gonzo1 20,714 Views
Joined Jun 8, '05.
Posts: 1,732 (46% Liked)
You being in psyche, you should know you have "avatarimagination." It's an insidious condition that manifests slowly through visual and tactile stimuli via keyboard and monitor. I'm glad you've admitted and embraced the condition.
Patients and families say thank you a lot less than I thought they would.
Anybody who is over 60 yrs old should NEVER be allowed on a ladder!
1) Death can be a good thing
2) Advanced directives can be ignored if family does not agree with them
3) There are plenty of organ donors but few viable organs actually donated
4) The sickest people are also the kindest and most selfless
5) I am much stronger than I thought
That it's amazing how many people claim to hate this job, but don't go do something else with their life. I love it.
I had several other jobs first, got my degree at 35, and I can tell you every job comes with its share of BS, whether it's co-workers not pulling their share of the load, bad bosses, crummy wages, or whatever. I wonder if the people who "hate" nursing lack a frame of reference by not having done anything else.
Oh yeah, and there's always that ONE problem child patient that you can conjure out of thin air by saying their name 3 times.
The family members that live the farthest away always have the stongest opinions and will insist on getting their way.
As a psych nurse, I've learned that mental illness is still so widely misunderstood. I've had patients with severe schizophrenia and have had their family members say, "There's nothing wrong with him/her, can't you just give them a pill?". A young female teenager had attempted suicide three times, her mom says, "She's just spoiled.. no, she doesn't need counseling." You'd think in 2017 that people would realize that mental health is just as important as physical health, but it's amazing how many people remain ignorant, esp when it comes to love ones. I've seen a lot of denial and it's heartbreaking. So many patients don't have a support system and that makes the process much harder.
That working with women can present challenges I never expected. Think "mean girls".
Coworkers are not your friends.
Don't trust anyone on the job with any information, regardless the nature.
If a patient looks you in the eye and tells you they are going to die - take that seriously.
Even if there seems to be no reason for reason. I've diverted a helicopter a handful of times direct to a cath lab on "I'm going to die" declaration because, no you will not die if I can help it. Perhaps the EKG wasn't diagnostic, but the declaration was prognostic.
Since death tends to be very still, you get a small window of time to move very fast. Don't miss it.
My "Spidey Senses" have saved MY LIFE many times over. They have also save the lives of my PATIENTS. Only when I've talked myself out of heeding them have I found myself in the deep doodie. Avoid the doodie. Nothing good happens in the doodie.
My nursing school buddy was former Army. He summed it up simply, "People Are Stupid."
3 years working ER, I can confirm this is truth.
1) A nurses job is to jump through the (admin) hoops
2) Most patients don't care that you are there to help them, help them anyway
3) Sometimes a mole hill is just a mole hill
4) Listen to your instincts
5) Don't try to change the unit, procedures etc,. just go with the flow
6) Figure out 1-5 early in your career and save yourself a lot of stress
That management just don't care about you or your opinion and that's it's best to keep that mouth tightly closed except to smile through gritted teeth. And to never, ever let anyone know what you're really thinking. It will be used to hurt you.
1. People are crazy. Like, ALL people are at one point or another some or other kind of crazy.
2. I kind of like that about us.
3. People do not really want to know the truth most of the time.
4. We know a lot less about how to save people than nonmedical people believe and this dichotomy is very painful and shocking to them when it is discovered, often when CPR didn't work or there are no more treatments to be had or CHF has progressed to the point that it can't be adequately relieved.
5. If we cured diabetes we would cure an awful lot of other things along with it. Sometimes I think it is the root of most modern day ailments.
6. Obesity is the last internally justified prejudice among health care workers.
7. I have a lot more in me than I ever realized.
the hard truth (s) I've learned are 1. there is never enough time or staff, ever. 2. hospitals do not care about their people or patients beyond the extent that it increases revenue. You are a number and a dollar sign. the "patient first" loving and caring picture they paint is utter BS. the money made in this industry is off the backs of every one of us and goes straight into the pockets of elite and upper admin.
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