snuggles49 3,987 Views
Joined: May 2, '08;
Posts: 83 (23% Liked)
; Likes: 44
I went back and reread through the threads and this is what jumped out at me.
1. ..."I noticed that another student failed to give insulin to a patient. So before the end of shift I went over the MAR"....
--Why didn't you give the student a heads up when you noticed the error? If you weren't comfortable going to the student then you should have alerted the instructor.
--Going over the MAR's for patients that are not in your direct care is a violation of HIPPA.
2. "I can't believe how many nurses are not seeing the problem >medication error>patient safety.
--We see the medication problem and we know how it can effect the patient, but we also see a problem that you are not, or are unwilling to see. I believe DebblesRN stated it well.
3. "Instead people are saying '"lay low"'. Maybe that's how people were raised and taught, but I wasn't taught like that"
--Do you see this coming off as arrogant, or all-knowing? You are amongst nurses that have been doing this a long time and if a lot of people are telling you the same thing maybe, just maybe, you should heed their warning.
4. "I realized that nurses are not patient advocates, but rather advocates for their own selfishness"
--That statement will get many of our tail feathers a-flying. We have been doing this longer than you, some not as long as others, but for those of us who have been around a long time, those can be fighting words.
I really hope you at least heed the advise about social media, that was sooooo wrong. It is not your job to plead that student nurses know how insulin works, that is the job of the instructor. It is not your place to tell others not to argue back at a RN/LPN, we are big girls and boys, and can hold our own.
I hope you can take all of our comments as constructive criticism. Please wait a few days, reread this thread, and try to see where we are coming from. Remember we are nurses and we are human. I have made more than one med error in my career, I am not proud of it, but it happens.
You also made a comment something about feeling sorry for the patients that these nurses take care of. Just remember when you get out on the floor with your degree one day, you may need a nurse around to help you out. Don't burn any bridges, Love. I am glad to see that you do take patient care seriously and I can tell you will be a patient advocate...just slow your roll, okay?
Reprimanded, I don't know how old you are but you sound rather immature.
Your behavior is out of line.
You are not the keeper of your fellow students.
If you witness a serious error-- yes-- you need to report it to clinical instructor...
BUT there is a professional way to do it.
I sense you have a long way to go with understanding professionalism, especially since you did not initially seem to understand what was so unprofessional (and immature) about your FB post.
Your classmates won't appreciate you for scolding them and your instructors aren't going to give you brownie points for presenting yourself as the savior of the clinical group.
I was cringing when I read your post!
Please, do yourself a huge favor and reign it in!
Also, please be careful of those you so harshly criticize for mistakes... maybe your mistake hasn't happened yet, but it most certainly will.
Don't worry, we are all pt advocates here, so don't think we aren't.
The problem with what you did wasn't that you were being a pt advocate, it was the manner in which you attempted to go about it... and it was really rather self-serving, to be honest.
Had one of my fellow students overlooked a med they were supposed to give I would immediately tell them (quietly) that they should double check. I want them to do well, we help each other out. I wouldn't wait until the end of the day and go check the MAR to make sure they didn't give it and then run to the instructor about it. It seems that you were hoping the other student would be reprimanded. As for FB...bad idea...watch the news. People lose their jobs for things they post. That didn't seem like a post to kindly warn others, it seemed like a post to vent and point out that the other student had a med error.
I would do as the others suggested, head low and mind your business. Something tells me the other student will be watching for you to make a mistake now.
I'm currently a nursing student and while at a clinical facility I noticed that another student failed to give insulin to a patient. So before the end of shift I went over the MAR to make sure that everyone had documented and to do a narcotic count before leaving. I brought up the medication error to the instructor and the instructor informed me that the issue would be taken care of. The instructor sends out the students to the med cart to rectify the issues. One of the student, who missed the insulin, begins to shift the blame on me and then proceeded to argue with the RN who was in charge of the cart.
The RN told the student that when she was instructed to give the insulin, why did she withhold it? The student begins to give her reasonings to why she did not give the insulin and in the end, even after taking another glucose reading, she needed to give the insulin because the pt was on a sliding scale and needed the insulin even with the new reading.
Anyhow, there are many incidents that have happened while I was at this facility and each and every time I had brought it up to the instructor, I was told that it would be taken care of.
Today, I just found out that some instructors at this institution are saying I'm the cause of problems at the clinical sites and in a classroom setting.
The same student who made the med error confronted me in front of the class making remarks like "how did you pass term 2, if you don't know how to assess the abdomen". She over heard another student and I discuss about how to differentiate between high pitched and wave like sounds from the abdomen. I never once stated I knew everything about nursing. This is why I'm enrolled in a program and attending daily because I never had previous medical exposure and if I claimed to know it all, I wouldn't be in any program.
After this incident took place, I never felt the need to run and tell to the directors or instructors about the cattiness that took place in the classroom. She said whatever she wanted to say, and I also did the same.
Now, it's apparent that instructors are starting not to like me because of my ethics and willingness to comply to rules and regulations enforced by the board. They are trying to find any flaws that I might make to kick me out of the program.
I posted a status on my FB about the insulin incident. Warning my fellow nursing friends to not make the same mistake and I was brought in by the clinical instructor and was told that my FB status was "unprofessional". Yet, students who came to clinical hungover, late almost every other day and students who believed that taking multiple smoke break is important versus taking care of the patients while on duty. I just have a whole list of "unprofessional" things that were done by the other nursing students. I'm upset that these adult professionals who are instructors are going around my back talking about me in unprofessional ways without once contacting me directly to inquire about the hearsay that has been going on.
I no longer feel safe to step a foot onto the campus and I wake up not wanting to go to class to finish my program. I'm harboring these feelings and thoughts that I haven't been able to tell any instructors or individuals who run this program in fear of being retaliated against.
I need to know what should I do?
I don't think that people mature enough and smart enough to have made it into nursing school should have to be told more than once about what the expectations are. If it's important to them, they'll remember it. Evidently the attendance rule was not one of those things for the OP, and now there are consequences. Reminds me a lot of how things work out here in the real world, which does not care one whit about a worker's domestic issues.
I know whereof I speak, for I've been written up and "counseled" for excessive absenteeism during exacerbations of my own chronic illness. But when I was in school, I was raising four kids and working nights as a hospital CNA, and I never missed clinical---not even during a bout of pneumonia late in winter term of my last year (I was on antibiotics and wore a mask the whole time). I'm not judging the OP, I don't know her situation, but I honestly don't get how some folks can actually be surprised when instructors/supervisors lay out the rules in the beginning, then enforce them without advance warning.
Wait let me get this straight....
You are mad that you knowingly broke the rules and are being punished for it? Thats like people being mad that they got a speeding ticket when they know they speed everywhere because "Its not enforced well".
Rules are rules...this is NOT a "high horse" issue.
One of the things about life and in nursing is knowing the rules and making sure they are followed; you can't just claim ignorance to "not knowing", or "they were lax before."
Life does get in the way; however the rest of the world keeps turning.
27 years experience and gobsmacked by student nurses who have betting pools to get through their degree without doing a bed sponge, or giving an enema, and don't do resuc. equipment checks because "the trolley hasn't been used since yesterday"
I'm not perfect, but I take pride in doing my job PROPERLY.
I don't look forward to being old and infirm, only to be neglected by modern-day "nurses"
As for the rest of your story, you are going to have people everywhere you go who mock you and belittle you. Including nurses and doctors. You need to figure out NOW how you are going to handle it because flying off the handle in a fit of rage like you have done here isn't the answer.
Wow, if that gets you "completely enraged," you may be in for a long, long haul.
I've been in nursing for almost 30 years now, almost a decade as a staff nurse, and in advanced practice since then. I find as I go through life that most people, in most situations, will treat you the way you act like you expect to get treated. I've been assertive and professional throughout my career, and I've found myself in v. few situations over the years in which I've felt significantly mistreated, let alone abused. I've taken a few jobs in which I've ended up "voting with my feet" and finding another job after finding the overall culture not to my liking. I've made a few compromises that suited my needs and purposes at the time. But I've never put up (for long) with working in a setting with which I wasn't reasonably satisfied.
I guess that all of this is to say I'm a member of the "quit whining" club. Nursing is, IMO, the ultimate "big tent" -- there's something for everyone, and, if you are dissatisfied with one job/employer, there are plenty of others. You can make of your career in nursing whatever you want it to be.
"Sorry state of nursing," eh?
Am I the only one who feel offended by this trashing of a profession that I cherish very much? I can accept criticism, but what I object is generalization. I am sorry that OP had such a horrible experience, but one should know better than to make a sweeping generalization based on a subjective experience.
Unit cultures vary widely. I've seen the bad ones and good ones. It may seem like there are unhappy nurses everywhere especially here on AN. But of course! We all come here and vent! But in reality, plenty nurses are happy, work hard, and bring home a fat paycheck. As for the pay, yes, the starting rate is generally low. However, with experience and in different settings, nurses can make quite a lot with overtime, regardless of education level.
People like to criticize the culture of "women profession." Sure, there are gossips and cattiness due to excessive estrogen. But the flip side is that nurses are tremendously caring and protective of each other. We inquire about each other's family and kids. We cry and laugh together. We celebrate and hold potluck for each and every occasion. I wouldn't trade the warmth I receive from my co-workers for all the money and "respect" in a cut-throat male-dominant profession.
As for the complaint about how badly nurses are treated, I think it all depends how much you're willing to put up with and whether or not you can seek out better opportunities. Do you all seriously believe that all nursing instructors treat their student like children, and all nurse managers use and abuse their staff? I am very sorry for those who are stuck being treated that way, but there are better places out there. And there are other occupations where workers are truly abused. Feeling sorry for ourselves is a luxury, in my opinion.
And to LaRN above,
I'VE been thinking this very same thing for a while now. everything is the nurse's fault. EVERYTHING.
ex: a patient gets a pressure sore........the nurses did it!! nevermind that the therapist left the patient in the wheelchair for half of the day......respiratory leaves her sitting straight upright in bed ....the cna's cant be found
Not angry, just tired of the whine (I think I mentioned that ) and trying to whip up some positive action! Come on, young'uns! We need you to pick up the torch!
To GrnTea, not all states have strong unions, and some of us who have attempted to organize have been promptly "laid off". Here in MA, the unions have caved time and again, the only thing they seem to win on is "safe staffing" but the company decides acuity level that determines staffing. I am verging on too old to keep fighting, and some people do need to vent their horror at the dark brick wall that is nursing.
A little cheese with that whine?
Don't mourn, organize! Of course it's possible. How many of you whiners will step up and put what it takes into unionizing, put their livelihood on the line for the betterment of others? Show of hands? Anyone? :: peering into the ether :: Anyone? (And yes, I have been present at the beginning of a nurses' union, and yes, I have been out on strike. So there.) Anyone here ever do that? Risk something more than a few whiny electrons? No? OK.
Ok then. I don't care what you do. Just this: Stop whining.
I am so tired of this attitude. Whining proves nothing, does nothing, solves nothing. Go get another certification or education that will get you a better paying position you'll like. Start your own business and be your own boss. Go live in the woods and haul your own water. Volunteer your time and treasure towards effective unionizing and collective bargaining. Join the Peace Corps and do something for somebody else-- I hear they have three-12 month tours available now. Take up bungee jumping or yoga. Go visit every Major League Baseball park. Learn to make beer. Do something. I really don't care what you do.
But just ... stop coming here and whining. All of you. It makes my hair hurt. Go do something.
aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaa! ::runs screaming off into the distance::
Why wouldn't you be expected to work your regular weekend? They are only responsible for paying you for and excusing you from the jury duty days that fall upon your work day; not the ones that fall on your days off.
I don't see the problem here.
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