my_purpose

I know this is old, however, a nurse on my MICU unit encountered a patient with elevated lactate and was making fun of the intern (first year resident), because he came back and said that he didn't want to give the LR for the patient due to the elevated lactate. So many times, we ICU nurses (I'm still new, so def not me) think the interns or baby docs are stupid and worthless, but case in point. Thanks all!

That's all us new grads ask. ?

I really want to be a community health nurse. To teach healthy behaviors and prevent the cycle of hospital admissions.

I have my yearly review coming on Monday (first one since I'm a new grad). And I am trying to think what I really feel about nursing. In school during clinicałs it was fabulous. On the job however, and maybe because I'm ICU, it's do not. I really thought all that I heard about nasty, belittling, arrogant, eat their young nurses was a thing of the past. I love my patients, their families love me, but geez, the other nurses are a handful. It's so not what I had in my head.

Yes. I'm now enemy #1 in my unit. I'm normally quiet but I recently explained to a nurse that I felt disrespected by the way they take over. I was very respectful while doing so and afterwards for me it was over. Like nothing happened. She went all cookoo, cookoo, cookoo. So now there are whispers, etc. lol lol. I wouldn't change a thing, infact I'm glad that I did say something.

MunoRn, thank you for your response. Most times my mind needs to hear info in a specific way and your way was it!! thanks again.

How funny, I was thinking the same thing about the Doc-Nurse vs Nurse-Nurse relationship on the way home from my last shift. It's funny, that all through school I absolutely loved loved loved nursing and as an actual nurse in the ICU, being an actual nurse is something that I am struggling to enjoy. Could it just be the ICU environment? Who knows. In August, my first year will be over and I'll see then!!!

I think we are the same people!!!, lol

I agree. It is kicking my butt also. I also think that it matters what preceptor you have. The preceptor who will allow you to learn, not be extremely critical and not be so territorial and 'type A' is important for me.

Does concept mapping help anyone new grad learn. I find that If I make a list if problems or diagnosis', write down how treated and nursing interventions ( dos and donts) that it helps me to understand the care that I am supposed to provide. Does anyone have other suggestions?

LobotRN, I don't know who you are but your comments to this post are amazing and just what this New Grad RN needed!!! KUDOS.

Great point!! As a new nurse trying to tie all things together, these posts are so so so helpful.

This post is extremely helpful, extremely. I'm a new grad in the ICU and in my second phase of titrating drips with more difficult patients. Had a case where the night prior pt was on propofol and ativan. We were weaning off propofol and titrating ativan to make patient comfortable. Come back and patient is off propofol, ativan 2mg no titration. 30 minutes prior to shift change, pt given 5 of verses for agitation. Pt starts bucking vent, doc comes down orders 5 more versed. No change in patient. Docs go sit st desk to discuss plan for pt ( I'm assuming). My preceptor literally pushes me outing the room to get more drugs for the pt. got order for 10 of versed, pushed, pt was fine. Eventually got order for propofol. I know that was a lot, but my question was why ativan vs propofol, initially?

I am exactly the same way. We have to IM and share helpful notes. I so can identify with YOU!

Thank you all for your advise. Several of the responses that were stated went through my head as well.