This person outranks me?!

Nurses General Nursing

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Since I started working in health care as a CNA nearly six years ago, I've had many experiences that have left me wondering how some people get into the positions they hold. I was not a youngin when I started this, I was nearly 20 years on from earning a bachelor's degree in political science and had spent more than a decade raising children at home before I began my health care career. I've worked enough to know that promoting people into leadership who shouldn't be there is not unique to health care by any means.

Lately I've a had a few interactions with a RN coworker that leave me again thinking, "How in the world does this person outrank me?"

#1 He's collecting an induced sputum sample in clinic. (I work in a public health clinic dedicated to TB testing, detection, treatment, and prevention.) He comes to me with the sputum sample tube, thankfully in a sealed specimen bag, holds it up, and says, "She vomited a little food when she coughed. Can we still use this sample?"

#2 He comes to me and says that the biohazard trash near the sputum collection rooms is full, and then asks what he should do. He's worked in this building longer than I have and knows exactly where the biohazard room is.

#3 During a case study presentation in a clinical staff meeting, in which the patient has been described as being 50 years old and 17 weeks pregnant via IVF, he asked what IVF stands for.

I just.......really?! This guy has, when you count RN prereqs I haven't taken yet, two more years of education than I do. He makes at least ten dollars more an hour than I do based on that fact. It's getting to the point where it takes all I have not to be extremely rude when he asks me these stupid questions (yes, there is such a thing).

Share your best "I can't believe s/he outranks me" stories!

Yeah rank=degrees from college. Some people know just eniugh to get by, that's in all fields. Yeah he should know this stuff but asking theses questions multiple times shows a problem. He is brave enough to ask.

I'd try to jump through that RN hoop to get the pay you deserve.

Regarding sputum samples they're not even supposed to have saliva in them so I'm pretty sure vomit would be bad. The acid could kill the bacilli or interfere with the dyes

Regarding sputum samples they're not even supposed to have saliva in them so I'm pretty sure vomit would be bad. The acid could kill the bacilli or interfere with the dyes

The OP works in a tb clinic so likely the sample is for afb, not a regular sputum sample. Afb stands for acid fast bacili, meaning it's resistant to the acid they use in the lab for processing and identification. So the stomach acid may not have as big of an impact as you might assume. The studies I found a reduced sensitivity to samples obtained from the stomach, but it would seem that some afb can persist in that environment. I wish we had a allnurses microbiologist to weigh in but I think the evidence is anything but clear. I would have called.

you have no bedside nursing experience? then you are NOT a nurse.

Yes, you are an idiot nurse for asking a CNA advice on patient care. Shame on you. If you do not know how to care for someone then you do not deserve a license to even be in the room with someone in the medical setting.

Specializes in Oncology; medical specialty website.
As a new graduate RN, I had a CNA scowl at me and question why I put a patient's diaper on backwards. Maybe it was a moment for her to shine and me to fade into the darkness, I don't know. :wacky:

OMG! You put a patient's brief on backwards? Back! Back! Back to nursing school where you belong!

Specializes in Oncology; medical specialty website.

I would have taken it as a compliment that he thought enough of your knowledge and experience to ask you. But hey, if you'd rather see it as a sign of his ineptitude, then have at it.

Specializes in OB-Gyn/Primary Care/Ambulatory Leadership.
Yes, you are an idiot nurse for asking a CNA advice on patient care. Shame on you. If you do not know how to care for someone then you do not deserve a license to even be in the room with someone in the medical setting.

Gear down there, trucker.

Gear down there, trucker.

CNA's know their stuff. I will consult with them when needed. I will manage the patient's vent and any fancy IV drips. I appreciate the CNA's insight on hands on care.

We are a team.

Specializes in OR, Nursing Professional Development.
you have no bedside nursing experience? then you are NOT a nurse.

Um, it's the license that makes the nurse. Bedside experience is not a must- there are many other fields of nursing out there.

Yes, you are an idiot nurse for asking a CNA advice on patient care. Shame on you. If you do not know how to care for someone then you do not deserve a license to even be in the room with someone in the medical setting.

Really? The CNA is the expert on patient care. As a nurse manager, supervisor and even when I'm passing meds, I will ask the CNA for their opinion or advice. Nothing wrong with asking. As a nurse manager I expect my nurses and team leaders to incorporate the CNAs advice in their plan of care. Not to do so in my opinion is not good nursing.

Specializes in Palliative, Onc, Med-Surg, Home Hospice.
you have no bedside nursing experience? then you are NOT a nurse.

That's rich, coming from a CNA. You have NO clue what a nurse is, as evidenced by your post.

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