This person outranks me?!

Nurses General Nursing

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Since I started working in health care as a CNA nearly six years ago, I've had many experiences that have left me wondering how some people get into the positions they hold. I was not a youngin when I started this, I was nearly 20 years on from earning a bachelor's degree in political science and had spent more than a decade raising children at home before I began my health care career. I've worked enough to know that promoting people into leadership who shouldn't be there is not unique to health care by any means.

Lately I've a had a few interactions with a RN coworker that leave me again thinking, "How in the world does this person outrank me?"

#1 He's collecting an induced sputum sample in clinic. (I work in a public health clinic dedicated to TB testing, detection, treatment, and prevention.) He comes to me with the sputum sample tube, thankfully in a sealed specimen bag, holds it up, and says, "She vomited a little food when she coughed. Can we still use this sample?"

#2 He comes to me and says that the biohazard trash near the sputum collection rooms is full, and then asks what he should do. He's worked in this building longer than I have and knows exactly where the biohazard room is.

#3 During a case study presentation in a clinical staff meeting, in which the patient has been described as being 50 years old and 17 weeks pregnant via IVF, he asked what IVF stands for.

I just.......really?! This guy has, when you count RN prereqs I haven't taken yet, two more years of education than I do. He makes at least ten dollars more an hour than I do based on that fact. It's getting to the point where it takes all I have not to be extremely rude when he asks me these stupid questions (yes, there is such a thing).

Share your best "I can't believe s/he outranks me" stories!

#3 During a case study presentation in a clinical staff meeting, in which the patient has been described as being 50 years old and 17 weeks pregnant via IVF, he asked what IVF stands for.

I just.......really?! This guy has, when you count RN prereqs I haven't taken yet, two more years of education than I do. He makes at least ten dollars more an hour than I do based on that fact. It's getting to the point where it takes all I have not to be extremely rude when he asks me these stupid questions (yes, there is such a thing).

I hold multiple national specialty certifications, I have spoken to audiences from around the world, and I have educated about a bazillion registered nurses.

Took me a few minutes to figure out IVF was not intravenous fluids which is the common use of IVF in my world.

Cut the guy some slack Nightingale, one day someone will be whining that you forgot some trivial piece of knowledge that is no longer pertinent to your work.

The thing to remember is that we did something you have not, maybe he didn't pass your test but he passed the only test that matters...the NCLEX. That proves to me that he has at least a basic understanding of nursing.

Specializes in Cardicac Neuro Telemetry.

Why does your username title say LPN if you are a CNA?

Anyway, I am a 29 year old RN with a babyish face. If I had a dollar for every time my nursing judgement has been questioned by a PCT who has supposedly been "at it" for 20 plus years, I'd be rich. Just because you have many years of experience as a PCT/CNA does not mean you know as much as an RN.

If you are so bitter about being outranked and think you know so much, put your money where your mouth is and go to nursing school, pass the NCLEX, become an RN and then take on all the responsibilities that come with it. Until then, you don't know what you don't know.

Specializes in hospice, LTC, public health, occupational health.
OP, why have you been working as a CNA for the past 6 years when you're an LPN?

I said I started working in health care six years ago as a CNA. I earned my LPN certificate two years ago and was licensed a month later.

Also curious why your bio says '2 years experience' when you joined 12 months ago.....

Because I have two years of experience as a LPN. Pretty sure the "years of experience" the profile info asks for doesn't refer to your membership duration on the website.

To be honest, I could say the same thing about myself! Haha! The other day I was just staring at an acronym in a doctor's note...a really simple acronym that I see every day at work and I could NOT for the life of me remember what it stood for and had to ask a coworker. We both had a good laugh over it. Sometimes I just need an extra shot of espresso in my coffee.

Specializes in hospice, LTC, public health, occupational health.
Why does your username title say LPN if you are a CNA?

Anyway, I am a 29 year old RN with a babyish face. If I had a dollar for every time my nursing judgement has been questioned by a PCT who has supposedly been "at it" for 20 plus years, I'd be rich. Just because you have many years of experience as a PCT/CNA does not mean you know as much as an RN.

If you are so bitter about being outranked and think you know so much, put your money where your mouth is and go to nursing school, pass the NCLEX, become an RN and then take on all the responsibilities that come with it. Until then, you don't know what you don't know.

LMAO I challenge you to claim where I said I know as much as a RN. The whole point of this thread is that he *should* know more than me.

LMAO I challenge you to claim where I said I know as much as a RN. The whole point of this thread is that he *should* know more than me.

We can hardly draw the conclusion that he doesn't in fact know more than you, from the three examples you mentioned... To me they don't reveal any major knowledge deficit on his part. Since we have no way to to find out about all the things that he might know, that you don't, your examples are simply not enough basis to compare your knowledge against his. It's quite likely that he knows many things that you don't.

Also, as many posters have mentioned, it's much better to ask if one is unsure about something than to pretend that one knows. To me that's a sign of personal and professional maturity.

I have no idea. What are we testing for? A stool sample might be OK with urine in it. Urine for culture definitely wouldn't be OK with stool mixed in. I would have called the lab and asked.

That's what I was thinking too. Not my area of expertise at all, so I would have called to find out. But it seems we should all have known that macroscopic amounts of food/stomach contents are a no-no... OP, how about the microscopic amounts of food that are likely present in many sputum samples? Are they okay? ;)

Signed,

Nurse Idiot, MSN

:lol2:

Specializes in hospice, LTC, public health, occupational health.
Yes, please tell us the answer to #1!

Let's use a little critical thinking here. If you need a sample of pulmonary sputum for testing, and it now includes gastric contents, is that a valid sample?

As a new graduate RN, I had a CNA scowl at me and question why I put a patient's diaper on backwards. Maybe it was a moment for her to shine and me to fade into the darkness, I don't know. :wacky:

Let's use a little critical thinking here. If you need a sample of pulmonary sputum for testing, and it now includes gastric contents, is that a valid sample?

I have no idea. What are we testing for? A stool sample might be OK with urine in it. Urine for culture definitely wouldn't be OK with stool mixed in. I would have called the lab and asked.

Specializes in Cardicac Neuro Telemetry.
LMAO I challenge you to claim where I said I know as much as a RN. The whole point of this thread is that he *should* know more than me.

I'm sorry that I didn't know your entire work experience based on your long and poorly written original post. Your entire original post smacks of arrogance and judgement so I don't think most people would blame me for drawing my conclusions about you. This person is a new nurse and is probably feeling unsure of himself. Perhaps he knows the answers to these questions but is just asking for reassurance. Either way, your post screams "I have a huge chip on my shoulder".

Let's use a little critical thinking here. If you need a sample of pulmonary sputum for testing, and it now includes gastric contents, is that a valid sample?

You tell me...if you hack up an AFB+ loogie and puke a little at the same time, is there still AFB in the sample???

We can all think of reasons why the sample in question might not work, but smart people don't want to take the chance of throwing away an adequate sample that wasn't pleasant to obtain.

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