11/14 What I Learned this Wk: Not everyone learns the same way/sleep is precious

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To not take for granted my role as a preceptor. But sometimes it can be just as tiring as if I was running my tail off for the entire shift. The mentee that I have had for the past 3 months has spoiled me because she is very sharp and catches on quickly. The one I had yesterday who has been in the program for the same length of time, is not up to par.

I need to recognize that not everyone learns in the same manner, so I must adjust my preceptorship techniques. The benefit of this young lady is her eagerness to learn and her receptiveness of constructive criticism.

I have also learned that I am one of those who have the string of DNA which predisposes me to a higher perception of sulfur compounds. In other words, I can smell the odor of asparagus in urine quicker than most.

In addition to these findings I learn how precious sleep is and how much I missed it. This is the first week in three months I have not had clinical. On Tuesday I slept until 3 p.m. But school work was not over, and I still have had a few late nights. Next week I'm going to spend quality time with my family.

Opening a new box of books for the next quarter is exciting as if it were Christmas. My midwifery and women's health texts have arrived and I'm excited to face the next chapter in my education

I invite everyone to share what they have learned this week and please remember to keep it nursing related.

I've learned trying to help other people is preferable than letting others help me.

Oh wait, knew that already!

Then...nuthin' so far.

OH WAIT!!! I learned about Narcan. I've learned that when you email the SED it takes a bit for them to get back to you- hopefully tomorrow.

I've learned I need to learn MORE about Narcan.

Specializes in OR, Nursing Professional Development.

I've learned that it's possible to hold $5,000 dollars worth of garbage in the palm of my hand. Opened an aortic valve, the surgeon tried to put it in, and we had to switch not only the size of valve but also the brand of valve.

Specializes in critical care.
I've learned trying to help other people is preferable than letting others help me.

Oh wait, knew that already!

Then...nuthin' so far.

OH WAIT!!! I learned about Narcan. I've learned that when you email the SED it takes a bit for them to get back to you- hopefully tomorrow.

I've learned I need to learn MORE about Narcan.

Best thing to remember -

Narcan doesn't last as long as the opiate you reversed with it. Make sure EMS is on the way if the Narcan worked (well, hopefully you're calling them for respiratory arrest anyway) and be ready to do compressions if they don't arrive in time. Really, though, to takes a little while to wear off *usually*.

Specializes in critical care.

I'm on the hunt for a guest OP for next week's thread. PM me if you're interested! If I don't get anyone able to get it done, I'd like to warn that tomorrow's may well not be up until later tomorrow or even the early hours of Sunday.

Thank you all for your patience. Last week was so bad I couldn't even make a list that didn't sound like a disgruntled homicidal employee, so I kept it to myself. I might have stuff for next week. We'll see.

Sometimes patients are impatient and not impressed with their healthcare delivery and they will express this fact to everyone. Then when you do not answer their questions the way they want you to, they don't want to hear anymore and want to just move on with the interaction. You will have a little back and forth with them to try and understand what they are asking, which annoys them. Then, you feel like a horrible person and start to tear up as you still try to answer their questions to which they reply "That was a good answer. You should have been a lawyer." :/ Oh, and that you are "stronger than you look". Thanks, I think. Confusing interaction.... >.>

This week I learned:

1. Think before you ask questions. Some are best left unasked, because they are easily answered if you know what you are doing. Not all preceptors will be welcoming of questions used to "clarify" something.

2. People are going to talk behind your back. Some will even go to the manager and report "issues" without even addressing them with you first.

3. Different preceptors will have different expectations. It is important to establish goals at the beginning of the shift in order to be "on the same page."

4. New nurses aren't expected to be perfect. They aren't even expected to be fast. But they are expected to ask for help and communicate their needs.

5. It is important to not try to rush orientation. Some people may need longer time, and that may be me. That's okay. All that is needed is signs of progress.

Specializes in critical care.
This week I learned:

1. Think before you ask questions. Some are best left unasked, because they are easily answered if you know what you are doing. Not all preceptors will be welcoming of questions used to "clarify" something.

2. People are going to talk behind your back. Some will even go to the manager and report "issues" without even addressing them with you first.

3. Different preceptors will have different expectations. It is important to establish goals at the beginning of the shift in order to be "on the same page."

4. New nurses aren't expected to be perfect. They aren't even expected to be fast. But they are expected to ask for help and communicate their needs.

5. It is important to not try to rush orientation. Some people may need longer time, and that may be me. That's okay. All that is needed is signs of progress.

#4 was a huge theme of my orientation.

Specializes in ED.

I have learned that my once little girls are growing up. Where last week I was harping on not worrying about boys and such, both of my twins have shown that they are interested and its time for me to wake up. We have had to invite the law into one situation. I have learned that I can love them through their mistakes. THEY have learned what our expectations are for boyfriends for our daughters and I think the response is good.

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