johnnybgoode

Hi I'm John RN CCRN, The Chess board is set and the companies are setting the pawns (by the way that's you). The insecurities they place on you are scarry and somewhat infuriating. But they do have a purpose. If you don't feel valued they call the shots. Incidentally they do have quite a bit of power, so work within that framework. (Step1) Remember your clinicals! Use them as a guide for your destination Try to do what you like. (Step2) Maintain an aire of confidence you are inexperienced sponges that's all. talk with energy and defined goals. If you lack a little confidence FAKE IT!! if you want CCU try to start on cardiac tele. if you want ICU try to do med TELE (Step) 3 remember that you are playing with the big boys now, it is easy to be dragged into office politics as new nurses, You don't stand a chance in this game iti s so better not to play, you are younger, prettier, and haven't had the time to learn the subtleties of the game or acquire the allies. There aren't a lot of gators in the pond but the few who do exist just under the surface can usually be spotted by their GOSSIP!!. Do watch for them, the old insecure types do eat their young and new nurses have that wonderful texture they so enjoy. (Step 4) You are recently in the learning mode!! asside from a generally likeable nature this is your biggest strength. LEARN! LEARN! LEARN! Plan organization at home so you dont have to try to figure it out at work(You will be busy enough, I promise you that)You need to take the bull by the horns, Sit at home on the computer and think through your workday. it is this kind of mental exercise that will yeild your most important tool. This is of course your report sheet , we tend to call it our "brains". I have the one i use foe CCU and will email it to you if you like. Remember Ladys and Gentlemen I have a vested interest in your survival I'm a 49 year old Nurse, I've worked at 37 Hospitals I've seen absurdities, infuriations, hate, love, parties and wakes!! I have seen about all this job has to dish out and I'm relying on You folks to help myself and my lovely wife through our probable tough times. I have a daughter in a nursing program in Washington State and I have encouraged her to become a nurse because it is the most honorable field I know, and God knows how much we all need heroes. Love You ALL, John von Brandt RN, CCRN

the cyclic rollercoaster of prescription drug use is rampant. Part due to patients quick fix visits to Dr's offices. doses become higher when the pain is no longer controlled (often time for economic reasons). Your sister is in a tough spot, but she has also by her actions put you in an emotionally exposed state. You can support her but you cant fix her. Watch for signs of loss of spatial and judgemental control. steal her car keys, drive her when you can. Counseling is a good option for you both.