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TriciaJ RN

Psych, Corrections, Med-Surg, Ambulatory

Posts by TriciaJ

  1. As usual, I agree with JKL.  Your decision will be a lot easier if you can specify exactly what it is you're not liking.

    What exactly were you looking forward to?  Does it just not exist in reality?  Is there some fundamental thing you can't see yourself doing?

    I changed specialties a few times in my career.  I got one orientation that I would describe as useful.  Sometimes I had a steep learning curve to overcome, after leaving a comfort zone of competence.  It's the pits to go back to being the new stupid person and worse when they're not prepared to give you a great orientation.

    The alternative is to never leave your comfort zone and spend your career battling a trapped-in-a-corner feeling.

    Good luck whatever you decide.

  2. Do we even get as many posts anymore from entitled newbies taking us to task?  I must admit I got a perverse charge watching the bat-a-ball game that ensued.  I totally embrace crusty old bathood.


  3. Only count your first school for your BSN, and count all relevent work experience.

    Your second BSN school was just for added prereqs for your Master's.  So don't count it as your BSN. 

    For any job you have 2 hurdles to clear.  The first one is the computer algorithm, so don't put anything on your resume that will hang it up.

    When you clear that hurdle you should be able to explain everything else to a live person.  Good luck.

  4. 11 hours ago, CABGpatch_RN said:

    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.

    I can't "like" this enough.  This post should be required nursing school reading.

  5. On 5/6/2021 at 8:56 AM, Mavnurse17 said:

    Hey!  Thanks for patronizing me and the point of my OP.  I understand your sentiment about educating in public health, but we do that anyway.  Why should I have to do something, like hang up a poster or make a school-wide announcement, in order to receive a "thank you" for the things I do on a daily basis?  As I said in my OP, everyone else in my school got recognition for their respective "days/weeks."  I didn't see an assistant principal make a flyer about the importance of writing discipline referrals and sitting in on observation classes to get their Tiff's Treats.  Why do school nurses (and really, nurses in every specialty) bear the burden of making themselves worthy to others of thanks? 

    All professions bear the burden of showing their worthiness.  (Just be glad you're not law enforcement.)  I think if you have an employer who is good at recognizing everyone else, they might need a nudge to stop thinking of you as chopped liver.

    I'd be tempted to put up a poster in my office indicating how many more shopping days were left until Nurses' Week.

  6. You start with the "everyone gets a trophy" early childhood.  Everyone knows their "rights" but draws a blank at "responsibilities".  There are no clear rites of passage to adulthood so you see prolongued adolescence well into the 20s and beyond.

    With the emphasis on "self-esteem" and "unconditional positive regard", is it any wonder people are entering the workforce socially unprepared?

    With exclusive focus on academic prowess and the assumption that the "soft skills" will be magically picked up along the way, is it any wonder we have schoolgirl cliques among adult professionals?

    It might be difficult to teach social skills in nursing school but maybe it should be part of the applicant screening process.

  7. 23 hours ago, SansNom said:

    Our ER had an "extra plus sized" patient come in for some reason that is beside the point of the story, but the patient had a particularly bad odor. Needless to say, the ER did not get around to cleaning up the patient and sent them on to the ICU, where the nurse got her posse rounded up to go bathe them. Long story short, in the process of cleaning up underneath their panniculus they found a dead and decomposing kitten, who presumably had suffered a fatal cuddle session with the patient.

    Another one of my favorite stories most people find rather gross is the one and only time I ever saw a surgeon order leach therapy for a patient with a poorly healing rectal skin graft after an extensive surgery for rectal cancer. We had orders to go in every 2 hours and dispose of the old leaches, then fish a few new leaches out of a jar in a mini fridge that we left in the room, and then try to get them to reattach to the skin graft. The process sounds simple enough, but leaches are not very cooperative colleagues, and it was often a very time consuming task to 1) fish them out of the jar, then 2) get them to latch onto the graft. To top it off, if you did not get back in the room in a timely manner, they would fill up with blood then drop off the patient into the bed, and occasionally they would manage to escape the bed and you would have to follow the trail of blood and slime around the room to track them down.

    Fortunately, the patient had experience fishing with leaches and was quite a good sport about it.

    Take the plunger out of a 5 ml syringe and load the leech in butt- first.  Then put the open end of the syringe to the wound and the leech will have to latch on where you put him.

  8. I received BCG vaccine in nursing school and had an adverse local reaction.  My arm took months to heal.  I haven't risked a PPD since and always submitted to chest x-rays.

    Until my last job when quantiferon was available.  I guess it would depend why you wouldn't want a PPD.  Are you concerned about a false positive?  It's certainly worth asking your employer.

  9. You're accepting indentured servitude out of fear of being reported to the Board?

    I was reported to the Board.  It was malicious and retaliatory and they had it pegged before I even got there. We went through the paces then we all had a good laugh and I went home.

    JKL told you how to resign.  Don't tolerate that crap for one more day than you need to.

    THEY don't have an RN?  Guess they better start beating the bushes.  They have two weeks from the time you put in your notice.

  10. 1 hour ago, neuron said:

    Those are just examples of what has happened but the main situation was recent where the administrator and another manager were being abusive. I feel the situation is uncalled for. 

    Don't get me wrong.  I've always toughed out a 2 week notice.  Sometimes the longest 2 weeks of my life.

    My advice is if there is no possible way to go back there.

  11. I surmise you're working in a long term care facility.  The beginning of your post was unclear.

    You've been working there over a year but now can't stand the thought of toughing out a two week notice.  I guess when you've had enough you've had enough.

    Here's a thought:  put in your notice, then call in sick.  A day later, call them all apologetic about not being able to work your notice.

    I don't really see this as being dishonest;  you clearly are sick at the thought of ever going back there.  They may buy it or not.  No matter.  You need to be out of there.

  12. 4 hours ago, Jccnurse said:

    I will shadow the nurse that is retiring, who has been there for 21 years, (who they are trying to replace) next week. It is full time with benefits. 

    "Passion"... I guess it is because in nursing school, almost everyone had a inspirational story as to why they chose nursing. My reason... I needed a career and I liked science. 🙄 I agree with you, the word passion is misleading and maybe that has made me feel like I am not meant to be a nurse because I do not feel over the moon providing patient care.

    I think with your realistic mindset you have a better chance at a long, satisfying career than your "passionate" cohorts with their inspirational stories.  Most of us don't subscribe to the idea that nursing is a "calling".

    That's just a lot of hype to rope us into poor working conditions and low pay and we're supposed to be all dewy-eyed while we're doing it.

    Keep in touch with your passionate friends.  You'll be amazed how many run away screaming.

  13. In workplaces that have unions, there is always a form that can be completed if staffing is unsafe.  A copy of the form is always directed to an entity OUTSIDE the employer system, which is why employers hate when this form is used.

    The form essentially functions as a preemptive incident report.  It generally states "I am accepting an unsafe assignment under protest.  I have already requested help from ABC and received XYZ response.  I will not be held professionally liable for any negative outcomes."

    You see if something bad happens because you were stretched too thin, you will be held responsible.  Saying you were short-staffed won't get you off the hook unless you have already documented that you asked for help and accepted the assignment under protest.

    If you have no preprinted forms, this information can be put on a blank sheet of paper.  A copy MUST go to the state regulatory body, a copy to your employer and you keep a copy.

    If you insist on staying on this sinking ship of a job, using that form will be your career life preserver.

  14. 7 hours ago, SilverBells said:

    Pulling my hair out today.  I am manager, nurse, CNA with new admission, postponing discharge, wound rounds, state was here, 5 grievances, call ins, and on and on

    Where's your upper management?  Are you the most senior person in the building?

    And State popped by for a visit?  Come on in!  I'd be showing them a lot more than my newly bald head.

  15. 1 hour ago, Davey Do said:

    Years ago, while bicycling the country roads, an old farmer and his son stopped in their pickup to chew the fat. At one point, I said something positive about the old farmer, so he turns to his son and says, "Rog, give the man a dollar!"

    At Wrongway Regional Medical Center, whenever a nurse or tech did something worthy of being commended, I would give them a dollar. Some thanked me for the questure and wouldn't accept the dollar, while others laughed and took it.

    For a time, one particular dollar was passed on in goodwill to others and marked with the initials of the presenter/recipient.

    That's a novel idea.  When I worked med-surg I used to keep little gifts in my locker to give to coworkers who'd had a particularly bad shift.  This would include an unexpected demise, being slimed by a manager, etc.  I don't know if it made anyone feel better, but no one turned it down.

  16. On 4/14/2013 at 12:40 PM, hiddencatRN said:

    It could mean the difference between an anonymous report vs a non anonymous one. If you're mandated and report anonymously, where is your proof that you reported as required?

    If a case of abuse comes to the attention of the authorities, and it is found that you were aware but didn't act, you could be held liable.

    The onus would be on the plaintiff to prove you had knowledge.  It's hard to make a case if the abuse was in fact reported.