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mercurysmom, RN 5,015 Views

Joined Jul 25, '11 - from 'New England'. mercurysmom is a Disabilities Advocate; Consultant. She has '27' year(s) of experience and specializes in 'Early Intervention, Nsg. Education'. Posts: 156 (71% Liked) Likes: 513

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  • Aug 29

    Quote from GeneralistRN
    You are? Aww...
    The neener-neener school of argumentation.

    What are you, in kindergarten? Couldn't sell your case by pretending intellectual superiority so now you're gonna stick out your tongue and cross your eyes? "I know you are so what am I"?

    Absolutely priceless

  • Aug 29

    Quote from GeneralistRN
    It isn't ageism; it's a rather well known generational phenomenon. If you're even mildly familiar with sociology, you might even know about it.
    This is the OP trying to hide her agism behind a sociological theory that may or may not be ageist in itself.

    1. We've all seen young nurses with poor organizational skills. Many of them post here on allnurses about their need to stay later than the experienced nurses to get all their work done. Yet the OP chose to ignore those young nurses in her post -- unnecessarily bringing up the age factor.

    2. And by the way ... people in their 40's are not "baby boomers." The youngest members of the Baby Boom generation (born in 1965) are now in their 50's. Those people in their 40's you wrote about are Gen X'ers -- which kind'a blows the credibility off your theoretical argument about it being a Baby Boom weakness and not a problem for Gen X'ers.

    3. Just because it is a theory you read somewhere doesn't mean it is ageist.

    An alternative (and kinder) interpretation of the phenomenon would be that older workers have learned some lessons in life that the younger people haven't learned yet -- and have decided that spending a little extra time to assure safety and thoroughness is worth a little inconvenience for them.

    Older workers may also realize that as older workers, they will have more difficulty on the job market should the "young whipper-snapper" manager decide to fire them because they are prejudiced against older workers and/or don't want to pay extra for the experienced judgment those older workers bring. So those older workers work harder to keep their jobs by demonstrating loyalty and making sure that everything is done properly before they leave for the day.

    Now ... I don't do much work off the clock either ... but I am willing to put in extra work hours when the situation calls for it. It's called "professionalism" vs "blue collar mentality."

    ... and I know ageism when I see it. Bringing age into the discussion was unnecessary. It indicates that you see it as an age issue -- and you condemn a particular generation for doing certain things. That's ageism.

  • Aug 29

    Quote from GeneralistRN
    It isn't ageism; it's a rather well known generational phenomenon. If you're even mildly familiar with sociology, you might even know about it.

    A misguided sense of "workplace loyalty," wherein employees tend to stick it out with employers who won't give them raises or adequate time off pervades among the baby boomer generation portion of the labor force. This loyalty also manifests in behaviors such as working off the clock, staying late to finish projects, not expecting fair compensation for the work they do, as fits the description of the behaviors I described in my original post. Some people in that age range, especially approaching the 60 year mark, believe that such extreme giving of self will be rewarded by their employer. The reality is that it is just taken advantage of.

    Meanwhile, younger people entering the work force, ages 18 to 30 don't generally view their employer as some sort of charitable benefactor or as deserving of their loyalty, which is why millennials tend to job hop. The same is nearly as true for so-called generation X, who also tend to be more assertive about demanding fair compensation for work performed or just leaving if their employer doesn't provide them with a wage or with a work environment that they believe is worthy of their time or skill.
    Sorry Hon, I had to go change my diapers cause I laughed so hard, my aging bladder cut loose. Then I had to find my reading glasses, I'm so forgetful. I left them with my misplaced sense of loyalty.

  • Aug 29

    Quote from morte
    what i see is ageism rearing its ugly head.
    Yes, there was no need to mention the age range of the nurses she was criticizing.

  • Aug 29
  • Aug 29

    I'm too lazy to compose a proper response to all that, but here are a few thoughts:
    1. I'm frequently early because it makes me extremely anxious to be late. I always give myself extra time.
    2. I frequently research my patients before getting report.
    3. When getting report from certain nurses, I research them damn well ....with others, not so much.
    4. I will never fill out a detailed report sheet, but I am mindful of questions I may need to ask. "I see the patient had 90 units of Lantus due at 16:00 and it's still pending (after 19:00) ...was it given?"
    5. Nurses on shift always have priority. Get off the computer if they need to use it!! This goes for late charters, too ...go chart somewhere else- not on the only WOW left when I need to pass meds.
    6. I very rarely leave late and I'm extremely organized.
    7. I have good relationships with the day nurses.
    8. Taking a quick look beforehand allows me to hit the ground running. I'm sometimes giving PRNs before report while the day shift tries to get to report (after clocking in, of course)
    9. Report is a lot faster with me because I already know something about the patient and only care about the "big" stuff. I'm also on time and ready to go as soon as they are.
    10. I don't feel degraded, and I guess I'm willing to chance a "HIPAA violation" by reviewing my patients' charts 10 minutes before I assume care.

  • Aug 29

    The website is not smartphone friendly; how are members going to be able to post seamlessly pics, and get instant information without an app?

    To to not have an app will certainly make it challenging to many posters who contribute many feature posts and articles; not having an app is also shutting out many who may be laptop challenged and their smartphone or tablet is their only device for communication; even on my iPhone or iPad when I click on a post, I get an "access denied" error at times; when I'm able to access a post, especially one I have read, It doesn't go directly to the last post I read.

    I think AN really needs to reconsider this decision; being accessible will bring posters back, as well as given members the flexibility to access at all times; if it's a numbers or monetary thing, AN should at least ask members to have considered paying for an app (which can be lucerative enough with people clicking though the app for features and ads anyway) before disabling the forum app entirely, cutting off maybe "small" in the eyes of money, but may impact the masses that follow and look forward to those members that post.
    Just my humble opinion.

  • Aug 29

    Quote from RNinCali15
    Hello all,

    I have been a nurse for almost nine months now and work in the NICU. This was my absolute dream job, and I worked so hard to land it. While I was on orientation I felt challenged as I was learning SO many new things. I have been off orientation for a while now and have have been stuck with feeder grower patients for over a month. My unit favors nurses with many many years experience and assigns them the sicker kids, daily. They are never given an intermediate assignment.

    I am talking more about the nurses who have less than 2 years experience getting mostly the stable ICU cases and some intermediate patients. We are supposed to be mixed around the unit, with at least 30% ICU exposure. I have also (politely) asked my charge nurse to assign me anything ICU because I need the exposure. Usually I am given an excuse, and the next day I am back with the feeder growers. Managment likes me, and there has never been an issue with the care I have provided my patients. I don't understand. I am just about at my wits end with this matter. I did not go to school to be a daycare provider who rarely uses her brain. I understand that an intermediate case can shift quickly, but I need consistant exposure to vents, bcpap, umbilical lines etc to remain competent. Ugh!

    They probably care less about what you "need" and more about the safety of the patients. While you patiently wait for your day to come, learn all you can where you're at right now. At nine months in, I doubt you know it all ...even when it comes to the most stable babies.

  • Aug 12

    Quote from jk2185
    This is my least favorite "go-to" that I hear all to often. Why even have monitoring in the first place? I trust the monitors more than my own ability to intuitively know a patient's condition based on my limited assessment skills; and just to ward off evil comments spawning from this notion I want to remind everyone that we all have limited assessment skills, our senses can only do so much. And of course, if your monitor screams asystole or vfib and your patient is smiling at you politely asking for more apple juice, I do hope that we all know to check lead placement or something.

    We didn't have numbers 100 years ago and look what kind of healthcare we had...not the greatest.

    I just wish we could flush this saying out or maybe change it.
    Numbers have been around far longer than a century. Just saying.

    I'm sorry you dislike the expression. Does "look at the patient, not the monitor" appeal to you instead?

    Years ago -- decades ago, actually -- I worked in an old, decrepit hospital. A brand new hospital was built, and many new nurses were hired to staff the additional beds the new hospital afforded. Moving day came, and we moved into the MICU with it's bright, shiny new, state-of-the-art monitors. The first patient was moved in and hooked up to the monitor with a lot of fumbling because the monitors were new and unfamiliar. The second patient was moved in and also hooked up to the monitor . . . And so forth. Not long afterward, the nurses were gathered around the nurse's station when the monitor alarm went off. Patient 1 was in ventricular tachycardia. Everyone went rushing into his room with the code cart and code drugs, following accepted ACLS protocol. The rhythm deteriorated from ventricular tachycardia to ventricular fibrillation to asystole, despite the interventions. Then a wondrous thing happened . . . The patient began to strenuously object to defibrillation and chest compressions despite the asystole on the monitor.

    During the construction process, somehow the monitoring wires in the two adjoining rooms was crossed. Patient 1 wasn't in asystole; Patient 2 was. And because all those brand new nurses and former medical students (did I mention this was July?) were treating the monitor instead of the patient, a patient died. And the patient they were treating had some pretty bad burns and broken ribs.

    Use your judgement. Sometimes, the monitor can alert you to the beginnings of badness before anything else will alert you. Other times, the monitor's malfunction will send you careening down the wrong path. According to Samuel Shem in "House of God," the first pulse to check in a code is your own. Maybe you like that expression better.

  • Jul 31

    I'd probably choose a foreign language if you haven't taken one already. Spanish or ASL

  • Jul 30

    This thread has run its course as its obvious from the many answers in a very short time that this poster has an agenda that AN can not address.

  • Jul 25

    It's a recurring theme because some posters do not know that 'nurse' is a legally protected title and some do not read allnurses terms of service before agreeing to them.

  • Jul 23

    Yes, you are blowing it out of proportion. When he is referring to "My" nurse, he is referring to a nurse that is employed by him (his practice). How would you interpret this sentence in a social situation. "I don't know the answer. You should ask my friend Bill". Is the person considering his friend Bill as a piece of property because he used the word "my"?

  • Jul 23

    So, your friend expected you rescue her at the 11th hour? Finals week is not the time to make up for a semester's worth of poor studying. Frankly, I doubt you could have "saved her," even if you dedicated your entire finals week to the task (which would have been ill-advised). She isn't going to learn in a day or two what she has failed to learn all semester.

    OP, your friend and her cheerleaders in your family and friends can't expect you to get her through school. What are you going to do? Hold her hand through all of undergrad? Take her courses in PT school? Are you going to be with her every day in her PT practice, making sure she treats patients correctly? Sorry, but she's got to stand or fall on her own two feet.

    If she thinks she has ADD, she should get evaluated; she isn't qualified to self-diagnose. But don't let her use that to make you feel guilty for not rescuing her during finals.

  • Jul 23

    Quote from Clara38
    Yes its called time management. In Nursing specially at the hospital what will you do if a patient not someone you know needs your help as you walk past the room to go home.

    Pt was not yours. Morning shift is there. You have an appt or kids to get to school.
    Will you walk pass the blinking light and a pt calling you come? Fyi its never 5 min . You go expect a 45 min or less.

    what will you do?

    An RN that is not self consumed or selfish will enter the room to make sure its not an emergency then get someone else to help or the Nurse will just do it.

    When we are on duty, we are being paid to see to the needs of not only our own patients, but to the unit as a whole. We are expected to help our patients, our coworkers, and visitors to our units, to be sure. Emphasis on the fact that a)we are BEING PAID and b)it's usually in our JOB DESCRIPTION.

    The OP is a student and is not required to put her own educational and study needs aside to do someone else's work for them, provide intense tutoring (read her notes to her and ask her every few sentences if she understands them? REALLY?!?) in subjects the OP is not even studying. Being a true friend does NOT mean that one needs to take responsibility for another person's education. It is not her obligation to become the compensating mechanism for another person's anxiety or disability. It does not make her "selfish" if she is not capable of managing her own degree and being an on demand tutor for another person's education.