gentle 7,412 Views
Joined: Dec 13, '05;
Posts: 459 (21% Liked)
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To the OP, what have you chosen to do regarding the behaviors you have witnessed. Who have you reported the violence to? Have you documented what you've seen? Have you spoken with your Human Resources Department to have all staff throughout the organization re-educated regarding appropriate behavior? I am asking because, I too have seen exactly what you are writing about. I finally started speaking up. I am also more cognizant of when I am "losing control due to my own personal frustrations." There is much to learn and share from this topic.
Yes, I think I agree with Grandmawrinkle on this one to some extent. It just seems that this is one of those people you need to watch and document. He/she should certainly know what to do with a fax order etc. And also should be interested very interested in those details of the paperwork considering this is how facilities are being reimbursed etc.
I'm not saying your colleague is as dumb as a rock, because they may be very good at customer service etc. However there are too many things to think about for me.
hmmmmm, it's so hard to read this thread without 1) agreeing that we're not paid properly for what we do, and 2) cursing loudly enough to wake up my children and the neighbors (sigh).
This one I did actually say, "I'm sorry, Who are you?! Visiting hours are over."
"Oh, you're the replacement???!!!!! Well, it's nice to meet you."
The other things I would honestly like to say, really shouldn't be put into print. Guess it doesn't matter though. Whatever evil one puts out into existence, will most certainly return back to the original owner.
One of the other members said the statement in another post. I'll try to recite it, but don't know if I can.
It's from the Princess Bride????? or something. "Yes, I know you are intelligent, now SHUT UP!!!!!!"
Just ask to be reassigned on days that you can't take the ignorance. You're human. We all are. This isn't about a witty comeback or anything else. There's nothing wrong with your motivations. Heck, I would have felt the same way as you did. And yes, I too have had to deal with patients and their visitors who didn't like me due to my nationality etc.
Either way, don't stoop to the level of ignorance. You'll be frustrated with yourself later.
When you have the energy to deal with an ignorant individual, you can handle the assignment. When you don't have the energy to deal with an ignorant individual, then try to trade with someone else. That's what I do; and to be quite frank, I'm sure you would have done that if need be also.
However, in the end your deeper belief system won over. The deeper belief to treat others kindly. To treat the strangers in the land with kindness, so to speak. It may be engrained into your soul by your grandparents just like my ancestors did for me.
Obviously, the belief system of kindness won over. You treated your patient well and they requested to have you back as their nurse.
WELL DONE!!!!!! You've represented our profession well, despite your personal frustrations.
That's just my .
There are tons of companies needing dialysis nurses. Find one and move on. Take the lessons you've learned with you and go. This nurse is a bully and isn't to be trusted. I work with one of those also. I stay far away and try to make certain that I know my stuff inside and out.
And as another poster stated, you will always need a second job. So find one. I have learned to always keep my backup plan ready for use.
You know, I never even though about that probably because we don't have the CNA's but that does make an awful lot of sense now doesn't it! So by the time they get to you they are ready for the medications and assessments and such. I am glad there are nurses out there like you who will explain the why about things. Its so important! I have been constantly learning since starting my first job and I'm lucky there are a few nurses I can go to with questions when I don't know where to find the answer that are nice about it and don't give me the eye roll because I am inexperienced...but everyone is right so far, there are just some cranky nurses out there.
I've been a nurse for about a year now on nights. I've learned some things but lately I've been feeling underwhelmed and wanted a change of pace. Nights has also wrecked my sleep schedule soooo much and it might be easier for me to attend school during the day if I worked days and lived a "day" schedule full-time. My nurse manager recently had trouble with a travel/contract nurse who was started on days and was supposed to switch to nights in 3 weeks or so but she's been having a lot of trouble accomodating to the shift and my NM, after discussion with the other nurse, decided she would switch her to nights earlier and I would be offered a temp (probably at least until September) to permanent position on days.
I've done a few day shifts before (7a-7p) on my unit but I'm a little nervous because I've always just been staying late past my shift or filling in when they were desperate. I know there's an "in crowd" and while I know one of the nurses would willingly take me under her wing, I'm worried that I'll automatically get the hardest patients because I'm actually taking the place of a travel nurse who was having some difficulty picking up things on day shift and is going to nights where she's more comfortable. I'm also worried about backlash from night shift for me switching. Am I worrying too much?
You do bring up some very good points and boy would I have loved nurses showing me how to deal with many of those things. At the same time, toileting, feeding, adl's, general patient interactions, health teaching are important things for students to do and depending on where they are in the program, the focus on clinical skills and critical thinking is different. If these are first semester students that have absolutely no experience with basic interactions, teaching them about the things you mentioned is great and very useful but that doesn't mean the basics aren't important as well. I think balance between the hands on knitty-gritty part of pt care and the critical thinking/assessment is important and the balance is determined by the care area and where the students are in their learning and experience. From your post I have the understanding that you do the medical part of patient care and CNA's do the other part of care that involves adl's? If these students are on your unit to only do the medical aspect of care because they will not be responsible for the tasks that CNA's do then I definiately see your point about them not being there to help with ADL's and toileting, however that part of care is still a learning experience.
A day with you as a student would be wonderful as from the sounds of it the students that are with you for the day learn very valuable information and skills.
I do wonder why the OP wasn't able to connect the dots when it comes to the differences between nursing student and full fledged nurse. Perhaps they hadn't read the first year nurses blog?
This happens everywhere, at least from what I have seen in my many years in nursing. Although I am only a personal support worker, we too get student psw's and some staff here treat them awful! I like to make newcomers feel welcome and am eager to show them the ropes and help them navigate their way around. I do this because I know how nervous they are and how much better it is for them and us when they get into the 'swing' of things. Unfortunately some staff are just plain mean and ignore their requests for assistance. And like a bad cold others get 'infected' and get an attitude towards students and new staff too. It's too bad this happens. It is not necessarry to be like this. All it does is turn people off and then they don't come in to help when we are short. Can't say as I blame them.
I vividly remember 2 bad experiences I had as a student.
My first clinical rotation was on a TCU. My group had 7 students, and I don't know if the floor had dealt with students before. My class had 3 clinical groups: Thursday, Friday, and Sunday. The Sunday group started a week after the Thursday group. I was in the Thursday group.
Our 3rd day of clinical, the charge nurse looked right at us and said "Thank God you're here! We had the Sunday people here last week, and they didn't know ****! They asked all of these stupid questions! I don't have time for that ****!" Yes, she said that to our faces. That day, our instructor told us to come to her, not the nurses, with any questions.
My pedi rotation was in a home for children with brain injuries. Most of the nurses were 20-something LPNs, we were studying to be RNs. Anyway, one LPN had just gotten back together with her cheating boyfriend, and one was wondering whether or not to rent her sister's house. I only know that because they sent the entire shift talking about it. It was our first day on the floor, and whenever anyone asked a question they got very upset about us interrupting their conversations.
Sometimes the instructor is the problem. One of mine kept disappearing. She also encouraged us to use the Dynamap for vital signs, instead of using the manual BP cuffs in every room. If you weren't very aggressive about doing procedures, you made beds, gave showers, and checked blood glucose all shift long.
I spend more of my time in clinicals these days balancing personalities, being a mind reader, and reconciling what my clinical instructor wants me to do with what the nurse in charge of my patient wants me to do, and overhearing pointed remarks about what I did or didn't do (all the while being unable to defend myself because I'm just a lowly nursing student), rather than actually learning nursing.
I can't wait until this rotation is over. I've never experienced this in any rotation before, and I hope to never experience it again. Bring on the next one! I'm done.
I totally agree with you. When I was a student I had nurses who treated me like a CNA and "extra help". I specifically had one of my instructors tell me to do just RN tasks and not aide tasks for the day. This meant to do assessments and give meds, chart. My one patient needed her teds put on. The nurse who was assigned to her said that I could put them on her. I told the nurse that my instructor wanted me to do RN tasks that day. She nastily replied that it was a nursing task. I was a CNA at that point and felt this was something that could be delegated to the CNA's. When I explained this to the primary nurse she got more argumentative about the issue so I just went and did it. When I have students I try to not treat them as aides but as future nurses. How are they going to learn if they are treated as aides all of the time?
It seems like the OP is fishing for a specific type of response. She's already heard what she wanted to hear (that the nurses at her other clinical liked having students and found them helpful), and seems determined to be offended if anyone in this thread says otherwise. She is looking for validation that, as a student, the hospital revolves around her. It's a waste to even try to answer the question she asked, because it's not what she wants to hear.
I am not a student anymore, and the students I precept are generally responsible for TOTAL patient care, which includes (in addition to the important things you mentioned) normal ADLs. I don't know why someone can't do everything you mentioned and still be pleasant. They aren't mutually exclusive traits.
I adore having students! And yes, most of them DO lighten the workload to some extent, even if it's only that they help my patients get to the bathroom, help them eat, or help the CNAs with vital signs. (If the CNA isn't available, then I would be doing that.) Plus, students have time to interact with my people in a way I WISH i had the time for.
I have to admit that when students are on our floor, I always warn them of which nurses to avoid. Odds are that if most of the students don't like a particular nurse, their coworkers don't, either.
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