newsupernurse

Well, pt care assistant, you may be in position of executive mgmt but you sound bossy yourself. At my facility open communication and problem discussions are encouraged AND how do you assume I do not have experience. Its not matter of power game, it matter of attitude and mutual respect for each other. I think this topic is beyond your comprehension

The Commuter and brownbook , whatever you are advising I have already done that. the tune of progresssive discipline is very familiar to me , i know subjective and objective difference and I am the most likeable and lovable new RN on the floor. Infact my manager has given me card and best RN badge within my 6 mos. I have most high rate patient satisfaction scores and I get along with CNA's and other LVN's very well. DO NOT ASSOCIATE YOUR BAD EXPERIENCE WITH YOUR RN's towards this case.

I am not against LVN and I do not boss at all, infact I have many LVNs as my friends. I had 9 patients when she siad " you do your own thing " and we never talked how to plan our day '. On other occasion when I was trying to critically think how to call doc about sudden high BP in patient she took CNA with her and told me to get my pt's food tray myself when I needed to call doc to get order for some med for patient. There are many instances and these are some.

I am a new RN and sometimes we have to work with LVN's and one of my working days last week, this LVN told me straight away " You do your own thing and I will do my own". She did not help me with any PO meds or dressing changes. I am a 6 mos old RN in this facility and she has been LVN here for 10 yrs now. This has happened many times that old LVN's do not want to take new RN orders. I am RN and it bothers me that because of her behaviour my License can be at stake too sometimes. Somebody advised me to write her up and give letter to manager. I hv not written anybody up in my life and I DO NOT KNOW HOW TO START. What kind of language I should use ?

I am a new RN and love my job but whenever there is requirement of putting new IV on patient, I take help as I sometime am confident and some time really loose it. I fear that the plastic cover over needle might come off or I will blow patient's vein. How can I OVERCOME THIS ???????????

i did volunteer work in hospital i wanted to work at but they did not hire me while in the other hospital, i chased the nurse manager for same amount of time diplomatically and i landed the job. It simply depends on how honest the hospital is towards the volunteers :)

its been know that if your BMI is over 40 and u r 100 lbs overweight then you can have bypass surgery and my aunt is going to have one. She is 42 yrs old with no co-morbidities , just loose fat hanging from her belly and thighs. I think she should try exercise first becuase I am worried being a nurse that this surgery has lot of complications too. Do you have any idea how to approach her and let her know she needs to join aerobics, yoga or any fitness center.

I felt as if I am writing your post. Six mos back before I started my new job as new RN with no nursing experience, I was going thru same ques in my mind but today, I feel Med-surg is foundation of nursing. Everyday is new day and you shoould get support as new RN from your peers and facility. How long is your orientation and do you pick your own preceptor. Wake up everyday while going to job saying to yourself " I will learn something new today, I will learn time mgmt from other nurses, even thou I learned billion times about 5 rights of med - this is the time to practice it all the time, I will avoid politics and my sincere work will speak for myself". You passed NCLEX and came so far then you'll do good in real world too. Just rely on gut feeling-if u think somthing is wrong always ask :)

thanks all for reply. I am scared of saying anything to her. She has been in my facility for over 20 years and she says everything with authority to everybody. I did tell her that some of the skills we didn't cover and she said that she'll look over it but a week or more went by and she did nothing. Infact, sometimes I was with other preceptors when she was off, i learned more with them and was more relaxed in asking questions. I learned sbar for docs from someone else and did 1st one with some other preceptor . I learned NG tube manageent from someone else. I learned mixing saline with MS from someone else. I learned chart as we go from someone else and not do it towards end of the day. I learned filling how to fill assessment sheets completely from someone else. I learned heparin protocol from my friend from pharmacy. I learned K-rider and Mag-rider precautions from someone else. Even after all this, I have always said good things about her to others and also to her. its like small fish is scared of Big fish because she also has to live in same water. I will try again to talk to her

I have been with this preceptor for more than three mos now, she taught me lot of things basically at skill level and charting stuff. She also covered my charting mistakes sometimes but two things which I observed about her was that she was not liked by some staff members and most of all patients. She shoves all the pills in pt's mouth and pushes IV's in 2 seconds regardless of waiting for a minute-two concerning Narcotics. She runs from computer stuff and all computer stuff I had to figure it out through other nurses. She has not spend time supervising me inserting IV's and doing dressing changes. Now time is coming where I have to give feedback about her in paper and she would be giving mine. I have this feeling that the way I have worked for her like a slave ( taking all her patients) she would not give me due credit and will not give me that good rating and just an average kind. Because she taught me few skills I am thinking of giving her excellent rating but am scared what if she really screws me up for few things here and there. any advice please or somebody had similar experience.

I have already done some mistakes within 15 weeks of my new job, not big ones but there are always ways to avoid them. I think organizing time sheet and not missing 5 rights of med giving can reduce it. You worked hard for license so don't give up easily

Thanks all, It was glad to know that it happens in lives of new grads. Iseeyou_RN , you actually explained what happens to me on the floor. Interruptions and then it gets hard to get back to original work. Yes, I will try to complete all the steps.

I am a new grad RN and have completed 12 weeks at the job but when I make mistakes, my confidence goes down the drain. I go by my time management sheet, I recheck meds twice and try to do complete documentation as the day passes by. One day I took ou the Antibiotic but forgot to start the bag, the other day I charted narcotics on my narrative but failed to chart on medication chart and most of all I gave BP med to patient whose systolic BP was less than 100 and it was only 99 ( this pt had 3 pages of medications). It scares the hell out of me when I realize that once my nurse residency gets over, I won't hv my preceptor watching over me.:confused:

I had same problem with my health assessment class in nursing school but I took help from instructor and she started giving me tutorials which made my grad go up from C to B+ in finals.

First of all, set your priorities. If you need job at this stage for letting the money flow in then go for job and wait for RN. If you think your career advancement is imp at this time then go for RN. If you want both then go to school and work part time or on per-diem basis in any hospital and complete your classes at same time. Experience is imp but when you compare LVN and RN on floor then RN is always the boss, no matter if LVN has 10 yrs experience. I have many LVN turned RN's on my floor and at same time I hv RN's who are coming from street, no nursing floor experience, working in grocery stores earlier and are so smart and competent as RN"s. i hope this helps :)