Seasoned Nurses VS Newbie Nurses - page 2

As I've stated in multiple other posts, I am a new grad in the ER. As a new grad, I do not possess the EXPERIENCE that a seasoned nurse has; however, I have noticed that many seasoned nurses are not... Read More

  1. by   TriciaJ
    Quote from Jules81
    How do you know which shortcuts/deviations from the classroom setting are okay and which shortcuts are bad practice?
    That's where your preceptor comes in. S/he's the person who's been doing it all these years. Sometimes the school way actually is new and improved. And sometimes it isn't.

    When I was a student, my instructors would often point out that it was our job as new grads to show the old guard how it's done. Some of my classmates actually fell for this. My motto was "Watch and learn." If you really know a better way to do something, zip it until you have been there long enough to have earned a bit of credibility.
  2. by   Alexx_xox
    Quote from BrandonLPN
    Well, thank goodness you're there to show all the experienced nurses what they're doing wrong.
    Im pretty sure I never once stated that I was here to show the experienced nurses how it was done, I would never tell a nurse how to care for their patient unless it was something very dangerous that I witnessed them doing. I was just curious on others inputs, I never asked for advice on how to bring it up to the nurse, that was never my plan. I just wanted to see other peoples advice on the situation. You need to relax a bit.
  3. by   Alexx_xox
    Quote from JKL33
    I think such a charge merits at least one complete example...

    (...said knowing full well that the better thing to do would be to ignore...)
    Excuse me, what?
  4. by   Alexx_xox
    Quote from brownbook
    As long as there are no egregious breeches of protocol or nursing practice let it go.

    You could ask 10 of the top bedside nurses how or why to do such and such and get 20 answers.

    There are very few times where there is only one right way to do something.
    Thanks for your advice, I never had plans on actually bringing any of the situations up to any of the nurses, I am just curious about others advice on here.
  5. by   Alexx_xox
    Quote from TruvyNurse
    You won't be very well liked with that mindset. So what if seasoned nurses don't do things like you learned in school? School isn't real life sweetie. Instead of trying to point out how "out of date" they are, learn something from them! Good luck
    To enlighten you a little, I am often very well liked by my peers. I am super respectful, honest and go out of my way for others. I didn't say I had plans on "pointing out" how out of date a nurse may be, that was never my plan. I asked for ADVICE regarding the differences in generations and the care thats provided. I also stated in the post that I absolutely love learning from seasoned nurses and that their experience and knowledge is invaluable. Read the post next time before you come up with a snarky comment, thanks.
  6. by   Alexx_xox
    Quote from Megfew32
    Wow.... A lot haters up in here I think you make a very good point. I think everyone needs to be open to change as the nursing career is a constant education where medicine and science are always changing. Same will happen to us as we get to be "seasoned nurses". Everyone needs to relax.
    Agreed, and on top of that I never said I had plans on mentioning what I see to these nurses, I was just curious as to how others approached these situations and whether they took on the skill set that they're taught or whether they do what was taught to them or what they felt was best for their patients. Never once did I say anything negative about seasoned nurses. Bless their hearts, they're AMAZING, but as everyone knows, seasoned nurses and newer nurses practice differently. Im just curious on advice, that is all.
  7. by   Alexx_xox
    Quote from Jules81
    Wow this post took a hateful turn quick. At no point did she say she pointed it out to a seasoned nurse she was wrong, nor did she say she thought she should tell her. She said it was observed that she wasn't following the new protocol. What I took from Alex is that she wants to do a good job. When you're a new grad you're scared to do things different from what you're taught but seasoned nurses have shortcuts that aren't what is taught in school. Are they wrong? Most of the time absolutely not. They're efficient and come after a period of time of learning what's okay. So as someone who is still in school I have the same question. How do you know which shortcuts/deviations from the classroom setting are okay and which shortcuts are bad practice?
    I agree, people are so quick to reply with snarky comments when they're hiding behind a screen.
  8. by   Alexx_xox
    Quote from mrsboots87
    School teaches what it should be like in a perfect world. What you are meant to take from your education is how to be a safe beginner nurse. When you get to the real world, a lot of either shortcuts or quicker ways to do things are learned because demand on nurses time is high. The bridge between seasoned nurses actions and current practice is in that a seasoned nurse knows the basic safety requirements and what absolutely must be done in any given situation and can keep good practice while taking out unnucessary steps or extra interventions to reach the same goal. Soak up what you can from your preceptor and apply your current knowledge to do the same thing.

    Thank you so much for taking time out of your day to actually answer my question and not coming up with a snarky response. I appreciate your response. I love how seasoned nurses know how to get stuff done and possess great time management skills. I have no doubt that they're able to differentiate between what NEEDS to be done and what steps can be taken out to get the job done. Thanks again.
  9. by   Megfew32
    Pretty sure she is aware of that... Just a guess though
  10. by   Megfew32
    Hahaha I thought the same
  11. by   JKL33
    Quote from Alexx_xox
    Excuse me, what?
    Examples.

    Give us a few and we can give much better advice.
  12. by   nursel56
    Hi Alexx-- my thoughts are that there's nothing wrong with observing other nurses and making mental notes about what we see. I've done that since I was a nursing student.

    What I've learned is that it all comes down to the individual, and I try not to "pigeonhole" anybody based on a descriptor. It doesn't matter how long someone has been a nurse.

    If you observe something that's an obvious risk to patient safety, you're obligated to report it, but other than than that, you should be fine.
  13. by   brandy1017
    As to ACLS you'll find frequent changes in protocol with each new 2 year recert. They are constantly looking to find better ways to bring someone back from the dead so expect change.

    As to doing things different than school, in real life you are juggling multiple patients and in the ER there may be no limit, depending on how many peeps rush into ER and how many patients they are holding down there waiting for a bed in ICU or the floor so perfect charting takes a back seat to keeping patients safe and alive! You'll find older nurses chart less, the young ones usually over chart because that is what they are taught and they are worried about making a mistake or being sued!

    Truthfully there isn't time to chart perfectly and do everything to the latest protocol that some think tank educator comes up with. This brings to mind the micromanagement another ER nurse mentioned in the article here Knaves, fools, and the pitfalls of micromanagement and how new nurses were documenting to a T, but in the process patient's safety and real life needs were being put on the back burner. I wouldn't want to work in that ER when the pressure to do everything perfectly according to someone sitting in an ivory tower takes precedence over actual patient acuity and safety!

    Sadly while the protocols are meant for best practice and some spurred on by medicare demands and reimbursement, they are not always realistic due to the time constraints, number of patients and the need to keep everyone safe. All you can do is do your best to follow the protocols while keeping patients safe. I would give stroke and MI protocols top billing over others as time is muscle and may make the difference between life and death! Also the post code hypothermia protocol may make the difference between a high quality normal life to those who survive a code!
    Last edit by tnbutterfly on Feb 23 : Reason: Link to article added

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