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!

Specializes in Oncology.

It seems like once a nurse goes into management they become almost completely out of touch with the true reality of "real nursing". So often, it seems, they are only concerned with things that have very little to do with actual "hands on" patient care such as Press Ganey scores. It gets even worst at times like this when there is not a nursing shortage. At our facility it seems like every day the demands by management get more and more absurd (just when we thought we've seen and heard it all) and I think there is a correlation with policy changes and more hoops to jump through and the state of lack of nursing demand right now. It's like they know t hey have us by the short hairs, so to speak, so they are taking full advantage of it right now. I think it should be required of all management that once every couple of months or so, they have to put in real time at the bedside, so that they can really experience what we're going through day in and day out. I think once they are appointed to these positions though, management doesn't even want them to empathize with us anymore.

Specializes in Rehab, LTC, Peds, Hospice.

Well, she may in fact be a 'Real Nurse' but in my opinion doesn't sound like a very 'Good Nurse'. Or for that matter a very good person. I've worked with managers I respect and those I do not. So I'll never be that black and white about such situations. I've had Nurse Managers say they absolutely can not stand bedside nursing. Can not relate to them at all. And doing a job just for money sounds empty and souless to me, (but I wouldn't say no to a raise!)

You know, this post makes me very sad. I think that there are probably family dynamics in play here that none of us are party to and don't need to comment on.

My real issue is that we all tend not to respect nurses who choose a different path. Although I spent many years at the bedside, I also have spent time in leadership roles---educator, charge nurse, manager--and now own a small business. What my experience has been is that every role in nursing requires a different skill set. I had to learn new skills as I moved from role to role---how to teach, how to budget, staffing to budget, staffing to guidelines, and the most challenging of all, how to implement all of the JCAHO standards and guidelines in a way that still promotes and protects the nurses and patients.

While I don't think that making decisions in a vacuum--excluding bedside nurses from the discussion/solution--is a good strategy, sometimes nurses in leadership have to make hard decisions to adhere to policies or budget needs that cannot be made by committee. Making these decisions can be a very isolating and unpopular place to be. However, the lack of agreement from everyone does not mean that the nurse leader is not a REAL NURSE for making an unpopular decision. Hopefully, s/he is making a sound decision utilizing the years of bedside experience in combination with the other skill sets that s/he has acquired.

Understandably, there are nurse leaders who are more successful than others in incorporating bedside skills with their new skill sets. I hope that we can all realize that no matter whether we are using our clinical skills or our leadership skills at the bedside, in the boardroom, the classroom or an office, we are all REAL NURSES. When we stand together in harmony and respect the skills of our peers, we will certainly grow as professionals.

Specializes in Rehab, LTC, Peds, Hospice.

I agree with Gigigi about working together. But I do think that it was a case of Ruby's sister using her status as a nurse to make things more difficult for the staff. Not so great a nurse - definitely a difficult family member. I believe in all walks of life, it is important to work together, regardless of our role. It is isolating to define 'Real Nurses' as only the ones at the bedside though. And not fair. We are all integral to healthcare.

I think that is great for you that you are actively practicing. But give sis a little bit of credit. Sounds like she has a lot of admin stuff to do! That in itself can be a huge challenge.

A "REAL" nurse has no problem washing 6 years of dirt off her/his diabetic patients feet and from between his swollen blue toes. A "REAL" nurse takes the time to sit and really listen as the old man with those grungy feet shows the nurse his collection of coins that he discovered with his metal detector when he could walk and enjoy the beaches he loved so much. A"REAL" nurse wears comfortable clothes so she/he can be comfortable when providing care to patients and not concerned about wrinkiling her/his finer attire. A REAL nurse cannot afford Guci or Coach. Nursing isn't about WHAT one wears, or how important they think they are...nursing is about being human and having the ability to understand human kind...

With all due respect Ryan, if it isn't about "WHAT" the nurse wears, then Gucci sounds good to me! I don't mean to be contrary or rude. I just meant that there are all types of nurses. Some deal in patient care, some deal with admin. It doesn't make them a stuck up snob just because they wear certain things. Isn't that just as much discrimination as the other way around??!! Just playing devil's advocate. I have been in both situations. Although, Gucci sucks. I like Guess better : )

Specializes in Rehab, LTC, Peds, Hospice.

Her administrative duties aren't the problem really. It's her people skills. To focus on what she does diminishs the fact that she was rude, demanding and ignorant. I've had bedside nurses I wanted to strangle as family members and administrative ones I loved. And vs vs, etc, etc. Though I have to say someone that tries to capitalize on being a nurse and then turns around and makes themselves out to be a demanding foolish sort gives all nurses a bad name. Regardless of what they do.

Most nurses can afford Gucci btw..it's what you want to spend your $ on..name brands don't make the person anyways so why make a big deal of it?

It's discouraging to hear about many that think that after you get into management, you lose touch with reality. I am working on my MSN/MBA and I plan to have an executive type role one day.

I was in the trenches and I am currently in a position where I still can communicate with residents and fight for LTC resident's rights. I've encountered many management nurses who have lost all compassion for their workers and have no idea what we go through on the floor. It sucks that they give management a bad reputation.

I left the bedside for many reasons, one I couldn't say I liked my job anymore...I may go back to bedside nursing but it would be in a different facility. I don't think a degree defines how good of a nurse you are. The nurse's ultimate role is to take care of a human life and be the advocate for the patient.

Specializes in pedi, pedi psych,dd, school ,home health.

As a current nurse manager, I can easily see why some would think that I no longer "work in the trenches". But in my speciality, I still do and love it. I try not to tell my family's caregivers that I am a nurse, since I am so specialized. Funny, though , it always comes thru..like when my pre eclamptic dd was in labor with mag etc, the nurse in charge looked at me and said "youre staying i need another nurse in here! ". Had never told her I was a nurse... and when i said so, and that this was not my specialty . she said i knew the minute you started talking to your daughter! Soo...my real point is that a good manager never forgets where he/she came from!!

Specializes in ICU.

Let's by all means trash the nurse who probably worked her rear end off, got a good education, and made her way to "the ivory tower." Sorry, but until I hear the Ivory tower's nurses side of the story, I'm not quite sold.

Specializes in Nephrology, Cardiology, ER, ICU.

Good story Ruby. I think we all know what you mean. I too am sorry about your Father's passing.

I think we all know what a Real Nurse is and does. Its who we want taking care of our loved ones and us.