I wish I'd have known....B4 nursing school - page 2
What is the one thing that you know NOW, but you wish you would have known BEFORE you started nursing school?:uhoh21:... Read More
May 4, '04Specialty: 12 year(s) of experience in rodeo nursing (neuro) ; From: US ; Joined: Apr '04; Posts: 2,618; Likes: 2,838Quote from ARmickieI had no idea how hard it would be--but I'm sort of glad I didn't, because I might have thought better of it. Pharm final Friday and 1st year is in the bag!:hatparty:What is the one thing that you know NOW, but you wish you would have known BEFORE you started nursing school?:uhoh21:
May 4, '04Occupation: RN Specialty: 15 year(s) of experience ; Joined: Oct '02; Posts: 4,763; Likes: 843Quote from moiaGreat post, moia.I wish I had known that I would be really good at nursing, I would have really let a few clinical instructors have it.
I wish I had known how really sad you can feel when you get to the end of treatment and realize there is nothing left and the patient is going to die and nothing you do will change that fact.
I wish I had known that doctors are just goofy people like us , I would have been more proactive instead of being intimidated and letting my patients down when they needed me to be their advocate.
There is so much I wish I had been taught...a course on how to survive a crisis instead of sociology, a course on dealing with death and how to ask for a DNR , or how to tell a family their loved one is dead or horribly injured....why was none of this covered? We got weeks of patho and anatomy but nobody bothered to have a class about real issues that we face every day...how about a class that roleplays the patient that won't get off the call bell, the family that makes everyone crazy...I wish I had been given real skills for that instead of learning by trial and error.
May 4, '04Joined: Apr '04; Posts: 30I wish I had known the immense challanges that lie ahead of me. There are soo many issues that have not been kinked out. It is a great profession if you are looking to be a leader.
And, I do not appreciate the comments that sarcastically say "welcome to the wonderful world of nursing."
May 4, '04Joined: Mar '04; Posts: 45; Likes: 14If dietary screws up a pt's dinner, blame the nurse.
If the pharmacy is late with med delivery, blame the nurse.
If a physician is late and the family wants to speak with him/her, blame the nurse.
If Xray is taking forever, blame the nurse.
If transport is taking forever, blame the nurse.
Can't get that private room with a view? Blame the nurse.
Bad weather? Blame the nurse.
Crappy golf game? Blame the nurse.
Also, I didn't go to nursing school to teach manners.Last edit by aurora_borealis on May 4, '04 : Reason: hit the wrong button
May 4, '04Occupation: ER RN Specialty: ER,ICU,L&D,OR,ETC ; Joined: May '01; Posts: 5,588; Likes: 566Quote from Hellllllo NurseStop saying that already, Tom!
I think it has beautifull sentiment
May 6, '04Joined: Feb '04; Posts: 574; Likes: 74Quote from ARmickieThat I should have worked harder during my pre-reqs & applied for med school instead! Honestly, I would rather solve medical problems and write orders than carry out most of these freaken' orders. Sometimes I feel like a waitress or technician...What is the one thing that you know NOW, but you wish you would have known BEFORE you started nursing school?:uhoh21:
May 6, '04Occupation: Class of 2008 !!! Joined: Sep '03; Posts: 2,978; Likes: 78I freaking KNOW I"M scared!!! Thanks guys.
May 18, '04Occupation: Registered Nurse/orthopedics and neurology and medsurg Joined: Feb '04; Posts: 333; Likes: 7I wish I had spent more time working as a nursing tech. It's the little things like turning, bed pans, and getting the diaper on the patients that took alot of my time. LOL. I had the technical stuff down pat.
May 18, '04Occupation: RN in L&D Joined: Nov '01; Posts: 720; Likes: 185Hmm.. well I guess I wish I would have known how much of a struggle I would have with other nurses. I don't think it would have changed my decision to be a nurse but I might have handled it better had I understood what i was getting myself into.
May 18, '04Specialty: 33 year(s) of experience in M/S, OB, Pedi, HH, util review ; From: US ; Joined: Apr '04; Posts: 28; Likes: 26I wish I'd known that I wouldn't know it all fresh out of nursing school. I mean, I thought I would be prepared to be a nurse. When I got out and faced reality, I felt inadequate; like I'd missed several courses that I should have taken and it was very scarey! Without much self-esteem at the time, I thought that my lack of knowledge was a personal thing, not just normal for a new nurse. Nursing is an art and a science; but they only teach the science in school. I knew nursing, but not how to be a nurse. I'm gald that horrible time is well behind me (been practicing for 27 years now).
May 18, '04Joined: May '04; Posts: 1What I wish I would have known is that people around you in your class need to grow up and act like mature, rationale, and responsible adults not children. That some teachers really don't know poop while others are a world of information. How to not be embarassed at knowing the answer but completely second guessing yourself because you can't believe you really know that.... :imbar . I wish I had know that some of the nurses you deal with out there when you're a student are not nice AT ALL & out right nasty to you! [Let me take the time now to so thanks to all those who are awesome and shame on you to those who are horrible with students! Yes, I am a new nurse & still learning :uhoh21: .] I agree with the previous post... social life.. What's that? I wish I had know how passionate I would feel about nursing and how much compassion you can feel for someone when you see and feel their pain when helping them... What can I say other than I wish I had done it straight from High School! Silly Me!
May 19, '04Occupation: G.I. Lab at this time Joined: Mar '04; Posts: 28; Likes: 5Quote from RN77Hi, 77.I wish I'd known that I wouldn't know it all fresh out of nursing school. I mean, I thought I would be prepared to be a nurse. When I got out and faced reality, I felt inadequate; like I'd missed several courses that I should have taken and it was very scarey! Without much self-esteem at the time, I thought that my lack of knowledge was a personal thing, not just normal for a new nurse. Nursing is an art and a science; but they only teach the science in school. I knew nursing, but not how to be a nurse. I'm gald that horrible time is well behind me (been practicing for 27 years now).
I was indoctrinated into the art and science song and dance in nursing school. It didn't take me a long time to get hip on that bill of goods.
I've stated this before, but here it is again...Nursing has no scientific knowledge base to stand on. We use 6th grade level math most of the time, (MDs study calculus and then forget it) and may do only the M.D.'s good pleasure, or tasks that the medical profession has deemed that we can do so that they don't have to bother with it. And lest one brings up psychology, we can certainly make a psychologist ring a bell every time a dog salivates, but it is not science. It is philosophy, just as sure as psychiatry is. Psychiatry does not treat infective process or a somatic lesion, although that has been the definition of illness since Virchow defined it in 1858. The DMS invents, includes, exclues or modifies what is mental illness or is not based on politics, social changes, political correctness, on and on, at that time. I haven't recently seen any change in the definition of diabetes as a disturbance in metabolism of sugar. Nor of polio being caused by something other than that virus. Our 'scientific base' is the regurgitation of information which is tainted with the attitudes and beliefs of the transmitter. Ironically, I have heard only one M.D. refer to himself as a "technician", which is probably true of nearly all but the non-academic Physician.
Art? Art is self expression. It is hopefully fresh, original, and makes an impact on the listener, viewer, or taster. Aesthetics does not have to be beautiful, but it must convey or provoke an emotional response. It is not an ordered set of algorythms, or successfully following a set of orders, otherwise we'd all be artists. If cleaning poop is art, then call me Pablo Picasso. (During his 'Brown Period')
In short, we are 'the caring profession'. In other words, subordinates to some, helpers and friends to others. Caring; true caring comes from the heart, the circumstances, and our attitudes. It is metaphysical, and we are metaphysicians at best. Ergo we are philosophers (unless we regard it as assembly line job), and philosophy is only opinion. And even that's subject to change with the times. A philosophy teacher informed me that it has "been decided" that metaphysics is no longer a valid branch of philosophy".
Sorry, have to reject the art and science sacred cow.
"A first rate soup is better than a second rate painting"--MaslowLast edit by watersnake on May 19, '04
May 19, '04Joined: May '02; Posts: 4,581; Likes: 4,883I wish I had known that most patients are friendly and appreciative, and that experienced nurses talk about the other, hideous ones because we take the lovely ones a little for granted
I wish I had known that it's the hideous ones that come back... again and again and again
I wish I had known that there are some patients who're amazingly sick that you just can't kill 'em with a stick - one that we finally sent to rehab post BKA (with VRE) after four months on the ward re-presented last week with renal failure, hepatic failure, sepsis and a troponin of 99.7 and is now fine
I wish I had known that the measure of a great shift is making a positive difference in someone's life - even if the rest of the day went down the toilet
I wish I had known to trust my judgement about a patient going bad, and not listen to the resident (or reg) telling me they look fine to him
I wish I had known that nurse managers come and go, DON's come and go, and all you have to do is grit your teeth and wait them out
I wish I had known that everything that comes into vogue as the big new thing will fade away
I wish I had known that the paperwork will drown you if you don't eat away at it a bit at a time
I wish I had known that if you get the patient +/or family on side at the head of the shift everything will go more smoothly for the rest of the day
I wish I had known that it's always when you think something's more important than tidying up the bedside that patients crash
I wish I had known that, when needed, the authority I have as a nurse can be wielded like a club, a sword or a paint brush - try messing with one of my patients and you'll know about it, whoever you are!
Finally, I wish I had known it was the best decision I have ever made - would have staved off those 3AM what-am-I-doing? freakouts when I was a student