mariedoreen 4,087 Views
Joined: May 24, '04;
Posts: 826 (2% Liked)
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I was a new nurse doing my initial assessment on a new post-op (man in his 40s). He's in bed surrounded by about 10 family members and friends and they've got the game on. He insists no one needs to leave while I check the surgical site and his drains etc... I do my best to respect his privacy. At one point I lean in and very quiety ask, "Are you passing any gas yet?" He looks at me confused "Huh?", he can't hear me. Then he quickly understands and loudly goes, "OH! YOU WANNA KNOW IF I'M FARTING! HEY GUYS, AM I FARTING??!" And the room rings loud with their laughs and answers, "OH YEAH!!! We can vouch for that!!" I was so red walking out of there.
He gave it to me all night and I finally got comfortable enough to start giving it back. Hours later he hadn't urinated and the surgeon decided he had an hour to make urine or the catheter's going in. The patient is adamant that he DOES NOT want a catheter. So in an effort to get things moving we decide to have him take a walk around the floor. I accompany him and his wife and friends. His JP's hanging and he can't figure out a way to take the traction off the line. I said "Here, let me show ya" and I tuck it in the pocket of his robe. He's ribbing me some more, "Oh see there, that's what she gets the big bucks for!" I laughed and said, "You think so? If we don't get you to urinate you're gonna see what I get the big bucks for!" You never saw a guy lose his smile so fast. His wife and friends however laughed half the way down the hall.
...that speaks a whole lot about our generation doesnt? It seems we cant withhold the stresses of nursing as oppose to nurses back in a day who did. All we do is whine,complain instead enjoy what we have and work on our burnout.
I think there's a couple things going on here...
1) You are right that in this field there seems to be a substantially higher amount of people "complaining" about their work. I think, however, instead of telling all these people to get out, the productive approach would be to thoughtfully question... why?
There's got to be a reason right? I'm sure you don't think the field of nursing acts as a magnet for chronic complainers. And I hope you're not thinking it's all because they chose the wrong field for them? I mean I'm sure like all fields, that's true for some. But let's be logical about this... neither one of these can really be the driving force behind it.
Which really brings us to 2) the reason you're not quite able to figure out the answer to that question... the honest answer, as much as it pains you to hear it, is that you haven't worked as an RN yet. Consequently it seems you're resorting to the blanket concept that all these people are either chronic complainers or were just dumb enough to choose the wrong field. Which then means the only right thing to do for the sake of all new grads and our blessed patients is kick the complainers out.
How about asking why? Because they are obviously and legitimately trying to tell everyone something. You claim to care about the patients well-being, and I'm sure it's true, so really listen to what's going on behind the "nurses who hate their jobs" rant. What are they saying? In short, it's that patients are not as safe and well cared for as they should be in the present environment. And that the nursing staff is not as safe and well cared and respected and supported as THEY should be.
Your job as a CNA and your clinicals as a student introduced you to the fast paced world of patient care. But it did little to orient you to the overwhelming responsibility for a person's very life that an RN holds in her hands every day. When you have that kind of responsibility without the time and resources to meet it to the best of your ability it can become impossible at times to go home feeling good about your day. You have a lot of those days in a row and you start to burn out. When burn out progresses you find yourself not always wanting to go to work. When you no longer want to go to work you cease to be as happy outside of work. And finally, when the situation continues month after month or year after year, your whole life begins to lose its color and you begin to say things like, "Oh my gosh I think I hate my job." A few more months or years later and you no longer start the sentence with I think...
What that nurse and others like her need is for people to sit up, take notice, and listen. There's something going on here. And I can guarantee you it will never be fixed by rounding up all the "complainers" and filling the positions with those who don't have a clue... but think they've stumbled upon the easy fix. Talk about a bandaid for a femoral bleed.
What a great thread, thanks for starting it. I'm working as an RN-ADN and want my bachelors. I've been looking at BSN programs... but the honest truth is I don't want to go that route... I want to major in something else... and have been feeling like doing so would be counterproductive... like I've got to stay on this nursing course. Reading these few replies showed me it's more than okay to veer off the path a little and pursue what really appeals to me. THANKS!
I love it. But like everything in nursing it depends on your personality and strengths. If you've been a NICU nurse for 19 years you have mad skills and you've had a lot of patient/family contact. Would you be okay with doing assessments over the phone, not doing any skills, not having face to face contact with you patients?
I love it because I'm into the academic side of nursing... having to figure out with limited initial information what else I need to know, what the possible differentials are, what the likelihood of each of those is, what level of care the pt may need and how soon they're going to need it. It's a challenge. I also have good interpersonal communication skills and I'm empathetic, so I'm able to connect quickly and easily with most patients, which allows me to quickly collect the info I need. My big weakness involves skills. I don't like them and I'm not that great at them. Since I don't have to do them in this job, it fits me well.
What's the first thing you're taught? Assess the scene. You do not go in if you do not feel safe. And you are not bound by law to do so.
My personal feeling is that if the situation is safe and I can be of assistance... which has happened a few times when EMS has not yet arrived... then my husband (a police officer and EMS trained) and I stop. We do the little we can, which usually involves doing our best to keep further harm from occurring... "don't move him, don't stand there" etc... keep people calm, reassure them help is on the way... and stay until EMS has arrived.
It seems minor to us because we're used to more technical interventions on the floor, but usually all that is needed is a calm, reassuring, authoritative presence to quiet the immediate chaos.
Anyone work as a managed care RN in a clinic setting? Looking for feedback... likes/dislikes on this position. Considering making a switch. Thanks.
I was where u were at. I still havent found my niche. I quit after four months in a hospital and found a job in a clinic. stayed there for about a year.....i'm still there...but i'm looking for something better. dont ever stay at a job if ur not happy. they want u to think it will look bad but the reality is that nurses have the upper hand. there is a shortage of nurses so we can pick and choose.
It's been about 2 years since I wrote this thread. Here's the update:
I ended up quitting med-surg. We moved a few months later back to the area where we grew up and most all of our family still remains. I took almost a year off work total and then I submitted a few apps to clinics. I found an awesome facility with great hours, mobility, pay, benefits and a wonderful non-toxic environment with supportive co-workers. The job fits my personality & strengths... I work as an advice and treatment nurse. I've been here a year now and can easily see myself spending the rest of my career with this employer.
In short, I'm now much happier being an RN. And I appreciate all the advice, words of wisdom, support, and kicks in the butt y'all gave me as I made my way from student to new grad. Thank you from the bottom of my heart.
Everytime I open this page I see this question: Do Nurses Eat Their Young???
Perhaps that's why it never dies.
However, every time I open this page and see this question there's a wounded voice inside of me that screams to the high heavens...
You don't want to commute to Portland on I-84 in the winter time... can be dangerous and you can count on it being closed at least once each year. Mid Columbia Medical Center in The Dalles is a great facility, check it out.
My mother in law was killed on the gorge trying to travel to a client (she was a lawyer) during winter. She lost control on the ice in heavy wind and slid into an oncoming semi. BE CAREFUL
I lived in The Dalles for 11 years. I would not want to have to commute I-84 in the winter time. The concern is of course the ice, but the snow's no picnic either. You would have to worry about this every winter. If you're an RN looking for a good hospital position, consider Mid-Columbia Medical Center in The Dalles. It's an easier commute and an awesome facility to work for.
It wasn't about the money for me. It was about too many patients and not enough support for a new grad. I would have happily taken less money per hour (blasphemy around here I know) for saner working conditions. I'll keep looking for a position in nursing that doesn't push me to the depths of depression, but if I don't find it so be it. I will not sacrifice my mental and physical health for the working conditions that so many nurses are subjected to. Life is way too short and there is no amount of money they could pay me that would make me want to do that.
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