include "But that doesn't impair me, so you shouldn't be impaired. Have you tried harder to not be impaired?"

  • Jun 2

    To everyone saying that not enough sleep is an excuse, or that the OP is hurting her coworkers by calling out, or whatever else: It's none of her coworkers business why she is calling out. She could be calling out because she's having a bad hair day and it's still none of their business. Her PTO, her privilege. If she's still in compliant with the attendance policy, then it isn't any of her coworkers concern if she calls out for lack of sleep.

    Truth.

  • Dec 16 '14

    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.

  • Dec 2 '14

    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!

  • Nov 26 '14

    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.

  • Nov 26 '14

    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.

  • Nov 19 '14

    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.


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