ICU Nurses with OCD!!! - page 3
Do all ICU nurses have OCD or something??! Cuz it sure seems like it! The people i work with in the SICU are so anal retentive and obsessive compulsive, i hate it. They are not friendly at all,... Read More
Oct 25, '06First, thanks to everyone for their input whatever it may be, i appreciate it. I just wanted to say that i dont want it to seem like i go into work seeking to socialize and make new friends. Honestly i really am too busy for that. But what i have been hoping to see from my co-workers is KINDNESS! Does it really hurt to be nice to the person you work with? especially the newbie!!! I'm not looking for hour long conversations, a date to the movies after work, or even unit parties, im not the least bit concerned about that. But when i have a question about a procedure, medication calculation, etc... so god forbid i dont kill the pt. it would be nice if i dont get looked down upon for asking these questions or then go talk about me behind my back. Thats what i mean about being nice and stuff. You dont have to be my friend, but common courtesy would be nice since we really are working as a TEAM!
Oct 25, '06Right on!!! I agree with you nursern20! I am a new grad (5 months out) in ICU and there are a few people who breathe fire if you ask them questions! I have moved to nights and have found the unit to be a totally different place. The people on nights are more open to new grads and willing to teach, which was refreshing. Hang in there, I hope things get better for you.
Oct 25, '06Quote from nurse-louMe too :angryfire We have one I hate to work with because the med room looks like the worst kitchen disaster you ever saw. Sodium bicarb leaked all over the counter and left to dry up, bits of smashed pills all over the counter, lactulose or any syrupy substance all over the place, syringe wrappers all over the counter. Hey, am I your maid? :trout:What bugs me are the messy nurses. There are two of them in my unit. Their patient rooms are a mess. Open syringe wrappers all over the room, trash cans overflowing, linen strewn about the pt's room. I may be messy at home but am a neatnick at work! I wonder how these two nurses are in their own homes? Does their mother come in and clean-up after them?
Good luck in your career!
I also find very interesting things in the patient's beds frequently. Hey, any one loose their scissors in here? Missing your ink pen? Try looking underneath the patient.......amazing what is in there.
Cleaning up clutter is the first thing I do after patient assessments. I am ambidextrous in picking things up. I have been known to throw away the repiratory therapist's tape while he is retaping if I am in cleaning/throw away mode, LOL.
Oct 25, '06Quote from nursern20I figured as much That wasn't really directed torwards you just in general. Sorry you are going through such a stressful time, this place is a great place to vent!You're right, i really didnt mean to offend anyone. Just venting my frustrations so i apologize if i used the term ocd in the wrong way. Another thing, i should clarify is that not "all" icu nurses have this behavior. Im just experiencing this on my unit. Also, thank you for sharing your story
Nov 3, '06Hi I,M AM ICU NURSE AND HAVE TO AGREE WITH OTHER FOLKS THAT TO WORK ON ICU,YOU HAVE TO BE MEGA ORGANISED, HAVE A GOOD MEMORY AND BE THOROUGH WITH PATIENTS,UNCONCIOUS PATIENTS CAN,T TELL YOU THEY NEED MOVING, OR HAVE THRUSH IN THEIR MOUTH ECT ECT.mOST NURSE,S I HAVE COME ACROSS ARE FRIENDLY BUT GENERALLY BUISY,HOURLY OBS ON ICU A NIGHTMARE,AND DEALING WITH DISTRESSED RELATIVES VERY STRESSFUL.
Nov 3, '06I think everyone has answered your concerns adequately regarding "ICU personality" and I'd have to agree that even though I'm a complete slob at home, I am anal retentively neat and clean at work, because sh1t happens when you're not.
However, having a unit conducive to new grads is a different matter. This sounds like a unit culture in your workplace. Many places have the same problem. Then again, many have structured orientation programs for new grads, with learning opportunities and multiple preceptors willing to teach and learn from grads. Are there other new grads in your unit? Maybe you can offer to organise a support group type of arrangement. Or talk to your preceptor about his/her expectations. Most ICU nurses are actually thrilled to share their knowledge, if you catch them at the right time.
Nov 13, '06I am completely anal at work, whether it's about washing hands or labeling/untangling IVs or having clean, disinfected counters.
However, I do NOT understand why some nurses live to terrorize other nurses when the issue does not affect patient safety or quality of care. I hate messes just as much as the next person, but that's my problem and my standard for myself; I have no authority to make the last nurse feel awful, especially if they're new. I don't know any other profession where it is acceptable for coworkers to get in each others' business to the same extent as nursing does.
Just my opinion.Last edit by sunshineCCRN on Nov 13, '06
Dec 1, '06I'm so OCD that my students laugh at me. The tease me about not being able to function unless I have all of my lines labeled (and, yes color-coded...Red labels on Xigris and Bicarcb, green on ns, yellow on other drugs that may be compatable with some things, but not with others like Neo, Levo, Versed,....). I even got some butt pats for being the only one who could get the ng, art, tlc, periph, vent, and dialysis lines sorted, orgtanized, and COMPLETELY untangled in a rotoprone. When I walk into my room in the morning, I end up spending the first twenty minutes getting things sorted. Granted, I don't get upset with others because they don't have it the way I want, unless it's a pt safety issue...That's just where we have to draw thew line. I guess you could say that I am one with my OCD, and its Good For Me.
Dec 6, '06ICU nurses can be nice. I am an ICU nurse, but I believe its hard and not a place for new grads.. Please not misunderstand.. I was a new nurse once too. The ICU is a dangerous place and its true we dont have time to teach a new nurse.. the residents alone keep us on our toes.. we have to keep them from killing someone!! Please go to medsurg and get yourself together and learn more advanced skills before you jump in with both feet. You will be more welcomed.. When you come in without the proper education and EXPERIENCE we have to pick up the slack and some are pretty bitter about doing their job and yours....
Dec 6, '06Wow-- I have mild OCD (though I'm told for me it's so mild that it's obsessive compulsive personality, and not a disorder)-- anyway I was afraid it would make me a bad nurse-- I'm very glad to hear that it can be a good thing hehehe!
Dec 6, '06Two separate issues:
1) Obsessive cleanliness.
Here is a TYPICAL patient in my ICU. A-line, ventric (sometimes two), Swann-Ganz through a cordis, intubated. Maybe with a second arterial line in the femoral artery for his catheterization. Getting NSS with 20mEq K maintenance fluids, boluses to keep his PAWP up, usually a pressor. Propofol. Maybe an insulin gtt. Foley, of course. NG tube, tube feeds. Don't forget the cardiac leads, the pulse ox, and all the wires connecting to the pressure transducers.
Now, if his neuro status changes, I have to pack ALL of that up, and take him down for a head CT, stat. (Or even better, when the docs do rounds at 6:00 in the morning, the senior resident will order one then.) Then I have to come back up, and untangle all the lines that the ICU gnomes snuck in and knitted together in the ten minutes down in CT. Is it any wonder I'm compulsive about neatness. (Not to mention that my old preceptor would drive in on his day off just to kick my a$$ if I left a messy room.) Believe me, I'm as lazy as the next guy (as long as the next guy is extremely lazy.) Being compulsively neat just saves effort in the not-so-long term.
2) Nit-picking the other shift. It's a good thing. And not to be mean - just the opposite. When I first oriented in a stepdown unit, all I got to my face was "you're doing fine." I was FOUR MONTHS off orientation (that involved a different preceptor every day some weeks, we had so many GN's at one time) before I found out that people had concerns with what I was doing. They never told ME. They told each other, and they told the CNS. It wasn't until I sought out the CNS for feedback that I was told any of this. Hello? If you had told me something was wrong, I would have FIXED it! But when you told me I was doing fine, I guess I (surprise!) thought I was doing fine.
The ICU I'm in now is famous in the hospital for being hard on orientees. But I was MUCH happier being ripped as an orientee, fixing it, and knowing I was ready when I came off orientation, than I was when everybody was lyingly polite to my face. I had some problems on orientation (who doesn't). My preceptor was straight-up with me about it. I worked on that area, and fixed it. I only make the same mistake twice if nobody tells me it was a mistake the first time.
If you want people always to be nice to you, go somewhere that making a mistake isn't going to get somebody killed.
Dec 6, '06Quote from AJACKSON1048Huh....my hospital had time to train a new nurse. It's called a preceptor! The whole thing is called a preceptor program! Would you believe that these things exist? I was offered 6 months of orientation, but I pulled myself off 2 months early. I'm doing just fine, and so are all the other new grads that I graduated with (and they are at other hospitals).ICU nurses can be nice. I am an ICU nurse, but I believe its hard and not a place for new grads.. Please not misunderstand.. I was a new nurse once too. The ICU is a dangerous place and its true we dont have time to teach a new nurse..
Back to the topic, I've always been OCD myself! When I have to do a precedure with conscious sedation, or swan insertion, I don't want to have a big ol mess in the room. I need at leats a 2x2 area to chart! Plus, we have housekeepers that come around regularly and I don't want to be messy and have them clean up and then look at me like I'm lazy! It's just better prepared have a clean room when the poop hits the fan.
Jan 5, '07Quote from EDValerieRNPlease, I work as a ICU nurse, and we don't need these anal retentive, psychotic nurses. They are the ones who don't leave the patients alone so that they can get much needed rest if that is at all possible. To be honest, they bother patients. Having someone on propofol who is wide awake, because they are afraid that they won't be able to assess them neurologically. Constantly petting, talking to, changing linens for no apparent reason. Come on, give me a break.To work in an ICU, with really sick people, you have to be a stickler. If they were a bunch of easygoing nonchalant nurses, many of their patients would die. They're like that because they don't have the time for BS.
They aren't friendly because they are busy. Work is not a place for socialization, and I don't think it should be expected. Just take care of your patients and don't worry about anyone else.
I, for one, appreciate nurses that are "OCD and anal retentive" because their patients get good care, and it's nice to follow them because everything is done. And this is coming from the most laid-back, friendly ED nurse in the world.