The MANDATORY Skills fair

Nurses General Nursing

Published

2 decades ago, I entered nursing. 2 decades ago, it was emphasized that nurses should carry themselves with dignity. 2 decades ago professionalism and patient safety were expected. Unprofessionalism and unsafe patient conditions were not tolerated. WOW how our culture has changed.

Last week, I attended a MANDATORY skills fair. It was graciously started at 7am for the night shift, I seriously feel the neurons firing with the new knowledge I gained. If you have never felt this, it feels very much like a headache. I was seriously drunk with the knowledge I was gaining.

The station that made my neurons fire like the morning after drinking 3 bottles of champagne was entitled ABG interpretation. I saw the sign and decided to go here first because I was thinking ROME, CO2 acid/respiratory, Bicarb base/metabolic, got it! I'll be on my way home in 30 minutes! I was greeted with you are having a baby, we have to figure out WHO DA BABY DADDY”. I stopped looked up and confirmed that I was at the ABG table. 30 ABG's were listed on the page for each one I was never asked what the result interpretation was, I was told what was wrong and asked now, WHO DA BABY DADDY?” My hand was literally slapped for attempting to make it end and work ahead, just to make it end and show what I already knew. The presented told me NO JUST STOP! Listen to me!” WHO DA BABY DADDY?” I got the picture, this was an exercise for me to be dazzled, the only was it was going to stop was if I played along and stroked the ego about how intelligent the presenter was and how beneficial knowing WHO DA BABY DADDY” was to my professional practice. Once I was amazed, it went fairly quickly and I was finished with THIS STATION in about 45 minutes.

Next, I moved on to accessing a port a cath. Again, something I had done a million times, just needed to be sure I was following policy to a tee! I knew had the drill down, stroke the presenter's ego and you will be done. I couldn't! I just couldn't. She had on ill fitting pants that were downright Mediaographic. Nothing on the anterior perineum was left to the imagination. The pants filled in all the crevices and folds. The long head of hair was uncombed except for a perfect roll of the bangs in the front. Again, not once was I asked if I knew how to do this and just checked off. No, I had to be dazzled by someone else touching the equipment and telling me all that she knew. After another 30 minutes, I was done here.

1hour and 15 minutes- 2 out of 10 stations done.

The last station I went to had another staff development educator with uncombed hair, it was on positive communication with patients. I looked at her, looking like she just rolled out of the bed. 8:45 am on my watch. I COULD NOT DO IT ANY MORE.

New nurses missed the strict nurse educators who were crisp and polished. Now those of us who scurried when they showed up on the unit, are left realize you don't know what you've got until it is gone. Now our new nurses on have the role models of WHO DA BABY DADDY? CAMEL! And SLEEPY.

Has anyone ever stopped to think that the way we enculturate our young dictates their behavior and what they deem as appropriate.

Specializes in Med/Surg, Ortho, ASC.
Can somebody explain the baby daddy thing r/t abg's to me...I'm totally confused

Lol, me too! I thought I must be forgetting some link between DNA & ABG's. I also thought maybe OP was confusing 2 different stations.

Thanks for asking for us :roflmao:

Specializes in Acute Care Pediatrics.
Can somebody explain the baby daddy thing r/t abg's to me...I'm totally confused

I was wondering this too. LOL!!

Specializes in Complex pedi to LTC/SA & now a manager.
Can somebody explain the baby daddy thing r/t abg's to me...I'm totally confused

I was secretly hoping it was some poorly chosen mnemonic like some used to recall cranial nerves...

Specializes in Acute Care Pediatrics.

I will be honest - I sat here trying to figure out if this is what it was as well. :)

Specializes in ER, Med/Surg, Telemetry, Dialysis.

I just re-read thinking something might click... and nopes still lost lol

Can somebody explain the baby daddy thing r/t abg's to me...I'm totally confused

You match the ph (baby) to the HCO3 or PCO2 (daddy) are they both acodotic/alkalotic?

Specializes in orthopedic/trauma, Informatics, diabetes.

Never that one before LOL

We have done away with skills day. They have divided what we need to show proficiency in, into the different quarters and we have 3-4 skills that have to be completed by a certain date, with our unit experts are in charge of getting done. It is kind of annoying to try and get something done during a shift, but I like not having to do it all in a few hours.

Specializes in ICU.

You are better than me. I probably would have made some nasty comment to the person manning the "baby daddy" station. I would have been really offended if I had walked into a skills fair and entered a circus like that.

Specializes in ER, Med/Surg, Telemetry, Dialysis.
You match the ph (baby) to the HCO3 or PCO2 (daddy) are they both acodotic/alkalotic?

Ohhhhhhhhh...thanks for explaining [emoji4]

Specializes in Psych, Corrections, Med-Surg, Ambulatory.
You seem very concerned with how people do their hair.

Back in the olden days, we were not allowed to have hair hanging down. It was considered unsanitary. Even now, fast food workers are required to keep hair tied up. I once had a patient complain to me about another nurse who cathed her while her hair was hanging over the sterile field. What could I say?

I think personal attire speaks to professionalism and credibility. If you can't be bothered to comb your hair and wear clothes that actually fit, I have a hard time trusting that you're going to be conscientious while caring for others. It's one thing to become bedraggled during a rough shift, but to start out slovenly?

I'm totally with the OP. Sounds like the presenters wanted nothing more than to impress, but obviously never heard the phrase "dress to impress". I just hope she was getting paid overtime for what sounds like a big waste of time.

Specializes in Psych, Corrections, Med-Surg, Ambulatory.
I'm trying to figure out what, exactly, the OP could legitimately report? Certainly not her critiques of the educators' hairdos & outfits. She could discuss how much she didn't care for the method of presentation, but that's really a subjective opinion. Those 2 items are pretty much the sum total of the original vent.

I could easily report that the whole thing was presented as cutesy and amusing and missed the mark of being educational. It was very time-consuming (think $$$) and did little to further the skills and expertise of the participants. The presenters further diminished their credibility by being unkempt and sloppily attired. The employer did not get much bang for its educational buck. That is the language they listen to.

Specializes in Psych, Corrections, Med-Surg, Ambulatory.
On behalf of PROFESSIONAL Nurse Educators everywhere..... you have our abject apology.

What a horrible experience. "Edutainment" has no place in the work setting. We need to adhere to evidence-based practice rooted in Adult Learning Theory... which, by the way, requires us to pre-assess for existing knowledge rather than disrespecting learners by assuming that they are all rank beginners. sheesh. My organization has adopted Donna Wright's model of competency validation - in which a skills portfolio is the preferable method for validation of ongoing skills - rather than conducting a 'show and tell' annually. Honestly, if interpretation of ABGs is part of your normal practice & you do it without any difficulty ... why in the heck would we waste your time running you through a cockamamie exercise?

I insist that my nurse educators function as role models, especially when it comes to standards of professional behavior/appearance. We also require formal qualifications/credentials in the discipline of education rather than on-the-job training for our educators. The job is too important to just promote someone with a "gift of gab" and hope for the best.

Can't "like" this post enough. Thank you.

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