operations

Really? That's actually pretty pathetic. If you read the post you wouldn't need to be told I was talking about CRNA. Like I literally described the role. How juvinille.

Actually it should have been CRNA school. I could not edit the post in time. Sorry lol

Topic has been here for days and viewed. No one had anything to say on the subject? Too broad of a question?

I find time to pee because I have time management skills. And I don't get emotionally involved with my job. A baby being born is a nice thing, but it isn't my baby, so it's not special to me. Seeing a beating heart is a cool experience, but I don't spend a lot of time admiring it because I have a job to do to keep it beating. Etc.

You learn ethics etc. Technically, your ticket into nursing is Nclex stamp of approval. I truly believe BSN does not make you that much better of a nurse, but it does make you more rounded professional/leader. Most hospitals don't care about BSN as much as you would think. They may request you earn the bachelors within a couple years

Actually I just noticed this. I worked on CCU and everyone there had plans of going somewhere else. It is fine and all, but I remember one new grad that was terrible with foleys at first and always needed (me, the tech) to help or take over. Within months she is being accepted to CNA school. I had no clue they could get in that quickly... But she did, and suddenly she was the holy queen God, correcting everyone as if she was so exceptional and talented... You can manage to handle putting a tube in a bladder how you gonna manage putting one in lungs?

I think the boundary made with the boss is definitely important. If OP can discuss something that she can hold her boss accountable to and have it in writing, she will have more leverage. And, if she must leave the job then she can tell the next employer this information which will make her look more professional. If something is explicitly discussed and agreed upon (especially in writing) and the past employer fails to come thru, it's usually very understandable to a hiring entity.

Honestly I think this is the future of healthcare., even medicine. Nursing is an evolving career. I believe it will intertwine more with medicine in the future and the two will become two sides of the same coin rather than the nurse being considerate lower in hierarchy. I want to be a bedside nurse for a while and then decide if APRN is right for me. I chose nursing over going to med school cause it makes more sense to me to not jump in as a clinician until I get experience in being in a role where I can apply my knowledge and understand the disease processess by experience. Then decide if I will love a more advanced role. I want to do that now and don't want to spend years of my life studying first only to decide medicine is not for me. It's strange however that this is the exact reason I am going into nursing and one of its strengths, yet some choose to skip experience which I believe is doable but really unwise. How much more confident will you be if you can first gain good "gut instincts" and thus can quickly rule out alternatives? I also truly believe people still tend to be ashamed of nursing. It's an attitude that it isn't a valid career. Just a stepping stone to something "respectable". Oh your an Np? I guess you are smart then, because nurses aren't smart. The fact that anyone would choose to be a nurse rather than a doctor if they could really baffles society. And that leads people to feel like they can't just be a nurse. They have to go do APRN and quick if they are truly "smart" . Or that if they are in nursing school, they just couldn't cut it pre med classes. Sorry, not true. I did fine in my chems, physics, and calc thank you. I did them and deserve to feel good about it. And I deserve to feel good about nursing too.

Which class are you in? That's gonna depend on what you need a guide for. Ex 103 focuses on "normals" at my school.

Let me tell you about Foleys. Learned them in training and got checked off at my new tech job years ago. That day I was thinking of that I should follow some nurses around when I start and watch them every chance I get, then do one. Felt completely unprepared and had similar doubts. How am I going to do this? Fast forward to the next week and my second day off orientation (only a few days on the job). Was floated to a very understaffed PICU as the only tech. It wasn't bad for me, the nurses just had a lot to do and I did basic care to help. That changed pretty quickly halfway through the shift when we flew in an unresponsive status eppilepticus 5yo female with Downs into our last empty bed. There were only a couple nurses available to accept and take care of airway and all the monitors and drugs. Kid didn't have a Foley, and wouldn't you know a nurse instinctively delegated that task to me I said " wait wait I haven't even actually done one of these on an adult... I am just off orientation!" She said "You can do this, I will help you and take over if you freeze, it's fine" . So I got my peds kit and listened to her instructions very carefully. Wouldn't you know I got it on the first try! And pretty smoothly, as if I did them regularly ...on a female peds pt! I don't know how I did it, I do know that having such an encouraging nurse guide me made the difference. Confidence and focus is what you need. And some encouragement. Watch one do one teach one :)

I am proud of you OP. You were right to stand your ground against the bullies or awful people replying to the post. It's not our place to always judge someone's credibility. That's why I said "based on what you said". You needed the benefit of the doubt here, and people where jumping to their own conclusions and being completely unsupportive. It's just sad that being supportive of each other when we do the right thing is difficult in this profession. That hasn't been my experience in other professions and has me worried. Especially since what we do is so important and we're supposed to know better. I do hope you will work on being appropriately assertive, and learn some social engineering. It isn't wrong to not have these skills, but they will help tremendously.

I absolutely respect your actions. I would rather work with someone who is a good example of a professional like you than all those poor excuses who harassed you.

The cargivers were bullying and needed corrective action. The behaviors of the cargiver crossed the line when they neglected their duties and impacted patient care. They did this willfully and with complete disregard to the patient's wellbeing. Based on the story as stated by OP, she did not commit any acts of workplace aggression against the staff. In fact, I would not even say she disrespected them. Contrary interpretation is completely baseless. Professionals are to respect others personality traits. Being social in the way YOU prefer is not mandatory of any team member. You are to do your job, and maintain respect objectively. "Not saying hi" is not being disrespectful. Nor is not making small talk. That is such a stretch. How do you reconcile this with cultural competence? In fact, to JUDGE someone because they do not communicate with you the way you like is disrespectful. Not the other way around. Disrespectful act they also committed include the acts of gossip and sarcastic remarks. You are required to show up and do your job, and be respectful. You are not required to engage in small talk, gossip, banter be any ones friend for that matter. You are to be a colleague. If someone were to "require" all this of me... Sorry. It is not something I do, and you have to accept that, just as I accept your extroversion. Just because you have decided to be upset doesn't automatically mean I have committed an offense against you. Work place tension is not enjoying someone but not committing offenses. When it became gossip, sarcasm, and isolating- it was then bullying. But when it involved patient care, it crossed a line that no nurse should excuse. It absolutely needed corrective action.

Don't you see you are getting played? They weren't "forced" to leave you in this position. They chose to. And now they are making every excuse so you accept their choice easier. How did the other employees get into this position? They must have had benefits to begin with, because that is the reason you are given for not being a candidate. Which at least makes sense. If you will happily continue on receiving no benefits, that's less money they have to lose. Did your boss guarantee you in writing the next benefit position? When will that be? And how can she say you don't qualify because of your status and offer you a future position? Why do you suddenly qualify then, at this ambiguous time in the future, and not now? You need to pursue this further. You do not need to be lead on by this buisness who is enjoying the fact they don't have to pay you benefits and get excellent work and loyalty from you.

If you are thinking you are entitled to anything based on seniority or age in the workplace that is non negotiated and in writing, you are gravely mistaken. That's a very conservative and naive view. And it's just not the way things are, not that I think it's "fair" by the most basic definition. That is not to say that seniority doesn't have VALUE. It does, it means you are a very committed person to that company and your career, and they have had no reason to fire you for your employment duration. But you are misunderstood of how buisness works, and the buisness world perceives fairness. Let me explain: 1. Fairness in the buisness world comes in the form of contracts. You are not "entitled" to anything that is not in writing by your employer. So if you want upward mobility, it is not something to be earned. You may be able to make a contract negotiation, but I do not know how often that an RN gets a guaranteed promotion via contract, probably never. Understanding this fact is important so you are not lead on by your employer, which happens often because..... 2. Employers like to keep positions that are hard to fill filled. Taking a ****** role to impress an employer is often a trap, because if they can convince you to do your best and stay at this role, it will be filled with a reliable person indefinitely. This happens a lot in entry level roles... "I'll take this ****** job and put in a few years and do my best. They will give me a promotion because I deserve it" Wrong. Maybe they will, but you really are just taking a risk. You've made it up in your head you will recieve something no one has offered you. And it's a big risk, because as long as they can keep you loyal and motivated they have this great person that will do this job nobody wants. And that will be better for them, so that's what they will probably do. Altruistic definitions of "fairness" are not observed buy the buisness world. 3. "But I'm older. I have more expertise. I know this place inside and this role and out!" Yes, that is a potential benefit that they should consider, and they probably will. However, a lot of choices are also made on data about that demographic. This is used all the time. Ex. Older people might have less ability to think creatively. Older people may need medical leave. Older people may not be as good with new technology. This information is gathered through research, and psychologists etc are often hired to consult a company on this data. Is it discrimination? Good question. It's done all the time every day and nothing has happened 4. "So a younger person is better than me? *****" No. But they do have some potential benefits which are taken into account. Your expertise usually does mean something major in these decisions, but it's not the end all be all. There's data on young people too that isn't good:" Millennials tend to have poor work ethic". One you've probably heard of. 5. But most importantly, everyone knows that buisness is WHO you know most of the time and it's not going to change. So if you want to win the game, you have to play by the rules as much as possible. Network network network. 6. "but that's kissing ass and I'll never do it" Making connections isn't kissing ass by default. And it's not a guaranteed thing, just something that is a benefit. Just like all other aspects, like experience, a connection with a person doesn't entitle you to anything either, but it doesn't hurt you.

I know how you feel OP. I've been waiting for ever for my nursing school to actually guide me and focus on making me a great nurse rather than have me spend all my time navigating nursing school and self teaching from disorganized material.That has been my entire experience. I truly hate it. I feel like the professors just refs who step in when they see something wrong, otherwise are aloof, vague, and uninvolved. The only thing I am learning in nursing school is learning how to navigate nursing school. How sift through unecesarrily sloppy material for hours so that I can find the thing that I need, which should have just taken a few minutes. And worshipping the Elsivier gods and their glorious evolve products which are completely terrible for learning and insanely overpriced.

Delegate appropriately. This is something that some nurses get wrong. They choose to be BOSSY by delegating as much as possible, over being a LEADER, by delegating when it's the BEST choice. Or, they underdelegate, and make poor prioritizing decisions that effects their work. The point is to make things efficient. If you are not getting important nurse things done, that is not efficient, and your CNA is a wasted resource. However, if you are doling out a workload that slows the CNA down while you get on the phone or work super slowly, that is also in efficient, as you are the wasted resource. Understand what the CNA expects you to delegate. Most of the time, it's routine and they should already be doing it. The rest of the time, you must make a judgement call. Do I have important things to do that must be done that only I can do? Delegate. Do I have some time time to do this myself, and my CNA is really loaded? Probably do it yourself, or work together. It is up to nurses to have good time management. Working slower than other nurses are expected to when you are on the job is no excuse to overdelegate. However, as a student, you need that extra time because you are learning and practicing skills. You also need to know what you can delegate. So I would lean toward the delegation, and be confident when you delegate that you are making the right decision and not being bossy when you say it. If you do not say it with confidence, CNAs might actually question whether the task needed delegating. This is how I felt as a CNA when people asked me to do things in an unsure matter.

Hello, I am looking for information on how to choose specialty. I have alot of experience in wide variety of areas (ER, CCU, floated on all hospital floors, even a little in medical records) Most recently my role was to prep and assist a surgeon who did simple office based surgical procedures (similar scrub/circulating role). So I have some really nice experience there and I was well liked by my supervisor and the surgeon. So you would think I would know what is right for me at this point, however when I'm an RN I know this experience is going to be very different. Priorities for choosing the right specialty 1.Am I able to do the role and completely excel? I have some recurrent health issues. Do I fit the role? 2. Do I have the right personality for this role? Does this role fit me? 3. Do I find this role interesting enough to desire to get advanced training in it? I am considering everything at this point (except OB). I like almost everything. Even non bedside roles. I just want to work somewhere than I can be great at, where I "fit" . And I am not sure if I am good enough for CC/OR/etc. Any links to resources to help me make this choice would help. Thanks

I agree that some nurses come off snobbish. And if they don't care that they do, it's a serious problem. I truly believe you cannot be a nurse and not make empathy a priority. Because if you only do the tasks and provide care, even if you are the best critical thinker, you are only helping one aspect of health. The physical. The other aspects of health, like emotional needs, greatly suffer from an unempathetic approach. However, I believe wanting to learn empathy means something. No one is skilled with empathy equally, and some cannot be empathetic in certain situations as others. This is congruent with the statement regarding life experience that you mentioned. Empathy can be developed with practice and education.

This is a judgement call. If you see someone looking at a chart to learn, I would not report it. If you see someone looking at the chart of someone they know, because they are nosey, then that probably should be reported. In this case, it sounds to me like she is looking at the charts to monitor the other nurses. If she is looking at your patient's chart, I absolutely think you can ask why. This could lead to any answer and judgement would be needed to determine if you should report it to manager. Good reasons to look at another person's chart "I want to see how you documented that narrative so I can learn." "I want to see the trend in this pts vitals so I can learn" Bad Reasons "I heard (insert gossipy info here), and I want to know if it's true" -I have not reported someone who has done this but I know others who have, and I do not blame. If I saw someone do this as a pattern, I would be far more likely to report it than an isolated incident. "I wanted to look and see if you charted that intervention correctly" -I would be more likely to tell my manager about this. This is an incredibly aggressive behavior and should not be tolerated. Passive aggressive behavior creates an environment that can impact patient care. Occasionally we make make a mistake, but a continuing pattern of this behavior should not be tolerated. It's incredibly toxic and can have consequences to the patients, as care can be disrupted by this behavior. If someone is willing to go into patient charts to exert passive aggressive control, that definitely needs an intervention. And that doesn't mean she needs to lose her job or be punished. But management should make it clear that she is playing with fire by looking at these charts when she shouldn't be. They should focus primarily on the disruption of staff by her behavior pattern and work to correct that behavior.

Sounds incredibly passive aggressive. Unfortunately, micromanaging when you do not have the authority to is a form of workplace aggression. This takes precedence helping her with her social needs. Acts of workplace aggression need to dealt with, and not looked over (according to my school's Potter and Perry text) Management can do both of those things (helping adress the aggression and social needs) concurrently. If you catch her looking at charts, I would ask her why. If she gives you an insubstantial answer, report it. Hospitals are coming down hard for looking at charts of patients that are not your own.

Sorry this happened to you. I agree the above comment was delivered poorly. However, I think they just wanted to share the strange article.

Internally I am the most nervous person in my nursing class. In fact, I am thinking of going into something more basic than the extensively in depth specialties because of it... Yet I am making the best grades and regularly get good comments from professors. Opposite problem of you. Creative thinking is allows you to look "routine" situations and consider other alternatives. Unless you have a lot of expertise in the "basic" stuff, I find it impossible to be bored those things. Having a tendency toward stagnating quickly (but being generally interested) with job that becomes routine indicates a deficit in creative thinking, in my opinion. While I greatly respect and appreciate your intelligence, confidence, dedication, drive, and adaptability... I feel that when we perceive things as "boring" we are not thinking creatively about those things. Or we are generally losing interest because the subject is mundane, and therefore we become passive, lose the drive to learn because of it. That is actually dangerous because it becomes the choice not to learn when there is in fact no shortage of things to learning about the subject. And many of these are things that need to be learned about to provide the care our patients deserve. "I don't 'care' about flu, that's not exciting". Common thing I hear from people that are in ER, yet viruses evolve and we need to keep up with this knowledge. I think if you are intellectual, you wouldn't find these subjects boring. In fact, you would possibly feel overwhelmed with the amount that you realized you should probably learn about these things. If you need a constant adrenaline rush, well that eventually goes away with any job you may have.

Working nights and crazy hours does a physical toll on our bodies, and because of that, the lucrative pay dangled before us to tempt us into these positions ends up becoming the money we spend of medical care because of the damage done. I do not view extra pay from on call jobs as incentive for this reason, unless it's a considerable amount. I know some people are high functioning at night and do not get effected by it greatly, but in my opinion everyone is effected by working nights and being on call in the long term. I can no longer work nights. My sleep/wake cycle eventually began failing me a few years ago from pushing myself thru these crazy shifts for years. I now have to take medicine at night for sleep. The medicine also treats the anxiety disorder which I developed because of the stress to my body. Therefore, I must take it daily, and take it at night. Nights are off the table for me now, and I do not feel the least bit selfish about it! Neither should you.

I do not mean to diagnose, but I suspect the student may have anxiety disorder related to her past ADHD diagnosis (she seems to "fatalize" here different personality states and have some obsessive/distractive thoughts without any apparent psychosis). I think nursing is high stress and can exacerbate any kind of MH disorder. I would greatly advise her to get reevaluated. It isn't going to harm her career to get help, and there are many options for her to choose from of she didn't like the ADHD meds. Especially since untreated anxiety disorder can lead to panic attacks, which can in fact be disabling and far more difficult to treat. That I know from experience.