catchy title, eh? right up there with "why are nurses such backstabbers" (assuming that all nurses are backstabbers) and "nurses eat their young" and "why are nurses so mean?" i don't know about the rest of us "seasoned nurses", but i'm getting rather tired of all the threads busting on us for being "mean" to new nurses, students, etc. it seems to be an underlying assumption on most of the threads of the ilk that nurses are mean, evil backstabbers who live to humiliate someone with less experience.
i've had the opportunity lately to observe some newbies and their preceptors from the patient's perspective. granted, i've been a nurse for 29 years and have been both an orientee and a preceptor -- most recently an orientee. so i do have some experience from pretty much all sides now.
i was a patient, flat in bed after my spinal surgery. the orientee and preceptor introduced themselves, outlined the plan for the day, and then the preceptor left for a short while to sort out another patient who was screaming the screams of the totally demented, leaving the orientee to do my assessment and am care. the orientee was supposed to be almost ready to be on her own -- and she scared me to death! wanted to give my antihypertensives when my bp was 82/50, wanted to give my hctz when i was dehydrated from vomiting, npo, and my iv rate was only 50cc/hour and a few other things indicating (to me, anyway) poor judgment. when i refused to take the meds and outlined my rationale, she ordered me to take them anyway so she wouldn't get into trouble. i asked her how long she'd been in this job, and was it her first nursing job, or where had she worked before. the floodgates opened, and she started complaining about what a terrible place it was to work, the lousy pay, the horrible hours and how all the experienced staff were mean to her. (the preceptor came back into the room in time to hear that.) totally unprofessional! the preceptor didn't say anything in front of me, and calmly took her off to "plan the rest of our day."
later that day, i overheard the orientee telling someone (i'm assuming on her cellphone) how totally mean her preceptor was, and how the preceptor was "out to get her." she said "all i was doing was bonding with my patient who is a nurse, too, and the ***** (preceptor) just totally humiliated me. she told me i was unprofessional! i thought you were supposed to be nice to your patients."
nurse eating her young? or totally out of line and unprofessional newbie whining about being justifiably corrected?
another time, i heard a preceptor tell her orientee not to give my antihypertensives if my bp was less than 100/systolic. (it was.) newbie comes in to give my antihypertensives anyway. (different newbie.) i refuse. newbie goes to get preceptor. preceptor and i discuss my bp and agree not to give antihypertensives. later, i hear preceptor calmly explaining to newbie that giving an antihypertensive to a hypotensive patient can cause problems. (they're out in the hall, evidently close to my room, and i didn't hear anyone else around, so i'm assuming there was at least an illusion of privacy for this discussion.) newbie got defensive and started lying. preceptor remained calm and reiterated her position. newbie continued to be defensive, escalating the volume. later, i hear the two newbies commisserating about how mean their respective preceptors are.
i have to admit that when i hear a new nurse complaining about how "nurses eat their young", especially after those recent experiences, i always wonder what a preceptor could possibly do to try to correct some of these blatent mistakes without being accused of being "mean." and i wonder if that new nurse was as ridiculously in the wrong as those two were, and if she was, did she have any clue that her problems weren't all someone else's fault!
precepting is a tough enough job without being accused of being evil everytime you try to help someone to do better! being a new person is difficult, too -- but please try to look at what you contribute to the problem rather than just blaming the seasoned nurses you work with!
