I think I'm done answering student nurse help me threads here.
I've gotten rude answers, or they never even bother coming back to the thread to acknowledge the answers they received.
Some will ask life choice questions like "Where should I move?" or "Where should I apply?". Do they think someone is going to offer them a job here, is that why they start these threads? You have the whole internet to research towns, cities, regions, but instead you post a thread asking a bunch of strangers where you should move?
Some help me threads seem to be 'Help me do my homework' threads.
Clearly, you think orientation is a time where the new nurse sits at the desk and commits protocols to memory. Sadly, not the case. I have witnessed older nurses have to look protocols up themselves because they either a) don't remember because they don't see it often and/or b) never knew it by memory to begin with.
You apparently think orientation only happens during the three 12 hour periods of time that you're clocked in per week. I'm sorry that you and/or your preceptor didn't take it seriously.
I'm not sure how you can sit there and make such an inaccurate statement. You have a snapshot into my orientation period. You don't know my hospital, nor my preceptor, nor the organization or structure of the orientation period. You don't know my locale. You don't know what patient conditions I see frequently versus the ones that rarely come through the door. You don't know what's considered medical/SCU/ICU level on my floor, or what calls for a transfer, etc. You don't know if acuity policies were violated by even assigning me a patient that sick as someone just off orientation. You're making a comment that my preceptor and I didn't take the orientation period seriously and yet you have no idea what my orientation entailed. So, in the grand scheme of things, whether or not I feel or do not feel appropriately about that situation is null.
I don't think it only refers to "catty passive-aggression." A lot of it is over aggression.
Whatever you want to call it? It's not "violence." "Violence" has a definition. If you were a victim of it you'd know it. ADULTS with college degrees and professional licenses need to stop acting like babies when faced with personalities and situations they're not used to, or get a different job. A high stress fast paced environment is no place to coddle, coo and hand-hold a 22 year old. If they need that kind of treatment they need to start out in mother-baby or something. I had no time for it on med surg.
Whatever you want to call it? It's not "violence." "Violence" has a definition. If you were a victim of it you'd know it. ADULTS with college degrees and professional licenses need to stop acting like babies when faced with personalities and situations they're not used to, or get a different job. A high stress fast paced environment is no place to coddle, coo and hand-hold a 22 year old. If they need that kind of treatment they need to start out in mother-baby or something. I had no time for it on med surg.
Why do you think OB is the place for a new graduate to start out? Come on. A wise clinical instructor once told me that starting out in a specialty is career suicide. I have taken that advice seriously and it has heeded me well.
I'm not sure how you can sit there and make such an inaccurate statement. You have a snapshot into my orientation period. You don't know my hospital, nor my preceptor, nor the organization or structure of the orientation period. You don't know my locale. You don't know what patient conditions I see frequently versus the ones that rarely come through the door. You don't know what's considered medical/SCU/ICU level on my floor, or what calls for a transfer, etc. You don't know if acuity policies were violated by even assigning me a patient that sick as someone just off orientation. You're making a comment that my preceptor and I didn't take the orientation period seriously and yet you have no idea what my orientation entailed. So, in the grand scheme of things, whether or not I feel or do not feel appropriately about that situation is null.
Whether you "feel appropriately?" I have no idea what that even means. Again, I'm sorry that you didn't commit your P&P's to memory nor did your crusty old bat fellow employees. You need to take some responsibility for that instead of putting the fact that you didn't know your protocols off on your preceptors and coworkers.
Why do you think OB is the place for a new graduate to start out? Come on. A wise clinical instructor once told me that starting out in a specialty is career suicide. I have taken that advice seriously and it has heeded me well.
Good for you. I'm not sure anyone would argue that mother-baby is a faster paced, higher stress environment than a med surg floor. If you can't take med surg and its personnel without thinking they're "violent" find another place to go.
Whether you "feel appropriately?" I have no idea what that even means. Again, I'm sorry that you didn't commit your P&P's to memory nor did your crusty old bat fellow employees. You need to take some responsibility for that instead of putting the fact that you didn't know your protocols off on your preceptors and coworkers.
You clearly haven't read a word I said. I didn't assign responsibility for my ignorance to the P&P's on any one individual. My issue was with the fact that this particular situation was fast becoming one that I was not equipped to handle, and for the sake of patient care and safety, I requested assistance and was met with a very snarky, rude comment that was inappropriate and unprofessional. It would have taken less time to get up, direct me to the policy, and/or assist me in ensuring this patient's safety AND THEN discuss where the P&P is and/or ask me to sit and familiarize myself with it. However, this did not occur, and this nurse was not a "crusty old bat." She's older than me. With about a year more experience.
Good for you. I'm not sure anyone would argue that mother-baby is a faster paced, higher stress environment than a med surg floor. If you can't take med surg and its personnel without thinking they're "violent" find another place to go.
Post partum isn't the place for a new grad, well, at least at my hospital. We do all the high risk pregnancies and deliveries for a huge chunk of northern Canada.
You need solid assessment skills and the ability to advocate for your patients. Medically sick mums, addicted mums, mums with a history of multiple fetal demises, mums who know their babes will become provincial wards upon delivery.
Post partum isn't the place for a new grad, well, at least at my hospital. We do all the high risk pregnancies and deliveries for a huge chunk of northern Canada.
You need solid assessment skills and the ability to advocate for your patients. Medically sick mums, addicted mums, mums with a history of multiple fetal demises, mums who know their babes will become provincial wards upon delivery.
It's not all rainbows and unicorns.
Crusty old bats live there for a reason
Because it's not a fast paced environment, which was my point. I don't care where they work, honestly, as long as they don't expect me to deliver my message with love and devotion. Question: Answer. Next question. No offense but I have no time for your feelings.
(I suppose we can now go down the path of "Oh, so you don't need solid assessment skills on a med surg floor?" Nah, I really don't care that much.)
Because it's not a fast paced environment, which was my point. I don't care where they work, honestly, as long as they don't expect me to deliver my message with love and devotion. Question: Answer. Next question. No offense but I have no time for your feelings.
(I suppose we can now go down the path of "Oh, so you don't need solid assessment skills on a med surg floor?" Nah, I really don't care that much.)
I guess it's hospital dependent. Where I spent my nursing school clinical, the med-surg unit was slower than molasses. Everything that got even semi-complicated got immediately transferred to a hospital 35 minutes away.
Because it's not a fast paced environment, which was my point. I don't care where they work, honestly, as long as they don't expect me to deliver my message with love and devotion. Question: Answer. Next question. No offense but I have no time for your feelings.
(I suppose we can now go down the path of "Oh, so you don't need solid assessment skills on a med surg floor?" Nah, I really don't care that much.)
Have you ever worked a busy post partum floor? Five mums and their offspring. Gawd help you if you have twins or triplets in the mix. Some stays only last six hours. In theory you have ten patients for an 8 hour shift. But there have been shifts where nurses have had 23 patients to assess due to admissions and discharges and the paperwork is horrific. Birth registration, tax forms, faxes to health units for the first home visit.
I've worked surgery and women's services, surgery is a walk in the park.
Eta: the hospital does over 5000 deliveries a year and has over 75000 visits to the Women's Services annually.
Have you ever worked a busy post partum floor? Five mums and their offspring. Gawd help you if you have twins or triplets in the mix. Some stays only last six hours. In theory you have ten patients for an 8 hour shift. But there have been shifts where nurses have had 23 patients to assess due to admissions and discharges and the paperwork is horrific. Birth registration, tax forms, faxes to health units for the first home visit.
I've worked surgery and women's services, surgery is a walk in the park.
The thing that always seemed intimidating to me about OB is the fact that your patient load essentially doubles: you're concerned for mom and baby. And if there's a complication in the mix with both mom and baby, then the acuity level goes through the roof. I don't have any interest in OB/L&D. It takes a special kind of nurse to be able to do that sort of work. So, props to you, Fiona!
redhead_NURSE98!, ADN, BSN
1,086 Posts
You apparently think orientation only happens during the three 12 hour periods of time that you're clocked in per week. I'm sorry that you and/or your preceptor didn't take it seriously.