All4Seasons

That's a low brow response from you,isn't it, Linear Thinker? I thought you prided yourself on your intellect. Perhaps you didn't understand the question In any regard,I am through with AN. To read so much caustic,sarcastic,bombastic drivel....well,it's just not fun.This is my 31 st year of active practice and the end's not in sight; I have spent the past 26 years in various ICUs on both sides of the country; I've have worked with hundreds of nurses and thousands of patients and their families; had some really tough situations,horrid shifts,worked with some,let's just say,less than charitable colleagues and many more wonderful ones. But,here's the kicker -I haven't developed the hard-edged,aggressive,judgmental 'tudes that I routinely read here (interestingly enough,only in the General Nursing discussion). I'm generally kind and respectful to my peers,I seek advice when I'm unsure,I believe one can learn from others - including students. And I don't come in through the hospital's front door dragging a chip on my shoulder the size of Manhattan like so many of you. I've read many fine posts here,written by fine nurses, but the bitterness here is just not palatable,so... I'm off to save some lives.... Ba-bye!

Yawn... you did nothing different from what I (and likely most other student nurses) did,except,obviously,experience what happens on a typical night shift...just for the heck of it

I take it,then,that you were never assigned a night shift as a student? That's odd. Odder still if your instructor came in and did it with you,instead of you being buddied with a floor nurse.

Linear Thinker says," the reason nursing isn't respected is" ; my question for him/ her is, isn't respected by whom? That is a massive generalization.

Mindlor, excellent posts. You will make a very fine nurse. Disregard the flotsam and jetsam expressed here -I quite happily do so. Thankfully,developing a cynical and hard-nosed attitude is not a given in this profession -and I'm speaking 30 years in. All the best in the remainder of your formal schooling!

Reading the terse,dismissive replies you've received here,the question which begs answering is "WHO taught them when they came onto the wards as overwhelmed,excited student nurses?"

OP,I get where you are coming from - it is just such an awful feeling to be treated shabbily by someone who is supposed to be mentoring you.Some nurses,like myself,love to teach; others find it just cumbersome. My advice is if you find yourself with someone from whom you just aren't learning,speak to your clinical leader about a reassignment or perhaps a fellow student's mentor is a nurse who wouldn't mind the occasional question.. Always be as prepared as possible,focused,and friendly but not weak ( that seems to bring out the very worst in some people!). All the best and chin up.Thankfully you won't be a student forever.

Experience with cardiac moniters,i.e. interpreting cardiac rhythms- that's what's meant.

Not all units are this horrible. I've learned, the hard way, to listen to myself. I knew I had to leave a unit,I'd had it. I searched and searched the hospital looking for a department which interested me and was a good fit schedule-wise. I stumbled upon my current unit and have never been happier...so,it does happen. All the best!

@Lilaclover - I'd suggest documenting on this care worker.If she hates her job so much that her response to toileting a pt or two is to try to ignore them, and then when pushed to do it, groans audibly- her behind-the-scenes care is likely to be atrocious. She needs an attitude adjustment...or a new job.

If I were in your position I would not give up your chance at workng days- you have done your stint on nights.The other nurse will need to sort out her situation. Very few nurses aren't sleepy,_to some degree,after night shift. And please don't burden yourself with guilt.

Please continue to follow your heart through your nursing practice,caring is what it's all about. Based on your description of the event, this person is seriously misguided;good for you for questioning what you were told. If I had a dime for all the illogical ideas passed around as sound nursing logic in my 30 years at the bedside...

I don't even know where to start with this train wreck....the lack of good judgement, all around,_ is spectacular.

Where I come from,nurses wanting to work in the ED must complete an emergency nursing certificate program- unless they have been seasoned for a minimum of one year in one of the critical care areas. That's a pretty common requirement.

why in the world would i want you to pm me your name?? you are either being deliberately obtuse or....whatever. you obviously have or have had bullying issues -fair enough - but that is not anywhere near being the central issue here; why in the world take a strip off the op over the use of a word that was not coined by her in the first place? imo,your comments here seem misplaced. she likely referred to it (the word 'bully') because i have been one of the few posters on here who hasn't insinuated that she is a liar -and i expect that is comforting to her - god knows i'd find it comforting to have an ally. you are drawing sweeping conclusions when you make a grandiose statement that she may want to rethink her career choice - puleeze.

The bold face type in the quote above is mine - the sarcasm hasn't been lost on anyone. If you'll refer to page ONE of this thread, comment number 8 - by the OP, jesskidding, you can see for yourself that she has put forth her own solid ideas early on in this witch hunt. And,in my opinion, she, with her obvious intelligence and her amazing restraint in the face of all of this ridiculous behaviour, will move well and beyond any "help" she could be given here. Though,I have no doubt you have taught her more than you ever dreamed possible.

Your posts are an example of exactly what I'm talking about - jumping to conclusions.It behooves you to have your facts straight if you want to intelligently participate in a discussion. It was I,not jesskidding,the OP, who referred to bullying of her/him on here -and I stand by that. Your rough,sarcastic,doom-and-gloom rhetoric adds nothing of substance. Amazing how tough people will act under the umbrella of anonymity...

You've pretty much described the health care here in Canada as well. I'll take the higher tax rate any day over losing the federally supported system we have here. Of course it's not perfect,wait times can be a trial, but there are continually updated provincial wait times online for every province - and you are encouraged seek referral to another centre with a shorter wait list for whatever it is you need.

Respectfully,you are naive if you think there is anything about the effect of cynicism that could be described by the word 'merely'....it is a destructive mindset which at best,clouds objective,critical thinking; as such,it has NO place in the nursing process. I have formed the opinion over 31 (and counting) happy years at the bedside that cynicism can largely be avoided by 1.) continually educating oneself -seeking new learning,reading,asking questions, broadening ones thinking by being open to new perspectives shared by nursing and medical colleagues, and, 2.) by not falling victim to the mistaken belief that we as health care professionals have all the answers (patients and families are extremely valuable teachers,if we're willing to listen). These are but two of the ways in which we can avoid the narrow,closed-minded,judgmental patterns of thinking (and the resultant behaviour) that cynicism naturally produces. Patients and their families needlessly suffer in such an atmosphere -I've seen it time and time again.

Cardiac interventions could be procedures like ablations,cardiac catheterizations, balloon angioplasties,pacemaker,defibrillators,and loop recorders... I expect you might do pre procedure preparation ( vitals,preop meds, etc) and LOTS AND LOTS of post procedure vital signs and site checks ( groin, upper anterior chesst,etc), you may be required to do your own 12 or 15 lead ECGs,some degree of interpretation,possibly IV starts( though anesthesia may do their own),arterial line removal,etc. Now,take a deep breath :-) you will be given a good orientation and a preceptor to smooth things for you. E You will learn TONS of very valuable knowledge- if you understand the heart it will clarify everything else. Ask questons - none are ever stupid; be on the lookout for new learning opportunities,be a sponge! Congratulations and best of luck!

Ah,some of the finest characteristics on display here: passing judgement,casting aspersions,jumping to conclusions,then there is just the plain old mean spiritedness.Yes,by all means TRASH a stranger so you will have the satisfaction of knowing you are just too darn smart to be deceived. How rude and aggressive! Next time, choose the high road- simply click on another thread if it seems implausable to you (I can assure you it won't seem that way to everyone. Respectfully, An RN whose philosophy it is is to treat others as though they were my dearest family members.

If both are equal in interest to you,I'd suggest you look at differences in salary,benefits,and commute time. Good luck!

A chest tube and pleur-evac will not be needed in every case of flail chest,only in those cases in which the pleural membrane has been torn by a broken rib. Then the CT and pleur-evac would be the route out of any air and blood in the pleural space. Thinking further along the flail chest continuum however, a chest tube and pleur-evac may still be required even in the absence of a pleural tear if,due to tissue/cell injury a large pleural effusion and compromised gas exchange were to develop. It is good practise to think potential chest tube when you hear flail chest.

Hi, I think kool- aide has given great advice. In addition,because I am a huge proponent of the immense benefit of a solid med-surg background-I would continue absorbing all that great clinical experience while orientating to pediatrics.I'm assuming you would have a preceptor/mentor to assist and that you would refuse any assignment you felt unprepared to competently handle. In the big picture- you never know the doors it may open- not to mention the potential sense of pride you may feel for a challenge accepted.Broaden your base & all the best!