A REAL Nurse

This article was inspired by the thread asking "Do you Tell That You're A Nurse When You Go To The Doctor Or ER?" Nurses Announcements Archive Article

When dad was ill, my sister went to the hospital and told everyone that she was a nurse and she'd be watching them. She is a nurse -- sort of. She's a "Gucci nurse". She comes to work in her Gucci suit and her Prada heels carrying her designer handbag and her coach briefcase and sits in her corner office with the gorgeous view making policy for a chain of hospitals. She hasn't been near a patient in over 25 years (except for that time where her "fire most of the RNs and hire non-licensed personnel instead" policy caused the remaining RNs to strike . . . (she arrived to visit dad wearing $100 blue jeans, a cashmere sweater and carrying the designer handbag and coach briefcase. I'm sure that her hair and make-up were perfectly done as well. She didn't like dad's room and insisted he be moved closer to the nurse's station, and then wanted a cot installed for my mother to sleep on and the food on the trays wasn't appetizing enough and . . . . Nothing, it seemed, was good enough. She was ever so polite, I'm sure, while making it excruciatingly obvious that no one was quite as good as she, either.

I arrived a day later in rumpled jeans and sweater and bleary eyes from an overnight flight. I got to the ICU about 6 am and, having heard from my sister about the 24/7 visiting hours, went directly to the nurse's station to ask if it was a good time to visit my father, Mr. Farmer. "who is your father?" asked the nurse rather strangely. "Mr. Farmer," I said. "my sister said he was in CCU."

"Oh," she said. "I'll get your father's nurse."

And so the nurse came hesitantly out of dad's room, peering around the corner obviously looking for my always impeccably dressed and groomed sibling and seeing only rumpled, overweight and dowdy me. "Did your sister fill you in on your dad's condition?", he asked. "she says she's a nurse."

I laughed and said, as I always do when asked about what my sister does for a living, "She's a Gucci nurse." This guy didn't seem to require the explanation about the Gucci suit, designer accessories and corner office with a view.

Dad's nurse began using layman's terms and a gingerly manner, to fill me in on dad's MI. Turns out it was the "big one." I asked questions, he provided answers and before either of us quite realized how it happened, he was giving me a nurse-to-nurse report using the big words and everything. For the first time since my mother's frantic phone call that dad had chest pain and she was driving him to the hospital, I had a clear idea what was going on. I sat with dad until physician rounds started and then, out of courtesy, I got up and started gathering my things to leave. My ICU didn't encourage family to stay for teaching rounds, and I wasn't going to expect "professional courtesy."

Dad's nurse surprised me by telling me I should stay for rounds. And then he introduced me to dad's doctor. "this is Mr. Farmer's other daughter, Ruby," he said to the group. "this one's a real nurse."

I never got invited to participate in rounds again -- I was never there at the inhospitable hour of 6am again. But dad's doctors made a point of seeking me out for the "family updates" and more than once, when my sister was highly visible on the unit, called me to their offices for a private conversation. It was probably far easier to talk to me, a CCU nurse who actually understood what they were saying than to either my mother -- who was probably already sliding into dementia -- or my sister the Gucci nurse. I've often regarded that introduction -- as "a real nurse" -- one of the nicest compliments I've ever received!

I am not insulted by this post and I enjoyed the article. I am a nurse educator and I have an MSN and several certifications. I do not make enough $ to be Gucci or have a great sense of style, unless it involves sweats. I find it isn't the clothes or the position that make the Gucci nurse, it is a loss of empathy and IMHO being out of touch with who we should be. Over the years, I have come to the realization that no matter what I do or what degree I have, the most important business of nursing is conducted at the bedside. Those of us not at the bedside full-time have a role. We are there as stage hands, to facilitate excellent patient care, though indirectly. We do NOT occupy the roles we have because we are more important than the bedside nursing staff. To me as leaders and educators, we are there to provide the infra-structure. To provide an effective infra-structure and make informed decisions, we should be aware of what is going on, the good and the bad. From my experience, when they fear you in person, they mock you in private and take little of what you say to heart. I always introduce myself to folks as a nurse because that is what is most important about me professionally. The other stuff means I have some additional credentials and/ or knowledge about certain things. It is sad to think that some in nursing went from a position of total subservience to our physician colleagues to being "arrogant" to those we should be there to support. (PS I would probably show up visiting with sweats from JCPenney or Sears)

I am sorry to hear about your dad. I have a relative that is a Gucci nurse. As soon as she got her RN, she went for her masters so she would never have to touch patients.

I think the writer was just trying to tell a story about her experience and a compliment that someone gave her

Specializes in Cardiology, Research, Family Practice.
ivory tower or in the trenches...we all eat, sleep and poop pretty much the same. can be frustrating when people with power think that they are better than those without - whether it is a nurse or not. in pretty much any situation, you need all players on the team to make it work

you are so right, on all three counts. it can also be frustrating, though, when people who work in the trenches, so to speak, discredit those who have chosen a different path. sometimes, we trench workers project feelings or attitudes on to non-clinical type nurses they may not feel or display at all.

sometimes we see people in nice clothes and think they were born with silver spoons in their mouths. a quiet person is perceived as a snob.

maybe the op's sister really is a twit. we don't know for sure b/c there weren't really any examples given of unreasonable behavior. there was this:

"she was ever so polite, i’m sure, while making it excrutiaitingly obvious that no one was quite as good as she, either."

...a presumption of what the op is "sure" happened but didn't actually witness, and this:

"i laughed and said, as i always do when asked about what my sister does for a living, "she's a gucci nurse."

...an example of the op's condescension.

regardless, even if the sister is as awful as the op insinuates, it has nothing to do with her career field, her style of dress, or the fact that she wanted a comfortable place for her mother to sleep.

Specializes in psych, general, emerg, mash.

how sensitive nurses have become these days! bullying will always be around, lateral violence? speak plain english.

ego's will always be abound in nursing! some doctors will bastards to deal with (their ego), some dr are great.

we have a lot of indian dr here, they should leave their attitude toward females nurses back home.

Specializes in Geriatrics/Orthopedics/CDU/LTC/SNF.
I think the writer was just trying to tell a story about her experience and a compliment that someone gave her

Love this comment! ;)

It feels so good to have a well-deserved compliment. Thank you Ruby for sharing--I enjoyed your story. It brought a happy emotion in me. I recently had an active dying hospice pt in my care, keeping him as comfortable as possible. His room was full of family members grateful for the care he was getting. Then a new face entered the room, I never saw her before. She asked not long after she entered the room, "Doesn't he have something more for pain!?!" After her comment I told her "he recently had meds; as well, my assessment of him he is comfortable with no indications of pain or discomfort." She responded, "Well, I'm an oncology nurse and see this probably more than you, I feel he needs more meds."

It was handled in a professional way later outside of the room--respectfully.

Just another example; it's always a good idea to try to separate your roll in health-care from the roll of a pt family member. It's not a healthy situation if you are unable to separate these two rolls.

Thanks again for sharing your story.

Specializes in ICU.

I hope your dad is doing well. I totally understand the gucci nurse. Her heart is in the right place, but oh so far away from reality. Its not news that hospitals have policies, and rules. The bed side nurse usually does not make the bed assignment, or choose the food, or decide what time housekeeping will be around. We all would love a perfect day. Gucci nurses, on the other hand, only see what administration wants. UGH!! how far from reality is that. Personally I am so sick and tired of having the insane run the insane asylum. Our CEO just got a 200k bonus, and a 3 percent raise. Ticked everyone off, he got that money because the hospital staff improved the patient satisfaction scores. But there was no mention of how well the staff did. No bonuses for the staff, minimal raises, which once upon a time we were promised would be every January. Yep 5000 people all getting their raises at the same time. Now we are lucky if we get out raises in April or May. But I digress...I will take a real nurse anyday over a policy making, research reading, out of touch with the staff in the trenches nurse.

What bothers me the most is those one the bottom tske all the risk and those higher up receive all the prestige I get downright angry with the unrealistic expectations of management how can one person take care of their pts according to the bd of nrsg. To at the top say get it done but do not provide enough staff to get it done can I get some more help done here please ill take more help any day of the risk if you speak up and out you are a trouble maker now that bites and I find myself having to bite my tongue to keep from being unprofessional and the unrealistic expectations of family members as well I am only one person doing my very best

Specializes in psych, general, emerg, mash.

most people in management are at their level of incompetence..aka Peter Principle.

To show their awkwardness, have an executive or manager work your level, they cant do it.