marigold321

Supervisors have managers.. who have managers... there is a hierarchy and these young girls are not at the top. Supervisors must model professional behaviour at all times to their team. If they are not, report them. It doesn't matter how old or how young a supervisor is.. that is ageism and it is about as bad as racism. If someone is educated and has a positive/willing attitude to be helpful and learn then perhaps they can supervise.. but the bad attitude you are describing needs to be reported to their manager.

I swear by the "peri bottle" for all patients in LTC. Bathing at our facility is weekly.. I can't imagine having a bottom in a pad with only a weekly bath. The Peri Bottle can squirt from any angle, fill it with warm water with a drop of mild soap and squirt upward, downward, sideways, in crevices, wherever you need, then pat or gently "floss" dry. Ag cloth is handy to weave in between tight spaces that can't quite be dried to prevent candida also. Depends on the patient's needs. I recommend the peri bottle approach for all patients in LTC whether they need odd angle/crevice/fold care or if they are up ad lib and just can't get to the bath daily. Best luck!

Document the good care you give and report the ones that don't. The negligent and dishonest staff will lose their licenses and face discipline, not you. It is sad when good nurses leave bad places because it takes the good ones staying to turn a place like that around. I'm a LTC manager and can say this is a loss for the facility. If you were my nurse I would want to hear from you about the dishonest nurses and get rid of them. Don't run from the next place, work with your manager.

Don't set the antibiotic as the primary-there should always be a secondary. What if you get busy and the line goes dry? Even if it's just TKVO, you need to have that backup. Check the drug monograph for medication specific infusion rates as well as your agency policy. We can advise you on vanc but you will need to know where to go for accurate and timely information for your next infusion.

The old adage lies true in nursing "respect must be earned". In order to earn respect with the nurses on your team, you will need to ask a lot of questions, show respect for the answers you receive, and make sure that the most opinionated senior nurses feel like they "have you under their wing" so they can feel like they are "molding you". They won't be able to criticize a mini-me, nor will the other nurses on the team be willing to criticize the new nurse that the gran poom-bah is "training". The ER is a nasty department to start in and a nasty department for other departments to deal with. ER nurses are known for being "jacks of all trades and masters of none" - they patch people up and send them out-either back home or to other departments to fine tune illness in more detail. In my career I have watched trauma junkies turn to the ER for careers, burn out, get cranky, and then move on to another area. They usually need a couple of years in a new area to lose their false ego. Also just a heads up, as a manager, I would mention the department concerns as a new hire/grad to your manager. Disease starts at the top-a hard headed team needs a strong leader so I hope that your department has this. If your ER doesn't have a strong leader then find another job because it won't get easier. Lots of beautiful departments to work in but ER is not a career-long dream for most. Take care and best wishes to you. Don't write off nursing because of a bad batch of hens.