Things you wish you could say to your co-workers... - page 6
Ugh! Feeling a little frustrated today with some other newbie nurses (I am one myself). As part of orientation, we have several tasks that we have to complete and classes to attend. I find them... Read More
Mar 16, '07Things I wish I could say:
1) Stop the stinking gossip and running to the nurse manager whenever I DO speak my concerns.
2) Stop stealing time by coming in 5-10 mins late every single day!
3) Stop using foul language as an adjective for describing everything about which you're upset!!!!!Last edit by Midwest4me on Mar 16, '07 : Reason: eliminating the "f***" per SmilinBluEyes mod post
Mar 16, '07Hmm...
1. BATHE, please. Use deodorant for good measure!
2. for the love of god throw out the same scrub pants you've worn every day for over a year, the pocket is hanging off your leg, I'm tired of looking at it.
3. when you do get some new pants, please wash them once in a while.
4. Tell your family to STOP calling you during work hours, period. It is not my job to keep up with who called you and when. One or three less people trying to make the desk phone ring will make it MUCH easier for me to get any work done!
5. Stop text messaging your girlfriend so I won't have the urge to throw your cellphone in the sharps box.
6. Please mention to me, if I'm in charge, what doc you called and why so I don't sound like a stammering idiot when he does call.
7. I am not a drug book, there is one on the computer, I am unable to know everything. LOOK it up.
8. I don't care what the restraint protocol says, please don't untie your psycho patient unless you are willing to watch him. My patients are not appreciative of naked bloody visitors.
9. Stop using the excuse "we used to do it this way" to justify insanely understaffed situations! We used to wash the floors too, 80 years ago!
10. Just because YOU don't value my license doesn't mean I don't value my license.
Mar 16, '07I might add:
During a meeting DO NOT instantly speak up when a co-worker mentions a concern with, "well I NEVER have that problem," when every single staff member knows that we all do and YOU do too! This isn't 'brownie-point' earning time, let's address issues and offer solutions. Also do not loudly and often complain about a problem and then freeze during a department meeting and act like it's something you have never heard of.
Please do not come over and sit by me when I'm trying to concentrate and chart, while you are snapping a wad of gum as big as your head and talk about the new guy you are dating.
Please do not try to act busy if you are not. Everyone knows what you are doing. You are trying to get out of stepping up and helping an over-welmed co-worker.
Mar 17, '07Quote from RNsRWeDon't eeeeven get me started!Ok, this isn't the same, but to answer the question titling this thread....I wish I could say "is this report you're giving me on this patient what I'm really going to find? Or is this the report YOU got and you haven't actually seen this patient in the last five hours?"
There is one nurse on PM shift I don't bother listening to her taped report on. She just regurgitates what is already on the chart - no observations of her own. No contributions. No "I think the IV site needs to be changed. It's been on for three days". Or "I think the cardiologist is blowing this off. We need better control of pts. tachycardia because the situation doesn't look that simple to me".
I mean, NOTHING!
I'm better off walking in and doing my own assessments.
I'm bringing it up in this months' meeting...
Mar 17, '07Quote from grace90Here's my list:I know this is off-topic, but since we're griping about reports that we get, here's some basics of what needs to be given in report, to answer gofigure's question...
Name, diagnosis, code status, attending dr.(s), surgical procedure if any and when, your assessment and vital signs especially the abnormals, pain and how treated, status of any wounds, interventions you did, tests done or pending, lab values esp. abnormals, ongoing problems that need new or continuing interventions, dietary needs (such as thickened liquids, fluid restrictions), any precautions or isolations, quick review of communication you had with dr.'s regarding pt, new orders... I'm sure others can add some more...
1. Name, Sex, Age. Admitting date and diagnosis. Procedure date (maybe different from admission date). Attending MDs, Hospitalists, internists, primary MDs. On-call MDs if need be. Code status and anesthesiologist group (if patient has epidural, block etc).
2. Past history. Allergies.
3. IV access/fluids - type, rate, credit.
4. Pain control - PCA/Oral. Time last dose given, strength. If PCA, give credit
5. Output - bedpan, BRP, Foley. Give amounts. Includes Drains, reinfusers, NG tubes etc.
6. Labs done and pertinent/abnormal results. List labs to be drawn and times to be drawn at. Also list Accu-check glucose monitoring status and results [along with amount of insulin given, if any]. Remind at this spot if RN needs to draw labs from central lines if pt. has one (or not to if MD has ordered no line draws).
7. Special meds/treatments - TPN, cardizem drip etc.
8. Other treatments - elevate extremity, I/S, HOB, nebs etc., O2 rate/delivery method
9. General comments - give your impression of the patient, behavior over your shift. Any calls you made. Your concerns etc. Discharge details (if applicable)
cheers,Last edit by Roy Fokker on Mar 17, '07
Mar 17, '07Here's mine - to upper management more than to co-workers...
Just HOW much do you think we can take before people start calling out... or WALKING out?
When all of your nurses are nearly traumatized by the pace of the night that just finished, when they rush to get home to pee (for the first time since they LEFT home the night before), and eat a banana and a soda in their car driving home from work... maybe something needs to give, hmm?
And when someone DOES bring up the issue at a staff meeting, please dont point out our customer service scores, someone's missed vital sign (3 hours, instead of Q2 hours, ONCE), that someone forgot something. With the pace we're working, holding ICU patients with crap BPs, titrating their ggts and still dealing with our 4-5 other patients, you're lucky we keep 'em all breathing. If you think YOU don't like it, how do you think WE feel risking our license and our patients' lives just to survive the shift?
And to the docs - do NOT act like we're sitting on our butts reading message boards all night when you shove yet another order under our nose (that you wrote just now but timed for 2 hours ago because you realized it should have been ordered sooner and I didn't ask for it becuase I simply didn't have time, between everything else).
Ok this was me and my co-workers last night. God help them if they try to call and ask me to come in tonite (my one night off before two more). Hell, I'll answer the phone just for the pleasure of saying NO!
Something's gotta give. I love nursing.. .but this isn't it.
Mar 17, '07I don't gripe about little things like a once-missed (or maybe late) vs, but there is one nurse (dayshifter -I wouldn't know about the night shift, I work that shift and don't pick up patients from them) who frequently signs off on the chart that doctors orders are done, and maybe half of them will actually BE done (talking about doable things like medication changes, or even giving the med once pharmacy gets around to sending it -hours before. Or pulling a line that was ordered to be pulled 6 hrs previously, etc etc. If you follow this nurse, you had better look over the days' orders, and see that they WERE done, or you will be answering to the one relieving you in the AM as to why they weren't.
Sadly, its not a secret, anyone following this nurse has experienced this, but it continues -its to the point that nobody botheres complaining about it anymore, its taken as a 'granted'.
Mar 19, '07Quote from GromitThere's a dayshifter who is known to be like this... in fact the words "you're taking this team and following X" is always met with groans and grimaces on the part of the 12'er coming in and apologies on the part of the charge making the assignment, because it's a given that ya might as well get out the cordless phone, the kardex and the Spic n Span now 'cuz it's cleanup time!nurse has experienced this, but it continues -its to the point that nobody botheres complaining about it anymore, its taken as a 'granted'.
Mar 20, '07When people are being annoying like this I just say "Shoosh!people may hear you and not want to".Lowering my voice and giving them one of "my looks" tends to stop people in their tracks-like an old school ma'm!Great Fun!!!!
Try it next time-so what if they talk bout you afterwards.
Mar 20, '07After a long, frustrating weekend, how about "I don't care about what you're not going to do, it's you're license not mine".
I would also like to ask some of them if they are married to/dating rich people or drug dealers since calling in never seems to be a problem for them on a Sunday a.m.
Mar 20, '07Thank you for bringing this out. I went through horrible experiences when I was a student (20 yrs ago). We were treated like we were wasting everyones time, and should not be there to "learn". I vowed to never treat a new nurse, whether just licensed or new to the facility like I was treated. Now, these same "nurses" treat the older ones like we don't know what we're doing, because we've done it for so long, so they feel we are "wasting their time". But as I spent time in administration, it was always those people that was "re-inserviced" due to improper procedures that were shown during their orientation. We all need to realize, these inservices, and training periods are for the protection of those precious license we all worked so hard for. Whether we're new or old, things change, and we need to make sure we change, or we'll find ourselves sitting in a court room trying to justify our decision, that was contrary to procedure.
Mar 20, '07i would like to say (and have actually said some of them):
1. you don't know me well enough to say those things about me;
2. if i am having an affair (which i am not) with one of the doctor's what business is it of yours or anyone else's? it isn't intefering with my job;
3. all of your nasty comments about me and my supposed activities really hurts my feelings, but i will never tell you this because it just gives you ammunition to continue hurting me;
4. i am not going to share things about myself with you because i don't like you and you are not my friend;
5. i will die and burn in hell before i ever cry at work because none of you understand me or the reason why i feel the need to cry;
6. i talk to the doctors because they are nice to me and flirting makes my job much more fun;
7. if you took the time to get to know me instead of talking about me, you might find out that i am interesting, smart and tons of fun to be around. and i am willing to help with anything you would need me to do;
8. i am a good nurse and a hard worker;
9. it isn't rocket science working as a circulator so don't insult my intelligence by acting like this is the hardest job in nursing;
10. stop trying to suck up to the doctors at your colleagues expense; and
11. i am an adult and a professional, remarkably so are you. start acting like one.
Mar 21, '07[QUOTE=asoldierswife05;2110274] However, it seems there are one or two immature individuals that insist on complaining, degrading, disregarding, and disrespecting every lecture, inservice and instructor/guest speaker that we have.
Civility in the classroom is a problem everywhere today, even in nursing school. As a nursing instructor, I would love to hear about classroom management techniques that actually work to control this behavior. Perhaps this could be a separate thread.