Latest Comments by Anna Flaxis

Anna Flaxis, ASN 27,267 Views

Joined Oct 15, '10. Posts: 2,875 (67% Liked) Likes: 8,659

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  • 0

    Quote from ashrnbsn12
    I'm working in CVICU and just graduated last May. I feel like a crappy nurse because there is still so much I don't know. I leave work after a shift and the next morning when I show up for my shift the next day, my preceptor/ night shift nurse ambush me with things I did wrong or issues that they noticed (i.e. forgetting to hook a heparin line, mix my antibiotic, chest tube was off of suction, a med wasn't given etc.). I'm almost off my 12 wk orientation and I still feel like I can't do anything right and don't know if I'm just being too hard on myself. Anyone else ever experience these issues when they were starting out? Words of wisdom?
    Words of wisdom: It's normal to feel like a complete incompetent idiot as a new grad. Take your co-workers' "ambushings" as opportunities for improvement. Pick yourself up, dust yourself off, and come back and do it again the next day.

  • 0

    Well, then there ya go.

    I would suggest applying to an agency, but I have really strong feelings about new grads taking agency work, so I won't. Good luck to you!

  • 1
    brownbook likes this.

    Quote from ShockMe
    I am not sure if this is in the right topic...

    I have been working with an increasing amount of nurses who FLAT OUT REFUSE to change or toilet their patients. Is this a thing? Do your hospitals have policies or guidance on this topic?

    I've brought this up to a few people unofficially and one answer I got was (from a VP) "the nurse may be too busy and you just don't know it." My thought is "If you know they are soiled or ask them to toilet them, why are they taking the time to find a CNA and not just doing it?"

    Years ago someone was talking to a group and the toileting issue came up (different hospital) and this person asked us rhetorically how WE would feel if our nurse was in the room and we were soiled and they would not change us? Or if we asked to go to the toilet and they walk out and send in a CNA? I know I would feel pretty small.

    Suggestions, comments, HELP...? Anything?
    Hi, I've been on both ends of this. More than once when I was a CNA did the RN say within my earshot that "The CNA will do that" when they were in the freakin' room. More than once have I changed the soiled bed of a dependent patient *by myself*.

    Does that always feel good? Well, I only know how it felt to me when I was a CNA.

    As an RN, I've had to pass on assisting with ADLs because of other more pressing issues.

    If you let it bother you, it will eat you up. Just do your best to provide the best patient care you are able, and if the RN won't help you, f*** 'em. Just remember what kind of RN *YOU* want to be (if that is a goal of yours).

    Take care!

  • 1
    brownbook likes this.

    If you've given it a chance for six months but still hate it, you're never gonna love it. Just my opinion. Start looking for work elsewhere.

  • 1
    brownbook likes this.

    Quote from butterfly134
    So, I'm a young RN working in LTC, I know this probably sounds so silly, being a nurse and all. However I unexpectedly got my period at work, and had to ask my manager for a tampon as the other RN on duty, a friend, didn't have anything on her. my manager had to ask another manger as she didn't have anything either however she was helpful. By nature I'm quite reserved and found it quite embarrassing to be so unprepared, I hope my manager won't think badly of me now as I only started the job within the last 6 months. Has anyone else ever been in this situation?
    I usually stuff TP in my underwear when this happens. Nobody has to know.

  • 12

    "I get the feeling that she is socially starved."

    Ya think?

    Maybe find a way to compliment her once in a while. Find something about her that you appreciate and tell her so. Humor her kitty pics, but hold her accountable for unprofessional behavior. Remember that you never know what battles others might be facing, and try to be forgiving.

  • 1
    brownbook likes this.

    I don't know about anyone else, but I don't consider that Northern California. That's the Bay Area, as far as I'm concerned. The previous poster was correct in this being an employer's market and not being licensed yet. What caused you to move to Solano County? Are you willing to relocate?

  • 2
    ICUman and brownbook like this.

    Quote from akint19
    new grad here, noticed ALL the nurses on my unit (med surg) do not use their stethoscopes...and just compare their notes to the previous shift notes..... i just bought a new stethoscope and hung it around my neck and the nurse told me to leave it in my bag. so how am i supposed to do assessments???? patient hasnt pooped in 3 days but do you think any of the nurses would pull out their stethoscopes to listen to bowel sounds??..... im still on orientation and i feel like this hospital is making me crazy... i still do my full assessments regardless!
    Admittedly, I have skipped all of the replies. You do you. One of the first things I ever learned as a new RN was to do an assessment you can take to the bank. Now that I'm not so new, I feel a bit more comfortable with shooting from the hip. But, I am fully aware of how that can bite me in the butt. Again, you do you and don't worry about what the other nurses say.

  • 0

    What did the OB-GYN have to say about this?

  • 0

    Gero-psych certainly wouldn't hurt anything. We see a ton of that in the ED, so having some experience with it wouldn't be a bad thing at all. But to be honest, if your passion is ED, then go for ED-with one caveat... if you don't expect much more than a sink-or-swim orientation and you are a person who can deal with that, then go for it. If you need a lot of hand holding, then please don't. The ED is a busy place, and if you don't have the ability to pull up those hip waders and wade right in, then it may not be a good fit.

  • 2
    AJJKRN and nursiebean like this.

    Depends on the clinical picture.

    Is this a new medication for the patient, or have they been taking it for a while?

    If it's new, I agree that it would be safest to have them on the monitor for at least the first few doses.

    If they've been on metoprolol for some time, and it's simply a route change due to NPO status, it is important to avoid abruptly discontinuing the medication, as this can lead to a whole host of problems, such as Acute MI. It would be of great import to make sure they get their dose. If you're not comfortable with an IV push, then mixing it in a mini-bag and infusing over 10 minutes would be a good compromise.

  • 0

    Quote from caalvarez3
    Can a patient be alert and oriented but drowsy?
    What are your thoughts?

  • 5

    The doctors do it where I work.

  • 0

    Quote from chare
    And thus the intent of my previous post. Don’t you think that there should be some evidence behind what we teach and practice?
    Of course, just as I think that when citing evidence to make a point, one should verify that such evidence is reliable. :-)

  • 5
    bellakat, datalore, kakamegamama, and 2 others like this.

    Why should any further study be done?
    Assuming this is not a rhetorical question, to put it simply, the smaller the sample size, the less precise the information is.

    Say, for example, you receive a shipment of 500 widgets, and the supplier guarantees you that no more than 10% will be defective. You can't check every single widget, so you take a sample of 10 and find two defective widgets. You could conclude that 20% of the entire shipment of widgets is defective, or you could understand that perhaps you just happened to pull out 2 defective widgets when selecting your sample.

    Now, what if, instead, you select 50 widgets as your sample, and 2 of them are defective? That would be 4%, and consistent with your supplier's guarantee of 10% or less.

    You can apply this principle to individual experiments as well as what we call the "body of evidence". Two studies (with small sample sizes, no less) is not a large body of evidence upon which to form a strong conclusion, it is merely a starting point for further research.


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