Every time I log on here see such a thread. Well let me see. My hospital has recently decided to hire only new grads or people who were new grads and worked in nursing homes etc. I have been amazed at the attitudes. Some signed contracts and got sent to an area that's apparently low rent. Med/Surg is not sexy enough apparently. Just this months some of the fun the "nasty nurses" have to fix. The heparin drip that gets shut off because the patient wanted a shower. The nurse who called the doc several times overnight for a patient with a low bp, bolused fluids and gave 40 mg of lisinopril at 6am "because its was ordered". The patient with an NG tube clamped, who spent 12 hours pucking and it didn't occur to them the hook him up to suction. The trach pt gurgling, in distress, because the nurse didn't know she was supposed to suction him and then criticized the day nurse for her technique in suctioning. Holding IV antibiotics because the pt was NPO, but continuing the PEG tube feed, so surgery was delayed and I had to explain to the surgeon. OK we all had to learn but really? We have the new grads coming up stating they don't have time and you have to start their IV, pass their meds, you have to do it. Meanwhile holding their lunch they had time to go get on the other side of the hospital at 11am and leaving at 7.30pm while your there till 9.30. It's a if they are still students and the other nurses are their assistants. You go to help and never get so much as a thank you. Just complaints if you so much as try and point out what they need to do to take care of the patients. The word Entitled comes to kind. Not all of them we have some new grads that are willing to learn, grateful for the information. And then this this whole new breed. Is it me? I remember my new nurse days, the crusty nurses who were hard on me but to whom I owe so much. I became a much better nurse because of it. Yes it was hard at the time, but I would never have behaved the way I am seeing now. Generational thing no doubt. But as the as one who is cleaning up the mess, enough. This job is hard enough.
My first boss in district nursing was brilliant. She was an excellent teacher, more than happy to share her knowledge and encourage me to move beyond my comfort zone in terms of completing proceedures that I would have never thought I would ever be capable of, as a new nurse or even 5 years down the track after I'd been doing some learning and growing.
She wasnt afraid to kick my ass if it was needed however she always did it in such a way that I knew where I'd gone wrong and what I needed to do to ensure it didnt happen again.
Something I learned. Constructive feedback is always specific. It will always show a person where they screwed up and what they can do to ensure the same mistake doesnt happen again.
When feedback comes from a different motive (call it netyl, call it what ever the hell you like) it is always vague it leaves a person feeling hopeless and with no real way of learning from the experience and doing it differently the next time. I recall as a student when being bullied I decided to use the experience as a learning experience from which to grow. I asked the nurse something along the lines of "its obvious you feel i have alot of short comings. Can you give me areas you think I need to work on?". This nurse told me to go home and read up on 'nursing basics, just the basics". Left me wondering "does she mean, wound care, dressing, showering, medication......"
It was a good learning experience.
Yes, a good way to deal with any kind of criticism is to ask for more information. If the criticism is legitimate, the person won't have any trouble being specific and it will be a good learning situation. If it's just power-tripping, it puts the turd back in their pocket. They'll bumble and fumble with a lot of vagueness, then go and bother someone else.
So in retail it's called "being catty" or cattiness. In business, it's called "stepping on toes" and in nursing, it's called NETY. Oh yeah, in engineering which is what i previously did it's called the " Boys club." This type of behavior is in every.single.profession.
I didn't see any attitude whatsoever in my last profession, public school teaching. A profession full of women, by the way, so I know the NETY attitude ain't from being female.
It's funny. I never heard of NETY before I stumbled across AN. I can't say I ever experienced such a problem. Backstabbing, on the other hand, is much more common in my experience. Nurses reporting one another for brownie points, sabotaging one another for recognition, acting friendly to a peer nurse but then bad mouthing that very same individual to others, embarrassing one another in front of MDs. Wooo, the list goes on.
OP, just an observation--
Behind a whole bucket load of nurses who are thrown on units and have little idea on what they are supposed to be doing, how to do what they know they should be doing, and attempting to get other nurses to do what they could be doing....
Is a highly paid nurse educator. What is it that he/she is doing?
Or try being a young middle eastern man and boarding a plane these days.
That would be rather difficult since I'm a 6'1'' blonde female. I don't think that you can compare the effects of an inept recent graduate, or the ineptitude of an experienced nurse either for that matter, to the effects of terrorism.
Acts of terrorism rocks the foundation a society. Human beings have a deep-seated need for order and security and this impels societies to establish conventions, laws and boundaries to regulate violent coercion. Attacking the defenseless through an act of terror dramatically amplifies that anxiety about security and leaves people feeling profoundly vulnerable. Terror works through psychological pressure and collective alarmism is an effective facilitator. It's a well known fact the psychological effect of terrorist attacks are out of proportion to its physical effects. Add to this a dollop of good old-fashioned xenophobia and you have the answer to why men of Middle Eastern origin in general face difficulties at airport security checkpoints.
People new to any profession are likely to not be as fast, efficient and competent as an experienced member of that same profession. They can also make mistakes. This isn't unique to nursing. Whatever negative fallout comes from a recent graduate's mistake is a zero-sum game in the sense that a new physician mistakes have about the same effect as a new nurses'. I think that using a new nurse's mistake as an excuse to say that I (or you) look like an idiot, is playing the victim card. My patients seem to trust me and think that I'm competent regardless of the mistakes that are sometimes made by others.
I'm not so much annoyed by these so called "NETY" threads, as I am fascinated. I'm trying to figure out what psychological mechanism is behind the strong reactions I
see in some, whenever someone brings up the "NETY" phenomenon.
The 2013 NCLEX changes increasing the focus on delegation have not done nursing any favors. There is a huge chunk of NCLEX preparation now focused on telling the nursing students who are about to graduate that they will be able to delegate- what they seem to be hearing is that they will delegate tasks and care to anyone and everyone!! Other RNs, LPNs, UAP. I had to clarify to a large number of students about to graduate that they can't just do this in the real world.
I asked them how they would feel if another staff nurse started delegating to them, or if they were in a situation with LPNs in LTC where the RNs and LPNs each had a team of patients with full-on med passes and treatments and that they could NOT delegate to those LPNs! They were flabbergasted. ("that's not what the books say")
So it seems to me that the new grads have been hearing this message and it has some unintended, long-reaching effects.
NETY seems to slide off my back but the whole bullying culture thing we now have embraced as a society, not just in nursing, really irritates me. Once again a decent idea gets totally blown out of proportion in our politically correct society. Instead of attempting to address the cases where someone is truly bullied it now seems acceptable for anyone who is doesn't get their way to cry that they are bullied and I think it cheapens it for those few who truly have been bullied.
tokmom, BSN, RN
4,568 Posts
You know, you get respect from co-workers and a good work ethic. Ain't nothing wrong with that. :)