Anna Flaxis, ASN 21,418 Views
Joined Oct 15, '10.
Posts: 2,840 (67% Liked)
I've never been in your position, but I have other leadership experience.
First, listen. Just listen. Meet with each individual, like you plan, and just hear them out. Don't offer solutions or opinions. Ask them "What would you like to see happen?". Take notes.
Look beyond specific issues to see what the over-arching theme is.
Develop a plan to address the over-arching theme.
Identify your informal leaders and try to get their buy-in to your plan by making it seem like their idea.
Just my uneducated humble opinion. Good luck!
I'm afraid I'm going to side with your unit educator on this one. Heart rate variability can be a strong predictor of mortality. Setting more narrow alarm limits can result in earlier recognition of deterioration, and thus earlier intervention, before the patient deteriorates into a code blue situation.
I have since found out that most of the MD's that are attached to the facility where I work get upset whenever you contact them about their patients, leading them to be rude in the way they address nurses.
Let her vent without offering your opinion. And foot rubs. Lots of foot rubs.
Yeah, no. Of all the potential precipitating events, the fentanyl is the least likely.
I feel your pain. I work with some folks who will spend 30 minutes fluffing and puffing a level 3 acuity patient while I carry the rest of the ER by myself, and then they look like deer in the headlights when three people show up to triage at the same time, and complain that they're not getting their breaks when I've told them, for the love of all that is holy, just go!!!
I don't have any words of wisdom to share, just know that I can empathize.
I definitely feel that I get hung up on "phrasing" - for instance instead of saying "patient walked to their bed" my preceptor tells me I should say "pt is ambulatory"
Why isn't this post more popular?
What really scares me is that this travel nurse that many of the "in-crowd" disliked had a hallway patient start to really decline, and the patient needed to be moved into a room for more aggressive interventions. People helped her physically move the stretcher into a room, and then they left her to perform/facilitate these interventions by herself. They just went back to the nurses' station. I'm terrified that the other nurses don't like me--and as a result, I won't get help when I need it.
Just reaching out to see if other new nurses have had similar experiences, and what they've done about it. Thanks!
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