Sensibility, BSN, RN 2,890 Views
Joined: Sep 9, '11;
Posts: 100 (36% Liked)
; Likes: 63
17 year(s) of experience in Pediatrics
I came on this board 6 years ago because I was struggling with my charge nurse. I felt strongly that she was targeting me often under the radar. She wrote me up for things that had nothing to do with a realistic synopsis of my performance. The things she said left me confused because I did not feel that I could stand up to her. She, after all, was the person given authority and I was new. Nobody knew me personally and for me, I had nobody to turn to.
So this is what I did. I laid low. I took a great deal of abuse. The only time I attempted to get help was the times where I felt that my license was in jeopardy or patient safety was a problem. The nonsense kind of stuff, I just blew off even though some of it was hurtful. On my own, I kept a written record of these incidents. If nothing else, it was therapeutic. I also obtained my BSN and in the course of receiving my BSN, I ran across a sub-chapter entitled Lateral Violence. I was intrigued and I looked this up in CINHAL. More than 20 peer reviewed EBP articles popped up on the screen. I read these voraciously and could not believe that Magnet and JCAHO had taken note of this problem.
Over time, I finally had my day and was brought before the director. I had printed out at least ten of these articles and had highlighted key points that I believed would demonstrate my credibility in the situation. I further pointed out what I had been doing. It worked. They cannot argue with evidence that clearly shows that this is a problem.
See old school nurses like Ruby Vee believe that new nurses need a sort of initiation into nursing by being curt to them. Their thinking is that the tough will survive. That is one problem. But then there is the other of just flat out incivility that occurs toward new nurses from the senior nurses on the floor. New nurses can be older in age as I was, by the way. New does not mean young. The reason these accreditation organizations are taking note of this problem is because of the huge expense it is to hospitals. It costs a great deal of money for them to train a new nurse only to have them quit.
So what we did in our unit after that was to begin having a teaching attitude toward our new nurses. We have all been there. I regained my seniority. We began coming along side them and helping them make that transition. We calmly taught them when we saw that they might be getting ready to make a mistake. We explained our rationale for why we do what we do. Sometimes people don't understand those things and what? We are going to wait until they figure it out? That is a patient that could be hurt by our pride. We gave them a total green light to ask questions. We wanted them to ask questions because the patient's safety is the most important thing for us. We have seen success in raising up new nurses. We don't have these issues in our unit because we as senior nurses took it upon ourselves to be there for them giving them a smooth transition. Many of them now have their master's degree or are studying for it and are still doing bedside nursing. That is success. I hope this helps.
I was in STTI for two years. I did not receive anything special other than the honor of being chosen. Still, my hospital could have cared less. 99.9% of the nurses in my unit are not STTI nurses. So after two years of paying the dues, I stopped paying it and joined a different group more relevant to what I do. I did not get nurse of the year for being so honored. Seriously, there are too many nurses on the floors that do not have those honors because in their day of being a nurse, nothing like that was offered. So nobody cares.
GPAs are marvelous. But being a good nurse is not about that. It is actually being the kind of person that can take rejection and mean things said and even when they do hurt, bounce back and stay the course. I cannot even tell you how many times stuff like what you are sharing has happened to me. I refused to quit. Nursing is a wonderful profession of sacrificial love to people who are hurting and need us. Yes, we are paid well compared to other professions but we earn every single dime and we are often expected to work in pain, lack of sleep, and putting family to the sidelines. Children need positive people who are showing that positive to them even when they are not feeling it inside. You will be the better person in the end if you can grasp what I'm saying. When a medical professional of any kind thinks it's about them, they become the WORST nurses and doctors on the planet. Every decision, every event, every moment is funneled through their state of being and ego etc. They are difficult to work with. I hope you can hear this and receive it.
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 really blame the seeming lack of pay to the society versus the hospital administration. In a socialistic society, salaries are equalized in every realm so that the guy who is working at a job that does not require an education gets equal pay. I saw that 6 years ago when Medicaid cut RN's pay in home health claiming that an LPN could do the same job. At one point, I was told that I would get $10 for a home visit. That does not even cover my gasoline costs. I realize the agency has to take their cut but that was downright insulting. I had two choices: take a lower pay or quit. So with that in mind, the hospital receives a certain amount of pay per patient depending on their level of acuity. The hospital, to stay in the black, must juggle a lot of things to not only pay the nurses but housekeeping, maintenance workers, IT techs and provide supplies for the staff. All those little perks that are seemingly free are not free. Something has to be taken from in order to meet that need. If a patient gets a nosocomial infection, the rest of that stay is on the hospital's shoulders just as an example of a very wasteful cost. I believe these implicit costs are why hospitals are forced to understaff. Nurses expect those high salaries. In order to provide them, each nurse has to take on the work of that missing individual which the hospital cannot pay.
I believe that the reason that older nurses are undesirable is because they have a tendency to be standoffish, grumpy, rude and are not team players. They get the highest pay and yet that negativity is like a ball and chain to the team. Many young nurses quit because of these types of individuals and all hospitals are well aware of that. So keep that in mind if you happen to be an older nurse. Don't be the kind of person that comes in and does their own thing whilst the young nurses are drowning. As an older nurse, I want to pass on what I know I to these young people and help them to succeed. I love seeing the newer nurses get a positive start in nursing and I sincerely put a lot of my own energy into that. I get great pleasure out of seeing them fly without that stupid ridiculous initiation that somehow became the model for senior nurses. -plink, plink-
We are working for a business servicing many beliefs and ideologies and I respect that. When I come to work, I am there to uphold that companies ideals. I am a Christian. My company is not Christian. However, I do not believe that everyone that says they are Christian is a Christian. I bring this up to say that if I were to only take care of the people that believe as I do, I would not be taking care of anyone. Nevertheless, there are moral issues that people subscribe to that I fully and completely disagree with. Any sex (and that includes between a man and woman outside of marriage) is immoral - plain and simple. So again, if I were to deny care to every person that walked in that disagreed with my moral beliefs based on the Words of Scripture and how God judges His creation, I would have very few patients. I don't have to agree with someone's ideas to take care of them.
In my opinion, certain businesses should have the right to deny services and employment such as cake decorators and educational institutions. We do these background checks on people for that very reason and some people are denied employment because of their criminal past. Employers are searching Facebook to learn about the person that they are getting ready to employ. And trust me, people such as myself who have vocalized concern on these moral issues are often not hired because of our beliefs. I would lose my job in a day if I came out and spoke out about these beliefs. Not only are we not allowed to speak of these things at work but we are denied our freedom of speech outside of work and that is where I sincerely draw the line. That is one of our basic freedoms as Americans.
You have to deny God and a Designer to accept that the way a person reaches an organism is a matter of unchangable DNA especially when there is no empirical evidence to support this and when it is obvious that the whole act of sex is designed for intimacy between a man and woman. The reproductive tract and the GI tract are not designed to be put together especially when one considers the number of microbes that are harmful to the urinary tract. Under that definition of this being a race of people, anything can be allowed and trust me, in the future, will be allowed and we who have set this precident will have to endure the horrific sexual orientation that follows.
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.
In answer to your original question, in all situations that you encounter as a nurse, remember today. When things go wrong, people generally do not take ownership for the mistake. This was definitely a mistake albeit unintentional. I would have gotten this patient up and put them back due to the fact that there was no safety feature in use. I want to steer clear of the conversation that starts off with -- you knew that you were supposed to do this and what were you thinking? I would rather err on the side of caution and explain that I did what I did for the safety of my patient. If they ask why, I would say, "Perhaps tomorrow this patient can have the alarm." Don't quit. We've all had these days. Onward and upward....
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.
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.
1. Never be afraid to ask if you don't know.
2. Triple check your numbers.
3. Cover your a$$. If it wasn't charted, it wasn't done.
4. If it comes down to our friendship or my license - sorry. It's my license.
5. Do to others as you would have them do to you.
Let me just use my superpowers for that.
It's my party and I'll cry if I want to 🎤
The Spanish I speak at work.
I had a situation
Again I apologize for the length of the post, just trying to paint a picture.
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.
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