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uRNmyway 22,883 Views

Joined: Jan 28, '12; Posts: 1,163 (59% Liked) ; Likes: 2,283
Registered Nurse; from US
Specialty: Med-surg, mother-baby

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  • Feb 21

    Quote from rita359
    You'd be surprised at some of the things new nurses come out of school and have never done.

    My advise is , whenever in clinicals, be sure nurses know you want to at least watch anything interesting even if you can't talk your instructor into letting you do it.
    I did that in all the clinical settings I went to. I told the nurses if they had something they thought I should see and learn, to please let me know! My teachers were also aware that I wanted to see as much as I could.
    I later used that when I was an RN and knew students would be coming around that day. I worked until 8am, they came in at 7am. So I made sure to keep blood work until they came around and asked them if any of them wanted to do it. The teachers loved it, and the students loved even more that I volunteered to go with them instead of their teacher, since I knew how much it would stress me out to have them breathing down my neck doing new skills...

  • Feb 1

    This thread has gone nuts!

    As a relatively new nurse with roughly 4.5 years of experience, I will say that a good mix of new and old is definitely preferable. Not to say that having all newer staff is bad (I worked night shift with a group of nurses who mostly had less than 3 years experience, with 1-2 who had more, and everything went SO well with this bunch). But yea, when the poop hits the fan I'm more likely to run to the nurse with 20+ years under her belt than I am to go to the new grad with 256 different certifications but hasn't had a chance to put any of them to practice.

    As the wise Confucius said 'I hear, I know. I see, I remember. I do, I understand.' Give me a nurse who has done and understands, anytime lol.

    BTW, its been real entertaining to see those who have taken this thread so personally. If you are young, thin and pretty, good for you. If you are also a good nurse, all the better. A wise person would understand that this thread has not been about generalizing. Not all cute, young, thin new grads are simpering fools who sit at the nurses' station playing on their smart phones, who have no manners, etc. What does make you look like a fool is coming online and bristling and getting defensive about it. 'Methinks the lady doth protest too much!'

  • Jan 27

    I think there is nothing wrong with shedding a few tears with our patients. It shows we are human, and it shows we care. Now, there is a different from a complete breakdown where the family/patient has to hold YOU up or a few tears and a hug in support. I dread the day that I no longer get emotional and cry a bit at work. Some cases just affect us more than others. Whether it is because we relate to a patient and/or their family for whatever reason, or because we got to know them and particularly care about them and are genuinely feeling a loss.

    On another note, in my L/D clinicals, when I witnessed my first spontaneous vaginal delivery, I cried a little at the sheer beauty of the moment, and felt no shame at all. (unfortunately the little one ended up needing much help afterwards because of problems with dystocia, but she ended up fine. Her parents' expressions of utter fear were awful to see though.)

  • Nov 24 '17

    Had a patient come in for abdominal pain. Our on-call GI doc wrote after a very detailed assessment note: "I have NO CLUE what is going on!"

  • Nov 5 '17

    Quote from nervousnurse
    OMG!!!! ROFLMAO over "free-balling" annnnnnd, the Foley, Peg tube, and colostomy bag!!!

    The other day I had been so busy, I finally crammed a banana down my throat. I was still chewing when my boss walked up----I was sooo tired ,hungry, and not thinking---so I accidentally spoke to her with mouth full of banana....embarrrarassssssing!
    Wow, the things that popped into my head at that line...and I'm not even male lol. Great way to start the day with my mind in the gutter...

  • Oct 29 '17

    Quote from kathynurse46
    I had pt with g-tube who somnvitedo iut whe how got off unit glad i wasnt working that day !!!!! but invited some of the other residence to bar when staff showed up they were all drunk pt on bar waving her depends

    Um, can I buy a vowel?

  • Aug 28 '17

    Ok, well to start, yes, mistakes happen to everyone. Including experienced nurses. Feel free to browse the site, search 'med errors' and you will see you are far from being alone in this.
    The fact that nurses now work too many hours, don't sleep enough, have too many patients at one time, can't take breaks, etc, these are all reasons why we make mistakes. Unfortunately, without support from management, these things can't go away to reduce risks.

    If this was your one and only mistake, why would you think it makes you a bad nurse? Does being a nurse mean you lose all rights to be human and make mistakes? I think that after all this time, the fact that you are still obsessing over it and questioning yourself means that you genuinely care about your patients and their safety and well being.

    I also got fired from my first nursing job straight out of school. It was in the best mother-baby department in the city, and I was ecstatic to have gotten the job. I had excellent recommendations from all my nursing teachers. When I didn't manage to fit in with the cliques, the other nurses started nit-picking everything, right down to going behind me to ask my patients how I had done. Although I had had MANY patients tell me they loved me, once they started looking for problems they seized on one negative review (I was busy with a baby not doing well, and 'neglected' a new mommy who thought i should be in her room more often). Since I was still in my probation stage, they fired me.
    I was devastated and like you, questioned my career choice. I worked as a waitress for a while to make ends meet. To top it off, my former nurse manager was giving me bad references for jobs I was applying for.

    I kept at it, and ended up in a job that I loved. I had a difficult time initially getting over the previous criticisms, and it showed in my performance at first. But with help from colleagues, it got better.

    Now, will it be hard to put it behind you? Most likely. But hey, use it as a learning experience. When you do end up working in nursing again, you will pay that much more attention to what you do. You will make darn sure not to let yourself get distracted when you need to focus on a task.

    You'll be fine. Just don't give up!

  • Jul 28 '17

    Forget working a shift with the foley...sometimes I just wish I could take it home with me. That way I can get sleep uninterrupted with bathroom breaks!

  • Jul 28 '17

    Quote from nervousnurse
    OMG!!!! ROFLMAO over "free-balling" annnnnnd, the Foley, Peg tube, and colostomy bag!!!

    The other day I had been so busy, I finally crammed a banana down my throat. I was still chewing when my boss walked up----I was sooo tired ,hungry, and not thinking---so I accidentally spoke to her with mouth full of banana....embarrrarassssssing!
    Wow, the things that popped into my head at that line...and I'm not even male lol. Great way to start the day with my mind in the gutter...

  • Jul 10 '17

    Ok, seriously, how many of these most embarrassing stories involve patient genitals lol?!

    My most embarrassing I described in another thread recently (gel disinfectant, in my eye, first day of my first nursing job).
    To follow with others and their genital stories, and describe my most RECENT embarrassing story, I recently was doing a skin check on a new patient. Pt was a young male. You guessed it, under his underwear, clear as day, you could make out his very obvious erection. He just has this look on his face that begged not to pull away his underwear. Normally I couldn't care less about that kind of thing, but his embarrassment made me embarrassed. I checked everything except what was under his underwear, asked if his skin was intact there too, and walked out. I don't know who was more relieved not to continue that awkward encounter.

    ETA. To clarify, I don't care about pts having weird physical um, reactions. Doesn't phase me. I do care about patients feeling bad or embarrassed about something.

  • Jun 16 '17

    Had a patient come in for abdominal pain. Our on-call GI doc wrote after a very detailed assessment note: "I have NO CLUE what is going on!"

  • May 11 '17

    I held onto this thought until I had browsed through all other posts, and am shocked no one else brought this up.

    As a med-surg nurse, night shift, typically 8-9 patient per shift (and I will um, witch-slap the next who tries to tell me patients just sleep all night, I swear I will! :P), with no PCTs and CNAs who could do little more than empty foleys, assist patients to the BR, and provide hygiene care, you do have tons of things to do. You might not have time to get down to the nitty gritty, certainly not every shift. But how about this: Instead of feeling sorry for yourself and getting upset at the mean old critical care nurses who are abrupt with you because you don't know everything, how about you use it as a learning opportunity? CC nurses are trained to see the bigger picture while we barely keep our heads above water with the general details at times. But that doesn't mean that it wouldn't be a GOOD thing to be able to see the bigger picture. As others have asked, if the CC nurse asks these details, they must think it is pertinent, that it might be related to the patient being transferred to their unit. Take a second and think about their rationale. Maybe one day you will end up picking up on something because you noticed a similar trend in those 'useless details' some CC nurse was harassing you for. Try to expand your mind as well as your nursing practice and critical thinking skills instead of feeling sorry for yourself and engaging in all this inter-unit hatred.

    Many CC nurses would be useless in med-surg, unless they worked their way up to their CC department. Just like many med-surg nurses would be curled up in a corner, fetal position and all, if they had to deal with the psychological, intellectual, and physical duress of CC. And put either of these nurses in LTC, stand back, and watch the utter chaos! :P

    Instead of complaining about each other, lets try empathy and appreciation for the HARD WORK that we ALL DO!

  • May 2 '17

    Quote from JenniferG rN
    Sadly I'm sure she will. I have had many seekers come through but never have anyone take such an extreme measure. Being that she was in for left upper lobe pneumonia I felt it was in her best interest to not get the meds iv so I could try to get her moving and better- not have her snowed and just laying around in bed all day. When I shared this with a co worker her advice was "your not going to fix her, you should just give her what she wants, she'll probate be discharged in a couple days anyway" out of curiosity what would other opinions be?
    My opinion? You can't control other people's practice, only your own. If there is a valid reason to hold meds, I do it. If the BP is tanking, or they can't coherently ask for their meds, or as you say, you don't want them snowed because you want them moving and all, then don't give the meds. Just make sure to document. And document alternative methods offered (and probably refused) so the patient doesn't come back against you saying you didn't try to relieve their pain.

  • May 2 '17

    Quote from manusko

    Absolutely what I was taught and what I believe in. It's your job to help the pt. We are not the watchdogs of the pain pill abusers in the world. Be their nurse, treat their pain and don't judge them.
    I'll agree to a certain extent. Not my place to judge, but if you claim to have 20/10 pain, your BP is tanking, or sats, or you are trying to grab those non-existent bugs in front of your face, I'm definitely not going to give you that 3mg IV Dilaudid. And I don't give a hoot what 'that other nurse' did. I'm not pushing it fast, I'm going to dilute it to 10ml, and I'm going to give it distal. Hearing that whole 'other nurse' line is almost as much of a red flag to me as the other nonsense.
    And seriously, if you are really in 20/10 pain, and I CAN'T give you that IV narc without immediately calling RRT, but I offer you tramadol, which you pretty much throw at my head...well, let me tell you, I'm not likely to go hunting down the MD to get authorisation to kill you with opioids. Because believe me, they don't want to do all that extra paperwork either.
    And you can threaten all you want my friend, I am a pretty awesome, detailed documenter(is that a word? Lol). It has saved my butt and other butts before, it will do so again with you.