What I Learned This Week: Discipline is King

Ixchel needed someone to create this week's "What I Learned" thread, so I'll go ahead and attempt to rise to the occasion. I've learned a few things... Nurses Announcements Archive Article

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1. Discipline is King:

I learned that discipline is fundamental. I am referring to self-discipline. After a decade of shift work, I now work from a home-based office and am finding I lack the discipline to get my day started in a timely manner. When I had to report to an actual workplace and punch a time clock, it was enough of an incentive to arrive on time. However, since I now work under a laissez-faire manager and must determine the course of my own work day, it's been tough.

2. Routine is King:

I learned that some people can go with the flow. I have no problem going with the flow, but my work day needs to be routinized. I need a set wake-up time, a coffee routine, and knowledge of how my work day will turn out. I suppose this is how I remained in LTC nursing for six years...I somewhat knew the residents and routine, which made things easier for me.

3. Networking is King:

I learned that our professional lives are made easier by having a network of colleagues that will have your back, answer your questions, and put in a good word for you whenever you need a reference. I got my current gig by having a friend put in a good word about me to the hiring manager.

4. Reciprocation is King:

I learned that reciprocation is important. If someone does something helpful for you, it will be beneficial for you to reciprocate by doing something helpful in return. Karma will reward you for doing to others as they do to you.

5. People are King:

I learned that relationships with people contribute to the spice of life. For example, I returned from a toddler's birthday party a few hours ago. Both his mother and I are nurses. The toddler's father (my friend's spouse) has a wide social circle of longtime friends. My friend complains about her husband's social circle, but I can tell that these people are enriching his life since he enjoys their presence. Without relationships with various people, our lives and worldviews can be limited.

What have you learned? ?

Specializes in OR, Nursing Professional Development.
Farawyn said:
The docs have no idea, Stitch. Hope you heal quickly!

Some do. Work with one who told one of my coworkers no way was she coming back before the full 12 week FMLA was up after a lap chole.

Specializes in critical care.

Commuter, thank you! Great OP!

I've learned...

1. People (nurses and doctors) can really be judgmental jerks. When a patient presents in a full blown, self-injurious panic attack, it's amazing how creatively people will explain stuff that is explainable by legitimate causes.

2. A doctor can't just involuntarily commit a person. There is a process, and there needs to be justification that is legal and ethical. (I didn't learn that but a doctor did.)

3. If a patient has a family member sneak in pills, they'll do it again.

4. If you are concerned that person might be suicidal but you have nothing more to go on than your spidy sense, you might want to pay attention to it.

5. If a grumpy, tense patient gets all googly-eyed over you and starts flirting, the doctor might actually be initially concerned about a change in mental status. [emoji23]

6. The whole damn hospital was exposed to TB for over 3 weeks.

7. My dog can pull and door open but has no idea she can push doors open, including the one on her crate. She'll just sit there freaking out because she thinks she's trapped.

8. Never underestimate the power of an easy work week.

Stitch3296 said:
I learned when you have laparscopic surgery, and the Dr works at the same hospital as you; knows you're a nurse....so SHOULD know what the job entails and originally says you'll need a week off so you take 10 days and when you are planning on going back there's a sudden no more than 25lb weight restriction. I suppose the weight restriction was always there.....but I'm wondering now if he really knows what floor nurses do in a day. :sarcastic:

So now I'm off a month. And also learning how to applique a quilt. It's a lot harder then it looks!

I saw a surgeon last year to talk lumbar fusion. He quite breezily said I'd be back to work in less than 6 weeks knowing I'm a floor nurse. I've just scheduled surgery, and it's not with that guy.

Just a reminder to all - if we veer off topic from nursing/nursing related things, our thread will turn blue.

Specializes in Geriatrics, Dialysis.
DeLanaHarvickWannabe said:
Really????

Just WAIT until you see my shoes!

But I should shut up, I feel like I'm hijacking TheCommuter's thread!

Please hijack away! Shoes are very important. There should be a study done on how worth it it is to suffer the aftereffects of wearing awesome but uncomfortable shoes.

If somebody wants to undertake this study, my input is the older I get the less worth it it is. I don't bother buying the killer heels anymore but I still love eyeballing them in the store.

Specializes in PACU, pre/postoperative, ortho.

I (re)learned what an awesome group of people I work with. When it looked like I might be needed for a family matter (mom was sick), more than one person offered to stay over & let me leave. It wasn't necessary & turns out I was able to finish my shift, but it was good to know I won't have to stress about work when personal situations arise. They even offered to come back to work if I changed my mind or if something happened.

I still miss working on the floor with my first team (but not enough to go back to it permanently). Hoping to pick up some prn hrs soon to get my fix.

Discipline - I have plenty when I'm working. I like things done timely in a certain way & I like to keep busy (probably another reason why I still like going to the floor occasionally). It's kind of like I keep an internal checklist at all times & keep ticking away at it.

At home...not so much. There are no deadlines, time frames, etc. Just have to keep the kids alive & not end up on the "hoarders" show. An at home job will probably never be a good option for me. It's also a reason I haven't pursued a bsn yet since it would be entirely online & I fear my lack of discipline at home would screw me royally. I enjoy books & Netflix too much.

Specializes in critical care.
DeLanaHarvickWannabe said:
Really????

Just WAIT until you see my shoes!

But I should shut up, I feel like I'm hijacking TheCommuter's thread!

Your edit reason is hilarious! I saw your original comment and almost quoted to say it's not mine! But I made a rule for myself to never post half asleep because that has created some very awkward moments.

kbrn2002 said:
Please hijack away! Shoes are very important. There should be a study done on how worth it it is to suffer the aftereffects of wearing awesome but uncomfortable shoes.

If somebody wants to undertake this study, my input is the older I get the less worth it it is. I don't bother buying the killer heels anymore but I still love eyeballing them in the store.

I still like heels. Clunky heels as opposed to stilettos, but yea, I'm a shoe gal. Boots.

Specializes in Family Nurse Practitioner.

I learned that I really don't have much to add every week to these threads. I am definitely learning something and I feel like I am growing in my knowledge each month, but it's hard to focus on specifics for me.

Specializes in OR, Nursing Professional Development.
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I learned that I really don't have much to add every week to these threads. I am definitely learning something and I feel like I am growing in my knowledge each month but it's hard to focus on specifics for me.

Yeah, I've got nothing for this week too. At least, not nursing related. Although I did manage to survive a case with the surgeon that doesn't like me without getting kicked out of the OR.

Specializes in Labor and Delivery.

I've learned the low dose narcan in conjunction with narcotic pain medication pca can prevent itchiness.

Specializes in LTC, assisted living, med-surg, psych.
Rose_Queen said:
Some do. Work with one who told one of my coworkers no way was she coming back before the full 12 week FMLA was up after a lap chole.

You're kidding, right? I went back to work (med/surg) a whole WEEK after my lap chole. Maybe I shouldn't have, but I did it. I also pulled a month's worth of weeds out of my garden and went to an all-day picnic within days of my surgery. I felt so much better that I couldn't wait to get back to my "old" life of being active and healthy!

Specializes in OR, Nursing Professional Development.
VivaLasViejas said:
You're kidding, right?

Nope. She wanted to come back at 6 weeks. Tried to get him to compromise on 8-10. No go. She did have a little bleeding intraop (not enough to require open incision) so maybe that was part of it?

Specializes in CVICU CCRN.

Ugh. I learned a lot last night but I think I'm still too annoyed about some of the details to even vent. I am a control freak and need to learn to let some things go.

Lost a patient I really enjoyed this week but am relieved in the sense that their suffering was not further protracted. Very difficult case but I know this person has peace now.

Had a patient code who exemplified how important communication is in medicine. Frustrated a bit that my best efforts to correct a small part of the situation (but important to the patient's comfort) just didn't seem to carry over from shift to shift. The code likely couldn't have been avoided by this component of care being better managed, but the patient would have been more comfortable and likely less terrified when it happened.

Anyway. I'm home in my sweats with a glass of wine while it rains. That's a pretty good start to a day off. :)