Latest Comments by Sensibility

Latest Comments by Sensibility

Sensibility, BSN, RN Pro 1,736 Views

Joined Sep 9, '11 - from 'South, Florida'. Sensibility is a Staff RN. Posts: 87 (33% Liked) Likes: 48

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  • 0

    Quote from beachbum2000
    I had a situation

    Again I apologize for the length of the post, just trying to paint a picture.
    This is a classic example of nurse on nurse aggression done covertly and surreptiously. It is a definite way that nurses are known to act wrongfully to other nurses by dumping a large assignment or one that is too difficult to handle. The why question is irrelevant. I don't care if you love your race or moral beliefs or whatever it is. Nurses are not allowed to do this and it can be reported to your state board, FYI. There are many ways in which nurses can manipulate this into being and it is just flat out wrong. The victim of this abuse has no life after work because of the mental and physical exhaustion. Staffing only looks at the number of nurses to patients not how they are divided up. I have had this happen to me over a matter of ethics. This was many years ago when this problem was not identified. Assignment delegation though is a key way to show favoritism, hurt someone or get rid of someone undesirable.

    It is a real shame that people in the medical field are not team players. All these people who are champions of tolerance and cultural diversity are such hypocrites where it comes to their own ideas, race and beliefs. So much for tolerance. Why doesn't the nurse with zero patients get up and help their team? It would be one thing if you have no patients and are lending a hand with the admission process or involved in patient care. It is another thing to be sipping coffee, chatting with friends, checking out Facebook, resting or texting whilst someone else is running around. My biggest contention with this scenario is that it is near impossible to ask for help. If that patient is not that nurse's responsibility, the nurse in charge of that patient is limited in what they can ask help for without being falsely accused of poor time management or getting 20 questions. "Is this necessary right now?" "Why are we doing it this way?" blah, blah, blah. Just get up and help!!!

    I am an English speaking lighter skinned person and I am a minority in my community and hospital. I'm not making this up. Of the nurses in our unit, myself and one other nurse are totally English speaking Americans. The rest are from other countries. The skin color is not my problem. The language issue very much is. Discussing medical decisions and pertinent data in Spanish is near unconscionable to me. But it happens daily. The patients demand it. They refuse to speak English. No other nationality is given such preferential treatment. I understand in other communities where Hispanics are immigrating that they are being forced to learn English. Here, if you don't speak some Spanish, it is horrible the treatment one gets from patients and staff with that one issue of communication. In addition, it is difficult to get a job without being bilingual. It is so hard to constantly be in need of a translator. My children have been cussed out and reported to management for not speaking Spanish in their respective jobs here. It is rude to the Americans that have graciously opened up this country to immigrants fleeing a very bad situation. Without any regard for what has been done for them, we are being treated like foreigners in our own country. And the nurses who are bilingual at times have no regard for these facts.

  • 1
    Studentnurse365 likes this.

    I will tell you why I love nursing. I love seeing a child come in super sick and then get better. The stories I could tell. I love babies and all that is involved with them and their unique physiology. It is rewarding to see that healing process and to see that it was a team effort of many people coming together to make it work. I love the mystery aspect of figuring out what is wrong and why. I love challenging cases that are interesting. I love the way the human body can react and adapt especially in children. I love making a difference for a parent that is stressed or just needs some support with basic understanding of children. I love it when they listen and it makes a difference for that child. I love the technology and the evidence based practice that we are now initiating because it supports what we do. I have a daughter that is being paid $15/hour to manage a Starbucks. She came home in tears last night from the workplace stress she's under, the mean spirited boss, the nasty customers, and trying to manage people. It just goes to show you that everyone is trying to run businesses with as few people as possible. I am probably on my feet as much as my daughter is. I get paid a whole lot more than that. For some reason, I believe that many nurses think that nursing is a dream job because of the higher pay. Like so many today, they want to sit and do nothing and get paid for it. LOL The minute things get tough, they are ready to quit. And that is not just work. It is other things as well. How about sticking it out and getting beyond that moment? Nursing is stressful at times. But to me, it is a stress that has a better feeling of accomplishment than making a cup of coffee not to say that this is not a worthwhile profession. It is. I am just saying that I am encouraged when I see someone healed because we intervened. In the olden days, children died of many of these illnesses.

  • 4

    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.

  • 2
    Here.I.Stand and elkpark like this.

    I wish this mom could read what I have to say. I am a pediatric nurse. This story is not only a cautionary tale for nurses but parents. As a nurse, I have been told by more than a few parents that they did not want me as their nurse. And why? Well, because unlike Mrs. Schweitzer's nurse, I would have worked on correcting the problem with the monitor and told the mom that it has to be on regardless of how often it alarms. I would have apologized for the inconvenience but that it was necessary especially if Gabriel was having seizures or something of that nature. I am jumping to a conclusion because he was being seen by neuro-surgery. This may not have changed the outcome but it would have surely been one less thing to say we did wrong. And she would have requested another nurse because, as she stated, she was tired and weary and she wanted to rest and that nurse was trying to help her to give her good customer service. At what point can a parent see that it isn't about them but about the baby? I am in no way blaming this mom. I am saying that this is a golden rule that is forefront in the hearts of many pediatric nurses. I have had this negative reaction happen over co-sleeping with small babies in a bed, coming to bedside too many times to deal with IV meds, speaking transparently about what is going on, and trying to intervene when a child, for example, had a fever that was not being controlled by the meds and I wanted to give a bath to get that high fever down. Do you know how many babies have died in the home because the parent rolled over on them while they were sleeping? Too many. And yet, these parents insist on sleeping with the baby. I have been given a hard time for sharing side effects of meds even though the new laws stipulate that we educate parents on this. Parents complain, request another nurse who will give them a positive story and not share what's going on and they get what they want. I have only once gotten an apology by a parent and it was not the one that actually blew up at me. I have had them walk out the door with their nose in the air. I have had nurses who comply with parents every request pridefully tell me that they never have that happen. And yet, it is stories like this that encourage me to continue to attempt to help parents see the need. Thankfully, I can see though how my kind efforts do change the course of events, the issue becomes safe, the child is safe and I am rejected. So the outcome is encouraging to me. I wish the parents wouldn't do that though. I often tell people that I hate the scenario where I am called into an office and told, "You knew that this was what you were supposed to do and what were you thinking?" With a child, there is no grace. See, I can imagine a parent rolling over on their child and me getting the blame. Pediatric nurses are restricted by demanding overbearing parents. We must comply with most requests because parents and patients have rights. They can refuse meds. They can refuse tests. They can refuse the monitor. They can diss nurses. They can speak disrespectfully to us. But you let something go wrong and look where the finger is pointed. Does this mom take any responsibility for what happened? Did she say something to that nurse that caused the nurse to try to help her? No, she is now the wounded person and WE were supposed to know better. Now today, thanks to Obamacare, these same parents within the next few years will be able to express their dissatisfaction with our compliance to their every desire. If we get a low score, supposedly, Medicaid will not pay for the full hospital bill. As I said, I wish more parents could hear this because perhaps one in a hundred thousand will be like Gabriel. But it only takes one to get us to see that safety is more important than making a hospital stay seem like a luxury vacation at the Ritz. It is never pleasant to have a sick child because children get pinched and poked and nobody wants to see their child go through that. What parents need to see is that we are not trying to hurt that child. We are trying to help them. I would have further asked this mom if someone else could stay at bedside while she went home and got some rest. In our unit, we have encouraged parents to leave to go home and get rest. Our unit is secured and locked. And we take good care of our babies. I am truly sorry for your loss. So sad.

  • 3
    milesims, kbrn2002, and Marisette like this.

    Quote from Farawyn
    If the environment is truly toxic, change jobs.
    This is not rocket science.
    Not everyone wants to change jobs for a lot of reasons including the proximity to home, the type of client, and where we fit in best. I fully disagree with having to move around because people are "toxic." And you are right, people are becoming more and more toxic as though this is business as usual and everyone either suck it up and take it or leave. It is a lousy philosophy if you ask me. How about all toxic people get a pink slip and the rest of us can work in peace?

  • 2
    Loracs72 and Not_A_Hat_Person like this.

    Quote from Mom To 4
    Keep work at work and your life outside of that.
    That is true. But that isn't the point. Most lateral violence that is typically cited is concerning senior nurses to the newer nurses. That has happened to me even though I was older age wise at the time. I think the frustration for me personally is embracing bedside nursing. If everyone is aspiring to get away from it and only a few senior nurses are at bedside for 30 plus years, then the other spots are constantly being filled and rotated by new nurses who can't wait to leave. So they leave and another person who is new comes to take their place. The senior nurses give a great deal of themselves into those nurses to make them successful but rarely get any recognition for their efforts. I actually like teaching. In fact, as a night shift nurse, I have come to expect the outcome that the person is aspiring to eventually move on. I pour myself into these people knowing they will leave at some point. My only contention is that some of them (not all) are not there to work or are not there because they care. I could care less what they do in their off time. I barely have time for my own family. I have no desire to do anything with anyone outside of work. I love this statement from the original post. " as if those great women who pioneered nursing to care for the sick, indigent and wounded would be so saddened by the "General Hospital", "Grays Anatomy"; "high school acting" nurses of today."

  • 1
    SmilingBluEyes likes this.

    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.

  • 2
    SmilingBluEyes and milesims like this.

    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.

  • 0

    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.

  • 0

    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.

  • 0

    A couple of things that have caused a breakdown in the above model are the supposed available charge nurse without patients. I have been in situations where I am running at top speed and this person is busy doing nothing but personal junk.

    I have also been marginalized. And you will not believe why. I am one of the few white English speaking Americans. And I am a Christian. I do not support certain lifestyle choices. I have never once spoken of this at work. It doesn't matter because people know instinctively. The tides have changed to where people such as myself are treated at times extremely disrespectfully.

  • 0

    I can totally relate to this post. The days that my patient's parents derail on me and just want to attack anyone who happens to be there, which is me. The days that I feel so overwhelmed that I can't get everything done that is mandatory to get done while at the same time giving excellent customer service and then at the end of all of that being told that it wasn't enough because the parents complained that they were not attended to immediately. I have not been to church in 5 years because of working night shift. I spend time in the Word daily and I spend time with my Lord Jesus but have not had a nickel's worth of fellowship except with my husband, which is good. We are both strong believers. For that, I am grateful. When coworkers start talking behind my back for no reason, I feel totally and completely spent. My legs hurt. My body aches and my heart is broken. Few people ever show any kind of gratefulness. Nursing is not what people think it is. It is the most selfless job on planet earth. I do not believe I could do this job well without Jesus. No way. Songs that I sing on the way to work that minister to me say, "Lord, I need you!"

  • 0

    There is not an easy answer to this question. 100 years ago, people with head trauma, certain cancers, and other dilbilitating diseases died naturally. Now we can save them through the use of our technological advancement such as Gtubes, intubation, and chemo. Because we can, though, should we?

    The issue is: who will make the decision to stop medical treatment? What criteria will be used? We now have government health care. Imagine being say 65 years old and being told that that the criteria is age and nothing will be done to save you because that is what someone decided was the cut off. What about things like hip replacements? Already, it is very difficult to get government funding to agree to pay for this. Imagine being again 65 and being told that the cut off is age. You will die a slow painful death not being able to get around.

    On the other hand, there are several children that I follow online who have brain injuries. They have no affect. They barely respond to their surroundings. I have cared for at least 4 children such as this in their homes. They have zero ability to respond to their parents. They lie there and seize all day long. They are being kept alive. We are talking children who grow up into vegetative adults. What if the criteria is level of consciousness? Alzheimer's patients could be euthanized. That could be your mama. How would you feel if they said that the mandatory law is to euthanize your mother.

  • 4
    brandy1017, catebsn25, yowi, and 1 other like this.

    For me, it has been working with people who are rude, passive aggressive, gossipy, and unfair. I have a good team now but at times, women can be hormonal and moody. This is especially true working at night.

  • 1
    brandy1017 likes this.

    We work hard for every penny we make. I come home from work and I am dead. I have no energy for anything but the work I do. I pay oodles of money in taxes and benefits to the tune of $800 per month to insure my family and pay for the car I have need of. I need a good working car that is dependable that nobody else in my family can use so that I am at work on time every time because there is huge competition out there desiring my job. Secondly, I pay out tons of money to keep my job from gas to get to meetings, to licensure, CEU, uniforms, life support courses, good shoes, pedicures to keep my ingrown toenail from killing me and the added things that I am constantly asked to give to at our hospital. I feel like in community, once someone knows I'm a nurse, the price goes up. For example, our dentist used to cut us a break when I was raising children. Now that I am a nurse, he has been hitting me up for top dollar. I live paycheck to paycheck.


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