Experiened Vs New Nurse: An Ongoing Struggle

Nurses Relations

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Ah yes the struggle between young and old, experienced versus brand new.

*which btw, I kinda see myself as being in the middle lol, not really totally novice, but no, not tenured, been a nurse for almost 6 years, but a RN for 2*

So yesterday I had a patient with hematuria, bad hematuria, passing huge clots, etc... Me (newer nurse) asks another nurse (very experienced) to kindly grab the foley/CBI set up as I'm inserting the IV because the patient is in extreme pain/bladder is hard and distended (the patient is at risk for bladder rupture.)

Experienced nurse says why am I going to put in a foley? Do you really think he needs a foley? She then tells me that he has prostate CA (which wasn't true, he actually had prostate surgery recently)

10 minutes later, in comes the attending, takes one look at the patient and says, this guy needs a CBI set up NOW! I wanted so badly to go back to that nurse and say SEE, I. TOLD. YOU. SO! but that would'nt have been right.

Not wanting to generalize and label all experienced nurses, but I often times feel that older nurses discredit how much we know. I always feel like they think it's their way or no way and that you are a know it all when you don't listen to them.

Especially some older nurses I work with have the attitude that I need to be listening to them or else I'm going to crash and burn, and if I try to interject my two cents they label me as hard-headed and know it all ish. I mean aren't I a sound nurse? Sound enough to practice? Sound enough to make informed decisions? and say yes or no to your advice?

Then you have some newer nurses who think they've got it all handled. New grad versus new grad is actually an issue too! Where I work they (management) try to act as though the nurses with a few more months of experience are so much more capable of handling triage or being in charge? Like really? what is really the difference in experience between someone who has been a nurse for 2 years and one with 1 year of experience? That varies dramatically from nurse to nurse.

Some of the new grads I work with are just way too know it all-ish, too aggressive, too anxious, and bossy.

You don't have to act like a know it all to be someone who actually knows alot.

I just think alot of experienced nurses undermine the intelligience of newer nurses, and too many new grads think they're the best thing since sliced bread, and VICE VERSA as well!

It's not always the amount of time someone has the word nurse behind their name that determines their competency or incompetency.

Specializes in Certified Med/Surg tele, and other stuff.
This.

I'm so tired of the "old v new" comments and threads that I am ready to take my eyes out with a melon-baller.

I think the web geeks at AN need to develop an icon digging his eyes out with a melon baller. :lol2: The visual cracks me up.

All4NursingRN, you've had several threads regarding ongoing problematic interactions with your coworkers. I'm sorry you're in the situation you're in. I don't think it has much to do with experience levels - just with the particular personalities (plural) involved.

Yeah, it may seem like more than it is though. I feel like I actually get along well with most of my co-workers but there are a few personalities that just rub me wrong and since I usually just sweep things under the carpet (since I can't change people's personalities) I just vent here.

Not to generalize but I also feel that critical care/emergency nurses can have really brash personalities due to the line of work *aka high stress*.

I mean I do feel I can speak up for myself, but a lot of times it just seems futile. Plus you get labeled as a trouble maker as soon as you want to speak the truth and voice your opinions. As is life. sigh.

Specializes in Oncology; medical specialty website.
With all do respect: You are not that tired of them because you continue to read and comment on these threads. Just saying.

I get tired of hearing about the death and destruction in Afghanistan, but I still keep up with that, too.

Specializes in Oncology; medical specialty website.
Yeah, it may seem like more than it is though. I feel like I actually get along well with most of my co-workers but there are a few personalities that just rub me wrong and since I usually just sweep things under the carpet (since I can't change people's personalities) I just vent here.

Not to generalize but I also feel that critical care/emergency nurses can have really brash personalities due to the line of work *aka high stress*.

I mean I do feel I can speak up for myself, but a lot of times it just seems futile. Plus you get labeled as a trouble maker as soon as you want to speak the truth and voice your opinions. As is life. sigh.

Having worked in the ED, I do understand that people may be brusque at times; that area seems to draw personalities that have a "cut to the chase" mentality. When there's an emergency, you just don't have a lot of time to worry about someone else's feelings. That's not to say people should be unkind. It is the sort of atmosphere where you can really get lost in the shuffle if things are hectic.

Have you seriously, thoughtfully considered ways your personality may be contributing to the situation? No one is perfect, and we all have our own idiosyncrasies that may irritate others, yourself included. The real issue is how you and the people you work with can make those personalities work together.

If it continues to be an issue, then maybe a high stress area like ICU/ED is just not suited for your personality. I worked in the ED, but I know that my personality just isn't suited for ICU. I had a miserable rotation there, and I vowed never to step foot in one unless it was to visit a family member.

Perhaps the way you speak up isn't effective. Is there an experienced co-worker you can go to for feedback on how to make yourself heard?

Specializes in LTC Rehab Med/Surg.
This.

I'm so tired of the "old v new" comments and threads that I am ready to take my eyes out with a melon-baller.

Can I borrow your melon-baller? Please.

Specializes in Peds, psych.

I have learned it's not old vs. new but all based on the individual. The same individual who thinks they know everything as a new nurse will probably continue to think they know more than everyone as an experienced nurse.

Ah yes the struggle between young and old, experienced versus brand new.

*which btw, I kinda see myself as being in the middle lol, not really totally novice, but no, not tenured, been a nurse for almost 6 years, but a RN for 2*

So yesterday I had a patient with hematuria, bad hematuria, passing huge clots, etc... Me (newer nurse) asks another nurse (very experienced) to kindly grab the foley/CBI set up as I'm inserting the IV because the patient is in extreme pain/bladder is hard and distended (the patient is at risk for bladder rupture.)

Experienced nurse says why am I going to put in a foley? Do you really think he needs a foley? She then tells me that he has prostate CA (which wasn't true, he actually had prostate surgery recently)

10 minutes later, in comes the attending, takes one look at the patient and says, this guy needs a CBI set up NOW! I wanted so badly to go back to that nurse and say SEE, I. TOLD. YOU. SO! but that would'nt have been right.

Not wanting to generalize and label all experienced nurses, but I often times feel that older nurses discredit how much we know. I always feel like they think it's their way or no way and that you are a know it all when you don't listen to them.

Especially some older nurses I work with have the attitude that I need to be listening to them or else I'm going to crash and burn, and if I try to interject my two cents they label me as hard-headed and know it all ish. I mean aren't I a sound nurse? Sound enough to practice? Sound enough to make informed decisions? and say yes or no to your advice?

Then you have some newer nurses who think they've got it all handled. New grad versus new grad is actually an issue too! Where I work they (management) try to act as though the nurses with a few more months of experience are so much more capable of handling triage or being in charge? Like really? what is really the difference in experience between someone who has been a nurse for 2 years and one with 1 year of experience? That varies dramatically from nurse to nurse.

Some of the new grads I work with are just way too know it all-ish, too aggressive, too anxious, and bossy.

You don't have to act like a know it all to be someone who actually knows alot.

I just think alot of experienced nurses undermine the intelligience of newer nurses, and too many new grads think they're the best thing since sliced bread, and VICE VERSA as well!

It's not always the amount of time someone has the word nurse behind their name that determines their competency or incompetency.

In this post you have complained about old nurses vs. new nurses, experienced older nurses vs. experienced younger nurses, new grads vs. newer nurses, new grads vs. new grads, and new grads vs. experienced nurses, and you've thrown in some sliced bread as well.

I have no idea if you are a sound nurse, but it is pretty clear that you are a person who has issues with your co-workers.

We can't know the facts of what is going on with you because your post is all over the place, but maybe you need to take a step back and really take a good hard look at yourself and your workplace and WHY you seem to have these problems getting along with people.

Specializes in nursing education.

I like to go back over "what went wrong" communications and just re-write everyone's dialog.

You: SBAR, you know the recommendation is for a CBI. You know you're going to need an IV.

Call for help, say to your co-worker, "hey, this guy is not doing so hot, looks like we're going to need a CBI. Could you please get the set up so it's ready to go when the doc gets here? This can't wait. I'm staying with the patient and getting IV access."

Would that have worked?

It really helps me stress less if I've mentally reheorificed these things. And no, I don't think it's a young v old thing. It's just a people thing.

Specializes in ICU, PACU.
Specializes in ortho, hospice volunteer, psych,.

i don't think this a young vs. old, new vs. crusty old bat, or a male vs. female issue. we each bring our own unique personality to nursing.

to a nurse who's used to waiting to hear what the md orders, having another nurse suggest, "we need___!" or "mrs.___ should have a

___ immediately!" may be interpreted as being out of line or pushy when it was simply a differing nursing style.

i remember when i was a new young nurse on an ortho floor. the surgeon had left an order that the patient be straight cathed if his urine output fell below a certain point. it did and i began gathering supplies when she found me. "who are those for?" i explained and she was shocked!

he was a man!:eek: i'd simply have to find a male nurse to do it! it would not be proper otherwise! she was late 20's as i was, but had been trained in a catholic hospital by nuns where they did things differently. i've worked with some excellent older nurses, some set in their ways nurses, some crusty young bats, and some on top of things new grads.

not quite ready for the melon baller....yet.

Specializes in Med/surg, Quality & Risk.
Can I borrow your melon-baller? Please.

Just be sure to sanitize it

Specializes in CCU, SICU, CVSICU, Precepting & Teaching.
ah yes the struggle between young and old, experienced versus brand new.

not wanting to generalize and label all experienced nurses, but i often times feel that older nurses discredit how much we know. i always feel like they think it's their way or no way and that you are a know it all when you don't listen to them.

then you have some newer nurses who think they've got it all handled. new grad versus new grad is actually an issue too! where i work they (management) try to act as though the nurses with a few more months of experience are so much more capable of handling triage or being in charge? like really? what is really the difference in experience between someone who has been a nurse for 2 years and one with 1 year of experience? that varies dramatically from nurse to nurse.

some of the new grads i work with are just way too know it all-ish, too aggressive, too anxious, and bossy.

y

i just think alot of experienced nurses undermine the intelligience of newer nurses, and too many new grads think they're the best thing since sliced bread, and vice versa as well!

it's not always the amount of time someone has the word nurse behind their name that determines their competency or incompetency.

it sounds as if you have issues with pretty much everyone. have you given any thought at all to the idea that you might be contributing to these negative interactions?

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