Content That Fiona59 Likes

Content That Fiona59 Likes

Fiona59 36,648 Views

Joined Oct 9, '04. She has 'Ten plus' year(s) of experience. Posts: 8,058 (39% Liked) Likes: 8,554

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  • 7:48 am

    I'm a graduate RN who is actually licenced - and still I listen to the wisdom and experience of Enrolled Nurses (Australian version of LPN) and assistants - because ultimately I am responsible but I listen to people's experience.

    The way I see it, even if she were licenced she should respect you. The fact is that she isn't, so isn't a RN, and has no authority. She probably needs a firm talking to and you need to speak with your boss.

  • 7:47 am

    Quote from nicmdavi
    Hello fellow Nurses!

    I am in need of some advice and alternate opinions. I am experiencing difficulty making a decision on what to do. The situation is as follows:

    I am an LPN working for a General Surgeon and Nurse Practitioner. I am the only clinical employee in the office; so, needless to say, the work load is WAY too much. They recently hired a medical assistant for me to help. I was so excited to have a partner/coworker; and, even more excited to have a Graduate Nurse from an RN associates program. She graduated six years ago; however, she is not licensed. She failed the NCLEX five times and decided she was done trying. This was the reason she gave in the interview for not becoming licensed, "Family is more important to me and I didn't want to work RN hours." At first, I was perplexed but thought that maybe life handed her some higher priorities. Now I know she lied about it. I wouldn't have thought any different of her had she told me the truth.

    I guess I am rambling so I will get straight to the point. She has made multiple comments to me, the providers and the my other coworkers about her superiority compared to my LPN status. She has tried to tell me how to do my job ( mind you it is only her second week working ). She will cut me off mid-sentence when trying to teach her how to do something in order to let me know she is already aware of how to do it; however, she does it incorrectly.

    There are so many other things this person has done that disappoint me greatly. I would never ever disrespect a fellow RN or LPN and I have never been treated as a lesser equal by those RN's I have worked for. It is quite the contrary: They have asked me for help/advice in areas I was more knowledgeable in and vice-versa. Friends are telling me I need to assert my authority right away but I am a very passive person. Plus, I really wanted my assistant and I to have a great working relationship. Like police partners...sharing the load and having each others backs.

    I guess I am hesitant to assert my authority because I do respect her for graduating from RN school (even though she is not an RN, Not even a certified medical assistant) I know it is drilled into LPN's during school to always report to their RN;so, maybe that is why I am lacking in putting my foot down. Maybe in my mind she has some authority over me??? I am a bit surprised in the lack of her basic nursing knowledge for a graduate nurse, for example: not knowing what warfarin was, or knowing that Mycin antibiotics are not Penicillins. ( Maybe those are just some things she forgot right? I mean....I don't remember everything ) I feel so indecisive and confused. I guess what I really want to know is this:

    Would I be in the wrong for treating her like a medical assistant and not a graduate nurse?

    I gave her my trust and the privileges of a graduate nurse but now I am thinking the better of it. She doesn't respect me at all and has made that quite clear. I am so bummed out. Any suggestions, reassurance, advice or opinions would be MUCH APPRECIATED!

    -Nic
    Did you hire her?

    When she cuts you off, stop her. Tell her you want her to hear you out and remind her that you do not cut her off.

    Let her know she is doing whatever incorrectly and she is expected to do it the way you are going to teach her.

    Remind her that she is your assistant, not the other way around. Also that it is not acceptable for her to do whatever however.

    Get it into your brain that she is not a licensed nurse. You are the licensed nurse.

    Stop listening to gossip and do not talk to anyone else about her behind her back unless you are going to whoever the boss is with a formal communique. How do you know she has made comments to other workers? How do you know what she said to whom?

    Start keeping a written record of everything she does wrong, any rudeness, any inappropriateness, any unwillingness to be shown the right way, anything you try to teach her - dates and enough detail that you will recall the events later.

    Are you doing her evaluation? If so, be honest and thorough.

    Treat her like what she is - a woman who went to RN school and graduated, but is not licensed. She is NOT a nurse, whatever her background might be. How do you even know that she did actually graduate from RN school? Maybe she made that up???

    YOU ARE HER BOSS. But you have to act like it. It gets easier.

    Whoever hired her might have figured they were getting a bargain - a nurse for the price of an office worker. Often we get what we pay for.

    Did anyone actually do a reference check? See her transcript? Any real verification of who this person really is?

  • 7:45 am

    I'm surprised that she was hired if her line for not having a license is that her family is more important than working RN hours. Anyone who has a license should know that is BS. People do decide to not work as RNs after they are licensed, but I've yet to meet anyone who could pass the NCLEX who chose not to take it. She told your employers that she chose not to take it instead of telling them she failed it five times. I have no idea how it is they believed that load of horsepucky but hey it takes all kinds.

    like others have said she is not a graduate nurse and if she tells people that she is intentionally misleading your patients. She lost her GN status the first time she failed the NCLEX. What she is is a person with an associate degree but no qualification to use the degree as she couldn't pass a minimal competency test.

    You have to stop being the patsy here. This is no time to resort to being passive or she will march all the heck over you, happily. When she steps out of line, look at her and say I know you said you learned this in school, but you aren't authorized to do/say/whatever that here.

    Do your bosses respect your opinion? Do they trust your judgment? if they do now is the time to pipe up and tell them that she is acting beyond her scope, inviting trouble for the practice, and that you hope their insurance premiums are paid up because she's going to do something harmful to someone before long.

  • 7:45 am

    Who is evaluating her performance? If it's you. get her canned.
    If it's not you, report her performance, and get her canned. You need somebody in there that will learn the ropes and work WITH you.

  • 7:44 am

    Graduating from nursing school does not make someone a nurse. Someone can only claim to be a nurse if they pass the NCLEX. After 6 years and 5 failed attempts to pass NCLEX there is no reason to treat her as a nurse much less be afraid to exert authority over her. You are licensed and she is not. Do not allow anyone to convince you otherwise.

  • 7:43 am

    I have no advice, but she sounds like a complete nightmare. I can't imagine why your employer would want to hire someone who failed NCLEX five times ...into any position. Have you discussed these issues with your employer(s)? You'll need to have their support if you hope to keep her in line, but it might be better to just show her the door.

  • Sep 29

    There are 3.3 million nurses in the US. Surely you can find a couple to interview in person. Your instructor did not mean for you to go onto an anonymous internet forum, post your homework, and have someone do it for you. He/she meant for you to go out and interview a nurse. In person. Give-and-take.

  • Sep 29

    Will not discuss my politics ever at work.

    I bet you are supposed to interview a nurse in person. How do you know I am an RN? 100% sure I am an RN and not joe the truck driver? Maybe I'm Hazel, the truck driver.

    Biggest lesson I can give you? The Internet does not have all the answers. There is much impersonation and fraud. Look for your answers in real life, not here.

  • Sep 28

    for me nclex wasnt an easy exam to pass.

  • Sep 28

    Quote from Precious Pinay
    Thank You, Looking forward to NCLEX test, Heard it was pretty easy to pass. My fiance is considering sending me to school to be a Nurse Practioner while I work. I am waiting his decision on this.
    I wouldn't say it is easy to pass seeing as less that 50% of International nurses pass it first time. The key is preparation

  • Sep 27

    If I am not mistaken, the phillipines is the world's largest exporter of overseas laborers to various countries. OFW's (overseas filipino workers) send remittances back to the Philippines in amounts that rival Mexico and China.

    It is so bad for nurses in the Philippines that for years, trained nurses have to volunteer for years before actually being paid to work, and during that volunteer period they are liable for giving meds and carrying out complex treatments that you would never see volunteers in the USA perform. Some of those Filipino hospitals even require the volunteers to pay them a fee, instead of the other way around.

    Unfortunately, the education is not similar. I remember reading that only 40% of the Filipino nurses that take the nclex-rn ever pass it. There is a definite overabundance of bad Filipino nurses, who are produced by the overabundance of bad Filipino nursing schools. Yet, because of greedy deals that American hospitals make, they get hired straight into our ICUs with no training and almost no orientation. So make sure to watch out.

  • Sep 27

    I would have asked her how she preferred I handle similar situations in the future, let her back-peddle for a few minutes, then gotten on with my day.

  • Sep 27

    There is no BC test for PNs. It's the same test for all the provinces except Quebec and you only have to pass it once. You would just need to get a BC LPN license.

  • Sep 26

    Any arm with a PICC line in it at my facility is automatically a "limb alert" with absolutely no procedures that arm.

  • Sep 26

    How about increased incidences of clot formation and phlebitis in the catheterized vein under the cuff? That's compelling enough for me to avoid the practice.


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