Why do some people think they are God's gift to nursing? - page 3

by squatmunkie_RN

6,108 Views | 28 Comments

Do you work with people that think they are just hot ****? People that you give/get report to/from and they ask a million condescending questions, acting like you don't know anything? I consider myself a laid back person, I try... Read More


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    Do not waste my time telling me a joke the pt said or how cute they are . I do not care . give me useful information so i can go get them assessed and meds given before there is another fire to put out. some get defensive if like kelrn215 said , you ask a question and it was an error etc. I do not care. if i have a question i will ask and probably stilk page the on call md. like ngt not to suction but not addressed in report. still have it ordered. for the insecure, defensive types , i always word it like this , " so the ngt is ordered to low continous suction, i know some drs just clamp it on their own, do you know if they came up to do that, because it is clamped,? sometimes that does happen , the drs round, change things but do not change the order. other timea the nurse never hooked them back up after giving meds and hrs have passed or pt refusing suction or something like that. i go in early. look at labs. read as much of the chart as i can and ask questions of stuff i dont see charted. if anything, rarely is report enough. many pts are admitted for a long time and their hospital course hx is severely lacking. if something happens, and it does, neither you or the night float resident got a good sign out, pt can be comprimised and you will look like an"stupid nurse". i give report and state what brought pt in, what has happened to date and any complicTions. even if that means report is 1 min longer. pt was intubated 1 month ago and now on ra. etc if someone says, " i dont care, just tell me this or that ". guess what? I do not care and am not offended at all. if they dont think they need that information well okay ..... i try not to take anything personally
    PrincessO likes this.
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    Quote from squatmunkie_RN
    Do you work with people that think they are just hot ****? People that you give/get report to/from and they ask a million condescending questions, acting like you don't know anything? I consider myself a laid back person, I try to stay quiet and let the person give report before I stop and ask a question (especially a stupid one: like you say "the pt hasn't had any pain medicine since the AM" and they ask "well what EXACT time?"---CHECK THE EMAR!)

    Or that you give report to a person who is completely clueless and you're nice and polite, and then when the rolls are reversed and they ask you a million questions trying to seem smart. I'm trying not to get specific here I think people on the job read this site. Sorry for rant, I'm just kind of ticked off.
    Aren't you doing the same thing, being patronizing by the statement you made in your second paragraph? I find that offensive. You sound just like one of the nurses that you described in your first paragraph. Anyone who has survived nursing school and passed the NCLEX is far from "stupid." I'm offended you would describe anyone in our profession that way. I do understand that some nurses need to learn how to ask appropriate questions. I for one will call the nurse giving me report on her "crap," such as, why hasn't my CABG been given pain meds for your entire shift? Why was the PTT drawn and is not therapeutic yet the heparin has not been held? Basically, what I want to know in report is similar to what another poster posted, can they take their pills, how do they ambulate, why are they here and any procedure that have been done or need to be done. Another thing that tics me off is, why hasn't a consent been signed for a procedure that is getting done soon after I come on, such as a heart cath? Personally, if my report is sufficient from the sign out report, I need nothing else from you. However, there have been times I've come in and there is no sign out report, so YES, I need some type of report. We do bedside reporting as well. It also tics me off when fluids are hanging and almost empty. I just arrived on the floor and I shouldn't have to come and clean up all the messes created overnight.

    I've worked nights, I understand that some nights are crazy, trust me I get that. When it becomes a pattern that is another problem. I also can tell when someone giving me report has had about enough and is on the verge of crying d/t such a bad night. I have often said, you go, I can read and figure stuff out for myself. Clearly, nobody can make someone else feel inferior. I love being a nurse, we nurses need to stick together, not berate each other. If you aren't part of the solution you are part of the problem. I don't mean to sound mean, that is not what my post is about, just makes me angry when we nurses berate each other.
    PureLifeRN and anotherone like this.
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    Did you not know that they are? God's gift! lol
    Its the ego thing, and they have never been told NO! REmember in this day and age, the media tells you, everything is fine & wonderful and if you concentrate you can become God's gift, and your dreams will come true, until you get out into the real world.
    The reality is...NOT!

    I work with all kinds, and when the right ones work together..the patients know it, sense it, and we mean business. They love it.
    anotherone likes this.
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    Quote from squatmunkie_RN
    Do you work with people that think they are just hot ****? People that you give/get report to/from and they ask a million condescending questions, acting like you don't know anything? I consider myself a laid back person, I try to stay quiet and let the person give report before I stop and ask a question (especially a stupid one: like you say "the pt hasn't had any pain medicine since the AM" and they ask "well what EXACT time?"---CHECK THE EMAR!)

    Or that you give report to a person who is completely clueless and you're nice and polite, and then when the rolls are reversed and they ask you a million questions trying to seem smart. I'm trying not to get specific here I think people on the job read this site. Sorry for rant, I'm just kind of ticked off.
    Omg I totally Understand. I am an agency nurse at a nursing home. I am on a different floor everytime I work. I get so annoyed when the on-coming nurse asks me a million questions about residents that I obviously don't know the answer to. I mean Come on, How am I supposed to know if their skin is intact if i'm working night shift and they are sleeping? If you need to know all of these specific questions, can't you take a look in the chart. Or do I have to do that for you too. I'm Just Sayin!!! ; )
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    Personally, all I care about in report are those things that are either urgent or safety related...

    Do they ambulate/transfer OK?
    Are they likely to take a swing at me?
    Problems taking PO meds?
    Anything I need to do for them in the next 60-90 minutes? Labs, meds, FSBG?
    Anything that the doc is likely to ask me in the next 60-90 minutes?
    Any concern that the IV isn't OK?
    VS trending badly?

    Otherwise, I probably won't remember the details anyway and can just look in the EMR.

    When I'm giving report, please don't ask me why the doc has ordered what they have - I often don't know the specifics because I often haven't had much interaction with the doc. If you really want to know, ask the doc yourself.

    Don't ask me to recite lab values to you... it's more reliable for you to look them up, anyway... unless they're something that needs to be reported to the doc, in which case I'll tell you that I did.

    I only want the highlights, and that's all I'm going to offer... and I'm fine saying, "I don't know" and thinking "I don't really care" to a great many questions that, IMO, aren't germane to the moment.
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    I work in the ED and I think our report may differ from that on the floors. We give report on why the patient came in, what we did for them and how they are doing at the time of transfer. My biggest peeve is when I'm asked questions that would be more pertinent to floor care than care in the ED. When a person comes in in respiratory distress, my priority is not the bed sore on their coccyx or when the had their last BM. Also, don't be condescending to me when the patient gets to floor and you see that they did not have their routine colace in the ED. We give emergency meds and we have a different order sheet from that which you use. I will give stat meds, hang an IV, clean the patient up if needs be and then transfer him/her. I will not give routine meds. I probably will not know how well the patient ambulates if they came by stretcher and came in altered. I will not know when they had their last BM unless the had it while I was there. So please, don't ask.
    anotherone likes this.
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    Quote from Pudnluv
    Also, don't be condescending to me when the patient gets to floor and you see that they did not have their routine colace in the ED.


    LOL. You SOB, LOL, you DIDN'T give the colace! You suck!

    JK
    nrsang97 likes this.
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    I've had "bosses" above me ask ridiculous questions or make comments like they know it all and it fried me because I knew they had no idea what they were talking about but they did it to make themselves look important. When I pointed out mistakes or was able to show, on paper, that they were wrong, guess who was out of a job?? I've learned to keep my mouth shut and do my own work and let the idiots hang themselves!
    jadelpn, anotherone, and cardiacrocks like this.
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    In my experience the majority of your questions will be answered if you just listen to my report without asking one hundred questions while I am talking. Then, if I missed something you would like to know, please feel free to ask.
    cienurse, anotherone, and samadams8 like this.


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