OCNRN63, RN Pro 31,112 Views
Joined Aug 27, '10.
Posts: 7,066 (75% Liked)
I have NEVER understood this alphabet soup nonsense. Show me another profession whose members display anything other than the appropriate professional title. Emphasis on profession.
I once worked with a NP who insisted on taking her lab coat back to the embroiderer after every certificate/accreditation. Then she'd send the bill to our employer. They never did pay after the basic ANP.
Call HR and follow it up by a written complaint. You want it on file for your protection. Such language is unacceptable under any circumstances. Do not reply to him , do not entertain him, do not add a comment. Just walk away and do the above.
Personally I would take the CNA aside and ask her not to do RN tasks on your patients. Let her do what else she wants so sshe gets herself in trouble. Also mention that she is risking not being able to get an RN license in the future if she gets caught and it is reported to the BON.
If after you ask this CNA to stop doing RN tasks on your patients, and it continues, assuming your hospital must have a computerized safety reportiing system. Start writing it up in there and I bet it gets attention real fast!!
Hanging fluids may not seem like a big deal, until she accidently fluid overloads someone, hangs the wrong fluid, or her comfort level improves and she starts playing with medications. A patient at my hospital got an entire bag of Heparin in an hour because someone adjusted a beeping pump, and they had a strong suspicion that it was the CNA.
I agree with not starting a comment with "I feel" . . . that will get you no respect. "I think" is better.
However, I kinda like the idea of scratching my pits and making quiet monkey noises. However, since you are new, I'd refrain from that.
Best advice, unless the comment is directed at you, I'd just do my job and let it go. Until you think you are more accepted as a member of the team and people can trust you to do your job well . . . then you could speak up!
I work with one physician who commonly spouts off about stuff and most of the time I just roll my eyes at him but sometimes, I've taken him aside and told him what I THINK. He has a "good nurse/bad nurse" list . . . I always ask if I'm still on the "good nurse" list and he has always said "yes" with a smile.
EVERYONE does not thumb their noses at nurses. Been in the business 19 years and found that to be untrue.
OP,perhaps it's a problem where you work, but not where I do. But then I changed jobs and it got better for me.
Changing your situation is really up to you. You received some solid suggestions.
Knowing my twisted/bizarre sense of humor I might just have started jumping around and scratching my pits, making eee eee eee sounds. Yea. That is how I would have handled it, so as to use absurdity to highlight the absurd.
A younger me would rise up in anger. The older, more calm me would make fun of such a comment and make him look silly by BEING SILLY.
Don't let stupid things like this get you down.
if your dead set on it you could always go to a for profit degree mill, pay 80,000, and not get a job. But hey, you will be an APRN and wear a shiny white coat.
I gave you facts.
I even said so in my posting. "In fact....."
As nursing faculty/an educator, I have concerns that your approach brings to light. (That is an opinion).
Cool things I picked up this week:
1) how to zero and monitor a CVP line through a central line (someone though it was a good idea to have this in the stepdown unit)
2) slow A fib in the 50-60s with pauses and PVCs is apparently the rhythm of the week
3) the "are you f------ kidding me" look is enormously effective in staring down residents. You're not dropping a Foley into a pt simply for aggressive diuresis for fluid overload when she's alert, ambulatory and willing to get up and pee. That does not fly on SO many levels.
4) I got enormously mad that no one had connected my chronic pain pt's continuing GI symptoms (nausea, vomiting, epigastric pain, cramping) to both constipation and lack of adequate pain control. After cardiac r/o, 5 mg oxy and some Colace ain't gonna do ---- for a woman who uses enough narcotics at home to take down a horse, and subsequently is on a well managed bowel regimen. Took me 2 nights, everything I could think of short of an enema, and asking for better pain meds to get her comfortable enough to poop.
And poop she did after 6 days!
5) Starting to learn about identification of bundle branch blocks and how that connects to my pts' wonky rhythms.
I learned that I actually really enjoy working with some nursing students! (Don't hate me, students! I just have a bad track record with having disinterested or rude students) The two I worked with this week were so pleasant and respectful and I really genuinely enjoyed having them for the day!
I learned that it's actually kind of hilarious when a little premie is born still in their membranes and then lets out the loudest cry and startles the OB when the caul is abruptly broken. I ❤️ a sassy premie!
I learned that it's really ok to stand your ground when you know you're making a sound decision based on critical thinking and past experience, even if some people don't like your decision because it creates more work for them.
I have 2 weeks of school left. In those 2 weeks I have a Kaplan test and 2 finals.
I have reinstalled the app on my phone. I'll be back during the summer.
Finished my last week of nursing school, and here's some of the things I've learned:
I've had no trouble hearing back from MI hospitals, but personal situations required me to turn down a few, unfortunately.
I love that I can PM some random AN members with questions and get more answers than I initially hoped for.
Cholinergics aren't administered to pts with urinary strictures or obstructions.
Administer fluoroquinolones with a glass of water and maintain pt's urinary output to 1200-1500 mL to prevent crystalluria.
Sulfonamides can cause several blood disorders (e.g. hemolytic anemia, leukopenia) - notify the physician if signs of infection are observed. Also, use with caution in pts with renal insufficiency.
Purple-Roses . . . I learned that the young woman taking care of my son while he was hospitalized was not a seasoned nurse yet but a nursing student and she ROCKED. My son was very impressed by his care at this hospital.
I learned that it is very hard to sit across the room and just "be the mom" and watch someone who looks 16 years old care for your son. I also learned that the stereotype about cocky surgeons held true for the man who did my son's surgery. And I already knew that I can exchange a good bedside manner for superior surgical skills.
I learned that pathology departments (in some places) are closed on the weekend. That can change the plan for surgery.
I learned just now from Farawyn's mom about how to read while out in the sun and needing to keep your sunglasses on! Eureka! I've always put my reading glasses OVER my sunglasses, which my kids tease me about. Now I can put my sunglasses OVER my reading glasses!
I learned that many of the friends I've made here on AN are real, true friends.
I’ve been asked to start the WILTW thread, and I’m more than happy to!
This has been an exciting week for me, as it was the last week of my Med/Surg I rotation. I’m trying not to feel too relieved though, because finals are next week. That being said, I will still absolutely squeeze in time to catch up on GOT.
This week I learned:
That my clinical instructor is a big ole softy. I can’t believe that I thought she was super scary when the rotation first started.
That having just one year left of nursing school doesn’t feel like enough time. Don’t get me wrong, I feel like I’ve learned a ton in the one year of school I’ve had (and I’m more than ready to graduate so that I can get my social life back), but when I think of just how much I still don’t know, I get a little worried.
That I wish I could take some patients home with me. Throughout clinical, I had nice patients, but none that really lingered in my thoughts when I went home for the day. But last week I had a patient who had already been through so much. His whole family had already been through so much. Sometimes it’s hard to know just what to say, and I hope I was more helpful than I felt I was.
That I’m probably going to have a lifetime of telling family members, “I’m not a doctor. You really need to talk to your doctor about that. I will probably NEVER be able to diagnose you.”
I’ve also learned that said family members, when you actually do give them advice (such as dietary advice), will say “Oh, you’re just regurgitating what you’ve learned in school,” and will continue to eat everything under the sun while wondering why their blood pressure isn’t controlled. Why yes, I am telling you what I’ve learned in school, but apparently you’d rather hear that steak for every meal paired with a margarita is the best possible chance for survival.
That being said, I do follow the steak and margarita diet. But hey, I’m working on it.
That the best way to get a resident to like you is to empathize. Let them vent. Losing my independence is something I can hardly fathom, and I’m sure I wouldn’t handle it with grace. (Like, really I’m very certain that I’ll be the LOL trying to escape everyday and falling out of my wheel chair in an attempt to lunge out the door). It’s ok to let residents feel angry about it. It’s ok let them know that, yes, it does suck, and that you’ll be right around the corner when they’re ready for help.
But it’s not ok if they scratch you. Or bite you. Oh swear at you. We still need some limits.
That I will never ever forget to do an oral assessment on my patients. This is the second time I’ve shined a penlight in there and found a massive case of oral thrush.
On that note, I’m also very glad I’m not a dentist or dental hygienist. I’ll wipe all the butts in the world, but don’t bring that mouth any closer to me.
But what’s grosser than the grossest mouth? Maggots. I was not pleased to learn that maggots are still being used for wound debridement. That...is my limit.
So what did you learn?
Sounds like it would be a waste of your time and of theirs. Prove me wrong, get yourself hired and report back.
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