Syrenia 2,831 Views
Joined: Jul 9, '12;
Posts: 17 (47% Liked)
; Likes: 49
The first time that I knew I *wanted* to be a nurse was when I looked at the CNA contracts and the annual earnings from the public hospitals.
The first time that I knew that I *could* be a nurse was when I received the e-mail informing me that I was accepted.
The first time that I knew that I would make it through was when I earned one of two A's awarded in our pharmacology class.
The first time that I knew that I was a good nurse was when a family member gave me a big hug.
The first time that I knew that I had a unique perspective was when my suggestion to my department manager ended up being implemented throughout the entire hospital.
The first time that I knew that I had the psychomotor skills was when I got the first solid line on an infant we were coding.
The first time that I knew that I had the heart for this work was when I sobbed after we called the code on the same kid.
The first time that I knew that I wasn't perfect was when I almost killed someone by making a serious med error.
The first time that I knew that I was still a good nurse even after that was when I was approached by physicians and pharmacists providing encouragement and support.
Nursing is full of firsts.
Hey floor nurses-
ER nurse with a serious question. The question only applies to nurse who have access to the ER's computerized chart.
Why don't you just read the chart?.
It has all the details you ask me about. In fact, I haven't memorized all those details, I just peruse the chart as you ask me.
I don't mean read the whole chart, I mean scan it for the details you want. I have no idea why you need to know ahead of time what size IV and where it is, but it's charted.
As far as a history? H & P, last visit, etc, is all at your finger tips. As far as what time each med was given- when you ask I open the MAR, and read you the times. I even say "I don't know, but it's been charted, I will open the MAR an look". When I say that, I am hoping you will get the hint that it would be faster for you to have already done that. Somehow, you always miss the irony.
Please don't say that you don't have time. That doesn't make sense. Think about the difference between reading something, and having it read to you. I can scan a chart for 2 minutes, and know just about everything. Add to this the fact that I really don't know all the details you want- I just kind of guess. As an ER nurse I may have received that same PT with a 1 minute report. It's all I need.
There is no question that it is faster and more accurate to scan the chart.
So- why don't you?
I know, let's not communicate at all with one another! Fantastic idea, just think of all the time we will save! Can't possibly see any problems with that affecting patient care/safety!
Are you feeling the irony?
Yeah, I've been nearly killed by docs twice now. Not fun.
I was receiving admission orders over the phone in the middle of the night and the very sleepy doctor was spouting out his usual questions "What labs do I need to know about? Has the pt got back from MRI? Has she had pain meds? Did I give you activity orders? Have you had any birthday cake?" I said "No, but my birthday is in 2 weeks so you should probably include that." "Okay, add that to the orders. Thank you, good night."
GrnTea, I think you're taking my post completely the wrong way. Like I said, the charm was a gift from my family and includes charms that have great meaning to me...therefore it is special to me personally, I am definitely not using it in hopes that my patients think I am better, that's just silly. I am a mature adult and I don't appreciate being told that I am acting like a middle schooler. I am taking nursing and my education completely seriously, wanting to use a simple charm on my stethoscope should not make anyone think otherwise. I suppose scrubs with patterns and brightly colored stethoscopes would bother you too, because they're too "cute"? I understand you must have quite a bit more experience in the nursing profession than I do, but I don't think that gives you any right to put me down for asking a simple question.
Nurses are allegedly interested in science and best evidenced-based practices. Yet so many of us are in denial and go through our careers and life feeding our Id.
"There is little age-associated decline in some mental functions—such as verbal ability, some numerical abilities and general knowledge—but other mental capabilities decline from middle age onwards, or even earlier.8,9The latter include aspects of memory, executive functions, processing speed and reasoning. All of these so-called ‘fluid’ mental abilities are important for carrying out everyday activities, living independently and leading a fulfilling life. When one fluid mental domain declines others tend to do so also.10 Second, slowed speed of information processing appears to account for a substantial proportion of age-associated decline in all affected cognitive domains"
Source: Age-associated cognitive decline
The author stated she has ADHD. Grandiose thoughts can occur if the symptoms are not well controlled. I believe that she may have a learning disability that affects her ability to express her thoughts on paper in an organized manner. I suspect that it took great effort for her to compose this essay and that her poor word choices are a part of her disability.These are enormous obstacles for a college student and her hard work and determination are commendable.
Take a deep breath. You're a psych nurse you know. Listen to the message not the messenger.
A young wide-eyed hopeful destined for greatness unappreciated by tyrannical old bats posing as instructors fights back and regains her rightful place continuing in Florence Nightingale's inexcusable footsteps.
That's about it.
Any similarities real or imagined are not the intent of this writer.
Oh, and I hope, OP, that, if you ever do end up teaching nursing, you'll come back here and tell us how you feel then about students who fail an exam and then want to argue about the answers to a few of the questions until they get their grades changed.
With three years' experience this Bachlorette is goin' places.
I agree, if all the energy spent on research, appeal and article writing had been used in paying attention, taking notes and studying OP could be top of the class instead of 2 points from failing.
So if you were passing the class would you have completed the required due diligence in questioning the test questions in an attempt to further the accuracy of the test and improvement in the use of evidence-based practice in the academia arena? Without a response I would say that you would not have done so from the intentions of your article. So how did you pick out the 2-3 questions that you did not answer correctly to research and ultimately use to reverse the failing grade? You stated that all the questions are correct and the one that is "most correct" is troublesome and infuriating, but I would stipulate that you are incorrect in your assumption. Although the possible answers would all be useful in patient care I believe that with each question there is only one correct answer, excluding select all that apply questions. Therefore arguing about 2-3 questions that in your eyes, backed by your research, is futile.
The questions in the exam are most likely pulled from the particular text you are studying. In this case the reality used in the test spans through the included text, not part of the entire wealth of data we use as a basis of our practice. I submit to you that I could argue most all test questions in most exams because nursing knowledge is ever changing and fluid. The fact remains that you argue this after the failing grade and not before. There is no mention of you bringing the issue of evidence based interventions to your instructor before the exam to highlight your critical thinking skills or research ability. Would this also be a sign of dedication to nursing if it was completed before the fact rather than reactionary after the fact?
I do not try to tear down the words you wrote because they are worthwhile due to the pure nature of experience. I would like to point out the meaning behind the article for others that might read it. "You fought the system and won." I would like to have seen your article present the story but in a way to help others. Why? Because fighting 2-3 questions has not been historically effective. Rather I would have liked to see you point out that after your first bad exam score you were reflective and proactive in your learning to reverse the trend before you had to fight the establishment. Instead you referenced sound bites about how BSN nurses are trained to use critical thinking while other degrees are not. Not really evidence-based is it?
Being an ADN nurse, currently studying to become BSN, I am not mad or offended by your words. I do however see how your inattention to detail might be a cause for your poor performance. Your word choice ("accuse", "bachelorette") highlights the need for your more precise attention to detail that is required in the nursing field. I wish you luck in the coming semesters and when sitting for the NCLEX. Practice these questions thoroughly because this is the same type of exam you have to pass to become licensed.
I know you're looking for congratulations, but, I can't help but think if you'd put as much time into doing the work required to pass the classes in the first place (or time spent thinking your BSN degree is somehow going to make you a MUCH better nurse than a peon ADN) as you did into writing your appeal and dissing a huge population of great nurses, you wouldn't have had to make such a humblebrag post
While I am happy for you that you were successful in your appeal, you might want to reconsider that adn versus bsn attitude thing. If you go sailing out into the real world with that mentality, you're gonna make a lot of adns that can certainly critically think MAD. That mentality has no place in nursing.
After all that is what separates a BSN degree versus an ADN degree, we are trained to use our critical thinking knowledge and research the best clinical evidenced based practice.
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