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Tweety BSN, RN

Med-Surg, Trauma, Ortho, Neuro, Cardiac
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Tweety has 28 years experience as a BSN, RN and specializes in Med-Surg, Trauma, Ortho, Neuro, Cardiac.

Tweety's Latest Activity

  1. I have a manager like this. It's just not her style and I don't like it, especially for her new workers. Maybe it's an age thing, I went to a workshop where they boomer workers aren't quick to praise, nor to they care about being praised a lot, but other generations do and need more of it. You are going to have to find the courage deep within you that when criticized to say just what you wrote or something similar. "Thanks for the feedback, I will try to do better, but please know I'm doing my best. Any encouraging words for me?". Any decent manager would take that well.
  2. Tweety

    New job purgatory; please talk sense to me

    I can totally relate. I left the bedside for a boring desk job and like you didn't realize how much I would miss bedside nursing. I had to stay six months before I was able to transfer out back to the floor at the same hospital. I think six months is plenty of time to come to that decision, although I pretty much knew within the first few weeks I'd made a mistake. All the best. I think it's great you're self aware that with all the other stressors no need to add to it.
  3. Tweety

    Real Talk- "Ideal" Nurse Personality?

    The one problem I can see with you being perceived as bossy is the RN/CNA Dynamic. Just delegate in a respectful manner. I've found I like to say things like "Can you please do such and such and I can get caught up on my charting?" Always say please, and if you can see your busy say something like "I know you're busy and you don't have to do this right now, but can you....." Ask, don't order. In nursing it is okay to be fast and task oriented but you really have to be flexible because it's only frustrating because things change quickly....an admission is never convenient, a patient IV infiltrates and will throw your whole schedule off. I'm more of a get organized as possible, but go with the flow..sometimes fly by the seat of my pants kind of worker. I work med surg. Just yesterday, I had to endure a doctor upset with me calling him at 7:30pm with something he didn't deem important and had him lecture me. I'm nearly 60 years old with 27 years experience and a college degree. I could have explain why I felt it necessary but I merely said "just wanted to make you aware to cover myself, thanks." and let it go. I've been to too many case reviews and depositions where it wasn't documented that the doc was made aware of a certain situation prior to things going sour and I cover my butt I don't care what the doc thinks. Choose your battles. You never know what another person is going through and I might have just pushed the wrong button at the wrong time. Also, I know when to speak up when behavior is unacceptable, but I've also let go of a lot of expectations of others. Just because I'm a certain way, another person doesn't have to bend to my will and work as I do. I do get frustrated with some people's lack of work ethic, but they usually don't last long. Finally, the refrigerator is not my responsibility. My lunch is packed and sealed and sanitary. Other people can leave their food in there a year and it wouldn't bother me.
  4. That's kind of like, "what happens if I get in a wreck when I drive my car?" kind of question. What if the minute a nurse with a good 3:1 ratio that rounds every 30 minutes walks out the door and the patient falls? That said, yeah there's a nursing shortage and yeah the patients are feeling it.
  5. Tweety

    Are We Too PC?

    This is not a current controversy but one I've heard for years about this song. Part of the lyrics is "the answer is no" but he man persists. So women, I ask you aren't you teaching your sons to back off when a women says no. Doesn't no mean no? Is respect for a women's wishes too PC? No I don't think we are too PC. I think we should respect each other and if someone says they are offended, we need to respect that they have their reasons and not back into a "we're too PC in this country" myth and expand our mind and horizons. If a person with a penis says "I'm transgendered, please call me "she" How hard is it to call her a she? If a person says "I'm non binary and the pronouns I prefer is "they". How hard is that? If someone says "you just said "you people" and I'm offended and it's considered racist". How hard is it to learn why and apologize? I asked someone to stop saying penis sucker (not the word he used) as an insult as I'm gay and lots of people do enjoy that sexual act and it shouldn't be an insult. How hard is it to respect what I don't want to hear around me? Don't fire back "well everyone is offended by something these days, we're too PC". One thing that I get tired of this time of year is "we're so PC you can't even say Merry Christmas anymore". Really, I've been told "Merry Christmas" more times over many years than I can count. Personally, since I personally am not a Christian I'll say "Merry Christmas, if you celebrate", but I do allow people to say Merry Christmas to me. I'm not a total jerk. Before shooting back "we're too PC and everyone is offended by something these days", why not stop, listen and learn. Perhaps you won't change, perhaps you will.
  6. Tweety

    Nurses 'Eat their Young?!'

    It's a vile phrase that has been out there for decades and is largely a myth. There is a movement spearheaded by Nurse Blake that perpetuates this myth but also is calling on experienced nurses to be more supportive. So this might be why you are hearing it more these days. Sign The Pledge: Nurses Support Their Young | Nurse.org Nursing is a tough and demanding profession and that first year is indeed tough, especially in hospitals. When orientation is over, it's over, and it's time to put on your big person clothes and bite the bullet and get out there and work. Nurses are deep in their own heavy patient loads and often don't have the time to be helpful and supportive. Don't take this to mean that they enjoy watching you sink. Yes, there are some bad nurses out there and sensitive new grads come across one bad moment and then say "nurses eat their young!!!" which brands every single nurse, and the profession, and that's not fair. Work hard, ask for help when you need it as busy floor nurses can't read your mind and know when you are drowning and need help, but they aren't going to do your work for you or hold your hand. Good luck!!
  7. Tweety

    Rapid Assessment / Response Team warning signs

    We have case reviews on patients that go to the unit or who die and we carefully examine what might have been done earlier. If it's a really bad outcome that might have been prevented the floor staff are mandated to attend. Sepsis has been out big thing. We are trained and trained again on the warning signs and try to nip it early. I'm not sure we have parameters on when to call one though, so that's an interesting idea. Staff should be empowered and encouraged to call a Rapid Response.
  8. Tweety


    I believe in customer service and doing my very best to meet their needs. Most people are decent, even if they feel entitled, they will relax if they see that you're trying and that you care. I've had patient's wait 15 minutes for pain medications and still act decently when they see I'm sincerely sorry and care about their pain. Still there comes a time that we should be able to tell a patient "there's nothing that is going to make you happy, I'm not even going to try and you're a selfish entitled pig". If only.....
  9. Tweety


    Oh yes. I didn't know this was her. Remember her posting her many years under that name. Thanks.
  10. Tweety


    I'm sorry to hear that. May she find peace and not be in pain.
  11. Tweety

    Calling patients by "pet" names.

    Interesting you would call out male's. I am with the sentiment that it being long term care perhaps they are familiar with the patients and to give them a sense of "home" they are more casual. As a student you perhaps should be this casual. I almost always start out the day with calling people "sir" and "ma'am" or "Mr. or Ms." but as time progresses am a bit more casual. I notice as I age, I'm 58, I still use respectful titles for the elderly but am a bit more casual with younger people. Most of the time I will ask "since I'm old enough to be your father can I call you Jim rather than Mr. Smith? (or whatever their first name is) and we get a laugh. No one has ever said no. While it's respectful, we also must convey some sense of confidence and collaborative relationship with patient, rather than a subservient one. Part of that is building a good rapport with our patients, and when appropriate terms of endearment and first names are not necessarily a sign of disrespect. Good luck!
  12. Tweety

    An Eclectic Recovery Thread

    Agree. Often I have a part to play and I've done plenty of people wrong myself. Working through the 12 Steps even if I was dealing with anger at someone it was drilled into me to look at my part in the situation and make amends. Not an easy task. Luckily today not many people "do me wrong", and I try not to do wrong to others, but still I find myself doing a lot of criticizing of others, mostly in my head, but I do resort to gossip sometimes. Last year I went into therapy at my old age, and with nearly 20 years sobriety.....still a work in progress.
  13. Tweety

    An Eclectic Recovery Thread

    That's important. I don't often take the time to look at myself when I'm done criticizing others.
  14. Tweety

    An Eclectic Recovery Thread

    I can relate. All the best.
  15. Tweety

    Calling off on two week notice?

    I'll have to look, but I think our policies require you leaving in good standing and working out a notice before they pay out any PTO or pay you for a sick day during your notice. You've let it out of the bag by asking other people to cover you that you need the day off, so if you call in sick, they will be wise to that and not pay your PTO. Of course you can always do the "what are they going to do? Fire me?" and blow them off and call off sick. Or you can work out your notice and inform your new employer you won't be able to start until you hire date and let the chips fall where they may which is what I personally would do. Surely you're new employer will respect you being an adult and dedicated worker.
  16. Tweety

    Suspended for a Medication Error

    Pretty much all of my life's lesson's be it in nursing, or outside in the world, have come through the school of hard knocks and mistakes. I'm a stronger and better person because of them. I am not my mistakes.