AZRN4life 656 Views
Joined: Nov 5, '07;
Posts: 15 (33% Liked)
; Likes: 7
Although most docs are considerate, there are those that ruin it for everyone. If I have made a bad mistake, then by all means, yell at me. But don't yell at me because I'm a woman, or your patient's pain med isn't working, or Radiology is running late, or you had a fight with your kids, etc. I am not your kid, I am not your wife, I am your partner in the care of your patient. I am your patient's advocate, I am with your patient 12 hours a day, and I deserve respect.
I use to just take it, and it ate me up inside. The breaking point was when I was 8 months pregnant in a very difficult pregnancy and was helping a rather arrogant surgeon do a dressing change. He had always picked on me and I never said anything. On that day, he threw all of the old, bloody dressings on the floor and then yelled at me on the messiness of my patient's room and told me to clean it up. My patient was horrified and started screaming at him. I promptly went to administration and threatened to sue the man. He was removed the next day.
Another thing I noticed was that when I worked on a general Med/Surg floor, I was treated like a simpleton and my suggestions were laughed at. When I transferred to ICU, these same doctors were asking me for advice and treating me like an equal! I swear as long as I live, I will never understand MDs!
My advice is this, do not expect administration to stand up for you. If you have a problem with a physician, take them aside and ask them why they are upset and what can be done to remedy the problem. Keep calm no matter how much they yell. If nothing seems to work, just drop it. They are not worth the time or energy. you are not there to make them happy.
I am asking this as a soon-to-be RN student:
Would a nurse (who is training a student) be bothered (for lack of a better term) if the student asked, "This is how we were taught in class to do x,y, and z. Why/in what case would you do it a different way?" I can't honestly think of how to put it in a better way, but I would really want to know why I was doing something a different way than how I was taught. I'm not interested in offending the nurse from whom I am learning in any way, but since my main goal is to learn how to properly care for a patient, would that be improper for me to ask? I'm not saying that the nurse would be performing the patient care incorrectly, I would just want to know, without seeming too big for my britches.
Sorry, my thoughts got a bit twisted around there; I hope I made sense.
I agree with you and I don't think it's enough to just tell students that "there's more than one way to do things" or "patients are never 'textbook.'" The reason is that many nursing instructors are VERY particular about how to do things. They will be failed if they stray from protocol one iota, even if the variation is totally safe and effective. And hopefully students are also being taught to not just blindly accept whatever others tell them but to understand the rationale behind their actions. So I wouldn't suggest just quickly saying "oh, don't worry, this is okay" to a student and expect the students to just accept variations without further explanation.
I grew up around doctors so it is natural for me to call them by their first names. That being said, when I'm at work, they are Dr Whatever, especially in front of the patients. When I'm with other RNs we just call them by their last name. Most of our docs are from Pakistan and feel more comfortable with this arrangement. Outside work, first names are fine. Everyone calls the NPs and PAs by their first names all the time. Basically, until they tell you to be on a first name basis, give docs the dignity of using their title - you'll all get along better.
There is more than one way to do things and patients are never "textbook" so don't keep saying "but that's not what the book says", or "that not how we learned it in school". Sometimes you learn on the fly!
Would you mind sending me a copy via private message?
I have a BA in biology and found it easy to go on for my BSN. Depending on the classes you took for your BA, many of the classes you took may satisfy the non-nursing classes that are required. This will depend, of course, on the college you plan to attend. Your best bet is to speak with a counselor at the college.
An RN is an RN, whether you have an ADN or BSN. Certain meds though can only be given in certain areas. And certain areas may require a BSN in order to work there. Other than that, it ultimately depends on your individual state's nurse practice act.
I have never had a formal report worksheet... the back of a progress note page works fine for me. I am in love with my colored pens, though. I can't start report without a highlighter, a red pen and a black pen. I recently bought a green pen but have yet to figure out how to work it into report. When I do though... watch out!
I also love printouts from a computer with patient info and current orders. That is where my colored pens really shine! I highlight meds, circle allergies in red and some things like stat labs get both the highlighter and the red pen! Maybe I'll use the red for report and the green for the stuff that happens on my shift. Hmmmmmm...........
You shouldn't be brushing so hard that it causes bleeding!
I spent 4 years in Med Surg and recently transfered to ICU. Like you, I was nervous. Now I could kick myself for not going sooner. I was taking care of 7 patients and doing charge nurse on the floor. I'm glad I did Medsurg first though. I learned time management and got my skills down. Don't get me wrong, ICU is busy. Stable patients don't get to stay long in the unit. There is always someone more critical to take their place. That being said, I know my patients from head to toe. I am now able to spend time with my 2 patients and their families. I am now able to spend time teaching. Remember how nice it was it was in nursing school to take time to listen to the patients and hold their hand and comfort them and their families? I get to do that again. The ICU is not easy. Life is very fragile and you are faced with death, or the threat of death, daily. But it is so rewarding to know that you made a difference. Go for it!
I had a pt with a 6 by the glucometer and 5 by lab. After only 1 amp of D50, she was 610. I spent the rest of the day trying to get it below 570 and eventually had to start an insulin drip. Go figure...
When I started nursing, I was very shy and quiet. My first year doing Med Surg, I kept wondering why I ever went into nursing. The doctors either yelled at me or ignored me. The other nurses took advantage of me. And the patients' families, don't even get me started. I would cry every night. Then one day, I had enough. I started saying hi to to doctors and saying no to unreasonable request by families and coworkers. But what really did it was when I became pregnant. I was miserable and didn't care what anyone thought anymore. I told everyone what I thought whether they wanted to know or not. Ever since then, life at work became much easier. Don't worry! You too will find your own way and your own niche. As your knowledge and confidence builds, you'll fit right in. Just give it time and remember that you are the voice of the patient. Good luck!
It's definitely assult. I worked for 4 years on a med-surg floor and got hit, kicked, slapped, etc by many confused, alzheimers patients, but this is someone who is A&Ox3 and an adult who should have known better. I once got punched by a lady who was completely alert and oriented (albeit coming down off of meth), who flipped out because I wouldn't let her smoke pot in her room. I grabbed the nearest security guard, calmly told her that the police would be notified, then called 911 and the house supervisior (I was charge that day). When the police came, the lady freaked out and tried to jump out of the 3rd story window. Ends up that there were warrents out for her arrest and her boyfriend's too, who happened to be in the room watching the whole thing. Made the papers and everything! I'll tell you what though, ever since then, whenever I'm threatened by a patient, I tell them what I did and I always get "oh, you're that nurse I heard about". Never been hit since!
I'd have to agree that amoxicillin smells the best. Timentin IV outright stinks, but morphine syrup is the prettiest shade of blue at the hospital where I work.
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