"I was working with a patient who was having respiratory difficulties. I had done all the basic things I could for the man, and needed the doctors to make some decisions (like a ventilator).
An older nurse at the unit I floated to made some pointed comments with the intention of "aren't you going to do something?" implied.
At first I was a bit irritated, then I realized that it was not about me and my ego.
It was about the patient.
I was not being as strong a patient advocate as I needed to be. I would have to get firm with these doctors to help my patient.
The older nurse gave me the nudge to be the assertive advocate for my patient in distress.
The nurse helped me out.
I made a point of thanking her for all her help at the end of the shift. "
Learning the culture of the unit makes things easier. When I started as a new nurse, I had no idea that if the MD didn't order it, that we could and should push for things. I had the "non -medical" picture of the MD as the ultimate authority. What I have learned is pretty obvious to most folks, we work with residents and even the chief resident has an attending. It is unfortunate that the more experienced nurse didn't just come out and say "You need to push harder to get him on the vent, call Dr. SoandSo. At any rate you did what you needed to do without dwelling on your ego. I try to use all info to improve my performance. I examine each criticism, regardless of the way in which it was delivered and attempt to see what is true in it and what is not.
I do get tired of the excessive nit picking and I try to be upfront if there is an issue that another nurse needs to know about without nitpicking. Apparently this doesn't always work, but I don't know a preferable approach. I took a patient from a nurse on days shift who worked with me and helped me out a lot on night shift when I first started. She was definately one of the goodguys! When I went to give IV meds through the picc line (which I had pushed easily when i had the same patient the night before), they would barely push. I have De Quevains Tendonitis in my right hand so this was really painful. When she came back the next day in report I mentioned casually to her, "Be sure to flush the lines good, I had a real hard time pushing her iv meds last night." She didn't acknowledge this but I knew she heard me and I was not invested in anything but her remembering to flush the lines, no apology needed. So several days later, I was givng report to her again, and I had gotten in a new patient. I knew something was wrong, when her first words were, "did you do the data base?" Of course I had done it, if not, I would have stayed after and completed it. Then as I was finishing my notes, she had logged on the computer and loudly told me, "You didn't mark the effectiveness of two pain meds!" Well when these are given at the end of shift I just routinely mark them for the first shift, as a matter of course. This really bothered me a lot as I had her pictured as a good guy. I guess she just can't handle any criticism without getting her feelings hurt or maybe since she had helped me so much she thought I shouldn't mention it. I just have to let it go, and mark it off to her having a bad day. We work with a lot of different people with different personalities, maybe someone had reemed her about something, who knows. I try to learn what I can from all these situations and apply it. I am still learning.