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ArtistRNJD 2,453 Views

Joined: Nov 12, '09; Posts: 45 (31% Liked) ; Likes: 32

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  • Apr 25 '12

    I attended a graduate program (CNS track, not NP -- but the NP tracks worked the same way) that arranged our clinicals the same way undergraduate programs do, and all practica were taught by individuals who were full- or part-time faculty at the school and took place within facilities/organizations with which the school had a long-standing, established relationship -- so the school knew exactly what caliber of clinical education we were getting. I can't imagine paying tuition to a school that did it any other way, and I think this trend toward leaving students to fend for themselves significantly diminishes advanced practice nursing education.

  • Apr 25 '12

    Do they make you find your own lecturers? It's weak of them to dump the legwork on you, they should be ashamed to take your money. Good luck

  • May 30 '11

    Quote from traumagirll99
    I read your posting and really did stop and think about why I became a nurse, honestly I did. I became a nurse to help people, yes I did. I went into nursing with absolutely no experience in the healthcare field, heck I had never even been in the hospital. It was eyeopening to say the least. But I did understand that it was a job, not a call from the Divine. Yes I think there is more to nursing than clocking in and out, it is a unique job to say the least. However going into nursing with the attitude that it is all about "stirring passion" is asking to be disappointed and frustrated. I also don't understand someone who by your own admission is a nursing student have the for lack of a better word gall to insult working experienced nurses with the question you posed. And as far as your list of things important, yes patient comfort is at the near top but also is patient safety and helping the patient get the care they are in need of, which isn't always delivered in the way the patient expects it. It is about what the patient needs, especially in the ED, not always what they want.

    Good luck in your nursing career.
    WOW!!! is all I can say to the responses I have received and to all of the responses in this thread. It almost seems that a nurse with years of experience is to be feared and never to be questioned, rather than be humble enough to accept that she/he was not acting with compassion, and in this case safety. As stated earlier in the thread, the patient was needing assistance to go the bathroom not "pillow fluffing". And for all of you negative nellies that are soooooo supportive (not) to new nursing students. It seems like you take every opportunity to remind us how rough it is going to be and almost sarcasticly say "good luck" as if we don't stand a chance in hexx, well you were once a new nurse just like me. My comments is not to be insulting to an experienced nurse but the truth is that the ER nurse treated the patient poorly.

  • May 30 '11

    An interesting point that comes from reading all the previous posts is how often we have had similar poor experiences of our own when we were sick and needed care. I too was treated badly years ago in the ER. I was told to pee in a cup and pointed the way. I barely stumbled down the hall on my own and collapsed out of exhaustion and dizziness onto the floor. I was conscious but too weak and ill to pick myself up; I stayed on the floor with the door wide open for what felt like 20 minutes before anyone noticed. When a nurse came in she rudely commanded me to get up but offered no assistance.

    I was treated like garbage and this experience has made me more determined to be a "nice nurse", compassionate and understanding. May all of our horrible experiences only remind us that we have been in the pt's shoes and to treat them kindly and gently no matter how hectic life gets.

  • May 30 '11

    your letter is unbelievably touching and is unfortunately more common place behavior than it should be. i know i have experienced it as a patient, and it always left me dumbfounded as to why these people are nurses. nurses have such a critical role in how a patient responds to care that it just boggles my mind. i do understand being overworked, understaffed, and downright overwhelmed, but every patient should be cared with dignity and respect. i am rn nursing student and a career changer. let me first say that it was a career change by choice and a stirring passion that i am finally fulfilling. there are two instigators to this unacceptable behavior 1. nurses that have lost their passion and 2. people entering nursing because it seems to be "the thing to do" in today's challenging economy and they think that it is a sure thing (which it is not). nursing is a whole lot more than "employment". you see i don't even know if i am going to have a job but i am on my journey with eyes wide open because i want to help people. of all the ebn care that is available at the top of the list would be patient comfort, empathy, and comfort.

    ps. to all of the nurses out there that are thinking... what is she smoking, and that i may be looking through rose colored glasses i say it may be time for you to rethink why you became a nurse in the first place.

  • May 27 '11

    Quote from SpEdtacular
    I would rather my triage nurse be a complete and total b*tch who got me where I needed to be than a sappy idiot who was busy babying me rather than figuring out what was wrong. The nurse was rude but apparently she also did a stellar job triaging you because you got out of the hospital in record time and she was correct about whether or not you were having a CVA.

    Get over it. Sticks and stones people. Am I saying it's okay to be rude? No but it happens and when it does I give people the benefit of the doubt. Why? because I would like for them to do the same if it were me having a bad day as opposed to writing letters that are likely to get me reprimanded or even fired to everyone and their mother.
    Why would a nurse have to be either of those extremes? Would it be so hard to be somewhere in the middle (a vast area)? The nurse who is busy being a complete and total b*tch might be too busy b*tching to figure out what was wrong with me. I have been in emergency and non emergency medical situations and I have seen nurses do their job well without having to be rude to anybody. It is beginning to be suggested in this thread that a nice nurse is somehow less competent than a nurse that is rude and doesn't mind letting a patient know it.

    I don't think the OP was expecting a sappy nurse. I think she wanted a little dignity and respect, heaven forbid!

  • May 27 '11

    Quote from TinyEMTgrl

    I would NEVER let a pt experiencing neuro changes walk to the BR either. And working on both sides of the ER door I am assuming since this pt was brought in by EMT's or Paramedics (which by the way is so demeaning to refer to them as "attendants".) with what the OP refers to is "neurological symptoms" the severity of the symptoms had to of been downgraded that this crew was advised to take the pt to triage and not back into the ED for IMMEDIATE evaluation.

    I have no tolerance for ingnorance on either side. It is unacceptable from the pt AND the nurse. I work ED, I work trigage, I know what the "battle field" is like. And I also know, THERE ARE TWO SIDES TO EVERY STORY.

    The people who brought the patient by ambulance were not, as the OP explained earlier, EMTs or Paramedics. The incident occurred in Montreal. According to the OP, the correct term is Ambulance Technicians (or the French equivalent), but I'm not sure we can assume "attendants" is offensive.

    One of the patient's reported symptoms at the time of the incident was "trouble walking." One defense of the triage nurse was that assessing the patient's gait would be appropriate, but if the nurse's words were quoted accurately, it's hard to get from that to a gait assessment. Of course we have no proof that any of this occurred, but if we aren't going to take the OP at her word, why discuss it at all? There are, indeed, two sides to every story, but it isn't always true that both sides are valid. There seems to be an attitude coming through a number of posts that emergency nurses are too busy saving lives to stoop to basic nursing care. I don't fully believe this is exactly what's meant, but it's getting hard to read it differently, and the idea that anyone who hasn't done it can't understand it is just a tad bit pompous. I've seen my own ED busting at the seams, calling for all available help to clear beds and avoid diversion (diversion meaning to a less capable facility, since the nearest comparable facility is 70-some miles away). But I've also seen times of relative calm, and a whole lot of in-between.

    So, again, where exactly is the side, what is it I can't possibly grasp about emergency triage, that justifies the nurse's conduct? What about the OP's post was ignorant? Did the OP omit to report that there were mass casualties en route from a plane crash? Or that a drunk in the waiting room wanted to be admitted for belly button lint? Is Montreal under attack? The OP states the ED was quiet. How do we know it wasn't? The triage nurse didn't say, "I'm sorry, I can't help you right now." The patient wasn't asking for a cup of tea or to have her hair brushed. And if every other single patient who came through the doors that night was a completely unreasonable jackass, how was that the OP's fault? How does that give the triage nurse the right to act like a jerk?

  • May 27 '11

    The Ghost Whisperer just spoke with the Horse Whisperer and the dead horse says to 'please stop beating him.'

  • May 27 '11

    Quote from Fribblet
    Apples and oranges.

    Um, no not really.

    Yes, I will admit, there have been many situations in the ER that have gone worse than what the OP has posted. But just because she received decent care and made it out alive doesn't excuse the nurse's behavior. In the same time it took to tell the OP that having to use the bathroom was not the nurse's problem, she could have explained herself better in probably the same amount of words.

    I am still waiting to have it explained what was so outrageous about what the OP asked and expected? I don't understand why people are posting about fluffing pillows and nurses being waiters. It is not like she is writing a letter because the nurse brought her a Sprite that didn't have enough ice in it. I mean, if she had to pee, wasn't she SUPPOSED to tell the nurse? And what if she had come alone instead of with her friend? Who would have helped her to the bathroom then?

  • May 27 '11

    You absolutely need to send that letter to everyone you can think of sending it to including the ER manager, the CNO and CEO of the hospital, and if you know who they are, the members of the Board of Directors of that hospital. I would also send it as an open letter to all local newspapers in your area. The experiences of you and your friend highlight that there are some very serious problems with that facility that need to be addressed immediately. Unfortunately, it seems that all too frequently these matters are swept under the rug unless the situation is brought out in the public. Please use your terrible experience to speak out for those who will be unable to do so when they are wheeled through those ER doors.

  • May 26 '11

    Quote from Fribblet
    When people started equating seriousness and a to-the-point attitude as rude.

    Sometimes in nursing, especially in the ER, **** gets real.
    There's nothing especially real about not being able to distinguish between going to the toilet and having ones hair stroked, between to-the-point and that's-not-my-problem. And how are we assuming that this triage nurse, who couldn't cope with a patient on a gurney who needed to pee, was somehow capable of providing quality care? Pt comes to the ED with what turns out to be a complex migraine and doesn't die. Hey, great job, everybody!!!

  • May 26 '11

    Quote from wwfd
    We are there to handle emergencies, yes we should be considerate of our patients and treat them with compassion but sometimes the situation doesn't allow the fluff your pillow stuff.
    When did refraining from being rude and dismissive become equated to "pillow fluffing"?

  • May 25 '11

    to all you er triage nurses that defended this nurse's behavior, [font="impact"]i think you need to change jobs because your are justifying poor behavior.

    j[font="arial black"]ustifying acrimony is below the status quo and you are burned out.

    i am an rn and have been a patient in the er and was never ever treated so poorly.

  • May 25 '11

    I feel so bad reading this. It made me cry. It is time to retire if you are treating patients this way!!!!

  • Feb 25 '11

    Quote from Katie5
    Then you must not have seen patients who picked offense because back-up was called for in repositioning him/her.
    Nope. Never have in all the years of ICU I've worked. STILL irrelevant to the fact that obese patients have every right to expect to be treated the same as everyone else as it relates to compassion, respect, and basic human kindness.