zofran 4,971 Views
Joined: May 6, '09;
Posts: 105 (66% Liked)
; Likes: 369
Once I complete the extensive, time consuming, back-breaking dressing change on my MVA patient's lower extremities that took 45 minutes to complete, the orthopedic surgeon is certain to stroll into the room, rip open the dressing, glance at the wound for .5 second, then leave the patient there with the dressing hanging off on the floor for me to completely redo because it is now dirty. Side note: the orthopedic surgeon has not, prior to this moment, been to see this patient in 3 days.
I have my personal one:
if one single patient will go south and will require Rapid response team or even a code (god forbid) that will be my patient!
Drawing up the Dilaudid in the med room, thinking to myself, "do not throw this away as it needs to be barcode-scanned or they will think I am DIVERTING NARCOTICS AND I WILL LOSE MY LICENSE!!!" as I watch myself chuck the empty Dilaudid syringe into a sharps container.
You just checked the pt. and was told he/she doesn't need anything. You walked out the room, two minutes later your pager went off. That pt just realized there WAS something he/she needed from you. AH~~~
If there is going to be a crisis, it is going to be at shift change.
i graduated may 2011 with an associate rn degree from a school with a good reputation. i graduated with honors and did well in clinicals and had always been given positive feedback. i finally got my first bedside nursing opportunity with a hospital that has a new grad program. i have not even been there a month and i am getting feedback from a preceptor that maybe this isn't for me.
from the beginning, i have been upfront about my this being my first job. i am training on a floor where i won't even be working and it is a busy tele floor. i was not hired for a tale unit.
i have attempted to engage in conversations regarding the patients i am assigned to so that i keep moving forward. when doctors orders come in i have trouble: reading their writing, knowing how to proceed with patient tests that i have never been exposed to before, etc. there isn't enough time to look up everything on my own and research it then and there. i attempt to initiate discussions and guidance on how to proceed but with no real success - they have said they don't have time to follow me to see where i am going awry and guide every move. it takes a while to go through chart checks and look up unfamiliar medication- after all i am new!
i am unfamiliar with hospital lingo and flow of chart on floor and there has been inadvertent miscommunication about a variety of things. when i attempt to clarify, i can see the impatience in eyes. i never said i know how to deal with heart pvcs or that i could quickly get a patient ready for testing for a possible pe - i am new!
the person who hired me seemed happy with my attitude and stated that she could teach me anything, but i haven't seen her since orientation.
the atmosphere is that instead of rallying to support me, i feel that the preceptors have already considered me a lost cause. i am not progressing fast enough and i will be the first to admit that i have a ways to go - i am new! these preceptors have done this enough before so obviously they have some major input on my future and see some apparent gaps.
what is a new grad to do - especially an older single parent that put everything on the line and needs to work now. most jobs here want at least a year experience.
all input welcome - especially ones that have positive alternatives for new grads in a non bedside working capacity - after all they could be right about my abilities.
Would have been a lot easier for the founding fathers of the USA to capitualte....but they chose to stand up for what they believed.
It was not easy.
But the rest is history......
I am pretty sure your preceptor will be posting soon with the same first line you posted...just saying.
**VENT VENT VENT VENT **
5 months into nursing as a RN, not a student.....
1. Dumb Residents. Yes... they do exist with their idiotic order sets.
2. Management saying " Staffing will get better- we are working on it"
3.The PCNA who charts nurse notified re: crazy vitals and they never said a word, so when you check vitals half an hour later, you see a BP of 190/110.
- same PCNA who wont do a manual check.
- same who tells the POD #1 pt " 99.1 temp? oh you have an infection.we have to tell the DR"
4. Family members who come running to the front desk screaming "i need my moms nurse...she was supposed to have gingerale. its been 10 minutes. this is unacceptable"
6.Other departments that won't lift a finger, and spend 5 minutes hunting down the nurse for something idiotic like a blanket...
Not a student actually, Full fledged RN at a top US Hospital!
Maybe I could add ** VENT VENT VENT VENT** at the top of the page so that Holier-than-thou-ers don't bother reading
Meh, probably just annoyed to be getting an admission. Like I am when I get an admit from ED or a transfer from another floor or PACU or one of the ICUs.
I think part of it though is if you feel like your "lesser" then you're going to feel like you're getting that attitude from the other nurse even if there's really not that vibe going on. I've noticed the more confident that I am with my own skills and knowledge, that it now takes a lot more to offend me than it used to take. I remember when it used to bug me when ICU nurses would expect the kind of report that you can give when you only have two patients from me when I was transferring one of my 6 or 7 or so patients. Now I just say, "don't know" and go on. If they feel "superior," fine. But I'm not going to ever let it make me feel "inferior."
call your malpractice insurance people stat so they can send an atty to look after your interests.
from one of my resources:
They may ACT like three-year-olds sometimes, but you cannot treat them that way because they are still adults who have lived lives, raised families, worked hard, made tough decisions. They have also been someone's child, someone's spouse, someone's parent, someone's friend; IOW, they have been loved, and that alone makes them worthy of respect. There's no law that says YOU have to love them---you don't even have to like them---but you do have to put up with their humanity, because that is what you are being paid to do.
The doctor who admitted the patient should have TOLD THE PATIENT/POA/GUARDIAN why he/she ordered a catheter and why it was indicated. I hate how everything is turfed onto nursing. ahhhhhhhhhhhhhhhhhhh
Potassium pills will become smaller so all these little old folks will be able to swallow them!GoLytely will not be a huge gallon jug but a small pill!Ativan 2mg po will be a nursing order so we can give it to anxious family members!
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