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cinasot 1,186 Views

Joined: Oct 14, '12; Posts: 7 (0% Liked)

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  • Nov 29 '12

    Funny really. Go into the student forums and you'll find posters preaching all day long how we need more nurses who "care" and are in it "for the right reasons". Now we have a nurse who genuinely wants to find his/her niche in the nursing world (and there are many) and then led to believe by some that she isn't nursing material because she doesn't enjoy were she is working at right now. I put my year in med/surg. I had many patients like the ones described. I never felt satisfied after a shift with those types either. They obviously need help, just not what could be provided on our floor. So I moved on. Found a unit I like better. Still not perfect, but I am much happier and satisified at the end of each day. I'm closer to my niche. I find myself constantly looking for information to improve my practice and go beyond for each one of my patients. It's because I feel good about where I am. I like what I do.

    To suggest that someone is a substandard nurse because he or she can't be a personal-savior-in-scrubs for these difficult patients is not productive. Nursing doesn't have to be a "suffer and turmoil" profession where only saints and martyrs need apply. I have a lot of respect for those who enjoy psych nursing. I know it's not for me and therefore I should not be a psych nurse. People who are happy with their jobs tend to be more productive and look for more opportunities to make a difference. I probably wouldn't do that in psych nursing because I would be too consumed with how unhappy I was each shift. I should not be a psych nurse. But I'm getting to be a better critical care nurse each day -> because I seek out for ways to improve my skills -> because I am passionate about my niche and patient population.

    So let's help other nurses find their patient population they can enjoy working with. Heck, for some it may be completely away from bedside and thats ok. As long as they go were they are happy and motivated to put their best efforts in to what ever it is that makes them click.

  • Nov 29 '12

    Yesterday was a busy day and I had two patients who took a lot of my time and I needed a lot of orders for both of them. A young doctor I didn't know well was covering for one of the docs, and after he listened to me describe each problem, ask for orders, and then put in the orders, he walked away down the hall and I called out "thank you!" because he had been very helpful to me. He turned around in the middle of the hall and called back (in front of a lot of other nurses) "No, thank YOU because I know that you nurses are the ones WHO DO ALL OF THE WORK. I come in for 5 minutes a day, but you are here all day. So thank YOU!"

    We all applauded.

    He's my new favorite doctor

  • Nov 29 '12

    In your opinion, is there an area of nursing where you actually help people? I mean, I know you can help people in any area, but I feel like most nursing jobs you help maybe 30% of the patients and the rest are noncompliant, drug seeking, crazy. . .and yes, I know these people need help too but I don't feel like I can do anything in the hospital.

    I'm so tired and burnt out.

    I lost my temper with a patient earlier this week - an A&O pt who was being a complete jerk, verbally abusive, manipulative. And I am so mad that I allowed this patient to get under my skin (although in my defense, this patient also made the nursing supervisor, two case managers and a patient advocate very angry too lol)

    I feel like I work my ass off, but nothing changes, the same patients come in over and over with the same problems (SOB, acute back pain, chest pain, CHF exacerbation, AMS) Education goes in one ear and out the other. The patients don't take their meds, don't see their doctors, then come in and demand IV pain meds, benzos, cheeseburgers and coffee NOW and what do you mean I can't go smoke a cigarette and NO I don't want SCDs on or IV fluids and STOP DRAWING MY BLOOD and I want a private room NOW. We get old, very sick demented patients from nursing homes who honestly should be DNRs but instead we stick them and poke them and tie them down and fill them with ABX and eventually put in pegs and do random tests and surgeries and they linger and languish and eventually die.

    I love the days I feel like I make a difference - they are so far and few between. I wish there was more of them.

    Thanks for letting me rant. And I am serious about wanting opinions about areas of nursing where I could actually make a difference.

  • Nov 29 '12

    Well, *all* nurses actually help people, of course. And *all* patients need a good nurse. In fact, I'd go as far as to say it's those pain-in-the butt, non-compliant, manipulative med seekers who need a good nurse the most.

    Let's be honest, it's easy to "feel good" about taking care of some cute little 6 year old with an acute, curable condition. God forbid your taking care of some middle aged guy who's a hot mess of various uncurable chronic conditions and co-morbidities. Not so much a "feel good" patient. Never mind that that represents most of our pt population.

    And sometimes it seems like we're preconditioned to believe that the only "real" nurse is the nurse who's
    out there saving theworld and somehow curing everyone. And the only "real" patient" is the innocent ingenue who's faultlessly stricken with some calamity. And we swoop in to the rescue. They get better and they go home. Everyone's a hero. Yay team.

    I don't know about you, but I don't see scenarios that play out this way
    too often. Like elkpark said, I think you might have a hard time finding what you're looking for.

    I'm reminded of that Edgar Allen Poe poem about the knight who
    wasted his life looking for a city of gold that never existed:

    And as his strength failed him at length
    He met a pilgrim shadow
    "Shadow", said he, "Where can it be- this land of Eldorado?"

    "Over the mountains of the Moon, down the valley of the shadow."

    "Ride, boldly ride," the shade replied- "If you seek for Eldorado."

  • Oct 15 '12

    I'd pick option B as well. Within 5 years you'll have a BSW and a BSN and be ready to work in nursing. Don't think about Masters until you have some work experience.

  • Oct 15 '12

    B sounds best. You are a junior. Finish what you started, if not this may lead to a bad habit. :/ nursing is tough right now, there are Minimal jobs and you MUST have that extra "something" as a new grad to get a spot. I'd finish ur current degree and start working. While working start An RN program. Don't stop working! Keep working!!!!!!!!! Once you graduate KEEP working until you find a hospital job, then switch over.

  • Oct 15 '12

    I am atheist as well so I understand what you're feeling. If someone makes a religious gesture to me, I will usually just give them a smile or another generic response. If I am asked to literally sit at someones bedside and pray with them, I just simply decline and tell them that I will find someone who is more "in tune" to religion. You don't need to explain yourself. But keep in mind that some people will take offense to the fact that your an atheist. When I worked as a CNA there was a LPN that was open about being atheist and she had patients request for her not to be their nurse because of her beliefs. So I am certianly not telling you to lie to your patients. I am just saying that you should be prepared for some patients to not like you just for that reason.

    But you can always talk to them about their feelings of religion. If they want to discuss what their religion means to them; I would most certainly discuss it with them. It's a way you can connect with a religious patient without actually praying or performing any other religious act. Just be sensitive to your patients.

    Hope this helped some.

  • Oct 15 '12

    I'm a Buddhist, but I think I can help you here.

    When a lot of people ask you to pray for them, or pray for anything really, they don't usually mean it literally. Often times they just want your kind or comforting words. Just smile and say you will be thinking of them, that is usually what they want to hear.

    Try not to get worked up over religious people/situations. Most people aren't raving psychotics, and they just want to feel as good as possible about life in general. For example, when someone says they will 'pray for me' I don't get offended, even though I myself do not pray or believe in prayer. It's a nice gesture on their part, and their way of showing that they care.

    I was an atheist for many years (still am, in the strictest sense, since I don't believe in a God) and I dealth with these things often. It's best just to understand where these people are coming from, and know that most of the time they aren't trying to actively engage you. For many people, saying things about God and prayer is just second nature, and they don't mean to offend you.

    Hope this helps!

  • Oct 15 '12

    I'm an atheist. I am uncomfortable around religious situations. I haven't started nursing school yet (14 weeks to go). I'm concerned with being confronted with people that would ask me to "Pray for them" and stuff. I don't know if this is a common occurrence among patients, etc. Aside from not wanting to be included in religious sentiments, I also am very uncomfortable with lying. I think I would find moral difficulty with saying "Okay" to someone that would ask me to pray for them.

    I'd prefer to hear from atheists how they deal with situations like that. I'd rather not get into a religion discussion, if it can be avoided.

    I was trying to search for old threads, but the links from the search engine are not going to the correct pages.

  • Oct 15 '12

    In nursing school, you will obtain techniques for communicating with patients. You will learn that self-awareness is the most important tool that a nurse can have to communicate with their patients most effectively. It is important that you know how you feel about "situations", such as someone asking you to "pray for me" or "pray with me". You may feel comfortable enough with to assist that patient in their spiritual needs or you may not. Either way is fine....if you do not feel comfortable praying with or for the patient, simply offer to contact an appropriate religious authority for them (eg., hospital chaplin). It is not your duty as a nurse to go against your own religious and cultural beliefs for your patients, but it is your duty to be sensetive and nonjudgmental towards the patient's beliefs/culture. Accomidate them in any way possible, and if something extends past your comfort zone, find someone that can. Remember, as nurses, we don't always have to be THE resource to our patients, we just need to be rescourceful FOR our patient.