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So that is when I decide to go ahead with an incident report in case a complication does develope. The worse thing that can happen is you don't report an error and then you get found out. Consider how the manager feels a lack of trust if someone covers over an error. Open honesty is what my managers get from me and they can relax knowing I would never cover something up. I have been fired twice. I joke " I have been fired from the best", once a 911 dispatcher wrote a complaint about me. My bosses decided to solve the process problem by firing the RN - so the next time a nurse is in a similar situation he or she may make the same mistake. They were not honest about the firing and told everyone I quit voluntarily. Interesting. So sometimes you have to move on to where management appreciates integrity. By the way after this minor incident and hearing your response, I would hire you in an instant and know that you care enough to be cautious. You will have learned from this and become more valuable in your experience.

Looks to be ok, you should avoid the deltoid, but it was still an IM injection. You should not listen to a physician who tells you not to file an incident, either way, you make a decision to file an incident if something unexpected happens or if you give a wrong med, dose or route certainly. You should be able to file incidents without fear of punishment. We need nurses we can trust to disclose errors. I have made real med errors and straightforwardly admitted it. I file the incident, we discuss why it happened and try to improve our processes.

Dear busy Bee. so many of us know how you feel. How can a great job be spoiled. so much love and caring you do all shift and then there is the report time. yuck. and why the questions and nastiness. yep we know how you feel. how many times I've dreaded reporting to some nurses. keep your chin up and your attitude pleasant. hang in there...and be a part of the good vibes on your unit.

fewer than 6% of the 2.9 million rns in the us are male (aacn, 2002). i agree that our textbooks should be gender neutral as all other texts. however, english grammar used the male pronoun to be inclusive for many a year so one should not assume a sexist attitude. i am a part of mankind, though i'm a female. thanks. american association of colleges of nursing [aacn] (2002). “2002 american association of colleges of nursing annual state of the schools. retrieved june 14, 2009 from www.aacn.nche.edu/media/annualreport02.pdf.

Thanks for the replies, I can fight back and do in my own way. Others may think I let people walk over me because I am gentle and kind. I have been around long enough to know what I want to live with and what I don't. I have been in an abusive marriage so I don't take any lectures about being careful about what I say and all that blah blah. I left a CCU because I wasn't interested in staying and trying to change their culture. new nurses should be encouraged and supported indeed, it takes time to have confidence. I have had my time to build it and have been fired a couple times so really there's not much a person can do to me.

One or two nurses went behind my back to the director to tell him they thought I was unsure of myself during a code. The director brought it up with me, without the anonymous nurse present. so I get to wonder who has a lack of confidence about my abilitites enough to tell the director, yet not me. I put it down to the director's lack of management experience. However, the work environment had become a hostile place for me. I was on to the next job within a month. (whatever you want to call it, the lack of support, silence, or openly patronizing to name-calling acts that uppity old nurses give the new ones leads to a not a fun place to work.) The manager who supports or tolerates this type of behavior is often intimidated by his staff and immaturely looking to join the clique.

I feel strongly, that treating mental health patients is a matter of building on what has worked in their lives. Find out the good stuff they do and focus on that. One I know of started his way out of depression by baking banana bread and giving loaves to people he dealth with...the pharmacist, the nurse, the neighbor..he thinks of that event as a turning point in how he dealt with some terrible disappointments in his life.

In the acute setting, you do have limited time. The patient may see you as part of the whole team who come in to care for him. The closer knit nursing team will have a better chance of making a difference.

That's a tough one. Generally, I try to keep my feelings at bay (in research call it bracketing). I keep an open ear to my patient, I try to be cheerful but not overly happy, as it wounds people if you are too cheerful around their emotional pain. I'm there, I touch when it's appropriate, sometimes that is painful for them also. One patient remarked "you sure like to touch a lot, and it bothers me" which is good, the patient talked and expressed feelings!! good start. sometimes you have to wait for the opportunity into someone's "heart". I keep looking for ways to serve, show caring, and eventually they respond. My very ill patient lost his wife, he was too ill to be with her the night she died. I came into the room, he had been despondent for all the nurses, but he remembered an act of kindness from my previous care of him, I had gotten him a piece of cake (we both knew it was cheating for him, renal diabetic). But here he was in his grief, cracking a joke to me, Got any Cake? It was the only conversation he had initiated all day. that kind of interaction opens the door to a connection.

I just posted in another thread, I like to change jobs, though it is uncomfortable for awhile. I just moved back to the East Coast also. There are more (hate to say it) mean people here, emotional coolness is more accepted in the culture here. I hope you can find some encouraging friends, maybe we are working on the same unit and don't know it yet :-) sometimes I wish I were in my 20's again with all the energy, but I try to focus on the joy of caring for the patients. I like to try to get co-workers to laugh and lighten up too. Find your encourager, stay open to a new friendship. I too felt ignored by some of the older nurses, but I try to show an interest in them and what they are going through. It is great when someone listens to you. Hope you feel better soon!!

Unfortunately, the people around you make a big difference in how you feel. I was new over 17 years ago and got put down by the anal nurses...sigh. and now I'm new every few years since I like to change jobs and get new ways of doing old things. Workplace violence is a new buzzword in nursing, it can be even a clique of nurses who decide not to talk to you. Yesterday morning I gave report to a new hire in our busy telemetry unit...I simply asked where she was from and took an interest in her background. She was so encouraged and exclaimed how I made her feel welcomed. I was surprised by her reaction, she must have been feeling put off by some of the nurses. Find the encouragers on your unit, if they aren't there, don't mess around, find another unit. Some units have to learn the hard way....lose all their new nurses before management gets the hint.

I work in a small town, everybody knows what everybody does. When I board a plane I do tell the flight attendent that I'm an RN, if they ever need help. Oh yeah, I wear a pin on my jacket that tells people also.

I work in a small town, everybody knows what everybody does. When I board a plane I do tell the flight attendent that I'm an RN, if they ever need help.

UK nurses make similar salaries as US but their cost of living is about at Manhattan's level. (I studied this for a recent class). You can log onto their website, Royal College of Nursing, but I haven't gotten anyone to be a penpal yet. It should be noted that the trend for our socialized medicine friends in Europe is to become more privatized with less government control and support... while the US is considering a single payer system of some sort.

I can understand the rudeness problem. You have a few factors. The nurses are stressed and busy and have to be "short" at times, you have the culture of the institution which might include rudeness more likely on the East coast big cities, I don't know about the Midwest, but I do know people are friendlier than I've ever seen in the Southwest. Then you have the student's perceptions. When someone is nervous he or she feels a need to have a welcoming smile, and a little reassurance at the start, some nurses are giving them Neutral attitude, not rude to their peers, but to an uneasy newcomer, yes its rude. And some people are just rude. I suppose there is a tactful way to tell them. I use humor a lot. "you guys are rude, I know, cuz I have met nice...and now I know what it is"