tridil2000

Hello- I was recently hired to do an online course. The issue is that they need me to build it from the ground up and it starts in 3 weeks. And, they will not buy the textbook for me until the course begins.? Any suggestions how to even begin? TRIDIL2000

Oh my. First, no where did I ever write or imply what you just typed. Do not imply I did; so let's be 100% clear on that. Despite this angry post about our profession and infectious disease, please be assured that FLEXIBILITY, is without question, a very critical life skill in ANY industry. You cannot survive a rip current doing the same old thing. Think of all the business owners that had to quickly pivot to online business and home delivery. Look at all the people that had to adapt to virtual learning and Zoom sessions, or risk being left behind. Look at all the people who saved and planned for a well deserved vacation, who got to the airport only to find that their flight was cancelled. Think about all the drivers who had specific routes and deliveries for years, that had to make a change to adapt to supply chain issues. Think about new parents who couldn't get diapers for weeks on end, and had a newborn baby, who found ways to manage such a crisis. Imagine Scully, the pilot whose plane lost an engine a few years ago, who unconventionally decided to make a soft, albeit crazy landing on the Hudson River. Think about the Etsy seller, who thought product X was their big hit, and invested in producing a lot of X, but it turned out that product Z is what the customer was demanding, and they had to completely redirect all their business plans and efforts overnight. As a person beginning your adult work life, in a world where things change sometimes hour to hour in the 21st century, having the ability to be flexible and adaptable will always support your success. In the end, it is not the strongest or the smartest who survive, it is the one most capable of adapting.

Flexibility is a life skill that will be very beneficial as you begin your practice. GOOD LUCK!

Educators, I find it increasingly disturbing that so many nursing students are turning to Youtube now to learn nursing concepts. Kudos to the nurses who leveraged the platform, but neither Sara, Jon or Mike (the most popular hosts) are Masters prepared or have significant years in clinical nursing. I don't think we should "ignore" it, or just dismiss it, as we have found, that isn't working. I was thinking that schools should also develop their own channels and offer a better product on the platform. What the most popular hosts do not cover is "application in the nursing process." Any thoughts on this trend that has grown tenfold and has taken foothold?

They are getting their nursing education from Youtube these days. It's a shame.

I really liked your comment, and wonder how you feel about what I call, "clinical care RNs," and not "bedside" RNs, making BANK these days! Finally after pushing them beyond burnout, beyond mass exodus, and beyond PTSD - finally, their worth is getting the attention it always deserved!! Healthcare never thought nurses would throw in the towel- surprise! Game changer! And previous nurses should have had the gumption to do this years ago!

It's been a minute- what a year, or should I say 2?! ugh - Anyway, how are you doing now?

I think you have a responsibility to look at your own data too. For example, if a high percentage of your fails are from the same tenured professor's course, then that needs to be evaluated with due diligence. Please keep in mind, we are educating PRE licensure RNs, and preparing them to function safely as new clinicians. They are not going to be NPs the day they graduate. I have worked with new grads these past few years who know so many great things, but frightfully, lack some basics - for example: bridging off heparin to warafin or bridging back on to warafin post op. Yet they can recite the entire breakdown of the WBC count. I would also ask your graduates to complete a survey after one year to assess what prepared them well, and what didn't; especially NOW. Keep safe everyone!

I like to see them think. I like to see them imagine and want to understand. I truly enjoy listening to them think outloud. I can see where their thoughts are developing, and redirect that thinking in real time. I make a big deal when someone "gets it!" I act as if they just saved MY life. Yes, I use metaphors and stories, and honestly, even memes! Their enthusiasm keeps me going. it's symbiotic!

Remind them of the value you bring. Explain concepts in easy terms, then in depth. Make them WANT to learn your craft. Have them verbalize what they learned today what they did not know yesterday, and point out that value. Be the educator you NEEDED. Inspire them every day with your clinical stories. Burn out? In the student? Or educator?

I have no issues with my students. I make my expectations clear and challenge them. I let them challenge me. I remind them how they are getting their money's worth as we summarize what they have leaned with each interaction.

Once again with the millennials. You're educating gen Z now. The millennials have kids in middle school already.

1. attempt to discuss behaviors directly and be prepared to use examples and the words "unacceptable" and "unprofessional." 2. Follow through that day with consistent assertiveness. Try to note witnesses. Say, " I believed we spoke about things like this earlier." 3. Report her first to your manager and tell your manager you expect a response, even if it means having a meeting together with her present. We are not there to be of service to each other, we ALL serve THE PATIENT. We support each other in that goal. Once that is perfectly clear to everyone on the team, the workplace, and outcomes, improve.

Your poreceptor is a bully. Plain and simple. CONFRONT her with EXAMPLES and be clear what she shouldn't be doing. Say: "You can probably start that IV quicker, but I am going to do it now. DO NOT touch me. THANK YOU." You MUST confront. It is the ONLY thing that sets a bully back. Report EXAMPLES to your manager if it continues. ALSO report the things you've said to show that you have tried to deal with it directly several times first. Your manager will see your value in speaking up! Follow this lady AND soldier on. You are an ED RN - YOU did NOT get here by chance.

First, you need to be certain everyone's (ALL staff) certs are utd. Make sure there is an excel file - bls, acls, pals, cen, tncc, atcc, encp etc. Then you want to be sure everyone has their annual/mandatory education conpleted (EMTALA, HIPAA etc). We are able to print them out from the site. Then you want to identify who the preceptors are. Make sure they have attended some kind of course or have their CEN. This makes them the unit experts and a valid resource. As you onboard nurses, you will need to pair them up. As far as techs go, be sure you have a checklist for them to complete in their orientation too (EKG, lab draws, O2 handling etc). As far as initiatives: sepsis education is always good, as well as proper T&S labwork and blood admin protocols. Ask the staff what their deficits are. Ask the manager what areas need to be addressed. I am presently working on a bulletin board- THE SEPSIS SUPERBOWL! LOL GOOD LUCK! T