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? ?

I learned that job fairs are awesome. It's like dating: they woo you and give you free stuff.

Malignant hyperthermia post-op is treated with ice packs and dantrolene.

Cold temps in the OR have no bearing on decreased infection. It is mostly for staff comfort.

Monior pt's respiratory effectiveness in the PACU d/t anesthesia.

We learned about perioperative nursing today.

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Specializes in OR, Nursing Professional Development.
Quote
Cold temps in the OR have no bearing on decreased infection. It is mostly for (some) staff comfort.

Fixed that for you! Yes, the people at the field wearing gowns and under hot lights get hot. Those of us who are circulating (okay, maybe it's me, but there are a lot of circulators and anesthesia providers swiping blankets out of the warmers) are huddled up trying to stay warm.

cracklingkraken said:

We learned about perioperative nursing today.

Woohoo! About time us OR nurses were learned about in schools! My program completely ignored us.

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Rose_Queen said:
Fixed that for you! Yes, the people at the field wearing gowns and under hot lights get hot. Those of us who are circulating (okay, maybe it's me, but there are a lot of circulators and anesthesia providers swiping blankets out of the warmers) are huddled up trying to stay warm.

Woohoo! About time us OR nurses were learned about in schools! My program completely ignored us.

Touche. I am quite sensitive to the cold as well, so I might be one of the huddlers if I end up in the OR.

And I found out that The Nerdy Nurse (apparently she's well-known) is coming to town, and our school is sponsoring some of the students, including ME, to go to the conference she is speaking at as a key-note speaker. I'm pretty excited!

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Specializes in Geriatrics, Dialysis.
cracklingkraken said:
Yes, that does make more sense. But for some reason, the hospitals here keep you on isolation precautions. Same goes with VRE.

Same here. We get people admitted that the hospital reports are MRSA or VRE positive and we set up isolation prior to admit only to discover when we actually get a full H & P the diagnosis is years old and all recent tests came back either negative or classified as colonized. So after all the trouble of setting up isolation, it all comes right back out of the room.

1 Votes
Specializes in ICU.

I learned that several coworkers that I have done favors for in the past, including picking up shifts for them for reasons as silly as "I really wanted to get my toes done Friday night," are unwilling to switch with me tonight. This is the first time I've asked anyone to switch with me in over a year and a half of working here, and it's an emergency.

We had a little bit of snow Monday and class got cancelled. I had a Monday lab that I'm going to have to write a research paper on, which is going to be worth 20% of my grade in lab, and my instructor wants me to make it up today or tomorrow. I work BOTH of those days, and nobody will switch with me.

I don't know whether to call into work and tell them what's going on to see if my team lead can help me work something out (fat chance, they never help anybody out, but at least it would be honest) or just call out sick. Haven't called out sick since October of 2014, and I hate doing it, but sometimes you gotta do what you gotta do.

I hate everyone right now.

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calivianya said:
I learned that several coworkers that I have done favors for in the past, including picking up shifts for them for reasons as silly as "I really wanted to get my toes done Friday night," are unwilling to switch with me tonight. This is the first time I've asked anyone to switch with me in over a year and a half of working here, and it's an emergency.

We had a little bit of snow Monday and class got cancelled. I had a Monday lab that I'm going to have to write a research paper on, which is going to be worth 20% of my grade in lab, and my instructor wants me to make it up today or tomorrow. I work BOTH of those days, and nobody will switch with me.

I don't know whether to call into work and tell them what's going on to see if my team lead can help me work something out (fat chance, they never help anybody out, but at least it would be honest) or just call out sick. Haven't called out sick since October of 2014, and I hate doing it, but sometimes you gotta do what you gotta do.

I hate everyone right now.

People suck ((cali)). I hope that someone switches with you. Those selfish bastards (shoot does this count as profanity?).

1 Votes
Specializes in ICU.
cracklingkraken said:
People suck ((cali)). I hope that someone switches with you. Those selfish bastards (shoot does this count as profanity?).

No, what I want to call them counts as profanity. ;)

I particularly like it when I message a coworker on facebook two prior and she never replies, not even to say that she's not going to be able to switch with me - but she has been posting a lot of pictures of the remodel of the office in her house over the past two days. And dog pictures. And she's commenting on other people's statuses. It's like *****, I can see you!! Do you not know that I can see you? It's so ironic I can't help but laugh. The pretend-you-didn't-see-it technique only works when you're not active on facebook at the time you're pretending not to see a message.

I used to be really nice about switching with people when they needed it, but she just got knocked off the list of people I'm going to be nice to in the future.

Edit - someone else just messaged me and can switch, so not all of my coworkers are large code browns. ?

1 Votes
calivianya said:
No, what I want to call them counts as profanity. ;)

I particularly like it when I message a coworker on facebook two prior and she never replies, not even to say that she's not going to be able to switch with me - but she has been posting a lot of pictures of the remodel of the office in her house over the past two days. And dog pictures. And she's commenting on other people's statuses. It's like *****, I can see you!! Do you not know that I can see you? It's so ironic I can't help but laugh. The pretend-you-didn't-see-it technique only works when you're not active on facebook at the time you're pretending not to see a message.

I used to be really nice about switching with people when they needed it, but she just got knocked off the list of people I'm going to be nice to in the future.

Edit - someone else just messaged me and can switch, so not all of my coworkers are large code browns. ?

Glad you got it covered. I was going to offer to work for you. :blink:

1 Votes
Specializes in ICU.
Farawyn said:
Glad you got it covered. I was going to offer to work for you. :blink:

I would have loved that you offered. :inlove:

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I learned that your coworkers will help keep your sanity during a stressful time. They are the same people who will not judge you for some of your "insensitive" notions or comments about your patients. I also learned that taking a year off after nursing school was both a blessing and a curse.

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Specializes in PCCN.

I learned ( well ,got reminded) that I do not like to precept new grads.

The new grad I had was borderline dangerous as she would pass meds with out telling me,making stupid judgement mistakes, or various other things. Too impulsive.

I started out being nice, using the situations as learning opportunities.She agreed.

Then she still went on to pass another med with out telling me. Ughh!!

I explained AGAIN that just because a med is ordered doesnt mean you HAVE or SHOULD give it. Gosh, no critical thinking AT ALL!!!

I finally had to resort to being mean. Shes gonna make a big mistake one of these days!!!

I couldn't follow her 1:1 as I had an additional assignment and the management was making us move pts off the floor for other pts in ED.So not safe!!!!!

Some people seem to only worry about passing meds and getting donr early so they can play on the phone or whatever.

I fear for the patients for some of these new nurses out there.

I hate precepting.

1 Votes
Specializes in PCCN.
calivianya said:

I used to be really nice about switching with people when they needed it, but she just got knocked off the list of people I'm going to be nice to in the future.

Yeah, I hear ya. I switched my weekend with a gal so she could get married and go on a cruise. I thought we were switching weekends.

I was wrong . I got scheduled for 3 weekends in a row. Whiskey Tango Foxtrot!!

That's it . No more favors.

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