jessimee

Yep, after thinking it over you are spot on. I think her "My advanced degree vs your google research" comment sort of embarrassed me for her (we may think that, but to say it directly to a large audience of people you know is apt to really turn off your listeners) and I was hoping for a reason to tell her to cool it with all the advice. But you are right. I have bigger fish to fry in my worldí ½í¸Š

FolksBtrippin, I was asking. I wasn't sure if there were legalities involved in making an assumption of an established provider-client relationship. There is some assumption of liability when giving advice to your neighbors...

That's just one example. She does get more detailed with her advice.

I'm just curious about the legality of something. There is a newly minted FNP in my neighborhood who frequents the neighborhood Facebook page giving medical advice. There was a discussion going on today about the flu shot and she made the statement that her "Advanced practice degree trumps your Google research" and yes, you should get the flu shot. I know her a bit--we've met a few times, but something about her touting her degree and accompanying it with advice feels not quite right. I'd hate for her to get in trouble. What do you all think?

For example, you are a certified med-surg RN (your facility pays you extra for being certified) with "x" years of experience and you transfer to the case management department as an RN. You are not a CCM. Can your organization lower your pay rate?

I work as the "resource nurse" on a med-surg unit. We typically have more surgical patients than medicals, so we have lots of admissions/discharges. I work 7-3, weekdays and my role includes helping with morning med pass (try to do one patient for each nurse), admissions, discharges, post-discharge follow-up calls and covering lunches. It's very crazy, but it has worked very well for our unit.

Of the three, I would recommend St. Anthony first. It is run by Centura, which is non-profit, and has a reputation for treating its nurses well. I work at another Centura facility and I find that to be true. Swedish is for-profit, run by HealthOne. We have quite a few nurses who came from there and report very poor staffing and pretty miserable working conditions. Denver Health appears to pay well, but I can't speak to what it's like to work there.

We have a few physicians who refuse to learn Epic. I had one recently who couldn't figure out how to put a patient on the particular insulin regimen that he wanted. He ordered "something similar", asked us to fix it, and left. Not only did I then have to take the time to figure it out, (double check with charge and pharmacy), put in correct orders, but also had to take time to write up incident report. Ugh.

If I could do it all over again, I would choose to be a musician (stringed instruments). But, that being said, I am happy being a nurse. I have never held a nursing job or worked in a specialty that I didn't enjoy. As a nurse, I make enough money to buy musical instruments and take lessons :), so it's all good!

Im hoping to come up with something that represents who we are as a specialty.

As a new grad, I worked as a pediatric med-surg nurse. I loved it but it was challenging as a new grad. We cared for all pediatric surgical patients in the hospital--everything from appendectomies to neurosurgeries, to urologic surgeries and orthopedic surgeries. Medical diagnoses included anything but cardiac or oncology. Everything from new type 1 diabetes, kidney failure (peritoneal dialysis), trauma/abuse, brain injuries, burns, to respiratory disorders, and septic neonates. Much of pediatric nursing involves educating and reassuring anxious parents. So you have to enjoy both kids and adults!

Hi All--I work at a small-ish hospital and some of the units have hoodies that they are allowed to wear at work (our uniform policies are otherwise pretty strict) with slogans/logos on them that represent their unit. ICU, for example has a slogan about not being "tachy". My floor is gen-surg/med-surg/trauma. Mostly surgery, in reality. We have a great team and the highest retention in the hospital. I think we deserve hoodies too! But I'm completely at a loss when trying to come up with something catchy that represents us as a specialty. Any ideas?

Thank you all for your thoughtful responses--I appreciate them all! My plan to deal with this is as follows--I will continue to not engage with her, acknowledge her frustration and move on. I will encourage anyone who approaches me with a concern (like the new nurse) that they might consider discussing it with our manager at their review, or sooner if they feel it's affecting their ability to safely care for their patients. I may make a general statement about wanting to maintain the good morale on the unit and how we can do that, in my upcoming 1year review.

Thank you. With this particular individual, it is mostly behind people's backs. And it's constant. And yes, it's shoes and hair comments, but it's also complaints about their work habits, what they've done that is "totally stupid", how she can't believe someone was given that job, because she could do it so much better. Things that serve to make co-workers question the abilities of each other. Above the level of razzing, IMO.

To the poster who said it sounds like I've been talking about her quite a bit--I actually haven't been talking about her quite a bit. I just try to avoid her and when she does approach me and tries to engage me, I politely acknowledge that she's frustrated and move on. Her attitude doesn't affect me, I am a firm believer that what another poster said is true, we are only responsible for our own feelings/responses. I became concerned the other day when a newer nurse approached me who WAS taking this nurse's comments personally, and is struggling to be happy on our unit. I felt bad that all I had to offer her was the "That's just how she is, don't take it personally" argument. It just doesn't seem fair. But as said in another post, at this point it's someone else's issue to to take to management, not mine. Unless I want to be proactive, which would need to be done carefully.