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MusicalCoffee 6,606 Views

Joined: Nov 3, '12; Posts: 47 (55% Liked) ; Likes: 111

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  • Dec 29 '13

    I just finished my 1st semester - Patho, Fundamentals & practicum, and Health Assessment & practicum... yes it is a TON and moves very quickly, especially since my classes were designed to meet only once a week for a 4 hour session... Best advice I can give.. don't get behind... I used 2 calendars (1 in my backpack and 1 by my back door so I saw it everyday) to keep up with assignments, exams, etc.. Don't wait to the last minute - especially for exams , cramming does not work in these courses.. Find and use a good resource for NCLEX type questions...

    It can be done -- I made it out with all A's.

    Best of luck.

  • Mar 5 '13

    Quote from mc3
    Uh oh...............
    (hiding behind couch)
    No need to hide behind the virtual couch, mc3. I'm not taking the bait of one who has not learned to skip threads with controversial subject matter.

    Seriously, no one is twisting anyone's arm and making anybody take offense. No one is forcing a couple of individuals to read this thread. If one dislikes the subject matter, perhaps it is time to move onto another thread filled with the Pollyannas, 'Yes-people,' and phonies who will tell you everything you want to hear.

  • Mar 5 '13

    Been reading this thread and I must have to say that out of all the posters ESME12 hit the nail right on the head. ESME12, I think I love you. I'm 24 and ambitious. I have a couple certs but by no means am I just as competent as a nurse with 25 plus years of experience. I just wish employers realized that more experienced nurses are very well needed to train us newer nurses. Yes it is cheaper to hire a nurse with less experience however they will not last if not given adequate orientation.
    My heart breaks for middle aged nurses who are experienced and unexperienced in nursing because no matter what people are always going to sterotype.

  • Mar 5 '13

    Quote from Jenni811
    I don't need a nurse who is a new hire who has 10-20 years of experience because they are just as new as i am to that unit. We are learnig the same things and at the same pace.
    So you think the only thing you'll learn over the next 10-20 years is how to work on your unit? Not a single bit of experience that would carry over to being a better nurse somewhere else?

    I better quit calling my mom for advice. After all, she's never lived in the state that I live in, so what would she know about life...

  • Mar 5 '13

    Quote from Jenni811
    A Patient really isn't going to care how much experience their nurse has (to a certain degree). Their satisfaction scores come from a smily face, a good personality, friendly nurses, good customer service etc. I've never heard a patient give a hospital a low satisfaction score because "My nurse only had 2 years of experience."
    I take exception to this statement. I personally don't care if you smile all the time. I don't care if you don't say hello, good morning and all that jazz. I don't particularly care if you even remember my name.

    What I care about is if you have the skill to make sure that I, or my loved one, will make it safely through the night and into the morning. I want to know that you have the experience and the balls to stand up to the doctor to advocate for our well-being and to tell them that they need to rethink their plan of action. I want you to have the experience to trust your gut when things start to go south.

    So yes, I might give a low satisfaction score for lack of experience, because often, that lack of experience will shine like a beacon when it comes to patient care and low confidence in the ability to handle the curveballs.

  • Mar 5 '13

    Quote from DeBerham
    What I'd suggest is to get over it. NOTHING good will come from being so superficial. Is it their fault that they're attractive? No. Is it their fault that they are young? No. Are you liable to let your jealousy over SUPERFICIAL things ruin some potential relationships? Yes.
    I'm not jealous by any stretch of the imagination. I mentioned that the group of new hires ranges from early 20s to early 30s. I am in my early 30s, so I am in the same age range of some of these newly hired nurses. Jealousy is not the synonym of observation.
    Quote from DeBerham
    I'll say though that you may need an attitude adjustment just as much as these new nurses because your feelings will translate in to actions in how you treat/interact with them... and then we'll get to read new posts about how we continue to eat our young.
    I do not need an attitude adjustment, but your suggestion was certainly appreciated. I get along with this group of newly hired nurses wonderfully and appreciate the help that they will contribute to ease our staffing issues once they begin to come off orientation.
    Quote from Vespertinas
    This post reeks of reverse ageism. You said yourself that the hospital is probably hiring with cost-consciousness in mind so new RNs who are not recent grads are the ideal.
    There are masses of 40+ year-old newer RNs who changed careers or are late-entry nurses in the large metro area where I live, yet management hired no newer middle-aged nurses with one to three years of experience.

    Some people seem to have missed my point, which is that units need a healthy mix of experience and inexperience. Then again, some people are dramatic 'offendonistas' who purposely seek to become offended when no offense was intended.

  • Mar 4 '13

    Quote from Jenni811
    I don't think it is about looks. We too have hired alot of young, female, smaller build nurses. The turn over rate in hospital is huge, what nurse in their right mind would actually WANT to go back to bedside nursing?? A nurse in their 40-50's has probably figured it out and has been at the bedside and wants to be done at the bedside. So they leave it up to the young ones who need to figure that out, and need to gain experience before going anywhere else.

    Oh trust me, i've heard our experiened staff joke around with things and let me tell you, it actually hurts. They all crack jokes about how it should now be a requirement that "You are under 30 years old, slim with brown hair and a bubbly personality." I fall under that category of "Slim, young, brown hair" not an idiot. but the question i have for them is, do you ever think to look beyond that?? How about the fact i graduated with a 3.7GPA and made the deans list 4 years running. how about the fact i worked nights as a CNA while attending nursing school? How about the fact i have worked my butt off getting certifications in things you probably never heard of. How about the fact that my computer skills are far more superior than the 50 year old they just interviewed that can hardly even type? Look BEYOND the surface of these people.
    Yes, i think hospitals are hiring young, new grads because the are cheaper. It's a smart business move. if i were running a business and had to pick between a 55 year old with a great personality, 25+ years of experience and wanting $30.00 an hour and a 24 year old with 2 years experinece with a great personality and wanting $24.00 an hour...i would choose the 24 year old. The hosptial wants great satisfaction scores. A Patient really isn't going to care how much experience their nurse has (to a certain degree). Their satisfaction scores come from a smily face, a good personality, friendly nurses, good customer service etc. I've never heard a patient give a hospital a low satisfaction score because "My nurse only had 2 years of experience." So the way hospitals are shifting now days...experience really doesn't matter. I can do the same exact tasks as any nurse on my floor.

    Im 24 years old, and i am already training to be charge nurse...i have an orientee with me that has a daughter 1 year old than me. Sure, she has admitted to feeling a little uncomfortable with me being her superior. She has stated once she got to know me that has changed. She has taken me seriously.

    yea i do feel a little offended beause people judge all these newbies coming in. Look beyond that, get to know them. No i do NOT have my smart phone out all the time. I am professional when i am at work. yes ill pull it out on my break...because that is my BREAK, that is my time for me to be me and do want i want to do for 30 minutes. So yea...all in all, i have to say hospitals are making a smart BUSINESS move by hiring young, new and eager nurses to work the floors. They are cheaper and can do the same exact thing as any other nurse on the floor. I'm probably repeating myself a lot but think about it...
    The ego that comes off on this post is overshadowing a great deal of your points. "having certifications you have never heard of" and "superior computer skills" of that of a 50 year old is telling. It is lovely that you are so certified and computer literate and "already training to be a charge nurse" but something to think about-- you are ignoring the moon to count the stars. When the poop hits the fan and you have a patient crumping, critical thinking under pressure is the most important quality. And that is learned by a more experienced nurse. And when someone is coding, they certainly don't think about kumbya moments, or how awesome one's hair looks when they are doing compressions. And no one smiles at a code. You can have 152 certifications, but unless one practices them, they are not worth the paper they are printed on. And rescue Annie and plastic appendages and power point presentations are not akin to the real thing in real life. No matter what they tell you. If your orientee is not a new grad, then by all means, learn from her and each "older" member of your team. Because when it gets down to the REAL reason we are all at work, experience DOES matter. And I have never heard a patient's family say WELLLLL that code didn't go so well, but gee whiz the nurse was sooooo bubbly, like a fresh spring day!!!!!

  • Mar 4 '13

    I have never ONCE had a complaint from a patient about my sleeve of tattoos or my nose piercing. I get curiosity and compliments, if anything. I'm not known as "the nurse with tattoos," I'm known as "that nurse who always has a smile on her face." Neither my professionalism nor my appearance has ever been called into question.

    This IS a cultural thing. It's a cultural bias that people still believe only "bad" people have tattoos and piercings. That's not the case and never has been.

  • Mar 4 '13

    Quote from healthstar
    I think that is unprofessional! I am a makeup artist as well as a nurse, makeup to me is art! When I go out at night I wear heavy smokey makeup, but at work I use neutral colors, very light makeup! I iron my scrubs( no stained scrubs) , I take care of my face and hair- always pulled back! It shows that you are a clean person and are able to take care of yourself. Just my opinion
    Just pointing out that the existence of a facial piercing doesn't mean (or show) that an individual is unclean and unable to care for themselves.

    They may have similar makeup, hair, and scrub habits as you, plus a nose ring. I'm not seeing how a small piece of jewelry could make the difference between professional and unprofessional in and of itself.

  • Dec 16 '12

    It's been a challenging but enjoyable semester, and just finally broke off for the holidays! I Cannot wait to start my work placement in January and get stuck into practice

  • Dec 8 '12

    So it is no secret that surgery is scary to many people. But children, in particular, have a difficult time of it for, well, obvious reasons.

    Now, let's make three things abundantly clear:

    1. I specialize in Trauma. Not ENT. Nope. They keep me away from children (unless they are severely hurt) for a very good reason.
    2. I am not a mother. Never will be. Children remain a mystery.
    3. I have been told I do a mean Godzilla impression. Some people crochet as a hobby, I stomp around my house, scream blue hell and pretend to ransack Tokyo. Don't judge me.

    These are facts.

    But on days where there happens to be no trauma, I am released into the wild to work with various other teams. And on this day, I was placed in the pediatric ENT line with a lovely nurse named Myra who is a mother of three beautiful, delightful children and is as soft spoken and withdrawn as you please. So the two of us set out to pick up our second patient of the day which happens to be the perkiest four year old you have ever met.

    I'm talking like something tumbled out of a Gerber advert. Cherub cheeks, cupid bow mouth, nymphic face, the works. Just a little heartbreaker. And this little tyke takes one look at us and just shuts down. The tears, the trembling, the clinging. Poor kid. You know that to him we look like product of Smurfs breeding with the Stay Puff Marshmallow man.

    One more fact: I am useless with kids. Seriously. It's miserable.

    But Myra....Myra is brilliant. Without missing a beat she crouches down to this kidlet's level and starts talking in that gentle way of hers, letting him touch her gloved hands and grab at her bouffant. Within minutes the whimpers are bubbling, bright giggles and the parents look relieved. So when it's time to go, I'm expecting her to scoop lil' man up and carry him to the OR. But instead she takes his little hand and he trustingly toddles with her out of the ambulatory bay until they reach the double doors and he suddenly realizes this...this isn't fun. She pauses for just a moment. (I'm telling you, this woman is amazing.)

    "Do you like dinosaurs?" A gleeful nod tousles his feather light blonde hair. "Which is your favorite?"

    "Tymanosaurus." Myra doesn't miss a beat as she points at me.

    "See my friend there?" Another ridiculously adorable nod.

    "She's a dinosaur." At this, I stand there slightly affronted at the accusation all the while doing an admirable impersonation of an inbred goldfish. Mouth agape. Eyes boggled.

    But our tiny tyke, he lets out a gasp of excitement and wonder, eyeing me uncertainly and nibbling on his fist. He giggles and shakes his head before flashing me a smile which I manage to haphazardly return. I'm sure it looked more like a confused grimace. The parents are watching us closely and I'm about to crawl out of my skin with my own awkwardness.

    She gestures to the button which will open the door to the OR.

    "Oh yes she is. Now when I say go, we're going to hurry away before she can gobble us up."

    My eyebrow is now hidden in my hairline it's arched so high. At this point she looks over at me and gives me a smirk which pure mischief. "Aren't you, Godzilla?"

    Ah. So that's where this was headed.

    She puts her hand on the button.

    "Ready......steady......GO!" She presses the button and this day I'm not quite sure what I was thinking...I blame the hospital coffee....but I crouched and stomped my feet menacingly, tucking my stumpy arms tight to my sides and wheedling my two fingered claws in the air as I loose a (very dialed back, but I like to think all business) Godzilla bellow.

    And beneath that beastly scream echoed his delighted, shrieking laughter as he clung to Myra's hand and scampered with her through the double doors and around the corner towards the suite.

    Well at this point, I have a job to do, so with a nod of acknowledgement to the parents, I stomp and snicker-snap my way around the corner and after that scurrying cherub. By the time I reached the suite, Myra had him bundled onto the OR table, covered with a blanket and huddled with her and the CRNA to help him "hide" using a magic mask to escape. He drifted away towards SEVO land with breathy giggles, slumped against Myra.

    No fear. No tears.




    P.S. This article is a post in reply to this thread: Amazing Nursing Stories on the General forum. Link is posted at the bottom of the rambling story. I work with some amazing people. I only wish I was half as clever as they are.

  • Dec 6 '12

    Tongue planted firmly in cheek was my take as well. It was meant as humor, like Dave Barry or Bill Bryson.

    Gave me a hearty laugh out loud.

    I'm not a believer in the old "nurses eat their young" drivel and there are plenty of old threads on here about that issue. Suffice it to say there are jerks in all walks of life and there is nothing about being a nurse that makes a person be a jerk. If you meet a jerky nurse, they were jerky before becoming a nurse.

  • Dec 6 '12

    Wow....didn't expect to see this thread still alive with active dialogue. Interesting.

    So many great thoughts and responses. I appreciate each and every one of them.

    You know, on the topic of those that are second career nurses, would it strike you all as strange to know that some of the folks that have the hardest time adjusting to the idea that nursing is not the glorified field they thought it was were second career nurses?

    I would never have suspected something like that to be the case, but ::shrugs:: these are things I have seen and even experienced as a second career nurse, myself. Former Candy Stripper. Oh yeah. I went there.

    Other thoughts about modifying the manner of precepting are very valid and absolutely should be practiced. No preceptor worth their salt tries to do things the same way every time with every new individual that orients with them. Such a thing would be foolishness. There is no one size fits all. Take it from the girl that firmly believes such sizing tags lie to your face and are the mark of the devil.

    But just as those labeled articles of clothing, one can only stretch so much within their own personality and style. As I stated in my second reply, if a mismatch occurs (and it does), a proper fit must be found.

    Incidentally, one can be both congenial and direct. I find it fascinating that a direct approach is immediately associated with various feelings which conjure, to my addled mind, images of combat boots and riding crops.

    ::quirks eyebrow::

    Thank you, again, all for your various vehement replies and thoughts. Lovely, yummy things which will keep my brain busy on this night rotation. Ick.

    Have a safe night and a fine tomorrow.



  • Dec 6 '12

    Thanks for posting, MusicalCoffee. I'm a new nurse in orientation myself, and first thought that being more emotionally sensitive is a weakness. In actuality, it can be a great strength if you know how to avoid taking certain things personally. This is challenging at times, but having a strong preceptor makes all the difference. One like SweetPotato can teach you this.

    My only recommendation to SweetPotato is to keep this mind, that some people have a more sensitive nature. Not because they are weak, but because it's just part of who they are. I believe you touched on this a bit in your article. And please, no arguments about how perhaps these people are not cut out for nursing, because I know that I can be a great nurse!

  • Dec 6 '12

    Yes you can compare the two professions on many levels-the two are service industries-cops can be kind and compassionate, so can nurses, nurses can be military in their style and caregiving-authoritative and can change up on a dime for the safety of themselves, their peers, and the patient. Cops and nurses see people at their most stressed and vulnerable. The service provided may be different, you see the gun and the law enforcement-I see the shot and the standards. A lot of comparisons. And if you ever work in trauma, which I hope everyone has the chance to do, police and nurses have a lot to share. They serve and protect, so do nurses. If you can't see that, then you are someone narrow minded and literal in your view.