Stupid Intern Tricks

Specialties Cardiac

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in honor of july 1, and the new group of fresh-from-medical-school doctors, i was wondering what is the dumbest thing you've ever seen an intern do? after 26 batches of new interns, i've seen quite a few really dumb moves, as i'm sure some of you have, too!

for instance, there were the two brand new interns who took the patient off for a ct in the middle of the night. the transporters were busy, and i was the only rn on the unit. the ct must have been absolutely fascinating -- when the three of them came back, patient on the guerney, the interns were in the midst of a spirited discussion of the results and potential implications of the ct. they were so busy discussing how to treat the ct that they failed to notice that the patient was no longer breathing! :uhoh3: the resulting code did manage to impart upon them the necessity of monitoring the basics!

another time, a brand new intern was doing what must have been one of his first few full assessments on a female patient. he came flying out of the room, waving the bedpan over his head and shouting "she's gotta pee! she's gotta pee!" as i was quite busy, i just snapped "so give her the bedpan." "where is it?" was the incredible response. "it's in your left hand," i pointed out helpfully. "oh," he said. "where does it go?" :rotfl:

i can top those stories, but i'd rather hear yours!

Ummmm well... I'm a new grad going to ICU but I certainly wouldn't make any of the previously cited errors.

Oh no, my point was that all new nurses have preceptors. But you will see these new and very inexpirenced interns are, most of the time, completely without supervision for most of their shift. From what I've seen, the attending is only with them during the am rounds and if they have a question or during a proceedure. When a nurse is new, their "attending" nurse is only a second away if they are needed. I was just noting how scary it can be to have such inexpirenced staff able to make such crazy choices (like pulling a central line) without supervision. Of course every ICU nurse I have met is extremely qualified and would always question an order that did not seem right.

Ummmm well... I'm a new grad going to ICU but I certainly wouldn't make any of the previously cited errors.

Oh no, my point was that all new nurses have preceptors. But you will see these new and very inexpirenced interns are, most of the time, completely without supervision for most of their shift. From what I've seen, the attending is only with them during the am rounds and if they have a question or during a proceedure. When a nurse is new, their "attending" nurse is only a second away if they are needed. I was just noting how scary it can be to have such inexpirenced staff able to make such crazy choices (like pulling a central line) without supervision. Of course every ICU nurse I have met is extremely qualified and would always question an order that did not seem right.

Specializes in Critical Care, ER.
Oh no, my point was that all new nurses have preceptors. But you will see these new and very inexpirenced interns are, most of the time, completely without supervision for most of their shift. From what I've seen, the attending is only with them during the am rounds and if they have a question or during a proceedure. When a nurse is new, their "attending" nurse is only a second away if they are needed. I was just noting how scary it can be to have such inexpirenced staff able to make such crazy choices (like pulling a central line) without supervision. Of course every ICU nurse I have met is extremely qualified and would always question an order that did not seem right.

That is really scary, isn't it? I mean why exactly are they given all that autonomy? I remember when all the ER docs (attendings) were going on and on in my preceptorship ER about how they hated new grad nurses in the ER because it slowed the ER, etc. I just kept thinking of all the crappy medicine I had seen in my time there perpetrated by the residents... I didn't hear the attendings whining about them... :angryfire How many times did I, a student nurse, have to remind tired residents to write for K runs for their 2.6 hypokalemic pt? Or how many botched central line placements in the name of "education"? INtubated stomachs... My preceptor really hated interns but then again all the nurses in that ER hated new grad nurses too... it was all about the love over there, y'all.

Specializes in Critical Care, ER.
Oh no, my point was that all new nurses have preceptors. But you will see these new and very inexpirenced interns are, most of the time, completely without supervision for most of their shift. From what I've seen, the attending is only with them during the am rounds and if they have a question or during a proceedure. When a nurse is new, their "attending" nurse is only a second away if they are needed. I was just noting how scary it can be to have such inexpirenced staff able to make such crazy choices (like pulling a central line) without supervision. Of course every ICU nurse I have met is extremely qualified and would always question an order that did not seem right.

That is really scary, isn't it? I mean why exactly are they given all that autonomy? I remember when all the ER docs (attendings) were going on and on in my preceptorship ER about how they hated new grad nurses in the ER because it slowed the ER, etc. I just kept thinking of all the crappy medicine I had seen in my time there perpetrated by the residents... I didn't hear the attendings whining about them... :angryfire How many times did I, a student nurse, have to remind tired residents to write for K runs for their 2.6 hypokalemic pt? Or how many botched central line placements in the name of "education"? INtubated stomachs... My preceptor really hated interns but then again all the nurses in that ER hated new grad nurses too... it was all about the love over there, y'all.

Specializes in CCU, SICU, CVSICU, Precepting & Teaching.

I actually like interns -- they're so fresh and excited about everything. And, having chosen to work only in teaching hospitals for the past 26 years, I know it's part of my job to help teach them THEIR job. I have faith out that somewhere out there, a nurse in a private hospital or private practice is benefiting from the fact that I helped to teach so many interns that the most important skill they have is listening -- to the experienced ICU or ER nurse, to the LTC nurse who tells them that they really DO need to come see this patient today, to the patients, to the consulting physician. It's just that July can be so WEARING!

Specializes in CCU, SICU, CVSICU, Precepting & Teaching.

I actually like interns -- they're so fresh and excited about everything. And, having chosen to work only in teaching hospitals for the past 26 years, I know it's part of my job to help teach them THEIR job. I have faith out that somewhere out there, a nurse in a private hospital or private practice is benefiting from the fact that I helped to teach so many interns that the most important skill they have is listening -- to the experienced ICU or ER nurse, to the LTC nurse who tells them that they really DO need to come see this patient today, to the patients, to the consulting physician. It's just that July can be so WEARING!

Specializes in Critical Care, ER.
I actually like interns -- they're so fresh and excited about everything. And, having chosen to work only in teaching hospitals for the past 26 years, I know it's part of my job to help teach them THEIR job. I have faith out that somewhere out there, a nurse in a private hospital or private practice is benefiting from the fact that I helped to teach so many interns that the most important skill they have is listening -- to the experienced ICU or ER nurse, to the LTC nurse who tells them that they really DO need to come see this patient today, to the patients, to the consulting physician. It's just that July can be so WEARING!

My husband (experienced ER nurse) tells me he is always telling the interns what meds to give the pts... they now come to him and ask him what to order :rotfl: The same pt then gives the intern all this respect and authority and doesn't really listen to my d/h.... :stone It would be nice if you (Ruby Vee) could get some real palpable reward for your contributions, though!

Specializes in Critical Care, ER.
I actually like interns -- they're so fresh and excited about everything. And, having chosen to work only in teaching hospitals for the past 26 years, I know it's part of my job to help teach them THEIR job. I have faith out that somewhere out there, a nurse in a private hospital or private practice is benefiting from the fact that I helped to teach so many interns that the most important skill they have is listening -- to the experienced ICU or ER nurse, to the LTC nurse who tells them that they really DO need to come see this patient today, to the patients, to the consulting physician. It's just that July can be so WEARING!

My husband (experienced ER nurse) tells me he is always telling the interns what meds to give the pts... they now come to him and ask him what to order :rotfl: The same pt then gives the intern all this respect and authority and doesn't really listen to my d/h.... :stone It would be nice if you (Ruby Vee) could get some real palpable reward for your contributions, though!

An intern is a first year medical resident, right?

An intern is a first year medical resident, right?

Specializes in CCU, SICU, CVSICU, Precepting & Teaching.
My husband (experienced ER nurse) tells me he is always telling the interns what meds to give the pts... they now come to him and ask him what to order :rotfl: The same pt then gives the intern all this respect and authority and doesn't really listen to my d/h.... :stone It would be nice if you (Ruby Vee) could get some real palpable reward for your contributions, though!

My ex-husband was a nurse -- only not a very smart one. The patients used to mistake him for a doctor, and he'd just go along with it. He'd get lots of respect from people (patients, physicians, supervisors) until they got to know him . . .

I get the respect I deserve from the people I respect, and that's worth a lot more than "respect" from folks who DON'T know me. But thank you, bluesky, for your thoughts. It's really nice of you! :)

Specializes in CCU, SICU, CVSICU, Precepting & Teaching.
My husband (experienced ER nurse) tells me he is always telling the interns what meds to give the pts... they now come to him and ask him what to order :rotfl: The same pt then gives the intern all this respect and authority and doesn't really listen to my d/h.... :stone It would be nice if you (Ruby Vee) could get some real palpable reward for your contributions, though!

My ex-husband was a nurse -- only not a very smart one. The patients used to mistake him for a doctor, and he'd just go along with it. He'd get lots of respect from people (patients, physicians, supervisors) until they got to know him . . .

I get the respect I deserve from the people I respect, and that's worth a lot more than "respect" from folks who DON'T know me. But thank you, bluesky, for your thoughts. It's really nice of you! :)

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