The MANDATORY Skills fair

Nurses General Nursing

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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.
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.

Perhaps I misunderstood the OP in the midst of all the drama. I understood this to be an annual skills check-off of known clinical tasks. Not an in-depth educational experience. These annual skills "fairs" often are posed as "cutesy and amusing" scenarios such as Caribbean vacations, amusement parks, etc. simply in an effort to capture our been-there-done-that-20-times attention.

The "unkempt and sloppily attired" part I also glossed over due to other posts from OP. Those descriptors are completely subjective and written by someone who tends toward the dramatic. There are many fashionable hairdos these days that might appear unkempt, especially to an exhausted night shift nurse coming off a long shift.

Specializes in HH, Peds, Rehab, Clinical.

You took the "diplomatic" words right out of my mouth....

I must say, your posts are very dramatic.
Specializes in HH, Peds, Rehab, Clinical.

And it's CLEAR how long she's been in nursing...

Your posts suggest that you're a bit disgruntled.
Specializes in PACU, pre/postoperative, ortho.
You match the ph (baby) to the HCO3 or PCO2 (daddy) are they both acodotic/alkalotic?

We had an instructor who tried to teach acid-base balance this way except she didn't refer to it as "baby daddy". She would go thru examples referring to Mr. & Mrs., etc & had everyone confused, even herself! I had reviewed the night before from A&P using ROME & had a pretty good understanding, enough that I was able to explain it simply in a couple minutes to a few others who had no idea WTH the instructor was talking about!

Specializes in Peds/outpatient FP,derm,allergy/private duty.
You match the ph (baby) to the HCO3 or PCO2 (daddy) are they both acodotic/alkalotic?

Thank you! I still find the choice of "theme" bothersome for the topic.

Perhaps I misunderstood the OP in the midst of all the drama. I understood this to be an annual skills check-off of known clinical tasks. Not an in-depth educational experience. These annual skills "fairs" often are posed as "cutesy and amusing" scenarios such as Caribbean vacations, amusement parks, etc. simply in an effort to capture our been-there-done-that-20-times attention.

The "unkempt and sloppily attired" part I also glossed over due to other posts from OP. Those descriptors are completely subjective and written by someone who tends toward the dramatic. There are many fashionable hairdos these days that might appear unkempt, especially to an exhausted night shift nurse coming off a long shift.

And we wonder why nurses are not always treated as professionals.

We don't treat ourselves as professionals.

Specializes in Transitional Nursing.

No one tell my professor that I'm thankful for respiratory opposite metabolic equal or Irons, OK? (but, I am)!

I'm in a PN program but It's becoming more clear to me how great it actually is and how much I'm actually learning. Now I just need to download the PDR to my brain, and I'll be good! (not)

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.

Or said "call 1-800-Maury" and gone home.

I think some of the valid criticisms got a bit lost due to the rather bizarre delivery. JMO.

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

This is a tool they used to use to make it easier to interpret ABGs, I think the first time I saw it was a CCRN review with Laura Gasparus.

OP , you ran into the Day Babes, another Laura Gasparus term. They were all perky and cutesy, where all you wanted was to get the Hell out of Dodge after a 12 hour night. I am sorry, it's never that easy. :Dracula: Us vampires just have to tolerate them.

Cheers

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

Or are they an alcoholic? Yeah this makes the most sense but boy was I wracking my brain trying to figure out who this annoying baby daddy lady is.

Perhaps I misunderstood the OP in the midst of all the drama. I understood this to be an annual skills check-off of known clinical tasks. Not an in-depth educational experience. These annual skills "fairs" often are posed as "cutesy and amusing" scenarios such as Caribbean vacations, amusement parks, etc. simply in an effort to capture our been-there-done-that-20-times attention.

The "unkempt and sloppily attired" part I also glossed over due to other posts from OP. Those descriptors are completely subjective and written by someone who tends toward the dramatic. There are many fashionable hairdos these days that might appear unkempt, especially to an exhausted night shift nurse coming off a long shift.

I appreciated your explanation about what the heck was going on but I've never attended any "cutsey and amusing" skill fairs. Thank goodness!

As to the "subjective" descriptors . . . I'm pretty sure we all know what "camel toe" looks like. And it ain't pretty.

I had no idea who the baby daddy was . . . . . poor little baby.

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