New Residents, Eeek!

Jenni811, RN · Jul 13, 2011

Along with 3%NaCl depending on Sodium goal.

well yea thats a hypertonic solution.

linearthinker, DNP, RN · Jul 13, 2011

Some unbecoming posts here. Very unprofessional to complain about ones medical colleagues this way. I'm disappointed to see it.

Jenni811, RN · Jul 13, 2011

Some unbecoming posts here. Very unprofessional to complain about ones medical colleagues this way. I'm disappointed to see it.

Oooo Phooey, don't be a fuddy dud!! :)

tntrn, ASN, RN · Jul 13, 2011

http://mynorthwest.com/?nid=11&sid=512889

What timing. I just posted this in a new thread, that isn't in the queue just yet.

mike109810 · Jul 13, 2011

^Hello & good to side the 'other side' here . Keep in the mind that the nature of a venting thread is to list all the negatives. I'm pretty sure if I went to a docs forum I would be seeing a lot of venting & criticism about nurses (student or otherwise).
Why don't you open a thread about your experiences with nurses or what you would like us to know etc. I think a lot of people would be interested to hear. Just a thought.

I totally understand the venting, it's definitely therapeutic

I don't know about other docs, but it seems like all the ones I have interacted in know that after all is said and done, have a great deal of respect for all the nurses and their staff. I know I sure do.

So far all the experiences I have had with the nurses has been great, and on a lighter note, they seem to know were the best delivery food is at 3 AM :cool: (among a FEW other things, haha).

mike109810 · Jul 13, 2011

I just :redbeathe'd your post! Kudos to you! Hopefully, when I'm a "baby :nurse:" I get to work w/ a Dr (or "baby M.D.) w/ a similar mindset as yours. (now could you pass along this attitude to some others, perhaps? That would be AWESOME. Just my , for what that's worth anymore.)

Thank you for your kind words. Haha I have noticed that other doctors have little respect for the rude MD's. On the first day our DME (director of med education) was talking to us, and flat out said "most of the doctors are nice, other's are b*stards, but don't worry, they are b*stards to EVERYONE, and no one can stand them...so don't take it personally." I try not to let myself get down when I encounter harsh words, I definitely have too many other things on my mind than to worry about a Dr. who "woke up on the wrong side of the bed". :)

mike109810 · Jul 13, 2011

Be aware, that in many cases, new nurses has learned this behavior from MDs that treated them like trash when they were new on the floor, and behave with very little/no kindness to nursing mistakes. I had plenty of MDs laugh at me and dismiss me when I was a new nurse, not on an anonymous BB, but publically. Not to mention had them curse and throw things.
Does this make it right? No. But should nurses not be permitted to vent on an anonymous BB regarding the increase in their workload, and the amount of surveillance required, so that they blow off this steam and can go back to the unit tomorrow with smile on their face and go on as a helpful professional.
In addition, what you will find during your intern year, is that many interns/residents will start out a bit lost, and will appreciate the help that we give them. In a few monthes, that wears off a bit, and they believe themselves to be more "expert" than nurses and above them, even in specialty departments where things may be drastically different. Then they butt heads a bit. And by the end of the year, they have less/little tolerance for what the nurses' opinion, right or wrong.
I have Attendings that expect me and the rest of the staff to help interns/residents but also to keep the pts safe from them at times. If I do not carry out a questionable order, the intern/resident will give me hell - if I carry it out, the Attendings will have my butt. During the mid to latter part of the year, this can cause a great deal of friction.
Many of us are adapting to the "turnaround" in attitude that occurs at this time of the year. And it can be stressful.
And if you think that the opinions expressed here are harsh, may I suggest reading the dismissive comments about nurses over on SDN. They are in most cases, worse than what is here. They too need to vent, so that when they go back to work, they can put a smile on their face and continue to work with other HCWers that may have been silly/rude/dismissive/mistaken...and go on from it.
There was a rather well known, "What was the dumbest thing a nurse paged you for?" thread (or something like that,) that went on for pages.

I can understand where you are coming from, and I do completely understand the purpose of a venting thread. Like I said earlier, some doctors can be complete jerks, and they are like this to EVERYONE (patients, students, colleagues, nurses, therapists, etc.). I believe that this is very detrimental to the delivery of care to the patient, and quite honestly, I learn nothing when I am around people like this.

As far as negativity towards nurses from residents, I personally don't see it at my facility, and I know that I won't turn into a monster against ANYONE in the hospital, especially nursing. My father is a physician, and his one piece of advice to me was be nice to the A) nurses, B) secretaries, and C) the cafeteria cooks, haha.

It's a shame that there is an endless cycle of animosity between MD's and RN's, but hopefully as time progresses, that changes. Change comes very slowly in healthcare, but it does happen eventually. All I know right now is, that I do appreciate the assistance that the nursing staff gives.

As far as the post on SDN, I would imagine that is also venting. I know I have seen threads like that here on AN venting about bad MD orders, so I guess it's also blowing off steam. Personally, I would rather the RN calls about something that may end up being insignificant, rather than missing something very important.

Back to another 24 hours :yawn: :)

FLmomof5 · Jul 13, 2011

Wow! Don't know what to say about SDN....just went over there are read a thread bemoaning the "encroachment" of "Noctors" into their fields.....and either how to avoid Noctor fields or stop those uneducated, inexperience, under-intelligenced Noctors!

They talked about how their 15,000 of clinical hours can't compare to a DNPs 500 - 800. Hmmm, one thing I noticed is that we do a few hundred hours to get our ADN. Many BSNs then required 2000 real working hours to get into their program which then requires a few hundred clinical hours more....when, of course, we are still working with real patients. Then we step into the MSN and finally the DNP. The work we do isn't "clinical" hours, but we are still working with real patients.

Of course I "loved" (sarcasm): "The NPs, while evil and disingenuous, probably wholeheartedly believe what they're saying. Because, their curriculum is a self-contained internally complete world"

Followed by: "The intelligence difference is very easy to explain, and I'm sure you're not so naive as to not understand it. Only the top performing undergraduates (who go to a real university) have a chance to be admitted to medical school (average GPA was 3.7 years ago when I applied)." So obviously, this doc-to-be isn't aware of the fact that it takes MORE than a 3.7 to get into most NS's nowadays! He believes the lie: "Now compare that to the nurses, who can get into any community college program as long as they have a pulse and a bank account."

But one of my ultimate favs was "If you want to avoid the encroachment of the RN, go into RadOnc b/c I think ~98% of nurses have a visceral reaction when the subjects of Physics, Radiation Biology, true EBM, phase II/III RCT's, etc. are brought up. Just poking a little fun, not trying to fire up the RN's. "

Wow. OK... I plan on getting my NP some day. I would love to have this guy point out how I don't know my physics....given my EE degree. Or, that I know nothing about radiation.....

Of course there was the standard, "they couldn't get into med school" crap!

So in the end, I bit my "finger" and came back here. That one post highlights some of the concerns in this thread: (1) the arrogance of the not-yet-doctors and (2) their complete disdain for nurses.

KJM-RN, BSN · Jul 13, 2011

Wow! Don't know what to say about SDN....just went over there are read a thread bemoaning the "encroachment" of "Noctors" into their fields.....and either how to avoid Noctor fields or stop those uneducated, inexperience, under-intelligenced Noctors!
They talked about how their 15,000 of clinical hours can't compare to a DNPs 500 - 800. Hmmm, one thing I noticed is that we do a few hundred hours to get our ADN. Many BSNs then required 2000 real working hours to get into their program which then requires a few hundred clinical hours more....when, of course, we are still working with real patients. Then we step into the MSN and finally the DNP. The work we do isn't "clinical" hours, but we are still working with real patients.
Of course I "loved" (sarcasm): "The NPs, while evil and disingenuous, probably wholeheartedly believe what they're saying. Because, their curriculum is a self-contained internally complete world"
Followed by: "The intelligence difference is very easy to explain, and I'm sure you're not so naive as to not understand it. Only the top performing undergraduates (who go to a real university) have a chance to be admitted to medical school (average GPA was 3.7 years ago when I applied)." So obviously, this doc-to-be isn't aware of the fact that it takes MORE than a 3.7 to get into most NS's nowadays! He believes the lie: "Now compare that to the nurses, who can get into any community college program as long as they have a pulse and a bank account."
But one of my ultimate favs was "If you want to avoid the encroachment of the RN, go into RadOnc b/c I think ~98% of nurses have a visceral reaction when the subjects of Physics, Radiation Biology, true EBM, phase II/III RCT's, etc. are brought up. Just poking a little fun, not trying to fire up the RN's. "
Wow. OK... I plan on getting my NP some day. I would love to have this guy point out how I don't know my physics....given my EE degree. Or, that I know nothing about radiation.....
Of course there was the standard, "they couldn't get into med school" crap!
So in the end, I bit my "finger" and came back here. That one post highlights some of the concerns in this thread: (1) the arrogance of the not-yet-doctors and (2) their complete disdain for nurses.

That is seriously pathetic that a doctor would spend the time to put down fellow healthcare workers that make his/her life and the life of their patients easier and better. This person should get their facts straight as well, my community college RN program hasn't taken anyone below a 3.7 (and even some 3.7's are rejected). We shouldn't stoop to this level though, I doubt most doctor's have this mindset. What would healthcare be without nurses anyway, everyone needs to work harmoniously together not against each other.

tiredstudentmom · Jul 15, 2011

Thank you for your kind words. Haha I have noticed that other doctors have little respect for the rude MD's. On the first day our DME (director of med education) was talking to us, and flat out said "most of the doctors are nice, other's are b*stards, but don't worry, they are b*stards to EVERYONE, and no one can stand them...so don't take it personally." I try not to let myself get down when I encounter harsh words, I definitely have too many other things on my mind than to worry about a Dr. who "woke up on the wrong side of the bed". :)

You're quite welcome! I understand the need for everyone to vent as it keeps us from killing one another! :rolleyes:

danh3190 · Jul 15, 2011

Maybe I'm weird but I like the new residents. I don't get a lot of attitude from them and they are often eager to teach. (Yes folks they do know more than us). If I think their order is dangerous I can always call their senior, but I really haven't come across that too much as most of them are very conservative.

Besides they're going to be with us for 3 years. If we treat them well now they remember it when they're senior residents in a few years.

allnurses Guide · Jul 15, 2011

I haven't read much of the SDN stuff myself, but I've read some of the posts that bleed over to allnurses. Some of those people get a bug in their butt for whatever reason and decide to come over here, adopt a fake identity and bait the nurses with an escalating series of offensive posts. It's a shame their anti-social personalities have made it impossible for them to get a date on Saturday nights, really. I just wish they'd go back to ringing doorbells and running away real quick, or calling the local liquor store and asking the clerk if they have Prince Albert in a can.

I hasten to add here that I don't think most of the crew of "SDN Brats" will ever become doctors, and I'm in no way bashing the real MS-4s, interns and/or residents I've met and worked with over the years. They are right that their education as new MDs is grueling, the hours are insane and the stress levels immense.

I know we do hear all the time about how we should cut down on-call hours etc., but I think the process of weeding people out is not entirely a load of bunk.

When the specialty of Nurse Practitioner was first developed it was implicitly understood that this was something a nurse with many years of experience would do, emphasis being on "expert" nurse first. I don't recall hearing much griping from the medical establishment at all.

Now it seems the NP is seen as something more akin to a PA-C, and often it seems people talk about them as if they were interchangeable.

Last thought - I really dislike the terms "baby doc" or "baby nurse". I never heard those until a few years ago!!