James W.

Dude, seriously! I'm currently suffering from the worst bout of 'flu' I can ever recall I've had, (inc' secondary bacterial infection requiring anti-biotic Rx, & bulk palliatives), & since not having had any 'flu' in such a long time, I'd declined the most recently available shot ( due partly, to a - short - adverse response to the last one I'd accepted). But TB is way, way, worse man.... Not to mention... our profession must deal with proactive evidence-based Ax/Rx/Tx health-promotion, ( regardless of pharmaceutic 'big-biz' hype), so with a 'tude like yours, you're gonna be 'on a hiding to nothin'' in the future. So yeah, either lose the 'tude, & take the shot, or get the F outa D...

Yeah, student nurse anecdote time: Back in the day, our starting group of 30 student psych-nurses had 3 smokers. By graduation, I was one of 3, who didnt! Although, to be fair, smoking was rife, & over-tolerated back then, to the extent that the hospital's interior walls were painted in shade officially named 'Nicotine Yellow', a practical approach, since any lighter colour would rapidly develop that tone. Having made that obsevation, I'd add suicide to drug abuse as a higher-than-background cadre statistic for nursing students. Cause or effect? But it does not seem to be a topic for much 'nursing research' - that I've seen.

True, & my view concurs, don't make remarks, verbal, or 'on the record' that you could not convey verbatim to the subject of those remarks themselves. Further, nowadays, lax/vulgar terms used in a professional setting ( & even in 'social media' by a professional) may be noted, & held against you. I'd go further, & suggest that we reserve any needful 'wind down' talk, to private settings, & while on duty, conduct ourselves as if we are under video observation, (even if we can reasonably assume we are not) as a 'good habit'.

Yeah, for newly minted RN's some 'limitation anxiety' is likely a good thing. I completed a 'hospital based nurse-training program' back in the day, & even though you were included as being 'part of the team' within the organisation, each student also had to successfully complete 'Hospital Finals' - which did include a realistic practical exam - prior to going forward to sit 'State Finals', for the actual RN registration. On top of that, the 'Training Hospital' would undertake to further employ you for a 'Staffing Year' whereby you'd be actively supported to consolidate your skills as an RN. I realise some organisations nowadays do offer 'New Graduate RN Programs' to likewise enable a fresh RN to transition smoothly from student into fully professional clinician. Having also experienced being a student nurse recipient of 'academic education in health science-nursing', I will note they show a relative lack of the comforting 'in house' cohesion available to the 'old-school' nursing 'trainee'.

C'mon now Claralee, "honestly." Can nursing-student program entry/reading comprehension-skill prerequisites really be so lax, nowadays? Just wait 'til you have to read research! & about that, how might 'James', or 'Cowboy' be indicative of gender, & also, what would "hysteria-level emotive" be "telling" of, IYO? Why'd you reckon the thread you (correctly) noted was closed for review? Are you actually asking for 'mansplaining', maybe? ( Only joking).

Given the recent hysteria-level emotive responses to member Cowboy's concerns, perhaps a longitunal overview/current appraisal of the gist of his topic might well be indicated? Recent mal-awareness of the legally-proper/socially-needful 'Informed Consent' appears to have (in some areas, & moreso where litigation action is rife), distorted matters, but it really seems to me, that many members here who've already demonstrated a high-dudgeon/angst over the 'state of the art' could do with a refresher/reality-check as to expectations of the actual duties/responsibilities in performing hands-on interventions - as a duty duly owed by health-care givers to recipients (& how readily they are understood/accepted by patients/clients) - nowadays. Another related aspect might be further discussed, viz: the 'cultural/unwritten' lore by which nurses do indeed provide their cares, (& the recent, seemingly insidious indoctrination of unscientific yet ironically ultra-dogmatic post-modern/feminist ideology into nursing praxis, IMO, a demonstrably baleful shadow which debases/demeans our professional standing). The negative impact of non-clincal staff such as Corporate manager, & their HR/legal depts, along with outside but strident 'pressure groups' with a poor understanding of the issues concerning nursing - might well also be a discussion point for the student nurse - since these things seldom seem to be part of the study curriculum in 'nusing education', either.

One more thing. Perhaps discuss your anxiety issue with an Rx prescriber. A small test dose of propranolol might be indicated/helpful. If that is permissable, of course.

A couple of suggestions. Watch Jody Foster's performance in 'The Silence of the Lambs'. If you can work at emulating that kind of anxiety control, you'll be ok. On the other hand, if you really find yourself losing it, now, & cannot overcome this 'overwhelm' sensation through your training (& mindfulness), then probalistically, even if you complete the course, you won't hack 'the life' as an RN. Best wishes for your future, any which way you choose to pursue it.

Ok, T-P-B, here's my take - if you really want to put 'preceptor role' in the 'done it' column of your C.V. - for experiential skills, as a prerequisite for your course, then make the effort to put it to the 'powers that be' - on that basis. I doubt that any profient nurse educator could justify denial of such a request on views from years ago, or on emotive grounds, as you appear to suggest. & if your current skills were sub-par she'd surely have to specify how & why, as a professional rationale for turning you down. ( If you do 'poke the bear'). However, if you are only seeking some form of belated acceptance by this nurse educator that she was wrong then, or ought to be now - belatedly, 'making it right' - primarily based on your own ego-sensitivity levels, then do ask yourself if it serves any useful purpose, or if it could even result in some unintended or unwanted (negative) consequences. Since your actual peer-colleagues do respect your professional capacities on a day-to-day basis, along with accepting your ( ok, perhaps, 'autism-spectrum')personality style, then I'd be checking any any tendency/propensity towards mildly paranoid ideation, rather than ruminating on, or getting angsty about, any views others may have once held about you, (& def' no longer append). Good on you for putting it out there, though, & best wishes too.

Yeah, seems like manager mclifford could 'usefully' attend some extra (mandatory) intensive 'feline-sensitivity' training. Herding cats/RN's requires a certain finesse, & frustration tolerance. Mere junk/comfort-food incentives only go so far, y'know. It likely will not fully compensate for the compulsory egg-sucking routines so blithely imposed - as an employment condition. I mean, we all know that the 'mandatory sign-off' stuff drips down from well 'above' clinical management level, due to 'Corporate/Legal' set 'requirements' that must absolve said organisation from any kind of malconduct by (potential) 'loose cannon' clinicians, who might later claim: ' No, I hadn't been duly advised of that particular (dumb-***)policy implementation. The longheld expectation that the likes of adminstration/HR are there to 'support' the efficacious functions of clinical staff - in the needful peformance of their essential patient care duties - has it seems, (sadly), now been fully subverted by the overweeningly self-important, pay-grade based, top-down, heirarchical structure (through the 'profitable industrial-complex model') however bad it actually is, in the context of intensive healthcare provision*. Well, so it seems to me, anyhow - having lived through this insidiously creeping 'make work' pressure instigated/promulgated by excessive growth of non-productive mittel-Mx in health settings - seen over recent decades. * Florence Nightingale had of course, duly, (& painfully) reflected on this awful truth herself, despite her own huge ideological investment, way back when.

Ah, I don't think so.. There is deceit by omission, as well as by commission.. Both parties were a bit guilty of this, but one had more to lose.. If she'd been switched on sufficiently to take the "Are you a..." cue, then she could've said, "Oh this little thing? (indicating item), No, but I am a Judaism prospect, if that helps.." Yeah - & by the way.. I get the.. "Why aint you a lawyer, if you're so smart then, son.." too.. plus.. "Nurses aint meant to argue, you got a law degree or what!"

"Thousands of years?" I knew women had longer life expectancy, but surely, its ~ a century, tops.. Seriously though, that life expectancy thing.. .. is partly due to men working in jobs that kill them.. & for "thousands of years" those men who weren't sufficiently accorded "male privilege" were often sent by those who did, - to face killing - in war.. Only if they failed to kill enough of their fellow sex, were "their" women* sometimes subject to similar such horrors.. * along with the "male privilege" recipients. So much for herstory...

Judgemental much? 'Feminazis' are people too, y'know.. Its not that I'd conflate personal dislike.. . with rejection of corrupt political motives.. ..that'd be emotionally retarded..

Some of the strident seeming 'feminazi'-like posts on this thread, bring to mind a saying my mother used.. "Two wrongs - don't make a right." Men who are nurses are both appreciated, & deprecated, due to perceived reactions to their sex, role & personality. Just as women who choose to join military combat, fire-fighting, & police roles are - from their viewpoint. It is true however, that working in a predominately female profession brings extra issues for men, the anti-male stance of feminists as academic authority in education being but one.. This anti-attitude is publicly/politically unacceptable in the case of women in military/F-F/police roles however, & goes to illustrate yet another aspect of the 'double standard'..

Passing the Entonox? Dr Egon Spengler says.. "Yes, have some."

Bumping your own post Linda? Seriously? Not to needlessly bag your point, but I'd like to think that nurses can tell basic BO from problem indicative smells say, in metabolics such as ketones, or bacterial viz: purulent necrosis, or even unusual vomitus/urine/bowel motion excretion odours..

Double standard exemplar, or what - right there ..^.. Back in the day, legally - women were so restricted in matters of finance, & property rights, yet did sheet home debts/fraud issues to their men, too.. There is a hang-over in this attitude today, where couples face joint charges for crimes, & typically the male gets a more punitive sentence than the female.. & IMO, trite exclamations of putative fear-factor, - as an attempted sexist put down - presents as fitting the old '...fury...woman scorned.' axiom.. Sure I do have ethical qualms about abortion as ex post facto contraception, esp' on the basis of casual convenience - but this is not the topic to discuss it..

I'd suggest she ought to maybe try swappin' some dat bad ol' sodium chloride fo' monosodium glutamate* then.. ..it sure done me a powah o' good! An' it's a legal high too! * I kid you not.. MSG as a neurotransmitter precursor, its some cool-as sh.. ah, stuff..

Welcome to 1984.. ah, 2017.. You do of course realize that 'subservient men' have always been subject to the whims of those 'robber barons' too, - right? & for sure, regardless of ethnicity.. At least when women were 'chattels' of their father, or husband.. ..they could hold that particular male responsible for their ah, doings.. & lest we forget.. who ought to support the rights of unborn humans?

Odd convergence.. with pop-culture overtones.. The O.P. presents as an original 'Hot Lips Houlihan' - 'holier than thou' type, & the 'Sherlock Holmes' meme has been raised too.. The popular 'TV Doctor' show ( & where nurses were conspicuously absent) 'House' - was a variant on 'Sherlock Holmes' - but twisted the drug-taking aspects of the original, to a ludicrously unlikely degree.. & so did 'Nurse Jackie' - even if it presented semi-realistic nursing roles..

Unless maybe.. they was thinkin'.. ..she'd got hair-loss due to cancer, or somethin'? & hadn't come clean on the application health questions.. Now I'd advise that 'A-Rab' smartmouth to wise-up some.. ..before funnin' too hard 'bout folk's idiomatics.. ..a natural born redneck can't be de-ported, but he surely can.. .. yep, 'specially fo' makin' such nasty un'merican.. ..'hate-speech', at work.. ..it'll mayhaps get 'im 'a priority' - on a 'watch list' at least, anyhow.. .. I'd reckon.. But seriously, isn't it curious that 'diversity' is Ok, that is, as long as you claim membership.. .. as a uniform member of a particular group.. which wields well-known/identifiable 'political' clout, - as contradictory - as that is..

Excuses.. How difficult is it to swing by a shop that offers perfume tester sprays? Soldiers in the desert where no water was available even used gasoline to launder.. .. Ok, that's a maybe bit too far, yet a spritz of cheap commercial industrial solvent, such as ETOH - on the soiled areas would do, & kill the odour producing bacteria too.. & stomal deodorant is amazing stuff - 'a dab'll do ya', as the Brylcream ad put it, surely you could offer a couple of drops - to the needy cases in your care?

Nah, sorry, but this simply 'won't wash'.. As if a pint of warmish water, a square of cloth, & a lick of soap - is unobtainable to those on even the most hard-pressed budget.. I'd say that lack of basic hygiene is clear evidence of the failure to provide necessities of life/duty of care.. Such lack of concern towards dependents whether children, or infirm aged is despicable, & when applied to the self, is a sure sign of a lack of self-awareness, & incipient anti-social derangement, IMO - well, in our society, at least..

This aspect needs to be specifically addressed in the patient management plan, & Ok'd by the treating team. If a certain level of (essentially superficial) self-harm 'scratch' is deemed Ok, as agreed by the patient & the T.T., no big deal.. it can be a trust/autonomy exercise that reduces angst for all.. Of course, however, seriously injurious self-harm & intense acting-out behaviour that is predicated to distress others, is quite another matter.. ..the consequences for which - also ought to be noted in the P.M.P...

IMO, the OP has valid reason for feeling very hard done by.. After all, if she showed up rank with BO, she'd be confronted about it. Having made that plain, I think that given the 'sensitivity'.. & unpleasant fall-out that this caused, it serves as exemplar on being 'professionally caring' in these matters.. I 'd have asked for the daughter/s to 'help' their mother, explaining that in your role as nurse, it is incumbent on you to help 'preserve dignity' for all patients in your care, & that mother's 'lively aroma' was despite washes, still causing an issue, that they could help with.. ..& not for you personally, of course, since nurses are immune to any & all odours the human condition presents.. ..but that others had expressed concern that cares were not being properly provided, despite your having certain knowledge that they had indeed been fully carried out.. The cognitive dissonance shown by the family as anger - at the realisation that others know their mother is a 'stinker' is a not uncommon response, & for sure - your manager is wrong in hanging you up to swing.. I'd consider reporting the boss for conduct unbecoming too, to the nursing board - if you're gonna cut your losses..