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OCNRN63, RN 53,225 Views

Joined: Aug 27, '10; Posts: 7,236 (75% Liked) ; Likes: 27,963

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  • Aug 18

    Quote from Lisa, MA
    I have had several instances where a resident was completely unprepared or experienced with a situation. I've shown them how to give injections, how to figure out dosing, how to perform a throat culture, how to suture and even how to remove an impaction.

    I don't find it irritating so much as I find it disappointing that a "doc" would be sent out into the field without even so much as having seen the "basics". I remember the old time doctors using the phrase "See one, Do one, Teach one". But I don't think that these residents are even passing the "See one" stage before they are let loose on society! Sad really.
    Those are basic skills that can be easily learned. The fund of knowledge they have acquired in medical school, on the other hand, takes years and years of hard work and dedication. You can't equate the two. I couldn't care less if my doctor knows how to give a shot. I do care that he/she knows how to perform a skilled assessment, make an accurate diagnosis and prescribe appropriate treatment.

  • Aug 16

    Quote from totallackofsurprise
    A 100 year veteran??? That would make here, what, 120 yrs old? Amazing!! (just kidding!)

    It sounds like it wasn't worth the migraine to put her in her place a little.

    That being said, I do agree with you: sometimes you DO have to dumb yourself down. Because you can only control your own behavior, not others'.

    There's no guarantee that humility and respect will be two-way (that would be ideal, but that's not the world we live in).

    When it isn't, dumbing yourself down a bit essentially makes you less threatening to other nurses can help smooth ruffled feathers. Besides, you know your true level of competence, on the inside.

    Just don't dumb yourself down too much.
    Like the Loch Ness Monster, Big Foot, the Chupacabra and other mythic beasts, we have the "Nasty Nurse Veteran" who never learns anything new, and feasts on the tender flesh of new nurse graduates. These poor innocents are thrust into a relationship with the old crones who act as their preceptors. The sole purpose that drives bitter, dried-up battle-axes is to get the "Bambi Nurses" driven from the hospital. It has to be the old, battle-scarred veterans causing the newbies to be fired, right? It couldn't have anything to do with the youngsters, could it?

  • Aug 9

    You did nothing wrong.

  • Jul 29

    As an oncology nurse, I'd suggest if it does come back positive that you put your plans for school in abeyance until you are done with your treatment. Between surgery and chemo, it can be hard just to deal with day to day issues at home, let alone the rigors of nursing school.

    School will always be there. If it is cancer, your first job is to get healthy.

    I wish you all the best.

  • Jul 28

    This person is escalating threatening behaviors. What is to stop him from showing up at your new job, even your home? I would make a friendly call to the local police dept. and let them know that this guy is calling you and threatening you.

  • Jul 26

    There was a nurse on the IV team where I worked who wore her cap, white dress, white stockings, white Clinic shoes. I have to tell you, her appearance commanded respect. The patients loved seeing her in her whites. Once in a great while she would wear pants, but it was rare.
    She always looked very crisp, clean, and professional. I'm not saying that can't be achieved with scrubs; I'm just relating my personal experience.

  • Jun 18

    Quote from Jenni811
    Im a nurse, but like almost everyone i've been a patient.
    When i was 12 i went into anaphylactic shock from a bee sting. I was taken to ER via Ambulance. I had NO clue what anaphylaxis was, but i knew something wasn't right.
    i was covered in hives, my eyes were bulging out of my head, every breath i took was getting harder and harder. I knew it was a deadly condition, and i was terrified. Everyone was running around me like chickens with their heads cut off.
    They kept calling me "the patient" or "jennifer" not knowing i liked to be called Jenni. Never asked ME questions, i felt like they were treating my condition and not me.

    I started crying once i saw my mom and dad start crying.

    It took a NURSE in the emergency room, who wasn't even assigned to me to come into my room. She sat at the edge of my bed and held my hand. Then she asked me what i wanted to hear all along "Do you go by Jennifer? or can we call you seomthing else?" i could hardly talk and my dad replied "She goes by Jenni" and everytime someone said "the patient" i could hear her correct them "Jenni!!!!". She was the ONLY person (other than my parents) that i remember in this situation, and she wasn't even my nurse. i don't remember my doctor even. I remember her telling me everything that was going on
    "They are now giving you something that will help your breathing"
    "They have to take some blood. it might hurt, but if you close your eyes and think about your puppy at home it will be over soon"
    She explained to me what they were talking about in terms a 12 year old could understand.

    I remember her, her face, her voice everything. She was a traveling nurse from Las Vegas (Maybe she is out there somewhere?) who knows.
    Not to sound mean, but if you were that critical their priority was keeping you alive, not asking you what you preferred to be called. If I were that sick, I wouldn't care what staff called me, as long as they did their job. FWIW, I have been called "Mrs. Smith" more times than I can begin to count, and I have never been married. I just let it slide. In the long run, it doesn't matter a hill of beans if they're giving me safe, appropriate care.

    I do applaud the nurse (who wasn't in the middle of trying to keep your airway open) who had the time to sit with you and ask what you wanted to be called, held your hand, talked you through procedures. Would that every unit in hospitals had that kind of staffing.

  • Jun 14

    I used to be a compensated writer for an oncology website (Not chicks venting their emotions). I had to stop for personal issues, but it was wonderful to be paid to write about an area of nursing I really enjoyed.

    Write about what you know...that's one of the most important mantras I can think of for someone looking to break into becoming a nurse writer.

  • Jun 9

    Quote from Esme12
    The answer is....do you utilize the rest room every day? Then so does your patient....and if you wish to be a good ADVANCED practitioner you need to know the basics first. I have to say I find it REALLY annoying when these questions are asked because they have no intention of being a nurse...they want the fast track to the big bucks.

    I see a problem in the future with NP and the flooding of this lucrative market....there will be plently of NP's and not enough clinics to go around...they just might find themselves back at the bedside dealing with excrement.

    An ADVANCED nurse needs to learn the basics first.
    I couldn't agree more. I don't know which I find more frightening, all these students/new grads who seem to be too good to help people with intimate care, or the ones who have no intention of developing a solid foundation before going on to be providers. I'm going to be old someday, and as someone who also has a serious health issue, I wonder if there will be any competent and compassionate nurses left to take care of me. (And everyone else who needs care.)

  • Jun 5

    Quote from lckrn2pa
    Hmm, interesting comment, please elaborate your reasoning for one over the other. I've worked with both over the years and found them equally competent. Just curious as to why people believe one to be better than the other. I've never seen it nor do I believe as a PA that I will be better than a NP, I'll see them as a colleague.
    I'll take that one.

    The handful of PAs I worked with were not that swift, and they had major attitude that was hard to deal with. I don't need to hear a spiel on how you are just as qualified as an MD. In one case, the PA ordered a tx that would have been lethal to the pt. and told me I had to follow his orders because "he was the PA, and I was the nurse." So, as "the nurse," I called his SP who agreed with me and countermanded the order. Lucky pt...that day, anyway.

  • Jun 5

    Quote from fromthesea
    md's come at a patient treating only the disease. np's, coming from a holistic background, treat the whole person. in my state an NP requires 7 years of school, which is just short of a medical student (minus the residency). if you honestly wanted to look at data, you can just as easily type that into google, rather than troll the boards. seems to me like you're the one doing the "ignorant chest beating."
    I don't agree with this at all. I've had more than my share of MDs who were able to do more than just "treat the disease." Why the need to denigrate MDs just to defend NPs?

    In all honesty, I would prefer to see an MD over a mid-level.

  • May 26

    Quote from Jory
    I find it interesting that most of the sufferers that I see are also on a laundry list of other meds such as prozac, lyrica, valium, etc.

    I'm not saying that it doesn't exist, but only once I took a patient's blood pressure and she was very humble, very put together, seemed intelligent. She acted like the action absolutely killed her. She wasn't there for pain at all, it was for other issues she was having.

    So far, only one I have seen that I thought may actually have it.


    Well, wouldn't you be depressed and anxious if you were living with chronic pain, and had to deal with health

    care professionals who were dismissive of your symptoms and thought you were a malingerer?

    There are no lab/diagnostic tests to prove someone has an anxiety or depressive disorder, yet few health care providers consider such diagnoses bogus. (I'm not suggesting fibro is a mental health disease, just using it as an example.)

    Pts. with fibro deserve to be treated with the same compassion and understanding that we give the rest of our patients.

  • May 18

    ​Can a chicken read Shakespeare?

  • May 14

    I have a blog that has been documenting my cancer recurrence and some of the ups and downs of being a nurse caught up in the patient role. I don't have my name attached to it.

    I think if you stick to factual information, you should be OK. I'm not sure exactly what kind of blog you're planning to have based on your description, but good luck to you.

  • May 12

    Quote from Esme12
    I am always befuddled by your posts. As a life long (well almost life long) ER nurse...I find listening to a patients chest imperative in assessment and treatment. I am confused by your "short cuts" of things you find....unnecessary.

    I can't for the life of me use my active imagination to comprehend that the use of the stethoscope is "just an act".

    So you have a trauma that comes in with chest trauma from the seat belt...you actually find it unnecessary to listen to lung sounds? What do you document then?

    If you were a nurse in a department I was working or in charge of...I would have to have a serious conversation about your assessment skills....or.......you just like starting controversy here.
    Exactly. I remember working in the ED one night, taking care of a cardiac patient. The ED doc said the patient's heart sounds were WNL. When I listened to them, I heard something different. Before we knew it, we were shipping the patient across town for interventional cardiac cath. What was really great was the doc's attitude; he was very thankful for my assessment.

    I consider listening to heart and lungs a crucial part of pt. assessment. Sometimes you pick things up that would otherwise not have been discovered.


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