The Type of Nurse I Don't Want to Become

Nurses General Nursing

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After completing numerous clinicals and working as an EKG tech, I have observed and often dealt with nurses that are a prime example of what I don't want to be when I graduate. I also concede that I am a mere senior nursing student with no real-world experience.

1.) Night shift nurse who sits on facebook: Since when did it become acceptable to go on a computer and use social networking sites whenever you don't have work to do. In the time that you have sat on facebook you could have filled charts, done further research on your patients' needs, read nursing journals, assisted another nurse or CNA, or just do something that might help the morning shift. Instead, you sit on facebook trying to see if anyone you haven't seen in a few years got fat.

2.) The "thats not my job nurse": This kills me because as a tech I constantly hear this. "Mrs. Smith needs to go to the bathroom can you help her so I can do the EKG?" The reply from the nurse, "Ask the CNA...thats not my job." The nurse should really take a step back and re-evaluate your career choice because by not helping me you are not helping the patient.

3.) The nurse who openly criticizes patients or gossips with other nurses at the station: Guess what, people hear what your saying. You are making a fool of yourself and instead of complaining how so and so didn't bathe this patient during their shift, why don't you do it yourself? Be a professional, do your job to the best of your ability.

4.) The nurse who uses personal problems as an excuse to not care: I'm partial to this because I'm young but I don't care that you have kids, I don't care that your child has the snuffles and you were up all night. If you are unable to successfully complete the tasks of your job DO NOT COME INTO WORK. I have no sympathy for you. If I was out late partying and had a hangover and used it as an excuse would you care? An excuse is an excuse, either do your job right or call out, you are only hurting the patient.

5.) The nurse wearing winnie the pooh scrubs in an adult acute care setting: Your an adult. Dress like a professional, talk like a professional, and people will treat you like one.

6.) Nurses who always apologize to doctors when they call them: It is a doctor's job to take your call, listen to what you say, make decions based on the information you give them. Get some backbone, speak intelligently, and stick to the facts. If you show them you are serious, they will take you seriously and not blow you off as some stupid nurse who bothers them at home.

Specializes in Med/Surg, Acute Rehab.

Here's my take on this whole thing, for what it's worth. A lot of what the OP said is valid; but putting apologizing to the physician and wearing cutesy scrubs in the same category as the rest of the things on his list, in my opinion, might be what has gotten everyone so riled up. Yes, he has no idea of what it is like to have to call the physician in the middle of the night. I work with nurses who have many years of experience, yet some still get a bit anxious about making that call. We do it because we have to, but I doubt that any nurse enjoys doing it.

At my first hospital job right after I graduated, I oriented on days for 3 months and then went to nights. You would not believe the difference. The charge nurse played Bejeweled constantly, stopping only to decide who she was going to assign the new admission to. Others turned the computers on to music and video stations to listen to while they did chart checks. I found this so distracting. These nurses were all much faster than me and hardly ever offered to help when I was behind. And these were nurses of all ages. So it does occur. I'm so glad I am not there anymore.

Making generalizations about anyone in any profession is just not a good habit.

I believe the OP has gotten the message.

most definetly there are times where i honestly am apologetic for waking a doctor up for something "stupid".

thankfully where i work we have an on-call in house doctor who can handle such calls at night so we dont have to call the primary in most cases for minor things that should have been taken care of during the day.

i work nights and i find that leaving a note on the chart for the doctor is more effective than passing something on to day shift to get done. i hear day shift can be insane, but they do see the doctor more than night shift does, and sometimes the day shift is too busy to get to things, or miss the doctor completely.

doctors are people also who have families and whatnot. if the original poster has access to an on call/ in house doc i would definetly take advantage of this as they take on call knowing that its their turn to deal with possible situations like this.

and at my work we pretty much have no internet access to anything, especially facebook. i dont have facebook, even. although the invention of personal phones having internet has thwarted this.

the internet thing is not an option really.

i am lucky to work with some hard workers. mostly.

and i cannot deal with nurses who say the phrase"its not my job" or "thats not my patient"

that is a huge pet peeve and i think thats wrong, although i can understand being so busy that there really is no time to help.

i will gladly forgo charting to answer a call light or take out garbage and clean if i have down time. there is always something to do.

as far as scrubs go, i really dont care what people wear. i think its important to have a bit of originality at work anyway. we have to wear uniforms in some form or another. where i work we all are supposed to wear navy blue.

and we do, but everyone is an individual and even sometimes older people like to see something than drab solids once in awhile. it seems stupid, but if something as simple as a shirt can get a patient to come out of their shell, its totally worth it (and im not a big fan of prints anyway, but who cares?!!)

nursing is such a hard but fulfilling job. these things just seem sort of minor to me. except the "its not my job" thing.

i think it helps to be a NA first. i was one and i would never take back that experience. NAs work so hard for the most part, and everyone is stressed and overworked. but when you take the time to help out someone, even though you also have stuff to do, you will hopefully make an ally in the process who will (hopefully) help you out when you are sinking.

its hard to be a solitary practitioner in health care. if it means apologizing to a doctor or doing a job that is not "nursing job" than whatever.

just do it.

it will come back around.

(karma and all that)

:grn:

oh my oh my, how interesting it must be to already know what you'll do and say. Especially the calling the doctor bit. You may not know that a nurse missed looking up labs earlier and apologizing for the late call that should have been handled sooner.... A nurses conversation with a doctor is possibly not for you to coment on until you have to make the same calls as yourself.

As for the rest, look me up on facebook in a few years while at work.... we'll compare nursing stories.

Our housekeeping department is good, I will admit. We have someone in house at all times for emergency cleanups.

I'm not an elitist, but housekeeping is not in my job description, IMO. I don't see what is wrong with saying that I went to college to get away from jobs that require a mop and broom. Since when did that become a bad thing? I feel that this is not a nursing issue but an employment issue. I don't remember anywhere in my job description when I was hired that I was going to be mopping floors. Nurses go above and beyond as it is. Why pile on more crappy duties that just blur the lines of professionalism (which in nursing, are already very murky?) What other job do you know of that requires their college educated employees to take out the garbage? I'm not going there. Hospitals can slash their budgets all they want. I draw the line there. If my patient's trash someday overflows in the middle of the shift because there are no housekeepers anymore -- yeah, I'll take it out -- to right in front of my manager's office door.

The reason why I don't clean up *some* messes especially (I previously mentioned stool) is because it is not sanitary. At my institution we do not have access to the appropriate supplies to clean this stuff with and be assured that we are not transmitting bacteria, etc. A paper towel, as one poster mentioned, does not suffice for biohazardous waste.

You are lucky you don't work in the NHS. domestic staff do not clean up: blood, urine, stool, vomit or anything stained with them. If a patient bleeds on the floor, the nurses (or assistants)mop it up, and THEN they go over it with bleach. Forget cleaning a dirty toilet- they will ONLY clean them if there is no feaces on them. No domestic cleaning staff after 6pm, unless they are on call, either. (on call is for deep cleaning only, pretty much)

Specializes in ER, cardiac, addictions.
After completing numerous clinicals and working as an EKG tech, I have observed and often dealt with nurses that are a prime example of what I don't want to be when I graduate. I also concede that I am a mere senior nursing student with no real-world experience.

1.) Night shift nurse who sits on facebook: Since when did it become acceptable to go on a computer and use social networking sites whenever you don't have work to do. In the time that you have sat on facebook you could have filled charts, done further research on your patients' needs, read nursing journals, assisted another nurse or CNA, or just do something that might help the morning shift. Instead, you sit on facebook trying to see if anyone you haven't seen in a few years got fat.

2.) The "thats not my job nurse": This kills me because as a tech I constantly hear this. "Mrs. Smith needs to go to the bathroom can you help her so I can do the EKG?" The reply from the nurse, "Ask the CNA...thats not my job." The nurse should really take a step back and re-evaluate your career choice because by not helping me you are not helping the patient.

3.) The nurse who openly criticizes patients or gossips with other nurses at the station: Guess what, people hear what your saying. You are making a fool of yourself and instead of complaining how so and so didn't bathe this patient during their shift, why don't you do it yourself? Be a professional, do your job to the best of your ability.

4.) The nurse who uses personal problems as an excuse to not care: I'm partial to this because I'm young but I don't care that you have kids, I don't care that your child has the snuffles and you were up all night. If you are unable to successfully complete the tasks of your job DO NOT COME INTO WORK. I have no sympathy for you. If I was out late partying and had a hangover and used it as an excuse would you care? An excuse is an excuse, either do your job right or call out, you are only hurting the patient.

5.) The nurse wearing winnie the pooh scrubs in an adult acute care setting: Your an adult. Dress like a professional, talk like a professional, and people will treat you like one.

6.) Nurses who always apologize to doctors when they call them: It is a doctor's job to take your call, listen to what you say, make decions based on the information you give them. Get some backbone, speak intelligently, and stick to the facts. If you show them you are serious, they will take you seriously and not blow you off as some stupid nurse who bothers them at home.

I agree with every one of your gripes except, possibly, the last one. If I have to wake up a doctor at 2 am, I would apologize for waking him/her up, just as I would if I called anyone else at that hour. It's not a matter of timidity, but courtesy. The ER doctors I work with practice this courtesy when calling their colleagues in the dead of night, so why wouldn't I?

In my experience, the doctor will take you seriously, apology or no apology, if you (1) state your reason for calling briefly and concisely, (2) be prepared with data, such as vitals, drug allergies and key symptoms, and (3) tell the doctor what it is you'd like him/her to do. If, despite those efforts, the doctor behaves belligerently or disdainfully or rudely, that's his problem, not the caller's.

Specializes in Med/Surg.

i am going to jump on the minority wagon here, and say that i agree with most of what the op said, and also that the indignant responses surprised me quite a bit. for the most part, the characteristics described are unappealing in any profession, nursing included. to say that he "can't possibly know any of this" until he "becomes a nurse" is absurd, imo. are you then defending these actions and traits? i'll break it down:

after completing numerous clinicals and working as an ekg tech, i have observed and often dealt with nurses that are a prime example of what i don't want to be when i graduate. i also concede that i am a mere senior nursing student with no real-world experience.

1.) night shift nurse who sits on facebook: since when did it become acceptable to go on a computer and use social networking sites whenever you don't have work to do. in the time that you have sat on facebook you could have filled charts, done further research on your patients' needs, read nursing journals, assisted another nurse or cna, or just do something that might help the morning shift. instead, you sit on facebook trying to see if anyone you haven't seen in a few years got fat.

i don't find going on facebook at work, no matter what shift, ever acceptable. unless you're on break, and that's how you choose to spend your time. if it is, do it on a computer that isn't in a place where patients/visitors/etc can see you. even if you're "only checking it for a few minutes" during a shift, it looks bad. the person who briefly sees you do it doesn't know it's only a few minutes, and yes, assumptions are made. you might not think that's fair, but it's life; life isn't fair. you have control over the impressions you make on people.

2.) the "thats not my job nurse": this kills me because as a tech i constantly hear this. "mrs. smith needs to go to the bathroom can you help her so i can do the ekg?" the reply from the nurse, "ask the cna...thats not my job." the nurse should really take a step back and re-evaluate your career choice because by not helping me you are not helping the patient.

again, i can see what the op is getting at. there is a difference between a nurse being too busy at that moment to respond to the request, and a nurse who constantly says this. there are times i have to ask a cna to toilet someone, etc, because i am busy. i'm not a person, however, that will ask a cna to toilet someone every time. they're busy, too. a good response might be, "i'll take care of it" and ask the cna yourself. the tech, or whomever is asking, may see you first, and therefore ask you. they may very well not know who the cna is who is working with you and that patient. it doesn't take me long to use my little vocera and call my cna to say, "mrs. x has to go to the bathroom, i'm doing xyz, can you go in there?"

3.) the nurse who openly criticizes patients or gossips with other nurses at the station: guess what, people hear what your saying. you are making a fool of yourself and instead of complaining how so and so didn't bathe this patient during their shift, why don't you do it yourself? be a professional, do your job to the best of your ability.

there is nothing wrong with venting about patients or situations, it's normal and helps relieve stress. however, do it in a place where it isn't easily overheard, such as a med room. again, if it's out in the open enough for a tech on the floor to hear it, a patient in a nearby room, or passing visitiors, may hear it as well. i cringe when i hear coworkers talking about patients or other staff loudly and out in the open. it makes you look bad, and makes everyone else look bad, too. i will try to gently suggest they at least be quiet about it, but that can be met with a hostile response, as some people think they can do no wrong. the best i can do, personally, is not join in. i'm not "better" than anyone else, i vent plenty, too. i just try to be more discreet about it.

4.) the nurse who uses personal problems as an excuse to not care: i'm partial to this because i'm young but i don't care that you have kids, i don't care that your child has the snuffles and you were up all night. if you are unable to successfully complete the tasks of your job do not come into work. i have no sympathy for you. if i was out late partying and had a hangover and used it as an excuse would you care? an excuse is an excuse, either do your job right or call out, you are only hurting the patient.

i come from the childless camp, and while i can understand that there can be situations that come up with one's children, i don't think that means that the parent of said children deserve special treatment. i work with a nurse that was put on 8 hour shifts (she normally works 12's) as she neared her due date. she has another child at home. my scheduled hours were changed, because so-and-so didn't have childcare to work a particular shift. not my problem, sorry, if you think that's cold-hearted so be it. her position was technically day/night rotation, meaning that it is feasible she'd have to work either shift at any point. lining up childcare is her problem, not mine, and i don't believe my hours deserved changing (without being asked) to accomodate her babysitting dilemma. to compare this to coming in "hungover" after a night of partying is not an appropriate comparison, however. i don't feel sorry for people that would be that stupid, either. if someone needs to call in for a shift, just do it; i don't care what the reason is (and usually we don't know what it is, anyway). just do it early enough so that a replacement can be found for you.

5.) the nurse wearing winnie the pooh scrubs in an adult acute care setting: your an adult. dress like a professional, talk like a professional, and people will treat you like one.

i already posted on this topic in the thread devoted to it, so i won't reiterate everything here. i just agree with it.

6.) nurses who always apologize to doctors when they call them: it is a doctor's job to take your call, listen to what you say, make decions based on the information you give them. get some backbone, speak intelligently, and stick to the facts. if you show them you are serious, they will take you seriously and not blow you off as some stupid nurse who bothers them at home.

i don't see anything wrong with a quick "i'm sorry for waking you" statement. not all md calls are made during the middle of the night, though, and some nurses will apologize no matter what the time, and no matter what the reason for the call is. i will apologize if i called later than would be expected on a lab value, for example. i did that recently, called a particularly gruff surgeon a few hours after the result was back. mostly because i was slammed that day, i didn't see the order to call the result soon enough. he asked why i was calling it so late, and i said, "i apologize for that, this is the first chance i've had." he said ok, and that was the end of it (and this was from a surgeon that will normally ream you a new one). if i call a second time on someone, with info i either forgot to tell them the first time, or that i wasn't aware of the first time, i'll apologize, too. i'll apologize for calling with what i think is an unnecessary reason, but the patient insists on it (sometimes, you can't talk someone out of wanting you to do it, the situations obviously vary and i have told patients what is and isn't appropriate for an off-hours call). to apologize for everything (i mean, really, "i'm sorry to bother you, but your patient has an o2 sat in the 60's and we're getting ready to code him"? no apology necessary!).

i think mostly, the op didn't really offend me because i don't see myself in any of his points; therefore, i don't take it personally. how can you argue about them being "sweeping generalizations" if they don't apply to you? if they do apply to you, perhaps you should take a step back and really look at it. the examples given don't apply to every nurse, and like i said earlier, are not things you'd have to be an experienced nurse to know you don't want to be. once you have some experience as a nurse under your belt, it's ok to facebook at work and loudly gossip about patients? i'd sure say no. stop taking things so personally, and twisting the points made in order to justify being offended.

Specializes in Infusion, Med/Surg/Tele, Outpatient.

I don't want to be the kind of nurse who only 'gets through' the shift. The kind that can't remember to assess an IV site or CVC site. The kind that doesn't bother to ask the pt when his-or-her last BM or void was. The kind that leaves a dressing on for 10-14 days without looking to see what's underneath but documents on it anyway. The kind of nurse that doesn't verify med orders before signing off the MAR. The kind of nurse that witnesses a pt signing a blank consent. The kind of nurse caught sleeping at the station and then objects to a drug test. The kind of nurse who hears 'snoring' and doesn't investigate for agonal breaths.

Thread has turned out great. Thanks for all the responses good and bad, let's keep them coming. Also, thanks to all the posters who didn't take my original post out of context, I appreciate it.

Before the Allnurses.com sponsored grammar police burst through the window above me, I'm typing this from my mobile.:)

Specializes in ER, cardiac, addictions.
Let the OP dream! He/she has a vision of becoming a fabulous nurse:yelclap: After a year of Registered Nursing, he/she can come back here and tell us if he's/she's lived up to his/her expectations.:bowingpur

Nothing wrong with setting high standards for oneself. I'm sure none of us are perfect nurses, but that's no reason not to aim to be the best possible.

Specializes in Tele, OB, public health.

I hav enot read all of the responses on here, but I loved that the OP pointed out the winnie-the-pooh-scrub thing. This drives me CRAZY!!!

I loathe cartoon/animal scrubs- I think they are so tacky!

an exception would be nurses who work in peds- that's totally understandable-

I agree nurses should look more professional- I don't know of any other professionals who go to work dressed like circus clowns, other then, um circus clowns.

I totally realize that it's difficult to relate when you don't have children, but I can assure you that life becomes a billion times more complicated after you have children. I'm 33 and had my one and only three years ago. Seemingly small things can become huge challenges. Add a sick family member to the mix and boy oh boy.

Life experience is gold!! ;)

4.) The nurse who uses personal problems as an excuse to not care: I'm partial to this because I'm young but I don't care that you have kids, I don't care that your child has the snuffles and you were up all night. If you are unable to successfully complete the tasks of your job DO NOT COME INTO WORK. I have no sympathy for you. If I was out late partying and had a hangover and used it as an excuse would you care? An excuse is an excuse, either do your job right or call out, you are only hurting the patient.
Specializes in med/sug/onc/geri.

Bwahahahahaha!!!!!! :lol2::lol2::lol2:

Let me know where your little fantasy world is, so I can move there too, after you've actually been a nurse for a decade or two. Hee hee. That was funny.

Specializes in Peds/outpatient FP,derm,allergy/private duty.

I didn't find Bloop's original post offensive at all. Most of the stuff on the list irritates me, too. When I was in school I was constantly making a mental list of the behaviors I observed that I either was really impressed with or really appalled by. After a long time as a nurse I'm still appalled by some of the things I saw as a student. Some things are just so egregious there isn't a whole lot of room for discussion.

Why do so many managers not seem to mind people sitting and checking their Facebook while not on break or lunch? If it drives coworkers nuts the morale of the unit as a whole can't be too great. It seems such a common source of strife here, what is it some facilities are missing? You probably wouldn't kick back with "US Weekly" at the Nurse's Station, how is Facebook really that different?

I have kids, and I resent it when people (and normally it is the same few) seem to have non-stop drama going on that is either the reason they must take off or monopolize everyone's attention with the same variety of crapola that just happened 2 weeks prior. All of us parents understand an unforeseen event, and very few will begrudge assisting their co-worker in a genuine time of need. People tend to bend over backwards to help a person who normally busts their butt to be a responsible worker and has a crisis to deal with. But if you screw around and don't get your work done and whine about how much you have to pay per extra 5 minutes of day care on a regular basis, people get sick of it after a while.

How the nurses sound when talking to doctors and whether they assist the patient right away with a task normally done by the CNA are issues that you really can't judge from the outside in, though. Sometimes it is obvious they have the time and don't want to do it, as well.

It's best to let the nurse work out their own communication issues with doctors. The doctors normally give pretty straightforward feedback. Also, you have to tailor your conversation to the particular doctor and that takes time to learn. I wonder if male nurses have an easier time being assertive with doctors but that's a topic for another day.:nurse:

There have been times when our conversation gets too loud. There are times when a patient may overhear something hurtful. I don't like to be admonished to "ssshhhhh" but I have to admit I'm glad when someone stops us from making things any worse if they are more aware of their surroundings than I am or others I'm talking with at that moment.

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