Sensibility, BSN, RN 2,439 Views
Joined Sep 9, '11 - from 'South, Florida'.
Sensibility is a Staff RN.
Posts: 98 (37% Liked)
I concur. We think following the old ways of treating our fellow nurses is acceptable. We don't see these things from the perspective of these younger nurses. Hospitals are tired of recruiting newbies only to have them leave because they feel that people are unwilling to help them when they're new. Seniors put them through a rigorous initiation that few people can endure. When you do things over and over, they become second nature and routine. It is much easier to work when you know so much. A new nurse has to constantly think through every step. You would think that this senior nurse's superiority is appreciated. It's not. What's appreciated is people who help and work as a team and recognize that all that they know is probably the result of those who were their seniors once upon a time, investing in them. I doubt this nurse has a clue because "we've always done it that way." No more. It is a huge expense to train someone only to have them leave. If you are the type who is unwilling to change, you might want to consider quitting while you're ahead. I am also 60 yo.
Some people, Ruby, are not as good at others at blowing people's reactions off. They don't teach that in school and when we do act that way, we become the very people we dislike so much. It hard to stay above it. My husband, God bless him, has listened to me on more than a few occasions share some of my frustrations. He prays for me. I don't know what I would do without a husband that prays for me night after night. God has woken him up on some of my worst nights to pray. That is the truth. The thing that works for me is forgiving my offenders and giving it to God to handle. And trust me, He has handled things for me in ways that I could not have. It doesn't help me though when there is so much pressure, anger, abusive talking from patients and the overwhelming responsibility. One thing I am grateful for is that my hospital has zero tolerance for negative behaviors. If an employee wants to get in trouble, just start giving people a hard time of it and that includes the physicians. Nevertheless, when one situations is resolved, another seems to arise. The better we are at patient care and knowing what we are doing, the better we are in other areas. In other words, experience helps. I am a nice person. I don't like nursing either when people aren't nice. I don't like to be yelled at or for people to take their frustrations out on me. These are things that people should know when they sign up for nursing. It is not easy to live day to day in the pressure cooker.
The saddest part of these stories is that we can offer love and support to the children but we are not the "ones" who the child wants to be giving it. At the end of the day, strangers do not satisfy that need for a real mom or dad. I have witnessed that in life. I have seen some children receive so much love and concern and grow into bitter teenagers only to throw it back in the face of those offering it because it isn't mom. The question keeps churning around in their brain, "Why did my mom leave me? Why didn't she love me more than ______?" My own children are stable because they did receive love from me and continue to receive it.
People today are self centered and selfish. Being a parent means laying down your life. It requires loss of sleep, sacrifices where you deny your own creature comforts for theirs, patience galore, and an understanding heart. God's grace gave me the strength and ability. How many parents today look to Jesus, prayer or grace? Me thinks not very many. This very comment is going to offend a whole lot of people. I rest my case.
All you need to do in those cases is chart that the O2 saturation etc was reported to the nurse and physician (with their names). No orders received. You can't go over their heads. As it turned out, you were correct. But you might have been incorrect. Calling 9-1-1 is their responsibility. Meds typically have an hour window. Hope that helps.
I am going to take a bit of a different approach because Emergent, RN said later that they did what everyone is pretty much agreeing is the right course of action and I am assuming that something happened.
This is is a drug abuser with poor coping skills. These types of individuals are prone to lying. That is one classic of their "poor coping." What are we talking about though? Pot? Cocaine? PCP? Meth? Crack? So we're first of all assuming the patient did in fact run out of Lasix. Is that true? What goes through the mind of a drug addict can be totally out of touch with reality. I am not an ER nurse but I would like to know if and what he/she's using and a BMP result to ensure he/she's telling the truth.
I was thinking later about cocaine and the effects on the lungs and circulation especially if there is already an underlying condition. I am not that knowledgable on this topic but I am wondering what the effect would be if the patient had something involving drug abuse going on and was lying about home Lasix med because they wanted a quick fix to the side effects of what they were doing. I think a complete metabolic panel would be better than just a basic metabolic panel to see if something is happening in the liver. A lot of those drugs are laced with fillers that can harm again especially if there is an underlying condition. Then add a whopping dose of Lasix and what would that be? Could that throw such an individual in a state of ODing because the fluids in the body are needed to process the drugs? With cocaine too, I have a family member that used to be an addict. When these folks are on a high, it is not like, for example, being drunk. They seem like they are normal as rain when they're not. They have those same characteristics of any drug abuser though such as irresponsibility and lying. Pot causes the bloodshot eyes. I am totally ignorant on other types of drug abuse and what it looks like. Pot is something one would have to smoke and again, some of it has fillers. Could this effect the lungs in an already compromised patient? Another thought I had was whether the pitting edema was due to malnutrition versus the CHF? Cocaine addicts will go a long time without eating.
What is really sad is that these young nurses are exalted in the eyes of the leadership. The leadership goes so overboard to try and get these people to stay. I am not asking for people to be treated disrespectfully. I am asking for those same people to notice what's going on and do something about it. Oh, and did I mention that these girls get nurse of the year for doing absolutely nothing over and above the call of duty? People such as myself who are no longer cute or young but do many extras get not even a thank you note. LOL. The system is definitely flawed. All those kudos do not change the fact that many of the young people that get into nursing are not inclined to bedside nursing. They are prima donnas who thought that taking care of poop and vomit would be glamorous and lucrative. It is hard to have to make up the difference to give the best nursing care in that environment. You would not believe the standard that I am held to.
Keep work at work and your life outside of that.
Excellent post. I could not have said it better. What the writer identified is so common place that it is scary. I have only met a handful of young nurses who come to night shift for their first position in nursing that really embrace the whole concept of what it is to be a nurse. They immediately enroll in a college for their MSN degree. We had several openings for day shift. I was not asked by upper management if I wanted this. But these nurses who have been there for a year or two were. I do believe they gossip and bad mouth the very people that invested their lives into them to make them successful. I won't say all but many of them do. They want to get out of bedside nursing as quickly as they possibly can. Most of the ones I have met are not as ruthless as the one mentioned above. The scenario of doing something personal while others work is also commonplace. It is one thing if there is some downtime for everyone. No problem. It is another thing if they could so easily take some of the burden off of others but instead without conscience sit there while others are working their b-hinds off.
So true. Workplace bullying amongst nurses has become a real art. I almost prefer the in your face approach vs. the passive aggression. Hospitals invest so much money into every employee and so they are reticent to fire these people. Wish you the best. There are no easy answers to your question.
There is a balance in what I have to say. On the one hand, our job as medical professionals must be to preserve life; but on the other hand, we have to accept death as a possibility. We are often not in control of that outcome. We do what we can and that is all we can do. Death is not in our hands and we cannot stop that process if it is going to happen. None of us will be here forever and all of us at some time will experience death. I have seen babies die. I have experienced death in family and friends. The longer I live, the more people that die. My mother, my best friend, passed away 3 years ago. My father passed away a year and a half later.
I believe our society is not prepared for death as a part of life. We think that death is abnormal. It's not. So many people today have unfortunately embraced atheism; and even if some don't believe they are atheists, they wonder if this is all there is? Judging from the lifestyles and ideologies of many medical professionals, I don't believe many of them make God a priority or know Him. Is it just about being here, being married and then leaving the planet? I know there is a heaven. I know that being prepared for this eventuality is probably the most important aspect of a person's life that they can do for themselves. I know that I will see my mom again for all of eternity. My mom had faith in Jesus Christ and I know that I know that she is there as is my dad and so many of my friends who have gone before me. I believe in Jesus Christ and have been changed by His grace. That's all that matters.
We can't expect that the pain of death will go away. Nobody will ever be able to replace that person who died. Some deaths are very tragic. Other deaths are so desired due to the pain and suffering the person is experiencing. We who are left though miss that person. I believe that it is unrealistic not to embrace that pain and shed some tears of sorrow. I am crying for myself because of that loss and how much I will miss that person. That is what should happen. We live in a world that does not embrace pain and sorrow. We are expected to bounce back and be our jovial selves again instantly. Nobody can accomplish this and so there is the frustration of wanting to be happy but feeling that intense sorrow inside. People say things trying to make us feel better but really can anything take that pain away? I don't think it can. The hardest part of losing someone is not that moment of death but the moment six months down the road when we wish they were here to talk to and share a moment with. As medical professionals, we too experience that loss. We meet these people and they become a part of us to a certain extent. Mourning the loss of a patient is a real aspect of being a nurse. It is normal.
I had a situation
Again I apologize for the length of the post, just trying to paint a picture.
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