Jump to content

Topics About 'Nursing Colleagues'.

These are topics that staff believe are closely related. If you want to search all posts for a phrase or term please use the Search feature.

Found 7 results

  1. Responsiblities Many new responsibilities and stressors have been placed on nurses shoulders in the last few years. With alterations in insurance coverage, reimbursement, and shortages of hands on deck, the nursing field has been facing many growing struggles that seem to continue with no end. Rehab facilities are bursting at the seams, hospital emergency rooms are holding awaiting beds on inpatient units and long-term care facilities are managing wait lists that grow with each coming day. By no means does any of this touch the hem of the many battles facing nurses in our present day. But with all of the stress, headaches, politics, driving need to succeed and desire to be the best I've noticed one common theme. Teamwork. From speaking with friends, sitting in on international conference calls and just listening to the woes of those around me, I've learned that a major piece of happiness while at work is due to teamwork. Teamwork Teamwork. A well-oiled machine amidst situations of controlled chaos, teamwork has the power to at least overshadow many of the bigger issues that we face in our day to day jobs. Though my personal experience as a nurse has only lent me an understanding of inpatient hospital activity, I've spoken to leagues of nurses from other modalities who all seem to vocalize the same concern. With teamwork there is power, and without it there is a hopelessness among staff that sucks the morale out of people who are naturally powerful, competent, energetic and passionate. Daily Struggles The definite struggle with the desire to provide a lending hand and the ability to do so seems to ride the fence with our daily checklists. We are a driven profession with amazing focus and coveted skills. Yet, with growing lists of what needs to be accomplished during our shift, having the ability to assist our coworkers when they are struggling is truly a difficult thing. Nursing has made giant leaps in history, but I truly feel that the nature of our work hasn't changed. Our desire to help those in great need is at the core of our existence as nurses. This is a wonderful piece of our identity that drives a desperate need to complete those checklists with (hopeful) time to spare. We ourselves have needs while completing our daily tasks, which further adds a small hiccup when those around us need a hand. So, what do we do when everyone is overwhelmed and help seems scarce? Empowerment For me, I make it known to those who are around me. If I'm feeling strung out and the day feels like it is caving in, I'm vocal about it. "Hey, I'm really behind, would you mind helping me with...If you could I would be so grateful and in turn, could help cover your lunch?" There seems to be some form of power in likeness. If your day is flattening you out, along with your resolve, sometimes just in making your coworkers aware of it (along with your supervisors) things have a tendency to get done with an extra bit of assistance. On the flip side, sometimes regardless of what prioritizing you do, how you help others and they help you, the day is long and you end up clocking out far later than expected feeling exhausted. Implementing Teamwork The number of ways to implement teamwork are vast and often require some sacrifices on our part. It truly is a difficult path to traverse when our nature is to help (patients, doctors, family members, fellow staff, etc). I do find comfort in sharing concerns with management (mentioning issues along with possible solutions), participating in shared governance (a team that works for the betterment of the team) and furthermore finding time for my work family when they need support. Teamwork Affects Patients At any time we will need help, whether physical or even emotional. Teamwork doesn't only touch the realm of patient care. It goes as far as being a listening ear to a fellow nurse who has had an emotionally trying day, passing meds for a floor nurse who needs an extra moment to speak with a patient's family, or even saying hello to ancillary staff (who, without them, we'd be lost). Obstacles Through the obstacles that we all face on a daily basis in our profession, there is so much on our plate it is hard to function without that well-oiled machine that teamwork supports and fuels. I applaud all of you for your hard work and dedication in a profession that I find rewarding, challenging, frustrating, empowering and crazy. How do you, in your role, support teamwork? Where have you seen it, and how is it fostered in your workplace? Standing Together There is much ground to cover where nursing is involved. Our numbers become stronger as we stand together to lift each other up. Nursing stands for many things, of which teamwork has some of my greatest regard and praise. Cheers to all of you.
  2. madwife2002

    "They" Who Are "They"?

    When I came into nursing, which was a long time ago now, I was part of the old cliche, which was to help people, I know a shocking concept in the ever changing world of healthcare. Never in my wildest dreams did I envision my self at the top of the ladder and that I became 'they' I am sure you have all heard it said 'they' want us to do it, it came down from above and 'they' need us to behave in this way. Why are 'they' giving us more and more to do? With less time to do it. So my question who is 'they'? In my company they are a variety of people all with the best intentions in the world. I work in dialysis and dialysis is one of the most heavily moderated specialties in this country. So lots of rules, regulations govern us and higher standards of care are expected from the dialysis community, what does this means to the direct care staff? Lots of new policies and procedures have to be initiated plus evaluated constantly. A definition of they-'They' are old, young, clinical, non-clinical, very experienced nurses and nurses with no floor experience, they can be male or female, any race, culture or religion. 'They' can be you if you want to be 'they'. 'They' do have the best interest of the patients and staff when planning and implementing changes, new policies, new tools to assist changes and they are part of the company you have chosen to work at. This means they are you!! Confused yet? I was one of those nurses who wondered who they were and how did they know what it was like to work on a floor, how tiring it is, how hard we worked, no breaks and how do they know how it is to care for a sick or dying patients and their relatives? I spent over 15 years giving direct care to patients, I have the knowledge and experience to represent nurses-I wanted to be part of the team of 'they' as a RN. I worked hard to be a 'they' I took courses, I volunteer for projects, I was flexible and open to change-I love to be innovated to be part of new projects and pilots to see if it will improve the quality of care delivered to the patients. I love to audit to see how care is given, to educate where I see the need, and I am the advocate for Nurses, PCT's and other direct care staff in dialysis units. Do I make a difference? I know I fight daily with a team of RN's to stand up for nurses and pcts. I love the concepts of some of the ideas but I also know the reality for many direct patient care staff. I am skeptical and always open to be proven wrong to some ideas and really enthusiastic for many other ideas. I remember back in the day when changes would be implemented thinking to myself 'if it is not broken why mend it' of course today we have to have research to prove that something works, pilots with hundreds of steps carefully written for staff to follow. Why? Because we have to make sure that we do not harm a patient or a member of staff, we can only guarantee anything if we follow the steps laid out-and be prepared to change quickly if something is identified during the pilot that has the potential to harm. I love what I do, but I cant look back I am so far removed from the floor that I am dizzy. I often wondered how it happened and if I am as happy as I was when I was a RN working the floor in a busy bustling hospital. My answer to this question is no I am not as happy as I was when I was a RN on the floor, nothing in the world can compare to looking after patients, working with a team of nurses and laughing/crying so hard with patients, staff and family members. Feeling proud when I helped to support patients and families through good and bad news. However I do believe that I am up there, supporting the nurses by making sure I never forget my grass roots. I am 'They' and 'They' are us, whether we like it or not!!
  3. omoladams

    Self Esteem As A Tool In Nursing

    Self esteem is an ingredient of living a successful life and career, characterized with good interpersonal relationship, self- actualization, and achievement. It's very important for a nurse to see herself as very dignified as possible in the health team. Every nurse is very important and play a vital role in keeping the hospital running. Nursing is holistic which makes it unique from other profession. All the nurse educator should cultivate the habit of creating a good rapport with their nursing students. This relationship is reflected in the hospital while working. Nothing should undermine self esteem of a nurse. The nurse leader or manager in the hospital should also boost the self esteem of the younger nurses. Bullying is a bad attitude common among nurses. This had decrease or lower self esteem of nurses. Even patients bullying the nurse on duty as well professional colleague. In the course of continuous training, adequate emphasis should be made on self esteem actualization. Nurses are at the center of care. The lifeline of any health care facility in the world is nurse. The interdependent role in healthcare isn't working perfectly. Every member of the team should accord respect to one another. Role model factor is another burning issues in nursing profession. From time of admission into school of nursing, they should be given self confidence, Self reliance and autonomy to carry out nursing responsibilities. Some nurses aren't performing maximally in course of care due to low self esteem. They are afraid of making mistake such that they will not be bully. Mistake can be minimized to its bear minimum when professional conduct and practise is maintained. Once you are afraid of mistake then you make mistakes. Confidence is the frame work of self esteem. This will enhance productivity and promote professionalism during care. Confidence builds self esteem and boost it. With confidence a patient that rejects a nurse yesterday will try and attend to the patient the following day, this is part of nursing responsibilities not giving preferential treatment to a patient over the other. Every patients has equal right and thus are entitled to equal care and treatment. Superior officers and the union should always stand with the nurse. Accommodate all sorts of mistakes and redress such mistakes. This acts boost self esteem and self belongings is achieved. One-on-one discussions for adjustment or correction and group discussions for study purpose. This process enhance interpersonal relationship and cordial relationships between superior and inferior officers. A young lady just graduated from a school of nursing, applied for specialty in anaesthetic nursing, she did well for entrance exam, she was shorlisted and came for the interview. This young lady is very brilliant and intelligent. The school of anesthesia management advised the lady to step aside for a nurse (General ) that had been practising for more than fifteen years. She felt bad and disappointed. The same year she obtained a form into a medical school and dumped nursing profession. The lady would have been an asset if remained in nursing profession. She is about to complete her program in the medical school. She got demoralised and feel cheated by a superior officer. This act is shameful and promote low self esteem. The above illustration should be a guide for all superior nurses to be a good role model and accepts them, train them and mold them. Don't dampen their spirit, don't kill their interest, these are agents can change the face of nurses for better. self esteem should be encouraged among junior and students nurses. Promote the self belonging and always allow verbalization. Direct communications should be ensued with good listening and allow them to be part of decision making. OMOLOLA ADAMS OLATAYO
  4. Many of us may wonder what it would be like to be faced with a disaster right in our community. Sara D. is an oncology nurse in a large hospital in Vegas and reported to work in the middle of the Las Vegas massacre. She generously agreed to share her experience. Sara, what happened that night? Sunday was my night off. I am always off on Sunday nights and it's my time to completely relax and re-charge. So I was sitting at home and watching an absolutely terrible movie (laughs). I happened to look at my phone and saw CNN breaking news that there was a huge shooting. I thought there's no way!! This is insane! I just felt strongly like I needed to go do something. Did you ever think beforehand about what you would do if a disaster happened and you were not at work? I always thought, living in Vegas, that something would happen-it was just a matter of when. We're a target. I've been in the hospital when we had an active shooter or bomb threat and I know the drill. Close all the doors, make sure the patients are safe. My hospital had regular disaster drills. But never anything like this. What motivated you to go in that night? Literally, because they described it as a massacre. I figured it's what you do. I know that I can respond in an emergency situation. I thought "They are going to need anyone who knows how to do anything at this point". I posted on Facebook, "Does anyone know how nurses can help? Where can nurses go to respond?" So then I called the charge nurse on my floor and at that time she hadn't heard yet what was going on. She called the house supervisor and he said to come in right away. I got dressed and went in immediately but I texted my Mom first. "You are going to hear about this soon, Mom. I'm going into the hospital. Don't freak out." She started crying and then said she was proud of me. What was your assignment when you got there? They put me down in ED hold, which is overflow. I dealt with the non-traumatic patients coming in with chest pain and syncope, and so on. Then we had to open up a second overflow unit and move patients over there. The front ED was designated for shooting victims. We had five victims when I got there. I remember looking down the hall towards the bathroom. Near the bathroom was a man with his back to me. He was wearing a plaid shirt, all bloodied and dirty on the back. Standing next to him was a girl on crutches. Did your hospital do a good job in an emergency? Everything flowed super well. We were able to get everyone taken care of - that was the main point! We were on lockdown, which meant putting our victims and victim's family in separate rooms. No one was allowed to leave until they talked to Metro. We had Metro at all of our entrances and inside the facility. There really wasn't a lot of confusion like "Are we using this room or that room?" because we had excellent teamwork and we were ready to work in a massive disaster from previous training. What inspired you? I'm so proud to be from Vegas. Because people don't understand that we're not just strippers who live in hotels and gamble. I was raised here. Educated here. It's not just a transient town, a tourist town; it's my hometown - since I was three years old. We're a community. The outpouring of love and support was insane. For a week afterward, the staff at every hospital got meals delivered. A local tattoo artist offered Las Vegas Strong tattoos for a $50.00 donation that went directly to the Victim's Fund. It's really strange. As awful as it was, I felt the power and goodness of my community. How has it affected you emotionally? It was an absolutely, incredibly horrible event, we still don't know the motive, there's still so much confusion. It was so much bigger than anything we ever imagined would happen. And people are all thanking me for my part, but I feel like I didn't do anything special. It feels weird. What I saw and did wasn't close to what others saw and did, so I feel weird getting credit. I was definitely like in a funk for about a week. It was surreal. And then I still had to work my normal workweek. There was a very weird feeling in the hospital as well. I felt empathetic to everyone's emotions. I had a friend who was at the concert who had people shot and killed right next to her. I have friends from high school who were there and I'm still hearing who was there. Ya...., it gives you a weird sense that something really big did happen right here where you live. Driving down the strip, I see shattered windows. It feels heavy driving down strangely quiet streets at 2 am. It makes you more aware of your surroundings but for me personally, I haven't changed my routine. I actually have a concert tomorrow night at Mandalay Bay that I'm going to. I don't want to always to be afraid. I'm not going to live in fear because then the bad guys win. I'm not going to just stay in my house because you know what, I'm going to die eventually anyway. Nothing good comes of me not going out and living my life. I take care of people dying from cancer. It's what I do. As an oncology nurse you face your mortality sooner anyway, you know, so it's how I deal. Is there anything else you'd like to share with your fellow nurses? It felt awesome being part of something so much bigger than myself, no matter how horrendous it was. Even if you feel you didn't make a difference...you did. Being there to go get a patient a cup of ice was more fulfilling than if I had just sat there and done nothing and watched my fellow co-workers and my hospital go through all this. My hospital is my second family. I see more of them than I do my own family. You never want to be in an internal disaster triage or an external disaster triage that affects your hospital and your work family. All us nurses have this common bond, a natural need to take care of people. So if you're my co-worker, and you're inundated, I will gladly come behind you and pass ice or start an IV. And that's what I got to do that day. I love that we came together. Sara, thank you so much. You make us all proud and remind us why we chose this profession.
  5. "Emily" was in the nurse's office at her school when her mother was called. She had thrown up again. The nurse and the mother were both perplexed - the mom had taken her to the doctor three days in a row with no answers, no fever, and on again/off again stomach pains. At wits end, mom picked her up from school and brought her to the ED. In triage, the nurse heard "strange" heart sounds while doing her assessment, and notified the ED physician immediately. An EKG was done and she was having trigeminy rhythms. Emily was immediately transferred to the PICU for a cardiology consult. Justina received report and brought the crash cart to her room while waiting for Emily to arrive from the ED. Everything was in place. When Emily arrived to the unit, she was sitting up and smiling. This did not look like a sick girl when she rolled in. The team immediately hooked Emily up to monitors, took vitals, did an assessment, and went through the admission process. Her rhythm on the monitor was erratic. Emily would act fine, then pause and look ill, then smile and start talking again. She was not scared to be in a new place, and was loving the attention...and then she would look sick - turn a little cyanotic - and then talk again. This was going on again and again - her actions matching her rhythms. Justina printed out strip after strip from the monitor, approached the intensivist over and over. He had done his assessment but had other patients' notes to write and then a meeting to be at. He only briefly acknowledged Justina's concerns. "The cardiologist has been paged - what else do you want me to do?!" he finally yelled at Justina. Then he stormed out of the unit. Justina called her charge nurse over and explained the situation. With the crash cart in the room, Justina and the charge nurse were getting information from mom, talking "casually" while another RN entered the admission info in the computer, all the while drawing up and labeling meds. Epi. Atropine. Calcium. Potassium. This was going to happen - if not on this shift, on the next. The charge nurse had the clerk page another cardiologist to the unit ASAP. The first one was still not in the hospital. Justina remained very calm and the mother did not feel any sense of anxiousness from the staff. Emily, sitting up and answering questions said, "I feel like I am going to throw up - " then her eyes rolled back in her head, she fell backward on her bed, and began seizing for about 15 seconds. It was at that time, the second cardiologist walked in. Emily was coded for 45 minutes. She was placed on ECMO. She received a heart transplant. She lived. All because of the watchful eyes of a nurse. I have nothing against physicians. The one in this story may have just had a really bad day, or wasn't thinking - I am not sure which. Caring for our patients is a team approach, and nurses are a key player. It is the nurses who know what their patients ask when the doctor is not around, who can see minute changes, who have assessed how the medications are affecting the patient, and who LISTEN and are CUED in. If a nurse has a concern about their patient, a physician would be wise to be concerned as well. A recent article in Nursing2015 cites patient safety is highly dependent on team collaboration in order to prevent errors and improve patient outcomes. The article continues to explain reasons this age old problem of physician/nurse dilemma continues: Physicians may have inappropriate, abusive, or disruptive behavior; dismissive attitudes about nurses; gender/power issues; and collaboration/communication issues. Look at this example of a student nurse who caught a huge problem during her patient assessment: Jessica was a student nurse in her Med Surg II clinicals. Her patient was a 7 year old boy who was in for respiratory distress. He was to be discharged that day. As Jessica was doing her assessment on him at the beginning of her shift, just as she had learned in school, she noticed the boy's fingers were slightly clubbed. She asked the mother about his medical history, and he didn't have any, except frequent respiratory illness. Jessica nodded and said she would be in to check on them in a little while. She went to look through his medical chart and did not find any history or documentation relating to clubbed fingers. She asked her preceptor about it, and the nurse said she had not noticed, but if Jessica wanted to, could tell his physician when he came by. So, Jessica did. The provider smiled and said, "Ok, show me." Jessica entered the room with the physician and as the doctor examined his fingers looked at her and winked. "We need to order an echo" he told her. And guess what? Jessica was right. The boy had mitral valve prolapse. How refreshing to have a provider acknowledge a concern! Getting doctors to listen to nurses may be a difficult task. Sometimes, physicians are outright rude, they are rushed, they do not have respect for the nurse, or they just have other things on their mind. How do we, as nurses, help to bridge the communication gap when doctors don't listen? Here are four steps to begin this construction process: Be prepared - know the facts for every possible question. Your patient is in pain? What is the pain level? What have you done? What has worked/not worked? Urine output is low after kidney transplant or bladder surgery? What have you done to fix the problem - what has worked, etc. What are the latest lab levels? What is the EKG reading? Know your stuff - or have it right at your fingertips. Use the SBAR to quickly tell the physician what is going on. Situation, Background, Assessment, Recommendation. Get to the point and don't "chase rabbits". When you are prepared with your information and know what you are going to say, be assertive, not rude or demanding. Get your point across in a respectful and concerned manner. Take responsibility for YOUR actions, no matter how the physician responds, and avoid EMOTIONAL reactions! Oscar London, MD wrote in his book: Smart man! If you have any more tips that can help nurses bridge the gap, please share! Reference Sirota, T. (2012). Nurse/Physician relationships: Improving or not? Nursing2015. Retrieved from: Nurse/physician relationships: Improving or not? | Article | NursingCenter
  6. Before proceeding any further, here is a feasible definition of social skills. Also known as soft skills, relational skills or interpersonal skills, the term 'social skills' refers to the collective repertoire of intangible skills that individuals use to communicate, form connections, and facilitate interaction with other persons. Social skills are among the most important set of competencies an individual must develop because they influence success or failure in all aspects of life, including the formation and maintenance of good friendships, development of fulfilling romantic partnerships, and construction of a successful career. Frankly put, an unintelligent person can thrive professionally and personally if he has proficient social skills, but a highly intelligent individual may fail to find professional success and fulfilling personal relationships if he has poor social skills. Over the years, a significant number of posts we've encountered seem to pertain in one way or another, either directly or indirectly, to the detrimental effects of poor social skills in the workplace: "My preceptor hates my guts!" "The CNAs don't respect me." "My coworker is the unit snitch." "The day supervisor practices favoritism." "Kelly thinks she's better than everyone." "How can he get away with being so lazy?" "None of my coworkers like me." "Kerry is the snottiest nurse ever." "I am a new grad who cannot find work." "Why do patients love my ditzy coworker?" "Employee turnover is sky high on my unit." "Jeff talks constantly about his fishing trips." "The family member kept me in that room for two hours!" It is no secret that some individuals possess more competence at utilizing social skills than others. Why does this happen? Well, some people have naturally picked up the necessary social skills during the mundane process of living their lives whereas others must explicitly be taught what to do, what to say and how to interact. Development of social skills is similar to construction of a skyscraper: the foundation is built through interactions with the individual's family of origin during infancy and childhood, and the subsequent floors are constructed with school experiences, socialization with classmates, and extracurricular encounters (sports teams, clubs, dance lessons, etc). The more an individual socializes, the more social skills they develop, and as a result their personal skyscraper becomes taller while they progress through life's situations. How does this all relate to nursing? The nursing profession, and other occupations that entail a profound number of encounters with many different people, must have members with reasonably good social skills. The chemical engineer who spends most of the workday in an office by himself can get away with poor social skills, but the bedside nurse with poor social skills will have a 30-year career peppered with 30+ different jobs, most of which involved involuntary termination (read: "you are fired!") or forced resignation. Without further delay, I will start listing ways in which nurses with poor social skills may wreak havoc without even realizing it. People need validation. Validate them, please! Human nature can be bizarre because it operates mostly on emotion rather than logic. Many people are looking to be told what they want to hear, and nothing more. Personally, if someone dislikes me, I'd rather not participate in phony exchanges that involve the two of us pretending to be fond of each other. However, I am an odd turtle who grasped basic social skills later than most. It wasn't until I approached 30 years old that I developed an awareness of humankind's profound needs for validation and personal acknowledgement. In essence, calling someone a 'loser' within earshot is pretty darned bad, but walking past the same person on the street without speaking or making eye contact is viewed by many people as an offense that is a trillion times worse. Why? When we call someone a 'loser' or some other derogatory name, we've acknowledged his existence and shown that we've thought of him, even if our opinion and thoughts are negative. But when we walk past someone with whom we're acquainted without uttering as much as a "Good morning," we've failed to validate their existence, and to many people this is an offense that slowly kills off a piece of their souls. The individual with poor social skills will see many workplace problems disappear if (s)he starts validating everyone, even people whom he/she dislikes. Do you work with a mouthy CNA who disappears or hides frequently? Acknowledge her. Pretend to show an interest in her life. Ask about her children, if any. Remember the children's names. Compliment her on her hair clip, necklace, shoes, or scrubs, even though she might look hideous. Every once in a while say, "Thank you for all that you do!" Coworkers will want to work with you once you show an interest in them as a person. The point is to validate one's existence as a person. Some of our colleagues, superiors and subordinates are pathetically lonely people who crave validation at the workplace because they do not get it in their personal lives. "Good morning" has a deeper meaning to many people because it communicates to the receiver that "I matter to you." Do you know a nurse who is beloved by patients, families and management even though she is somewhat dimwitted? Here's another question: do you know an intelligent, highly proficient nurse who has excellent procedural and assessment skills but cannot keep a job for long because she cannot seem to connect on an interpersonal level with patients, families and coworkers? It's all about the skill of acknowledgment. The nurse with the warm personality who knows what to say, when to smile, when to stroke the patient's hand, and how to allay the family member's fears will win their approval even though she's failed to rescue multiple times over the years. Patients and families judge healthcare workers based on how good they were made to feel, not by how good the nursing care might have been. This might not be fair, but few things in this life are fair. This same nurse knows how to validate the existence of her supervisors and unit manager by greeting them, showing interest in them as people, and being a pleasant person overall. Meanwhile, the socially awkward nurse with outstanding assessment and procedural skills cannot understand why she generates complaints from patients and families. After all, she feels she's an excellent nurse with the education, experience and hard skill set to handle virtually any situation. She walks into rooms, says hi to the sick person laying in the bed, and starts her assessments without drumming up small talk that validates the patient's existence. She doesn't speak much to the family members at the bedside or take any actions to stroke their fragile egos. She never shows an interest in her unit manager as a person and sometimes walks past him without a greeting. The nurse seldom speaks to her shift supervisors or charge nurse, but is there to run codes with precision. Other nurses, CNAs and ancillary staff have referred to her as standoffish, quiet, unsociable, and snotty. The socially awkward nurse feels that her supervisors and managers practice favoritism. The moral of the story is that social skills will make or break your career. Remember to validate people and acknowledge their existence as fellow humans. Show an interest in their lives, or at least pretend as if you care. If you are a new grad on orientation, be pleasant and agreeable to your new coworkers and spend some breaks with them on occasion. Always remember that small talk is never really about the weather, the latest fashion or the petty topic being discussed. Rather, small talk is the glue that helps formulate and maintain connections with your fellow human. Stay tuned for Part II, which discusses several other ways that socially awkward nurses may incite hard feelings without realizing it. Here are more pieces that discuss social skills: Confessions of a Nurse with Poor Interpersonal Skills Hard and Soft Skills References Skills You Need. (2011). What Are Social Skills? Retrieved December 21, 2014 from http://ww.skillsyouneed.com/ips/social-skills.html
  7. stephen1219

    That's not a bad nurse

    A friend of mine dislocated her shoulder and ended up in the emergency room. Because the emergency room is normally a hot mess express, she ended up having to wait over an hour and a half to be roomed. When she finally saw a doctor, he told her she was going to get some pain medicine through an IV before he popped it back into place. Everything turned out fine and she was discharged within an hour. And then she proceeded to call me (because I'm an ER nurse) and tell me how awful her nurse was. "She missed my IV the first time and she had to poke me again. It was awful". I told her "That's not a bad nurse". This isn't the first time I've heard something like this. Many people and patients tell me their "horror stories" about emergency, urgent care, or office visits. And when I ask for any more details besides them missing one or two IV starts, they usually don't have anything more to add. And that's when I get frustrated. If you sat in a pool of your own diarrhea for 50 minutes you had a bad nurse. If you were poked six times for an IV before an ultrasound IV expert was called, you had a bad nurse. If you were given 10mg Haldol and 2 mg Lorazepam by accident because your nurse didn't double check the order and realize the doctor put the emergent psychiatric "go to sleep cocktail" on the wrong patient, and you woke up with a tube down your throat... you had a bad nurse. If you were discharged home and developed a nasty rash on your arm that spread into a wicked skin infection that needed to be treated aggressively with antibiotics because your nurse didn't wash their hands and follow isolation protocols after touching an XDR patient... you had a bad nurse. If you were there for a chin laceration repair and could ambulate without difficulty and the nurse told you it was hospital policy that everyone had to use a urinal or bedpan only... you had a horrible nurse. If you were not updated with changes in status or progress every hour or so because your nurse was in the locker room exchanging saliva with the pharmacist... you had a bad nurse. If you noticed your left arm was rapidly swelling around your IV site that has Phenergan infusing and you called your nurse in to reassess and they said "meh, it's fine" and walk out... you had a bad nurse. If you had a horrible burn from a kitchen fire and your nurse walks in singing "This girl is on FIRREEE, FIREEE, FIREEE".... You had a bad nurse.... But you kind of have to appreciate the irony. A bad nurse is someone who diverts narcotics and sells it on the black market for extra cash. A bad nurse only goes into your room to watch the game on the television. A bad nurse doesn't advocate for you or questions things when they're wrong. A bad nurse doesn't clean up their mess and leaves a "sharps and needles minefield" in your stretcher. I remember being a new nurse and I missed a lot of IV starts. I still miss now, I'm not perfect. And there's no question clinical skills are important in nursing. But to categorize the entire experience with a nurse based on one or two pokes is crazy to me. If I have a nurse that is attentive to my needs, empathetic, smart, and considerate, they could poke me twice and I'd be fine with it. Because that's not a bad nurse