Survey: Are you confident that your nursing colleagues are competent? - page 5

Here are the results of last months survey question Are you confident that your nursing colleagues are competent? : Please feel free to read and... Read More

  1. by   HooperRN
    I couldn't have said it better myself!!!

    "REAL NURSE", it does not necessarily mean that they are competent!

    If we all thought that we wouldn't need to be worried about the respect we got as nurses!!!
  2. by   mrs. cynical
    I have read alot of your opinions, but the common thread, if I understand it correctly, is that alot of you think the people you work with on your shift are competent. What about the other shifts? Health care is a 24-hour operation. We may have good members on a team, but do we have a good team? I think not. It's like MollyMo said, it's all about the numbers. (I was in administration for a short while, saw enough to know. It's ALL about the numbers. If there is a bad nurse, but her co-workers don't give written examples of whatever behavior is in question, not much can be done until she kills or almost kills someone). We nurses are good at that, we like to *****, "eat our own", but do nothing about it!

    I'm all for education, helping, training, or whatever else you want to call it. When my co-workers come to me with questions or need help with a procedure--I'm there. But it's the ones that don't ask questions that I'm afraid of. I don't care how great all of you say your co-workers are--I'm worried about the team.
  3. by   silentone
    I've worked years in many areas as an LPN.I have worked with
    wonderful RNs & LPNs who taught me alot but have also worked with horrible nurses...drug addicted, patient abuse, etc...and reported them. I think a big problem is due to the shortage...I have returned to school part time(due to my kids) and schools are allowing student through that shouldn't. One student made it into clinicals after flunking the first anatomy/Physio twice plus rarely turned in homework, has bad attitude, no experience. I didn't make it to clinicals 'cause under advice, I finished all classes before applying (with straight A's) and was told I had to wait two years for clinicals. The other girl had applied before starting any classes. With all classes done, I've decided the heck with it. I saw many such incidents of students being slid through, not knowing the material and it makes it scary what the future holds. If we feel theres a lot of incompetence now, it's going to get much worse!
  4. by   RNed
    I'm not sure we are the best ones to make or pass judgement on our co-workers and co-workers on other shifts. Yes, we should file and report errors and potential errors, concerns regarding safe practice and nurses, docs and other heatlhcare workers.

    However, unless we are the ones with the authority, responsibility, skill and training to investigate, evaluate and analysis nursing care, we should probably stick to reporting our concerns and leave the investigations to those responsible for that aspect of nursing.

    To often, I hear nurses make derogatory remarks of care that was provided by so and so. It is suprising how frequently these nurses can instantly assess the appropriateness of care 5 minutes after they arrive to start their shift. These truely are the "SPECIAL" nurses because to listen to them they know absolutely everything that went on that night and yet they did not work that shift. Therefore, they must be "special".

    We need to provide the best possible care to our patient during our shift and we need to report our concerns. It is not our job and we do a disservice to our co-workers when we say so and so is a bad nurse. Report your findings, not your assumptions, that is part of the job.

    Now - if you are the boss, that is different, you are special !!
  5. by   Youda
    Originally posted by RNed
    However, unless we are the ones with the authority, responsibility, skill and training to investigate, evaluate and analysis nursing care, we should probably stick to reporting our concerns and leave the investigations to those responsible for that aspect of nursing.

    Report your findings, not your assumptions, that is part of the job.
    Excellent, excellent advice! Can I come work for you?
  6. by   silentone
    RN'ed you're right, we shouldn't pass judgement on other shifts if we were no there to witness it. When I reported, I was on the same shift and saw it happen along with other staff. I'm low key...I don't get into reporting unless it's serious stuff. But you missed my point...if nursing schools are not expecting the best, and let their standards down, it's going to put some bad nurses out there.
  7. by   deespoohbear
    Almost all of my co-workers (on all shifts) are truly competent nurses who want the best for their patients. There are a couple that I wouldn't let take care of my dead dog, but fortunately they are few and far between. Like another poster stated, I have seen more than my fair share of doctors who are incompetent than incompetent nurses. Only two times in 7 years have I ever flat out stated to upper management that I thought a nurse was jeopardizing a pt's health due to incompetency. (Laziness is whole other thread). And both times the situation was addressed appropriately. Doctors though seem to be like telefon when competency is addressed. At our small hospital, we have 4 doctors that hell would be in a deep freeze before I would let them treat me or my family. That is scary.
  8. by   texoradon
    I work with a nurse ..has been a nurse for 8 years, she came and asked me to help her with a patient that was dying and had copd..first of all she had the O2@ 6 liters...yikes!!! Then she asked me while she was taking the O2 reading "which is the pulse and which reading is his O2)??? I am pretty sure my head spun around a few times ........
  9. by   SoniaNurseRep
    As an 18-year veteran, I'd like to say that yes, I am confident that my colleaques are competent. Of course, there are good and bad in every aspect of life, including nursing life.

    However, let's look at the whole picture. I was lucky never to have made a mistake in my practice as an ICU/Trauma Nurse, but I know how easy it could've been. I got out of Nursing because of mandatory overtime, short staffing, and the lack of respect (to mention a few).

    Let's take a look at the type, length, and adequacy of the orientation new-hires get. We, the senior Nurses, are also guilty of killing our young or new Nurses. I know I was guilty of this. I just could not be bothered with precepting the new-comers. I just wanted to do my job and get home to my family.

    I'm not saying that there are not a few lazy, uncaring, noncommitted Nurses out there, but I truly believe that we're burnt out and have been pushed out.

    We now need to be passionate about fixing the once wonderful Profession of Nursing.

    Thanks for listening.
    Last edit by SoniaNurseRep on Sep 27, '02
  10. by   SmilingBluEyes
    yes and no. how is THAT for a stupid answer. some are and some are not. i watch the ones that are not like a hawk.
  11. by   KeniRN
    :uhoh21: Nope. Not confident. Of course, as a patient I've had incompetent RNs and NAs. Immediately questioned them, refused tx and have asked for NM.
  12. by   New CCU RN
    As a new grad, I suppose that I cannot offer expertise of a veteran RN. I have already encountered both wonderful RN's/LPN's and scary ones as well. Focusing on the scary ones since this is the topic of discussion, I think that everything needs to be taken into context. Perhaps for some reason, that nurse is lacking in that area and just doesn't know. I don't see a problem with needing to be educated. Now, at the same time it is the responsibility of that nurse to see to it that they seek the appriopriate educational resources in order to perform a procedure/etc in the correct manner.

    Now as a new grad, I admit there is a LOT I don't know. I am fortunate enough that even though I am in an ICU setting, I am working in an environment that is open to questions and assisting eachother. Just out of curiousity, are the environments that you all are working in that create scary nurses not as open to questions and admitting that you don't know how to do this or that you aren't sure what to do?

    Even as a new grad, I do agree that there are some people that are not taken the intiative to become competent as they should. I personally am witness to this..not so much on my unit but in encounters with other nurses.

    As far as reporting this to management, I personally feel that you should first talk to the person...perhaps they didn;t know the correct way to do this. If it happens again...go for it. Report them.
  13. by   mamabear
    How timely. It is 0300 and the most incompetent idiot of all time, who happened to be Charge on the psych unit where I work, sent me home because "...there's only six patients, and they're all quiet". Of course, you dumb ass, they're snowed out of their gourds This is the same guy who spreads newspapers along the counter so he'll have a sterile surface on which to work, after he swabs the counter with alcohol; the one who gloves in order to give a patient two Tylenol; who gloves to calibrate the glucometer; who is incredably rude to the patients; who hides out in the med room whenever things get rough; who has a whole set of OCD cleanliness things he has to go through or he'll freak totally, yet is not above rummaging through the garbage for stale pizza that somebody threw away, or stealing other staffs' lunches).
    The alleged "quiet" patients include a two-weeks sober alcoholic who isn't very happy about being detained and has a history of physical violance toward staff (one of our FF's); a chronic paranoid schizophrenic who refuses all P.O. meds and fights like a rabid wolverine when we have to I.M. her; a newly-diagnosed schizoaffective who went off his meds and was found naked, wandering in the woods brandishing a shard of glass at the cops; a substance-induced dementia who can't remember his name And two of the above are Hep C+, which was relayed to us as kind of an afterthought (oh, by the way)
    Anyway, it feels good just to vent and, also, to realize that my facility isn't the only one saddled with lame fools who are kept around mostly because: they're male, they're willing to work midnights (why not? less contact with the patients) and they never call off:angryfire