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Staff Nurses

Posted

Now that I have completed my BSN, and all the other course work to start the CRNA program, I'm having second thoughts. The concern I have is letting the staff nurses care for my patients. Their level of knowledge is, in most cases low. As a staff nurse, I did many inservices. It seems like retention is a problem for many nurses, not all, but many. Laziness is another problem. It seems that the nurses find it more important to sit in the lounge, than care for the patients. It also seems that most, not all, of the nursing staff don't have to listen to management. These nurses know that they won't be fired due to the shortage of nurses.

I'm concerned about my patients. In the future, if I go the MSN route, I will have to turn my patients over to "third world care".

Have any of you all thought about this, how do you see it?

SCB

Are you for real?

sjoe

Specializes in Corrections, Psych, Med-Surg. Has 15 years experience.

"The concern I have is letting the staff nurses care for my patients."

These are not YOUR patients. If you have concerns about the level of patient care, take them to the administration.

And ditch the superior attitude if you ever want cooperation from your co-workers (or anyone else, for that matter).

Originally posted by cannoli

Are you for real?

Ditto.

What planet are you from???

I'm very much for REAL! My expectations for the care of MY patients is very high. I give excellent care, and there is no reason other nurses can not do the same thing. As far a my "superior attitude" well, a nurse who is caring for patients on the level of advanced practice had better have the attitude they do, and most do, because it's the only thing most staff nurses unterstand.

I am amazed at your thought process....no wonder everyone is flabbergasted at your remarks. "superior attitude" is putting it lightly...I think it might be more of a delusion of granduer.

A smart, dedicated ICU nurse who leaves the unit to go to school is probably a loss to the unit...but there are always new smart nurses to replace them.

I am an advanced practice nurse and do not have a superior attitude, and I can assure you it is not neccessary. If your great concern for "your" patients is what is keeping you from going to graduate school, then don't go, and then you can spend the rest of your career surrounded by inferior people and you will probably feel fantastic about yourself. The profession of nurse anesthesia will be the better for it.

renerian, BSN, RN

Specializes in MS Home Health.

What the heck????????? I am sorry and don't mean to hurt your feelings but I have never read this before?

renerian

lsyorke, RN

Specializes in Med-Surg, Wound Care.

"Their level of knowledge is, in most cases low. As a staff nurse, I did many inservices."

How insulting this post is!!!!! I have been a "staff nurse" for 20 years and have never been this appalled by another member of the health profession. Believe me inservices don't make a nurse. Most staff nurses are too busy taking care of their patients to attend inservices. We are in the trenches doing the best for our patients with minimal respect (as evidenced by your post!)

Maybe you should reconsider your career choice and find something that will feed your ego a little better. :( :( :(

Susan,

I'm curious as to why you may think that an RN; a staff nurse as you call him/her who does not have a BSN doesn't have the level of knowledge you posess, nor are they capable of rendering care to patients that meet your expectations?;

How can you generalize by saying we would rather sit in the lounge than care for patients, are lazy and have trouble with retention?

I could work circles around you.

BTW, I have just begun an RN to BSN program not because it will make me a smarter, more qualified staff nurse, but because I want to FOR ME.

You may very well struggle as a CRNA in an OR where teamwork is an integrel part of perioperative care.

Paula

Susan,

You have identified some real concerns and problems. With your insight, have you ever considered an administration or management position? I think you could make a real difference in pt nursing care. Maybe the nurses you speak of need true leader to bolster their self esteem?

renerian, BSN, RN

Specializes in MS Home Health.

Wow when I first read the posts directed to susan I thought you were speaking to me LOL. Two susans posting here LOL.

I guess I think like this. I have an MS but wow that does not make me wonder nurse or better than anyone else. Just a slip of paper saying I took classes. Yes I studied hard but hey I cannot take that with me.

renerian

"Hospitals are not safe, because of nursing (lack of education & caring)."

WHAT??!

I found this is another post of yours, SCB. You also said that you "wouldn't recommend nursing to anyone" and that "just thinking of working as a nurse again makes me want to vomit." Now, everyone has bad days, but your continued bashing of the profession and colleagues isn't helping anything. Maybe you should consider going back to school in another field. This obviously isn't making you happy.

~ Jen

Where do you work at???

I work at a wonderful hospital. We have some of the most intelligent--hard working nurses at our facility.

Maybe she should try medicine, no make that surgery and then she could really fit in as an arrogant, pompus jerk. As a matter of fact, that was one most condescending post I have ever read on this forum. Do us all a favor and get out of nursing.

Originally posted by chartleypj

Susan,

I'm curious as to why you may think that an RN; a staff nurse as you call him/her who does not have a BSN doesn't have the level of knowledge you posess, nor are they capable of rendering care to patients that meet your expectations?;

How can you generalize by saying we would rather sit in the lounge than care for patients, are lazy and have trouble with retention?

I could work circles around you.

BTW, I have just begun an RN to BSN program not because it will make me a smarter, more qualified staff nurse, but because I want to FOR ME.

You may very well struggle as a CRNA in an OR where teamwork is an integrel part of perioperative care.

Paula

:kiss I never said anything about level of knowledge and the BSN, you did.

I did not say "all" nurses sit in the lounge, but many do.

Many nurses can't think beyond following doctors orders, but they did study A&P, pharm, and disease processes. What did they do, hit the eject button after they landed their first job, or better yet, passed the test with a C-.

You don't know if you could work circles around me, you don't even know me.

Teamwork is far from my problem, but it does seem to be a problem with most staff nurses. This is one reason for the shortage of nurses, and safety issues in patient care.

The patients who die due to medical error - whose fault is it, the doctors, the nurses?

Originally posted by MICU RN

Maybe she should try medicine, no make that surgery and then she could really fit in as an arrogant, pompus jerk. As a matter of fact, that was one most condescending post I have ever read on this forum. Do us all a favor and get out of nursing.

Are you saying that docs are arrogant, pompus jerks? Gee, I have to wonder why they are this way. Are the docs nasty to the nurses, do they disrespect them?

Q: Why does a dog lick his butt?

A: Because he can.

Q: Why does a doctor disrespect a nurse?

A: Because he can.

Mabe law is a better fit for me. I could help push laws that hold nurses responsible for the harm thay do to patients.

#1 Patient goes into hospital for liver bx.

#2 Doctor orders Tylenol for pain.

#3 Nurse gives Tylenol.

#4 Patient go into coma.

Did the nurse give th wrong drug? could be.

Did the patient have a bad liver, and Tylenol is never given to patients with bad livers? could be

Everyone wants know why the doctor ordered Tylenol. Frankly, I would like to know why the nurse gave it. I know, the nurse was just following doctors orders.

RN-PA, RN

Specializes in Med-Surg, Long Term Care.

Originally posted by SCB

I did not say "all" nurses sit in the lounge, but many do.

Many nurses can't think beyond following doctors orders, but they did study A&P, pharm, and disease processes. What did they do, hit the eject button after they landed their first job, or better yet, passed the test with a C-.

Teamwork is far from my problem, but it does seem to be a problem with most staff nurses. This is one reason for the shortage of nurses, and safety issues in patient care.

You make a lot of generalizations. How many hospitals have you worked in that you can say this about "most staff nurses" having a problem with teamwork and that "many" nurses sit in the lounge? Or that "many nurses" can't think beyond following doctor's orders". Granted, I've only had 3 jobs in the last 10 years, one in LTC for 9 months and the others in hospitals, but I have rarely seen or experienced what you describe. If that's what's happening in your hospital, I'm sorry for you and hope I never work there, but I hope you'll take the comments that people have posted here to heart, because something isn't right-- with your heart.

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