Latest Comments by nguyency77

nguyency77 8,447 Views

Joined: Jan 14, '12; Posts: 542 (39% Liked) ; Likes: 476

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  • 1
    nikkidevries likes this.

    Quote from GrnTea

    Just sayin'. Sometimes they really are terrible students and they really do deserve to get put on probation and they really do flunk out.

    Would you want us to do otherwise? Is your mother in that bed? Believe me, no matter what it looks like to you or what anecdotal things you hear, people do not go into teaching nursing (which pays a lot less than being a working nurse on a floor) to make life miserable for students. We do it because we care deeply about our profession and want to see how many, if any, of our students will have that spark and catch our passion for it.
    My clinical instructor said today, "You learn more from your mistakes than from your successes." It's much more helpful to remember what NOT to do...

    I would rather get called out in front of my classmates than make a potentially dangerous mistake. Maybe it's embarrassing, but really?

  • 0

    I have a couple of friends who finished their psychology minors before we started nursing school. So maybe you have time during pre-reqs, but I wouldn't try it during nursing school. Nursing school is very time consuming because there is a lot of studying involved, and many, MANY, assignments.

    I spent my middle and high school years at a liberal arts school. Do I want a minor? No, sir.

  • 1
    x_factor likes this.

    I wish I had known this before I started my first semester of nursing school; but I'll pass along the torch in the hope that you don't have to go through what I did! Between classes, pay attention to your classmates. Learn to read their behavior, but keep it to yourself.

    Why is this important, you may ask? Some nursing schools believe that group projects foster teamwork and collaboration, while failing to recognize that group work has a tendency to be exploited. When you are allowed to choose your work groups, try to work with seemingly responsible students. Typically these are the people who raise their hands and ask a lot of questions.

    There are no consequences in group projects if you don't do your work, as many students fear confrontation and want to promote a peaceful and supportive learning environment (at least, early on). This sets the stage for lazy people to just show up on presentation day and pretend they did something all along.

    The worst thing about group projects? If everyone else did the work, the slackers still get the A's. So try to stay away from those types; many find smart students to leech off of and skate through the program. Don't let it happen to you; it's not a matter of grades, but a matter of integrity. If these people were not trustworthy enough to carry out a simple task, or at least own up to the fact that they didn't help, how do you know that they actually gave the med that they documented they gave? How do you know they actually assessed the patient when they said they did?

  • 1

    Quote from ColoradoRocky

    Jenni811, you seem smart, driven and raring to take up the challenge of being the best nurse in the facility. But don't let your ego and IQ fool you into thinking that you know so much -- experience has a way of catching up to you and informing you as to just how much you do not yet know.

    Here is a handy Latin saying I learned many years ago in Catholic school, from which you may benefit: "Acta, non verba". It was a hard lesson for me when I enlisted in the Army (at your age) having already earned my first bachelor's degree (giving me the false arrogance that I was "superior" due to certifications and a high GPA). Anyone with life experience will not be overly impressed by academic achievement like GPA and paper awards. This is especially so if they are backed up by only 2 years of real experience, and very little life experience. I learned early as a non-commissioned officer that rank (or office) will be rendered its formal/legal due by others, but the person bearing that rank or filling that office still has to earn the actual respect. When I got promoted, I was told by my experienced 1SG that in the real world, where things can go wrong and people can die, my college and my brand new sergeant's stripes meant 2 things : jack and squat. It was up to me to show (not just pass exams) that I was a capable soldier and a capable leader by my actions.

    As an RN (and a student at the moment), I guarantee you this: I do not and will not demand respect from anyone when I'm on the unit. I realize that I am just a student, and even after I graduate, I will be just a newbie. But I expect to eventually have the respect of my peers and supervisors, but only after I have done things to earn it -- and not a moment sooner (and certainly not after only 2 or 3 years on the job!).

    We tend to learn best from our mistakes. But life is short, so we don't have enough time to make all the mistakes we need to make in order to learn all we need to know. So take advantage and learn from the mistakes of others. Feel free to benefit from my prior error of ego, and ask yourself "what if I am wrong?" Hubris can bring some hard lessons.

    Couldn't have said it better myself. My clinical instructor praised me at the end of our first clinical. I don't get compliments like that every day, so it meant a lot coming from an instructor I admire. That did not make me think I was destined to be the greatest nurse out of my whole cohort, though. Say what you will about CNA experience being "pointless" prior to entering nursing, but being a CNA taught me so much. The most important lesson was: It'S NOT ABOUT ME.

    So let's make nice. Age and appearance do not determine nursing ability; however, they influence how patients view us and how much trust they are willing to give us. Actual ability and patients' perception of ability go way back (think Psychology 101!) to the halo/horns effect. Your management is probably attempting to tap into the halo effect by overestimating the influence appearance and personality have on Press Ganey.

    It is experience and open-mindedness that make a great nurse. We are all taught that nursing is a science...and an art. You might be good at technical skills, but have atrocious bedside manner. You might be the sweetest nurse in the world, but can't start an IV to save your life. The caring, the knowledge, and the wisdom to make judgments are traits that every nurse needs and hopefully acquires as he/she moves through life and through their nursing career. Even when (if!) I pass my NCLEX, I recognize that I'm still not done. Just because I'll graduate with a BSN doesn't mean I know more than anyone. There is much to be learned from the LPN and the ADN who have spent decades on the floor.

  • 1
    soxgirl2008 likes this.

    Quote from brithoover
    It takes 2 seconds to say hello to a group of new students/new hires. There is no excuse for being "frosty" to anyone
    If I see them and it's convenient for me, I will say hello. But if they are scattered throughout the facility (a couple at the med carts, hiding in the break room, and some down this hall and some down that hall), I'm not going to play hide and seek. My point was that I don't go looking for them because between the 3 confused residents plotting their escape, and the new admit who is yelling for iced tea and the bathroom at 5-minute intervals, and the RN asking me to take 20 vital signs and do 4 showers, you all know where my priorities lie.
    Quote from KatieP86
    When you are working with somebody who is orienting you, that person is responsible for the actions of the person they are orienting. Just today I stopped a new hire doing something dumb (but without the yelling- a quick explanation and a demonstration of correct method and where to find information was all it took). I do not let the people I am training out of my field of vision long enough to do anything that could cause harm to them or a patient.
    Unfortunately, not all preceptors are like you. When I was new, one of my preceptors spent the whole shift MIA (AKA texting her boyfriend in a comatose patient's room while I ran around getting all her call lights). But I digress.

    Perhaps that CNA should not have 'yelled' at the OP. But at least now you know that patients'/residents' diets are everyone's responsibility. Another example is code status. Everyone needs to know that, too. You cannot just resuscitate someone who didn't want to be revived and just say, "Oh my bad, I didn't know." You would be in for a major lawsuit and legal actions against you as a person. You would also lose your job and any chances of getting another job.

    OP: Students actually ARE a liability. When I'm in my nursing clinicals, I work under my instructor's license AND the RN preceptor's license. Meaning if I do something wrong, both of them are in big trouble and can lose their license to be a nurse. And then the hospital/site will get sued if a patient is harmed and it will be also my fault. That is the definition of liability. You probably thought I meant "annoying" or "in the way," but no. Please don't be defensive. I never said anything about you as a person (because how could I know that from one post?); likewise, I would appreciate it you refrained from making assumptions about how I am heartless and cold, just because my day doesn't allow time for me to go kiss up to nursing students.

    I am just informing you the consequences of what happens when you don't know someone's dietary restrictions. It's not about us CNAs and the inflated egos we tend to get from time to time; it's about the patient being well, and having the surgery or treatment that they need.

    We are here to care for our residents and make their lives easier. I personally don't come to work to get compliments, or told how I'll make a wonderful nurse someday. It's about humility, an idea that many people cannot grasp early on.

    When I was new, I was very shocked that some of the CNAs came across as stand-offish and wouldn't come say hi to me. Later, when I got their same workload, I understood why. It's not that they wouldn't; they couldn't. Maybe not now, but someday you will realize it's not about you. I sure did.

  • 0

    I used to use, but now I feel that the site is getting increasingly cluttered and more obnoxious to navigate. Now I'm more into blogs like A Cozy Kitchen and I Wash You Dry.

    If anyone is interested in MUG CAKES, there is a blogger who has like 20 recipes for instant microwaveable cake in a mug. They are DELICIOUS and easy! I made a chocolate lava (okay, the lava was on the outside) one yesterday with Nutella. Mmmm!

  • 9

    I'm sorry you had a difficult experience, but allow me to point something out...
    Maybe this is assuming too much, but why do you think the CNAs should have said hello to you? Our teachers drill this into our heads all the time: we are students, and therefore liabilities...not assets. No one should be kissing the floor I walk on. When I was working as a CNA, I barely had time to pee and eat...let alone go introduce myself to all 10 practical nursing students. If I got to work with one, awesome. If I didn't, I wasn't about to go out of my way to make them feel all special. I just didn't have the time.

    If I had a patient who was allergic to peanuts and I gave them a peanut butter sandwich, could I just shrug and say it isn't my fault because I didn't know? You took an NPO patient into the lunchroom. Why did this not strike you as a problem? If the person had eaten lunch, they may not have been able to have surgery they might have needed and it would have been your fault for not noticing they were NPO.

    I found that by losing my naive sense of entitlement to kind and fair treatment, and by proving to people I was serious about my work and school, no one picked on me. Never play the meek card. If someone has a problem with you, resolve it. Don't let yourself be the victim, and you'll never be one.

  • 1
    ColoradoRocky likes this.

    In Vietnam and China, ALL "female" jobs require you to have a certain look. It does not matter if you came up with the theory of relativity and revolutionized the world of science; if you are considered unattractive, you will lose the position to the ditzy teenager who slept with the HR manager. If by 'their' standards, you are slim and leggy with a cute face and a girly voice, you're hired. This is true whether you are a cashier at KFC or if you're a new nurse. Never mind logic.

    There is definitely a shift from Nursing by Merit & Experience to Nursing by Customer Service. It's kind of sad that healthcare is shifting to a customer service model.

  • 0

    If it's a wellness nursing diagnosis, I think it has to be only one part.

  • 0

    I'm in Level I. So far, this what we've done:

    3-4 Reflection papers for community clinicals
    2 Reflection papers for SIM Lab
    3 Skills Checkoffs (graded: full head-to-toe assessment, Foley, IV; pass/fail: trach suction, NG tubes, NG feeding, blood draws, etc.)
    3-4 Electronic Medical Record documentation (we have a student system to practice on with fictional patients)
    2 Class Presentations (patient teaching & professional nursing association, with APA citations)
    Lots of online quizzes
    Online discussions
    Online, interactive case studies
    Watch skills videos to prepare for lab & lecture
    READING: Lots of it!
    1 Care plan

    What we will do once clinical starts:
    2-3 Care plans
    Health Histories
    A full head to toe
    Whatever else they feel like assigning us!

  • 0

    This is one of the most bizarre things I have ever heard of. As Erikson would put it..."Identity versus Role Confusion."

  • 2
    gummi bear and proudcna like this.

    Yes, I got all A's in my science classes. I say this a lot; it's not about the time. It's about the quality of your studying! If you have only two hours at a time to study, how can you make it meaningful? NEVER CRAM. Cramming might get people through pre-reqs, but once nursing school starts cramming does not fly.

    I still make To Do lists because I need something to keep me focused. I also like to make up questions that I think might be on tests; I put them on my gFlash+ app on my iPhone/iPad and quiz myself out loud. (I am finding that this technique is really helpful in nursing school! Doing this seems to help me re-word test questions so that I can find the best way to answer them).
    For patho, I used to draw out concept maps because this cut out a lot of extra words and simplified the concepts for me.

  • 1
    downsouthlaff likes this.

    As TheCommuter said, we had a "staffing coordinator" when I was a CNA in a LTC/SNF. The person was a CNA; she was actually the person who hired me. She worked central supply, hired new CNA and med techs, and drove the van occasionally. However, discipline was always left to the ADON or DON.

  • 0

    Quote from monkeybug
    What she's doing is highly inappropriate. There is a huge difference in sharing an interesting story about an anonymous person and sharing a particular person's life story. Huge difference.
    I thought so, too. This is going to sound really passive-aggressive, but the next time she starts on a topic like that I'm just going to ask her if telling the story is okay with HIPAA. She used to work in a LTC, and she actually shared information about who lived on what floor. And of course they were all people within the community who were identifiable. Maybe this isn't a problem to some residents, but in our culture some people consider it morally wrong to institutionalize the elderly because of family values. I personally don't feel that way, but I digress.

    It's as if she thinks I don't know what HIPAA is, and somehow that makes it okay to gossip about patients to people who know them? It doesn't.

  • 0

    I have a question!

    I'm just a student nurse. But there's a certain person that I know who is a RN. She and I are both part of our ethnic community; therefore, most everyone knows everyone by name, gossip spreads like wildfire, etc.

    The problem is...She likes telling stories about patients that are identifiable.

    The other night, she told my grandparents a story about Mr. So-and-So who had X amount of strokes, was having X treatment at Y Hospital, is about to die, his WHOLE life story (including how many kids he has, how long he's been in the hospital, etc.), his NAME, who his wife was... This is an arbitrary example of what she does.

    Call me a silly idealistic student, but isn't that WRONG? I can understand it when nurses tell stories of funny/weird situations. I know I have had to care for interesting people during my time as a CNA... Won't ever forget the times I got punched by residents!

    But it is NOT ok to be sharing information that is specific and identifiable. I knew exactly who the person was and how to find him. I just feel that the people in my ethnic community don't necessarily understand their rights under HIPAA.

    What do I do? If I keep my mouth shut, she's just going to keep telling the whole world about her patients.