metroAngel 1,430 Views
Joined: Feb 13, '11;
Posts: 3 (67% Liked)
; Likes: 6
Nurses are 70% coffee and 30% awesomeness. Good combination, I think.
You done good. Plus you saved housekeeping having to clean up the mess when her head popped off.
Follow those instincts.
Who has time to argue with phlebotomists?
I'm an "old" RN. Not old in age years, but old in work years as I started young.
Recently I was displaced out of my specialty due to a layoff, and find myself back on the floor in a medical/oncology role.
I'm not sure I will survive! My work focus for many years has been... well, focused on a specific set of clinical interventions relative to my role, and I was damn good at it.
Even ICU was easier than this. Heck, ER was easier than this.
The coordinating of ever-expanding multidisciplinary teams, specialists, hospitalists, technology, the push to get the patient out the door from the moment they're admitted, and the complexity of today's med/surg patients is astounding.
God bless Med/Surg RN's.
After my first day of clinical, my dad called me to see how it went. He's got a very warped sense of humour. I explained to him that I was in a LTC facility, and my patient was comatose with very rigid contractures. He asked me how he did the daily "business of life" and I replied "Well, he wears a condom catheter." My dad was curious and wanted it explained. I tried to explain that due to his contractures, I needed two hands, one just to pry his legs apart and the other to put on the condom catheter. He was having trouble with this visual, and I guess it didn't help when I said: "You know what I mean Dad, it a two-hand job." As I said it, I realized how it sounded, but couldn't take it back.
There was a pause, then my dad yelled out to my mom: "Olivia, do you know what we our daughter's doing in nursing school!?"
I was a new nurse in canada and english is not my first language. I was assigned to medical wards. One of the patient called and she is asking for an aspirin. So i went directly to find an ice cream. I went back to her and ask what flavor she wants and i even told her we have strwberry, vanilla, chocolates. She laughs at me. I though shes asking for an ice cream.
I work in a pediatric hospital and one night a little boy pressed his call light - we answered over the intercom and asked him "Can I help you?" He replied, "Can I please see your dessert menu?" Even kids get confused between a hospital and a hotel!
It would have to be walking into a room and saying:
"Hi, I'm ___, I'll be your NURSE today" instead of
"Hi, I'm a nursing student, FEAR ME and my DANGEROUS, SHAKY HANDS." (as sweat drips off forehead)
Making a positive differnce, even when it is not appreciated!
Walking into a room and hearing a patient or the family of the patient say " there is my favorite nurse"
When that happens, I am authentically happy that they are happy
Next time when at the retirement center, go sit down next to a person and make small talk. Mention the weather, their pretty shirt, dress, hair...anything. Older folks love to talk. You can then branch out into their lives...What they did for a living, how they like the retirement place..Heck, you get them going and you can't shut them up (said in a nice way. I love older folks).
Just by having small conversations with the patient, I have helped figure out a diagnosis. Pt's don't always disclose everything and sometimes through casual conversations you can glean valuble information to pass on to the MD.
When I give showers or baths, I will engage in small take. Even during the admission history, I will sit back, give the 101 questions a break, and ask them about little things. It's amazing what you can find out.
If your an RN atropine IV should be in your scope of practice. May not be something you do routinely in urgent care, but it still can be done.
I work on a cardiac floor, and if i get an ortho patient, i don't refuse to take care of the patient because "it is out of my scope of practice"...because it is in my scope of practice, i'm just not used to it.
Im a mid-20 something new grad who just recently started orientation on a med-surg floor in a local hospital. I've been working in home health for the past few months and this is my first acute care job. I'm starting to notice some things about myself and it probably holds true for some people in my generation, especially after reading several posts from other new grads on here... Our generation really does feel entitled. "Our nursing program should've prepared us for what we will face in nursing, our jobs should go above and beyond meeting our expectations, our coworkers should never talk down to us."
I've worked before, never as a "professional" though, so I know what the real world is like. But for some reason, I just believed that things would at least be above average for me in nursing. Maybe its the caring nature of the field, I don't know... But obviously floor nursing is very stressful. No one's entitled to hold your hand. Your school isn't there to tell you what you're signing up for. That's YOUR responsibility (research your field, shadow established professionals, look online, etc). The reality shock of what nursing is really like can't all be blamed on our schools or new jobs. And just like the rest of life, other's won't always build you up.
Not to pass the buck, but I grew up in the early 90s and a lot of what we were taught in school was that "everybody is a winner", "you're special", and "you can be whatever you want to be." What was left out of the equation was that it won't always be easy, everyone won't always be happy for you and it's definitely going to take more than just thinking positive (i.e. some hard work and dedication). I don't ever really remember hearing about that side of the coin until late in high school.
A lot of posts on AN's for new grads tell us to "fake it till we make it." Maybe I'm not quite understanding what that means, but it couldn't be farther from the truth. Be humble. Ask questions. Regard your patient's safety over your ego and need to "fake it."
I came on to the floor for my 3rd shift with a preceptor, scared as hell but not wanting to ask many questions for fear of looking dumb, etc. After making a few mistakes early in the shift (none that were harmful to the patient, just wasted our time and put us behind), my preceptor nailed it in my head that it's better to ask NOW while I'm on orientation, then to be on my own and have my job on the line. She said when she first started in nursing she was humble, told everyone that she needed help and recieved any instructions/criticisms that anyone had to tell her. This preceptor has been working at the hospital for 18+ years and stopped at least 10 times during the day to double check something with the charge nurse, call pharmacy for clarification or even to ask another nurse what color tube she needed to draw a certain lab. No one looked at her as if she had three heads, her patient's got the best care and that was that.
I'm a quiet person by nature and a bit timid with my nursing skills. But I found that the more I let my guard down, admitted I needed help with things, the more confident I became. I didn't go into a room with a Lovenox needle that I haven't used in over a year, wondering If I would remember how this specific needle would work. I stopped and asked other nurses on the floor, and could walk into my patient's room confident.
This is just a start and floor nursing is a big reality shock for me but hey... I'm learning. Just wanted to throw this out to other new grads and for the older grads that are scratching their heads wondering why the hell some of us are how we are. I really appreciated the words from my preceptor today and know it'll help become a better person and nurse in the long run.
Penn and Teller ******** S08E09 Self Esteem Part 2
The Narcissism Epidemic: Living in the Age of Entitlement
My dad says "Always be a witness. If necessary, use words." I like that.
I believe if you feel God lead you to be a nurse then you need to let him do his work through you...be the vessel. Let him use your hands and mind to help others but it will have to be him doing the work. You can pray before going into work, you can pray during your breaks, but beyond that you are on shakey ground.Perhaps if the patient asks for you to pray with them and you are comfortable that is permissable but to go beyond that may get you into trouble. It is more effective to be a role model than preacher. Let others even the blind see Christ in you, they will know we are christians by our love.
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