Quote from nursern20
Hmm, well i mostly mean like the nurses have to have it their way or the highway, they are extreeeemly cocky about the fact they work in an icu, they think they know more than you do. As far as ocd is concerned, i'll give u an example. If the previous shift leaves some supplies, equipment, or whatever, on the counter in the pts room, or forgets to discard finished iv bags that are hanging on the pole, the nurse freaks. They go on a cleaning spree of the entire room. I like for things to be neat and tidy too, but not to the point where its obsessive compulsive. These are just my observances on my unit, maybe its just me. im just frazzled at this point, whatever.
What you're describing is typical ICU nursing behavior. Not the cocky part, or the part where you say they are eating their young in another post - that's more your particular ICU because things vary from unit to unit. Let's face it, sometimes you'll work with nice people, other times not.
But yeah, the cleaning sprees? TOTALLY normal. The reason is that before we can feel comfortable, we need to organize our workspace so we know where everything is in an emergency. If old, used, expired supplies are cluttering up the area, it makes it hard to get organized so we attack that stuff first. Then we make sure we have stock supplies of other things that we might need so that when we're working with the patient later, we don't have to keep running around getting things that should have been nearby in the first place. It's common courtesy to clean up and resupply the area at the end of your shift so the next nurse doesn't have to waste time getting organized. What goes around comes around, you know?
We all cringe when picking up from certain nurses. I'm in the NICU, and there are a few people that we joke about after we pick up from them because you can't even find the BABY sometimes. There will be tons of supplies, blankets, washcloths, etc. in the bed and it's just a mess! Getting things clean, organized, and stocked is essential to providing efficient patient care.
And yes, these patients are very, very sick. We need to be a litle OCD about things like cleanliness and organization. Cleanliness because these patients are often immunocompromised and often have things like ETTs and central lines that are germ magnets. Organization because if a patient goes bad on you, there isn't time to shuffle through all the clutter only to find that you don't have the supplies you need in an emergency.
I do agree that your coworkers and preceptor do sound quite unfriendly, though.