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Quidam

Quidam

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Quidam's Latest Activity

  1. Quidam

    calling ALL newly licensed NURSES.......[3yrs<]

    I graduated Dec. 2009, first day of work was Jan. 2nd 2010, I was not licensed until sometime in late January I think. I worked as a graduate nurse during the interim. I was hired before I graduated. I was not employed at the facility. I work at a large county hospital in Fort Worth Texas.
  2. Quidam

    A worn out topic

    I am 8 months in and so far have only had one doctor act up with me. He was telling me I was wrong when he asked me about some clerical procedure that I had already told him I was unsure about but this is what I thought....He proceeded to speak loudly to me about how wrong I was. Took me a whole 3 seconds to say to him "since you seem so well versed on the subject, do it yourself" and I walked out of the patient's room and promptly returned to my charting. He came out behind me and told me he would not discharge the patient until "so and so" was done. I told him it did not matter to me one way or the other. All said in a very calm, matter of fact tone. He said this to me as I was sitting at my computer. I never even looked up at him. He stood there for a moment, then walked away and handled it himself as I had suggested. LOL!
  3. Quidam

    awesome nurse pt ratios

    I have never had more than 4 patients. LOVE IT!!!
  4. Quidam

    Respect?

    Ya know...this compelled me to post what has been on my mind for a while. I am a new grad and have been working at my first position for 6 months now. I feel truly blessed to have landed where I did. My co-workers are wonderfully supportive. My preceptor was patient and encouraging. I never feel awkward asking for help or asking questions. I am repeatedly asked if I need help..."what can I do for you"? "Do you need anything"? And I hear them saying this to even experienced co-workers. I am sure to offer assistance when I can as well, as I want to be a part of this team they have built. Now I have had a few minor incidents but nothing major. And nothing that got me down. There are a few not so wonderful people there, and my goal is to not let a rotten few spoil a good thing for me. But the vast majority are good nurses, with a genuine interest in new nurses and the patients. I hear the horror stories others tell...and have even heard it about other units in my facility and each day I am grateful for this awesome unit I was lucky enough to be hired into.
  5. Quidam

    A really bad day in the ER for a new nurse resident

    Betcha learned a lot today. :hug: And I think that it may have been somewhat of a compliment that he said since you were a new grad then you did ok. Really there is a world of difference between an experienced nurse learning a new area and a new grad learning an area...especially something like the ED. Sounds like you did a fine job in very difficult situation. Be proud.
  6. Quidam

    Want To Be A Nurse, But

    Not looking to pick on anyone, just though one central thread under a catch all heading would help to serve perhaps as a reference point. 1 - Failed one or two classes, but only by "X", points, why are programs so strict? Because they have to set a standard at some point, and if there is leeway for one there will be arguements for leeway for others. It is what it is... 2 - Don't like dealing with human bodily fluids and or waste..... There are areas of nursing where this is not a problem. 3 - Don't understand why nursing math has to be so difficult. Afterall in the real world there are computers and caculators. Calculators are only as smart as the operator...You have to know what you are solving for and how to go about solving...the calculator only calculates the answer, does not get you going on the right route. 4 - My life hasn't been entirely blameless, will that affect my chances of entering a NP or obtaining a license, and why should it make a difference? Depends on the offenses. There again, there has to be a standard set at some point. That's why we try to teach our children that what they do now can have a huge impact on the future. 5 - Have allot going on in my life at the moment (work, children, husband, family, etc), but my instructors won't cut me any slack, is this fair? Yes...lives will be at stake under your care some day and you may still be under a great deal of stress at that point. Gotta learn to focus and work through to get the job done, even if that job is school. 6 - Why to I have to learn nursing and or medical terms that aren't used anymore? You never know what documentation you will come across that is written by physicians or other health care workers who do actually use those terms. Will be better for you to be familiar than have to keep running to look something up, or worse still...don't bother and miss something important.
  7. Quidam

    My VENT and Salute!

    Hard working techs are awesome! But I have come in contact with some who are just as bad as the lazy nurses. As for being a student nurse...keep your head about you and always remember there is much to learn from good and not so good nurses. I learned what kind of nurse I did not want to be from some not so good nurses I encountered in my school and externship. Now that I am working as a nurse, I do realize many of my responsibilities limits my time with the patients. When I do find the need to call for a tech, it is because I am so behind with what I have to get done that if I take the time out to do whatever it is, that I will fall farther and farther behind. As a student, I was not aware of all these "nursing responsibilites" that get in the way of direct patient care. So...just learn what you can, make every interaction a learning experience, and continue to praise those great techs. They really do deserve more recognition.
  8. Quidam

    Termination

    I was not trying to be sarcastic. I see how it may have sounded that way. I just curious as to your thought process when you were doing it. I have no ideas for you as far as getting your job back...but I do wish you well.
  9. Quidam

    Termination

  10. Quidam

    C's In Nursing School

    It was my experience that more employers were looking at GPA's when I graduated (Dec. 09). I think it has something to do with the job market. But, either way...it's done now. Just move forward. No sense dwelling on something that is done and over. If your program offers it, take advantage of any extra credit opportunities, even if the points seem negligable. You just never know when you are going to have a tricky test. Good luck to you!
  11. As a new employee I have a lot of trouble knowing who is who...and what the names are and as I chart and cannot put the names with a face, I generalize and HATE it. I am doing my best to get and remember names, and know which Dr. is which as I don't always speak to the ones rounding on my patients but I usually at least see them . For the exact reason mentioned above...I need to have specifics in my notes of I am ever called into question.
  12. Quidam

    Associates degree

    Dallas/Ft. Worth here...and I have associates. I have not noticed a problem with ADNs being hired. I went to work immediately as did many of my classmates.
  13. Quidam

    Patient asks my opinion...what's appropriate???

    I would tell the patient that it is really hard to have an opinion about options when you are not actually in the position of having to make that choice for yourself. Then offer information on each option. As much as I think I would choose this over that...I really don't know what I would choose until I am in that situation. I have found this to be true in many areas of my life...not just when it comes to health care.
  14. Quidam

    The Problem with Nursing

    As a newbie myself...I think OP brought it all on herself. She knew when she posted what would happen...and happen it did. While she sits with a smirk I imagine, thinking she has proven her point. Reality is negativity begets negativity. Nothing new or surprising there...and not at all a confirmation that she was right.
  15. Quidam

    Only 10 more responses needed: 2 Minute Survey

    Thanks so much for taking your valuable time to answer my questions! 1. What is your age? 40 2. How long have you been a nurse? 3 months 3. Did you work as a CNA before becoming a nurse? No 4. If yes to #3, how long did you work as a CNA before becoming a nurse? N/A 5. If no to #3, do you wish that you had? No 6. Regardless of whether you worked as a CNA prior to becoming a nurse, do you believe working as a CNA prior to nursing better prepares you to be a nurse? Not really. A good clinical experience can do the same as far as preparation goes. One might be more well versed in the personal care duties and the hospital setting, but as I previously stated...a good clinical experience can do the same thing. Feel free to elaborate on your response.
  16. Quidam

    Help me with my project on New Grads! Please!

    Hi everyone, I am a student in an accelerated 2nd degree BSN program at Georgetown University and I am working on a small project on the experiences of new grads. I'm looking for some opinions, from new grads as well as more experienced nurses and would appreciate anyone that is able to answer some questions. Feel free to PM me. Anonymous. 1. What type of education program did you complete? BSN, ASN, Second degree, etc. ADN 2. When did you graduate and how long have you been working? I graduated in December 09. I have been working since January 4, 2010. 3. Current position and goals for the future. grad school, specialty? I work in the short-stay unit that is an extension of the ED. We have tele and med/surg patients, we do potent drips, and we run an infusion clinic out of our area. 4. Tell me a little about your orientation. How long was it? Was it structured? Did you feel like you were just thrown in? My official orientation spanned 8 weeks. I had class almost every Thursday. EKG interpretation, ACLS, 12 Lead EKG class, Potent Drips class, ABG interpretation class, and an infusion class. The actual preceptorship was one on one with my nurse and I progressed at my own pace and was not forced to do anything I was unsure of or uncomfortable with. A very new nurse friendly environment with almost every other nurse on the floor willing to answer questions or jump in and help. The environment made my preceptorship a wonderful experience. I got really lucky from what I hear from other nurses. I would say it was structured, I knew my schedule, I knew my preceptor and it was the same one with the exception of maybe 3 days here and there. And that proved valuable so I could see how other nurses worked and helped me to realize I could deviate from one set way of doing things. I never felt like I was thrown out there. I had and still have great support from other nurses. Someone is always coming and asking me how I am doing and if I need anything. Even the charge nurses. 5. What were the biggest challenges you faced in orientation? when you got on the unit alone? My biggest challenge while in orientation was understanding all the paperwork involved in admissions and discharges. How these were generated and where all the paperwork went after a patient left. One of the few drawbacks to having extremely helpful coworkers...my paperwork would always just magically appear in my hands at the appropriate times. After being on the unit alone my biggest challenge has been time management. 6. Biggest suprises? How jaded some nurses are. I mean I understand the shine has worn off, but I have seen some outright callousness too. We can't change the patients or their circumstances, or why some do the things they do to themselves...but we can at least moderate our reactions to them. 7. Did your educational training adequately prepare for the "real world"? No...I don't think so. But I served an externship, again at a really student friendly hospital. I was able to work in a variety of settings: PACU, ED, ICU, Tele, etc. This experience did more to teach me real world than did school. 8. Something you wish you had been told while you were in school? How incompetent we can still feel during and post orientation...but that this is normal and reassure us that it gets better. Better to know to expect those feelings, than be blindsided. 9. Were more experienced nurses helpful and receptive to your questions? what about the doctors? The nurses were, absolutely. The doctors...not so much helpful, but I have not had anyone be rude to me when I was asking a question or when I did not understand something...not yet anyway. 10. Any advice for new grads? Do not go into a situation with an air of superiority. Yes, you are fresh out of school...probably still remember a bunch of facts that more experienced nurses have forgotten...but do not underestimate what they know and what experience has taught them. One of the major complaints I have heard from the nurses I work with is the new grads coming in thinking they know everything. Also, don't forget your basics, the fundamentals from your early classes. Everything comes down to the basics. The later classes consume our minds, the facts and values, the processes and procedures. Remember to "see" your patient, put your hands on your patient. Assess your patient, not the monitors. Any questions you can answer would be great! Would also love to hear from ANY nurse relating their new grad experience to compare experience across time. Thanks! Jessica