Know it all Nurses

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In my nursing career which has spanned 20 yrs in August very few things have made my blood boil.

One of the exceptions to this rule is the KNOW IT ALL NURSE, I am sure you have all met this individual the one who knows everything, the one who never ever makes a mistake, the one who looks down their nose at other nurses when they are struggling, the one who lets everybody know she/he is superior.

I have met this nurse often in my career they have been newly graduated nurses, they have been new nurses to my floor but have experience from another place of work, they are very experienced nurses but what they are not are TEAM PLAYERS, they are individuals who let others struggle because it makes them look good.

Initially as a new RN I was overwelmed by them and almost revered them to a place next to God, then I realised nobody knows everything in spite of what they say, then I was the extreemly experienced nurse who just laughed in side at their nonsence. But I am a team player and when they fall I help them up gently and guide them in the right direction, supporting them, caring for their large bruised ego calmly and with supporting advice ensuring I dont appear patronising, begging my inner ego not to laugh at their misfortune or their fall from grace.

Because be assured new nurses nobody knows everything, everybody will need help at some stage and the know it alls do fall from grace.

Ok off my soap box

Specializes in Utilization Management.

I recall the first time a Know-It-All-Newbie was faced with orders for po Mucomyst. He had to ask me how to get it out of the bottle. I choked back a laugh and quietly held my breath as he opened the vial....

PRICELESS~!:lol2:

Specializes in Peds/outpatient FP,derm,allergy/private duty.

And guess what will happen to that self-important NP or CRNA once they start their practice? Their delusions of grandeur(at least in their own minds) will be jettisoned quickly once they realize that there are plenty of anesthesiologist MDs and PA-Cs who will heap scorn on them. Whether fair or not, it's that totem pole thing.

I used be really intimidated by personalities like that. I'd go home and stew and be resentful. Now, I'm getting better at letting it roll off. A couple of days ago, a co-worker (peer not mgr) picked up a chart preparing to point out to me some minor discrepancy in my notes. Boy, it ruined her day when there was my entry, right there, signed sealed delivered. She actually got all flustered and said, "That wasn't there before. I know that wasn't there. You must have gone back and changed it." She found it more believable that I somehow psychically knew she was going to "call me on this" and changed my entry, than the fact that she made a mistake. I surprised myself. I did not get angry! I laughed, but really not AT HER, just at the absurdity of it. I said, "OK, C. I'll let you be right." Liberating, I tell ya.

OP, I like that you help the know-it-alls because really, people like that are more dangerous than annoying because their pride makes them less likely to admit/report a mistake or ask for help.

Specializes in Hospital Education Coordinator.

This know-it-all attitude is a coping mechanism for low self esteem and fear of being rejected due to NOT knowing it all. That is my non-psychiatrist view anyway. Mostly you try to ignore them or say "it is not about YOU". They are a real pain of course.

Specializes in ICU.

The thing that is scariest,, is a know it all nurse that really doesn't know anything.. but THINKS,, actually KNOWS that she knows everything... She ends up really hurting someone in the end.

Specializes in Psychiatry, Case Management, also OR/OB.

I would much rather work with a nurse who isn't afraid to ask questions of a peer or seek counsel from another co-worker, than work with one who has no clue. I come from a Diploma program in the 1960's to getting my MSN at 54, so I've done it all from bedpans to PICCS to OR to Psych and so forth. I still am learning, and hope to God I never quit learning! Just remember, there are different levels of experience, and we all were new at some point. I can learn from the newbie, just as he or she can learn something from me. Just a thought.

Specializes in LTC, Acute Care.
I would much rather work with a nurse who isn't afraid to ask questions of a peer or seek counsel from another co-worker, than work with one who has no clue. I come from a Diploma program in the 1960's to getting my MSN at 54, so I've done it all from bedpans to PICCS to OR to Psych and so forth. I still am learning, and hope to God I never quit learning! Just remember, there are different levels of experience, and we all were new at some point. I can learn from the newbie, just as he or she can learn something from me. Just a thought.

You hit the nail on the head. From my experience (i've been a nurse for only 2 yrs so what do I know?) I've come to realize that as nurses we must be open to learning new theories, procedures, etc. until we die or retire; which ever one comes first.

Most of the really smart people I know, in various fields, are often quite humble about their expertise. Perhaps because they're actually smart enough to realize how primitive the state of knowledge is in so many scientific fields. That sure includes health care.

Specializes in IMCU.

It amazes me that people are so quick here to note the "newbies" who are know it alls! The "know it alls" that I find really hard to take are the ones who when you ask an honest question like policy on a certain thing, and they break it down and talk to you like you don't know the first thing concerning the issue when you only asked about one aspect. These real old timers like those with three and 4 years experience just love to sit around the desk chatting while the newbies drown. When a newbie dares reveal that she has questions then it provides lots of good ammo for talking about how "dumb" the new crop is. It also gives them a chance to make a big deal out of "teaching" the newcomer and having to take time away from charting (surfing the web).

I have met a few new grad nurses who come out of school thinking they have all the answers, but there are far more who are scared to death and are putting up a brave front, always on their guard for the real experienced 3rd and 4th year nurses who are looking for breakfast! Please, I have seen very few with over 10 years experience act like it was a big deal to help a newbie, or be intimidated or aggravated by someone who might have other ambitions, but for some reason the 3, 4 and a few 5 year folks just seem to love the newbies.....and i do mean it from a gastronomic perspective!

I came out of a 29 year career to be a nurse and i value my license, so I sure am not afraid to ask questions, but i learned real quick who to ask, and who not to ask. It is not like everyone graduates nursing school knowing how to open every container or administer every med. There are a million policies on a million different proceedures. I had never helped put in a chest tube when I graduated and never did any suctioning other than straight line, so guess what there were those questions and many more that i had.

I am so greatful for my friends with 10 and 20 years experience who helped me without a smirk or talking behind my back when my patient went bad. Now those gals and guys with a couple more years than me, were generally no where to be found when i needed help. Maybe i should have looked at the desk. There are of course exceptions to every situation. I have some great co workers who are 3-5 year nurses and one or two lousey ones that are old timers along with 1 newbie who knows a little too much, but she makes up for it in willingness to help. The newbie who was given relief charge responsibility one night had asked for the opportunity, and several of the three and four year olds really cut her down behind her back, but she did a great job and is one who is always willing to help. She has been on board a year now, and is far from a know it all, but this was her ambition. Those being derrogatory were po'd cause they weren't asked in my opinion.

I wish people here would recollect what it looked like from the perspective of the newcomer.

Mahage:thankya:

I was a know-it-all in NS, I confess. I think, as others have pointed out, that it was a coping mechanism to make up for the fact that I was so much older than all the other students. Now that I am working as an RN I can spot the SxS a mile away - an acquaintance who just entered NS exhibits all of them. He says things like, "I know more than the teacher does," and, "All the students are jealous of me but I take it as a compliment." I cringe when I hear those things and feel very regretful that I was probably just as asinine when I was going through NS. Oh well...live and learn! The more you live the more you know there is left to learn.

Funny the 3 and 4 year olds... LOL! There is a comparison you can make with your 3 and 4 year old children!! They do want to play grown up don't they!! Really that's nothing as far as experience goes. I have noticed this too as a student. They do play on the net or hide so as not to be bothered, don't they!! And when you ask professional advice of them, they like to put on the "mommy" attitude. How unprofessional and unbecoming! I tend to gravitate towards those with the 6 plus, plus years experience. There is a calm professionalism in some of them that I respect. These are the ones I can learn from. I also have 20 plus in my previous career, and have been management as well as business owner. So the 3 and 4 year snottiness is hilarious to me :lol2:

I have to agree... I am very new to nursing. I ask a lot of questions to make sure i am doing things the proper way. What i can not stand is when the older nurses act like you don't know anything at all. If i am doing something wrong, plaese tell me, not every other nurse. It will make it's way back to the new nurse. Not one of us are perfect. I have caught many errors made by the older nurse, who knows what she is doing.

I am very grateful for the nurses in my work place who I can ask anything to. The older nurses should be like mentors to the new nurses. We need to look at the big picutre, isnt it about the overall care? Not about finger pointing?

In my nursing career which has spanned 20 yrs in August very few things have made my blood boil.

One of the exceptions to this rule is the KNOW IT ALL NURSE, I am sure you have all met this individual the one who knows everything, the one who never ever makes a mistake, the one who looks down their nose at other nurses when they are struggling, the one who lets everybody know she/he is superior.

I have met this nurse often in my career they have been newly graduated nurses, they have been new nurses to my floor but have experience from another place of work, they are very experienced nurses but what they are not are TEAM PLAYERS, they are individuals who let others struggle because it makes them look good.

Initially as a new RN I was overwelmed by them and almost revered them to a place next to God, then I realised nobody knows everything in spite of what they say, then I was the extreemly experienced nurse who just laughed in side at their nonsence. But I am a team player and when they fall I help them up gently and guide them in the right direction, supporting them, caring for their large bruised ego calmly and with supporting advice ensuring I dont appear patronising, begging my inner ego not to laugh at their misfortune or their fall from grace.

Because be assured new nurses nobody knows everything, everybody will need help at some stage and the know it alls do fall from grace.

Ok off my soap box

Believe me, this phenomena is in no way limited to nursing.

There are Know-It-All accountants, welders, salesmen, etc.

Some figure out that they were more full of it than prescient, but they're the minority. Most go on believing in their excellence despite all the contrary evidence.

Now, off my soap box. :lol2:

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