AliveToday

Here is a link to a website selling this idiotic toy. Furryville Collectible Single Figure Nurse Quacktitioner This is for those of you who want to leave a review letting people know how wrong this image of a nurse is.

This was my second to last clinical placement (6th), but I had not ever worked in an ER. Frankly, I would rather not ever work in one. :) I can understand how these jokes could work as a coping mechanism. Thanks for the insight!

Thanks for your reply, VivaLasViejas, I am just concerned about a clinical instructor teaching these things to students who are new to the field. I don't think it is a good idea to brush off some of these ideas on students. Joking around about giving a patient the wrong dose of their pain med, and writing off a patient's complaints of nausea as unimportant are not funny at all ... especially considering the fact that we just learned in class that nausea can be a manifestation of severe problems. I can understand veteran nurses joking around with each other like this (although I still find it inappropriate and extremely disrespectful to the patients, and pray that I never get that bitter), but sending something like this students who are learning the "ropes" -- I still find it dead wrong.

The following is an attachment sent to my clinical group by our clinical instructor. I find it sadistic and horribly inappropriate to set this kind of example, almost enough to report it to the head of the department (the semester has been over for a while, but it has been eating away at me). Do you think that I am overreacting? Warning: this may offend. Thanks in advance. , sans-serif]What your nurse is really thinking: , sans-serif]1. Don't tell me you have abdominal pain as you eat doritos in my triage booth. , sans-serif]2. If you come to the ER by ambulance, the first thing I will ask you is how you are getting home. No, we don't have people on staff to drive you , sans-serif]home, and don't tell me you don't want to "bother" one of your family members at this hour. You had no problem bothering 911 for the back pain , sans-serif]you've had for 3 months. , sans-serif]3. You don't get to pick your own IV site. This will irritate , sans-serif]me and I will probably miss your IV on , sans-serif]purpose and start your site in the place I wanted to initially to prove a point , sans-serif]4. "Butterfly" is not an IV size, this word signals me to put in a larger bore needle. , sans-serif]5. Nausea is not a reason to come to the ER. If you are not in severe pain, are not vomiting or pooping , sans-serif]your pants in front of me, your butt goes back to the waiting room. , sans-serif]6. How can you have the worst migraine of your life, but be able to yell at me about the wait after you just put down a magazine you were reading? , sans-serif]7. Don't ever say things like, "I usually get 4 mg of Dilaudid". Requesting your med and dosage will prompt me to squirt out half of the med before I inject, then I lie about the dose. , sans-serif]8. If you are allergic to Tylenol, Toradol, and Motrin, I have already assumed you are a drug seeker. , sans-serif]9. If you came to the ER having a family doctor appointment that same day, I will make sure you are still in the department , sans-serif]well past the time of , sans-serif]your original appointment. , sans-serif]10. I don't care if you are neighbors with the GI specialist. Unless he drove you to the ER himself, you can't be that friendly. , sans-serif]11. Just because, "my doctor sent me here", does not mean you get right back to a treatment room. This tells me you are a pain in the ass, and , sans-serif]he's pawning you off. , sans-serif]12. The louder you moan/whine, the bigger size IV needle you get. , sans-serif]13. Foley catheters cure pseudo-seizures. They also cure intoxicated persons. , sans-serif]14. If you are on more than 2 medicines at home, bring a list. Don't say, "you know, the little white pill". I am not a pharmacist. , sans-serif]15. RN is not synonymous with waiter/waitress. , sans-serif]16. Don't ***** about missing breakfast when I'm on the ninth hour of my shift and haven't peed yet. , sans-serif]17. What gives you the right to complain about your sore throat for a week while I have diarrhea from the antibiotics I've been taking for , sans-serif]pneumonia? , sans-serif]18. Broken toes are not an emergency. We'll make you feel stupid by putting a little piece of tape down there and kicking you out. , sans-serif]19. I am currently inventing a trapdoor system in triage to be triggered when you say the word "toothache". , sans-serif]20. Cover you mouth when you cough/belch. This is just common courtesy. When you neglect to do this, I am tempted to bust butt in your room, then , sans-serif]close the door. , sans-serif]21. If you tell me you have fibromyalgia or chronic fatigue syndrome, know that I'm rolling my eyes and thinking you're a loser. , sans-serif]22. If you list Haldol, geodon, Xanax, and trazadone as allergies, don't tell me you have no psych history. , sans-serif]23. Never sign in with chest pain because you were too embarrassed to write "penile sores" or "foul smelling discharge". This will **** me off , sans-serif]that I bumped you ahead of other people and I'll make your visit horrific. , sans-serif]24. Although you've been in the ER four times this week, you , sans-serif]cannot list the ER doc as your family physician. , sans-serif]25. Do not talk to me while I'm trying to listen to your lungs. , sans-serif]26. Don't tell me you have no money for medicine while you have a carton of cigarettes in your purse (next to your cell phone), and each of your , sans-serif]seven children are playing their own PSP's. , sans-serif]27. Gravida 7 at age 22 means you are a ****.

I am in a grueling associate degree program, and I certainly don't see what an extra chemistry class and a few more liberal arts courses would do to help me in the clinical environment. I definitely don't think that a BSN should be required for an RN. The BSN is required for certain RN positions and for those who want to specialize. Isn't that enough?

I was thinking about how wonderful it would be to have a program at facilities where you show up for a yoga class prior to your shift. An instructor would be hired to teach a class at 0530 and 1730 at the hospital for nurses. This could be a great way to start your shift, ya know? I am wondering if anybody has ever heard of a program such as this being implemented at nursing facilities anywhere. Thanks in advance!

Knowledge deficit always applies!

Are you having a hard time coming up with a priority collaborative problem itself, or with listing the interventions or both?