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Lev <3, BSN, RN 44,528 Views

Joined Jun 3, '11 - from 'Another planet'. Lev <3 is a ED Registered Nurse. She has '4' year(s) of experience and specializes in 'Emergency - CEN, upstairs, troll bashing'. Posts: 2,728 (53% Liked) Likes: 5,045

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  • Feb 24

    "Too stupid to live" has been removed from facebook.

  • Feb 24

    Quote from Sour Lemon
    A few weeks ago, the AN facebook page posted a meme of a nurse telling a patient, "Trust me. I can tell the pharmacist more about the medications he is giving you than he can."
    This is the type of social media nurse bragging thing that I cannot stand. I see stuff like "I know more than doctors," too, and it's like... nope. No you don't. Absolutely not. Doctors and nurses (and pharmacists, for that matter) have totally different knowledge bases and while there may be some things you're more equipped to handle than a doctor is, it's very unlikely that you actually know more about treating complex disease processes than a doctor does. UGH. And you don't know more than a pharmacist does, either. Period.

  • Feb 24

    The more references I hear to allnurses threads turning up on Facebook, which I intentionally choose not to patronize, the less interested I become in continuing to participate here. I have no interest whatsoever in anything I post here turning up on Facebook without my knowledge. I think the site should explicitly inform participants here that that is a risk they are taking.

  • Feb 24

    I think "arrogance" is too strong a word to be used here. The fact that something like too stupid to live made it from AN to Facebook is no big deal IMHO. The general public isn't going to be aghast at the idea that we're human like everybody else and we have a sense of humor. They don't care enough to get their knickers in a twist over it, and if a few people do...well, life is tough. I have long been an opponent of the meek, angelic nurse stereotype (yes, I read that thread too) and don't see what all the fuss is about. But that's just me.

  • Feb 24

    The opening post contains many good spiritual ideals and platitudes. It does sound a bit preachy and unrealistic though.

    I agree, "too stupid to live" is a bad choice of words that taints our saintly image in the eyes of the general public. I like to keep up the illusion that I am all of those things, and save my true opinions for hushed tones at the nurses station.

    But, really, some of our clientele are sadly contributing negatively to the gene pool excessively. It is a worrisome demographic trend...

  • Feb 24

    Where precisely did you get this definition of "meekness", as well as find this quality to be a firm prerequisite to being a nurse in our times?

  • Feb 22

    I had a patient complain that his sandwich took too long to arrive because we were all coding someone. He got told we were all in the middle of a life or death situation and he told us he didn't give a flying f that someone else was dying because he was hungry. People can be truly evil and crazy. There's no fixing those psychos.

  • Feb 22

    You need to shadow each job for a full shift.
    Best of luck with your decision.

  • Feb 21

    AACN just released a procedure manual. They also have "Essentials of critical care." Both are available from the AACN website and Amazon. There are a ton of good books on critical care. Kinda depends what you're looking for.

  • Feb 21

    Just wait until someone rips a sock off in front of you, and you experience the wonders of dry foot flakes snowing down upon you/into your mouth/hair.

  • Feb 20

    It sounds like you've done the correct thing by making your manager aware. It sounds like this charge nurse has a different opinion/teaching style than the others. You've got a few options for dealing with her.

    First, you could ignore her feedback. Have a few well rehearsed responses such as, "I was taught here that a team approach provides safer and more efficient care." or "Accepting help ensures that my patient is well cared for while my documentation is completed in a timely manner. If you have concerns, we can discuss this more with *Nurse Manager*" While handing it in this manner may reduce her comments, it is unlikely to change your working relationship and, if anything, will only make it worse.

    What I would suggest, though, is gathering your courage and having a real conversation with her. Before or after a shift, when neither of you are busy, ask to sit down and talk with her. Explain, "Hey Sue, I'd like to talk about the way we work together. I know I'm new here, so I may be reading to much into things, but I've noticed that the way you talk to me sometimes makes me feel like you think I'm not providing good care. I want us to be able to have a good working relationship, so do you mind if we take a few minutes to discuss these things?"
    Then go on to give specific examples of what you mean:
    "Last week, when you told me not to accept help from other nurses... that's different than the "team work" approach that I've been taught by other charge nurses. I do understand the admission process, and I recognize that I need to know all of the steps involved, but I believe that accepting help during an admission allows me to prioritize patient care without spending excessive time at the computer. Do you see it differently?"
    Give her a chance to explain her point of view. Even go a step further and ask if she has specific advice for ways you can improve. Genuinely consider the advice that she offers, and she very well may have some insight or perspective that other nurses aren't sharing.

    I think you'll find that, while having a real conversation might be scary, awkward, and uncomfortable, in the end you will both have greater understanding of the other's point of view, greater respect for one another, and your working relationship will improve.

  • Feb 15

    You need to ask about patient to nurse ratios on each unit, the turnover on each unit, and you need to shadow on each unit to see what the culture is like. Each of those units will teach you so much.

  • Jan 31

    My therapist used to say there's nothing like feeling better to make you feel better. She meant that feeling better is a process that builds on itself. It sounds by your description that the SDA clinic could be a good fit for that and other reasons.

    I was a hotshot critical care nurse for a long time before circumstances made that impossible. I was in shock; I took the second CCRN exam ever given and kept it up all those years, thought I'd do it until I retired. But then.... life happened. And I said to myself, "WTF," and discovered a whole new me in a wholly new area. It was liberating in more than one way, not least because I was, in literally almost an instant in my first week, freed of my crippling fear and bereavement about leaving critical care.

    You are still YOU. You have a lot of life ahead of you. Go live it. You won't be sorry.

  • Jan 24

    As an LPN about to be an RN (so obviously my hospital experience is limited to clinical) and as someone who has spent a LONG time in LTC as an CNA and an LPN, I would definitely think this out.

    Nursing homes are not what they used to be -- I just left my LTC job late last year because 1) the hospitals are kicking them out sicker and sooner than ever and 2) I still had 25 patients even though included in those 25 I had 8 rehab beds with patients that are very similar in acuity to patients I see on the med-surg floor at clinical.

    I finally had enough when one night I had 3 patients who were all full code (and our full code is CPR - 911 essentially) one was septic, one w/ CHF on fluids and hypokalemic (that was fun), and one who was a few days post op, hemoglobin trending down and all other sorts of fun stuff. Oh yah, I had 22 other patients to care for with little back up other than my awesome aides but I really needed two other nurses.

    I just suspect you will find the same environment. We are expected to keep ratios of 1:25 with patients who really need a nurse that is like 1:5. You do not have even a 1/4 of the resources you have in a hospital in LTC and administration is the first to kick you out on your exhausted ass if a mistake happens when you had no way to prevent it because you cannot be in two places at once. People call off more, burn out is high, and you mandated often because there is no one to cover.

    Not trying to burst your bubble or anything just want to give you an alternative view so you do not leave one mess for another!! Good luck

  • Jan 23

    I left floor nursing in late 2015 due to increased pressures that were being placed on us staff members.

    Even if nine new admissions rolled into the unit at the same time, management entertained the complaint of the one patient who insisted he did not get his nightly ice cream in a timely manner.

    No matter what I did, it felt like a lose/lose situation all the time.