CABGpatch_RN

I have to get ready to go for now, but I will send an email. Can't wait to chat!

Absolutely poorly designed. If one has a 2 patient assignment, there can be multiple rooms between them. Even if the assignment is two rooms next to each other there are no windows in-between rooms. So if a nurse gets caught up in one room, it is impossible to have eyes on their other patient. There are places to sit outside of rooms with windows looking in (which as you know is completely opposite of the unique set-up of old North). If a nurse is lucky enough to have side-by-side rooms, they have that space outside the rooms to look in. But man. This kind of set-up, even at E2, was unheard of back in the day (E2 didn't move to new bldg so it's still the same set-up, I think). Back then, couldn't even leave the room to pee without having another nurse with eyes on your patient(s) and usually that was the float nurse. Super cool that you may be someone who I learned from!! LOL!

I love this topic. Reminds me of a couple of books: Patricia Benner's, From Novice to Expert (1982) Patricia Benner, Patricia Hooper-Kyriakidis and Daphne Stannard, Clinical Wisdom and Interventions in Acute and Critical Care, A Thinking-In-Action Approach (1999).

We might know each other. North Nurses are the cream of the crop. My daughter works there now. ?

When did Nursing become a focus on how new nurses feel? Seriously? When I was a new grad, I learned from one of the very first...ever, flight nurses in the US. I learned from nurses who were present in the CVICU during the very first....ever heart transplant in the US. I learned from that transplant doctor and SO many ah-mazing nurses, doctors, respiratory therapists, and every single ancillary staff member. I learned from nurses who took the profession of nursing with the utmost respect....commanding that respect. It wasn't about them, it wasn't about me, it was about the patients, the team and working toward a common goal. Their teaching was ongoing for years and years. I always knew who I could go to. Sure, some of those teachers of mine were old(er) and a little crusty and impatient at times, but that was because there wasn't time to coddle new nurses. The patient required, frequently, immediate attention. If I was cowering in a corner somewhere because I felt uncared for, then I would have missed the massively important learning opportunities that were happening before my eyes. They made me do it! I wasn't allowed to cower. Did I take that personally? Heck No! I was made to feel it wasn't about me. And I will be forever grateful for that lesson. There were new nurses who would avoid these types of nurses because they were afraid or whatever of them. But I was drawn to them. I understood what they were trying to accomplish....delivering outstanding patient-focused care. There was never a single thing made out to be or taken personally. Again. No time for that nonsense. They made me gain the confidence I needed to be an excellent, patient-focused RN, that was their expectation of me. Confidence was required and that came with the thousands of a-ha moments I had. I have been a preceptor too many times to count. I mentored SO many in CVICU. I projected much of what I learned early on. I helped new nurses realize their capabilities by teaching and requiring demonstration of what they learned. I prompted and lead to them think for themselves. I lived for the light bulb lighting up in their eyes when they truly began to understand the whys and how's and consequences of what they were doing. Why isn't stuff like my experience taught in nursing school about who a new nurse will be learning from? It was in my education. Expectations were set from the get-go about who would be my teachers in the bedside setting. I learned early on that preceptors and others were taking their time to teach ME. They didn't have to do it. I think new nurses need to get over themselves and soak up every bit of everything related to patient care, workflows, resources. It's not about you. It's about the profession of nursing and how to gain confidence and command respect in that regard. Only YOU can make that happen. Why is any attention whatsoever given to work drama? Your focus, 100%, is patient centered. Teaching social skills? Um no. Teaching what realistic expectations of new nurses will be by their preceptors? Yes. Remember preceptors are not only ensuring the management of their patients is safe and focused on excellent evidence-based nursing care, they have the added responsibility of their preceptee doing the same. All I can think of saying is, be an adult professional. This nonsense of hurt feelings does nothing good for professional nursing.

Yep. Shame on me. At this point I really have no sympathy or concern for anybody but the patients that have to endure this kind of environment. If I knew the name of this place where SB works, I would report it to every entity that monitors LTC's. This is the kind of crap that the public needs to know about so they can AVOID at all possible costs. SB. Here's what I see when I read your comments: ME ME ME. At work, your job is to advocate for patients. You are not doing that. You go through the motions at work and then the things you complain about sound again like, ME ME ME. I would NEVER want anyone I know or love under your care. Because from what I see here, YOU continue to make that place unsafe. No need to reply btw, SB.

I wonder if this is still in effect? I can't find anything at TBN that says it's not. https://www.BON.texas.gov/FastTrackOutofStateLicensing.asp If you can get there, maybe then you can fingerprint there?

Sorry, that's terrible advice.

Wow! I was able to easily make an appt for livescan at my local sheriff's office. But that's for a CA license renewal. It's crazy that TX will only accept a fingerprint card from law enforcement. Have you tried calling and talking with someone at your local police station and explained your situation? You can't be the first that this has happened to during this pandemic. I would say call. Call multiple locations. Best of luck.

THIS is being honest with yourself. It has to start with that. I think this is the most real thing I've ever read from you SilverBells. Don't stuff this feeling. Do something about it. I know you can do it.

We ALL have biases whether we want to acknowledge or even know about them or not. It's not good or bad or right or wrong. Take the damn test and learn about yourselves. I am so sick of this thread. The ex-cop was found guilty on MULTIPLE counts. He's in prison. He tortured and murdered George Floyd. It's OVER. This thread needs to be CLOSED for good. It's visceral for me personally.....coming here and seeing additional hateful comments. Sure I don't have to look at this thread, but is this really what AN wants as it's headlined thread or topic. Give me a freakin break. This is NOT what nursing is about. Learn about yourself. Explore that link.

I too would not medicate an individual who I can objectively assess isn't uncomfortable.....bp good, rr good and unlabored, no grimacing when touched or nudged, not agitated or restless, etc etc. Your assessment is your assessment. Be confident with it. I would urge you however to talk through these feelings that these meds prompt or hasten death with someone experienced in palliative or comfort care. I think while acknowledging your thoughts, you need to ditch them. I personally don't want a nurse who thinks this way.

Oh! And let's not forget: St. Elsewhere 1982-1988: St. Elsewhere was set at the fictional St. Eligius Hospital, a decaying urban teaching hospital in Boston's South End neighborhood. The hospital's nickname, "St. Elsewhere", is a slang term used in the medical field to refer to lesser-equipped hospitals that serve patients turned away by more prestigious institutions. ER 1994-2009: ER follows the inner life of the emergency room (ER) of fictional County General Hospital in Chicago, Illinois, and various critical issues faced by the room's physicians and staff.

What a great collection. Thanks so much! This list made me think of a documentary that was done in 1989 named, "Near Death." It was directed by the well-known documentarian, Frederick Wiseman. The documentary was shown in multiple one hour segments on PBS back then and it's honest to goodness what prompted me to think about a career in nursing. Specifically ICU nursing. It was 100% real. The team (with nursing in a huge role) was the protagonist and I LOVED that. https://www.nytimes.com/1989/10/07/movies/frederick-wiseman-s-near-death.html Wiseman has outstanding documentaries. He also did one called "The Hospital." Another real-life look at what goes on in hospitals, specifically in underserved areas. All of this before HIPAA of course. Anyone else remember this? Check it out if you can find it!

I just want to wish you the best. Spouses of members of military should have protections. You don't deserve to be chided (especially by some here) because your husband got deployed!! Wishing you all the best. It sounds like you have some MAJOR life changes in the works. Take care of yourself. And good luck.