babynurselsa 9,479 Views
Joined: Aug 30, '00;
Posts: 1,939 (5% Liked)
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Just a heads up to inquiring people who read this site. Nursing involves butt wiping, blood, snot, urine, etc. An RN by your name doesn't mean others deal with yucky realities of patient care.
Also, you will likely have to pay your dues job wise. You probably won't waltz into your dream job straight out of school. And, whatever job you get, you WILL work your rear end off.
I haven't been on the boards in quite a while. I just thought I would pop in and say hello.
Soooo, what has everyone been up to since I was here last???
essentially, it is a greater problem on the part of icu nurses, that those in the ed(here comes the hate mail)
why...too many icu nurses don't understand that once ed nurses stabilize an admit, they need to unload them to make room for another.
simple, eh? so what's the big deal.
ed nurses tell us when we have to jump, and we must say how high. it's in the nature of expeditious throughput and just the way it has to be.
having said that, if we are too busy, it is our obligation to let the manager or charge know that a serious situation will result if we exceed, what i call, "the speed of safety."
that means, i do not rush my patients out to any faster than what safety dictates(i'm not talking disaster situations here). that may not be so easy if you are new. but it is critical if you are to practice safely and not end up a blob of stomach acid in scrubs.
icu nurses feel like ed nurses give crummy reports.
sure, comprehensive is better, but again, they are stabilizing, detailed analysis is not necessary(no, doesn't mean sloppy). and the better icu you are, the faster you can compensate for, and predict what may ensue, from a sketchy report. we all miss stuff and we all feel lousy about it.
last time i looked we were all in this together, right? a little understanding goes a long way.
if you have little support from above, you're in trouble. if you a charge without patients he/she can greatly facilitate flow and transfers. if your charge has patients, you have a dysfunctional system that will foment discontent(but you already know that)
we're all under pressure. but let's have the courage to pass it on up the line when things are not working...not laterally. as long as we cloak it, management has no reason improve things.
As intense as our specialties can be, this happens sometimes. When I began in nursing 27 years ago, I was working on a Level III high-risk antepartum unit, in a time when having a high-risk antepartum patient admitted for weeks or months was not unusual. I cared for one mom who was hospitalized several times and for extended periods, and we developed a bond. After she delivered, and was going home, she asked me to keep in touch, and gave me her number. I left her my work number. I figured that would be the end of it, as it often is. However, a few weeks later, I received a card at work with an invitation to the baby's christening. I figured that was a "public forum" and decided to go. I had to admit some curiosity in seeing how that special baby was growing.
I went to that christening, and it was like old-home week. That baby is the older sister of the next baby, for whom I am godmother. I was in the delivery room for the birth of that baby. The "baby" I am godmother to is now 24, and in nursing school, and is the light of my life.
In 27 years, and thousands and thousands of patients, I have only developed an outside friendship with 2 that I can remember, even though many send cards, and I respond to those cards sometimes (and really enjoy them). Most times, people say they will keep in touch, but never do.
This family saw something special in you, enjoy that. Give it time, and see if they contact you again, and then decide if you want to keep contact, maybe in writing or by phone. Lots of NICU nurses will tell you that they have had long-term contact with some families because of the intensity and length of care those babies receive. Use your judgment. You can't keep contact with everyone, but in some cases in your career, you may keep some contact with some. I still have e mail contact with a mom of twins I cared for in home care. Her twins are now print models (they are about 6 now) so she keeps in contact by sending me brief e mails with copies of their photos, and I just love it.
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