My Strong Medicine

The adventures of a male nurse navigating through life, staying fit, surviving the journey.

Posts Tagged ‘new grad’

The Bo Jackson phenomena of nursing

Posted by Sean on September 19, 2011

 

Do “new nurses” scare you, too?

Lately I find myself becoming quite the cynic. I’m not a cynical nurse, I’m just discovering things throughout my ‘world’ that are cause for cynicism. Well, not everything in my world. Mostly the new nurses.

Now remember, I haven’t even been a nurse a decade yet! And here I am remembering the “good old days” of nursing. Scary. I know.

I guess what gets under my skin is I’m finding more and more ‘newer’ nurses who think they know everything. OR they think they’ve experienced everything simply because they’ve been a nurse ‘long enough’, to see the ‘same thing’ more than once. Complacency can infect all of us at one time or another. We get so comfortable with repetition that we find safety in it, and then we find braggadocio. I’ve been doing this for a mere seven years, and to this very day, I still learn something new, or appreciate a new concept every day.

I cannot shake the feeling that the ‘newer’ nurses scare me just a little. This hollow, yet inflated, ego is going to get them in trouble. So much trouble that I often wonder if their patients will suffer.

It was handed down to me in a very profound way that it’s our job, as nurses, to expect the unexpected. To think in terms of the ‘worst case scenario’. To prepare for the worst, but expect the best. To always have our ‘game’ face on, and to always play our ‘A’ game. I just don’t see that with these ‘newer’ nurses. Now, don’t get me wrong. I’ve seen plenty of awe-inspiring new nurses, that can and have put me and other experienced nurses to shame. I am humbled by their skills, I really am. But, I can’t remember the last time I felt humbled by a new nurse.

I’m not just talking about whom I’ve worked with shoulder-to-shoulder. I’m talking all facets of interaction (in-person & on-line). So it’s not just my small circle of the world.

Maybe I need a breather?

Maybe I need a change of scenery?

Maybe it’s not me at all?

I don’t know. What I do know is that it’s my responsibility to myself and my profession to continually challenge this new attitude. I’m not saying we need to ‘put’ anyone ‘in there place’, but we definitely need to educate and enlighten those that need it.

Am I alone on this, or have others come across this ‘Bo Jackson’ phenomena of ‘knowing everything’?

I’d love to hear your thoughts.

This was a post over at Scrubs. I was trying to figure out why I have come across so many new nurses who have this trait.

Do “new nurses” scare you, too? | Scrubs – The Leading Lifestyle Nursing Magazine Featuring Inspirational and Informational Nursing Articles

Posted in health, opinion | Tagged: , , | 3 Comments »

Remember when you passed??

Posted by Sean on July 25, 2011

If you have a few minutes, be sure to hop on over to this original post over on Scrubs Magazine and wish Ani congratulations for passing her nursing boards NCLEX exam!! She’s officially an RN!

Those two little letters

…..

And then there it was. My name, followed by those two letters, “RN.” I did a double take – but even my middle name was there, it couldn’t be a mistake! I PASSED! And then I squeaked really loudly…not sure what to do next.  Within the next few seconds it was like the weight of the world lifted off my shoulders. I made phone calls to my family, as they were all praying for me daily, and waiting to hear the news.

I spent the day celebrating with myself….

 

….All because of those two little letters after my name.

Those two little letters | Scrubs Magazine

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Nurses eating their young : here’s what to look for

Posted by Sean on April 23, 2011

A fellow RN, new grad, and nurse blogger who goes by Nurse XY (which I still think is an awesome surname) posted some thoughts on the end of his new job’s ‘honeymoon’ period. He discusses his frustration with how the staff went from cuddly and warm to stone-cold frenemies.

The Honeymoon is Over

It was nice while it lasted, but the honeymoon is over. The true colors of my coworkers are starting to show through.
Now that I’m no longer new enough for everyone to still be playing nice, all the personalities are starting to emerge. And on a unit like mine, you better believe there’s some strong personalities.

I’m so very tired of hearing, "You have to be careful how you approach so and so about that."
Why can’t I openly and clearly communicate my patient’s needs to those responsible for assisting me in caring for them? I am so tired of having to slink up to various people from docs to support staff like a helpless, hapless junior high damsel in distress to get what my patient needs. Too many egos to stroke. I demand respectfully request you grow the #@$) up.
And it’s only been 3 1/2 months!!!

He goes on to discuss some ‘very familiar’ run-ins that are embarrassingly oh-too common in our profession. If you are interested in learning how the horrible myth about nurses eating their young you should check out his post in it’s entirety. It is shameful that we have fellow title-holders out there that do everything in their power to prove their worth (you noticed I did not call them professionals – since they are the farthest thing from it).

Hop on over to XY’s blog and show him your support.

nurseXY: The Honeymoon is Over

Posted in health | Tagged: , , | 2 Comments »

A Nursing Student and the NCLEX Review

Posted by Sean on March 19, 2011

This is a blog post reaching out for some suggestions. A fellow nursing student will be sitting for her NCLEX soon and is looking for some how-to/  how-not-to tips.

Visit the original post and help a soon-to-be nurse out!

To review or not to review

Posted: March 18th, 2011 | By Ani Burr | one comment

With NCLEX exams drawing nearer and nearer, everyone is getting anxious.  Passing the ATI exit exam for our school, and then the NCLEX means a lot more studying without the structure of a classroom curriculum. So then the question boils down to: do you take a review  class first, or not?

My first instinct is YES!  Take 3 review courses! Anything to get through the madness and pass the test! Why  not, right? It can only help.  There is really no way that studying in a classroom can hurt your score on the NCLEX, right?  I’ve heard Kaplan has a course that’s most similar to NCLEX style questions, but there are other companies out there who offer great course as well.  No matter which class, here is my list of PROs for taking a review class:

  1. It CAN’T hurt!
  2. I’m a very un-structured studier, and so being in the classroom and studying might force me to FOCUS.
  3. A lot of the classes focus on test-taking strategies, which would be great to know since I’ve heard that SO MUCH of the test is about how you read the question.

But then, I don’t know. I did pretty well on my school’s predictor ATI… and I studied test taking strategies for that on my own. That’s actually ALL that I studied for the test. There wasn’t enough time for me to be studying what the practice tests told me that I needed to review before the test (ok, so maybe I procrastinated in studying… I couldn’t review all of the systems the night before!). I definitely think that was helpful in studying. So if I could study for that and do well, do I need a review class?  Here’s my list of CONs for taking a review class:

  1. It costs an arm and a leg. I know it can’t hurt, but if it’s not 100% needed, then, is it worth the moolah? I am saving up for wedding goodies here!
  2. I’ve heard the classes are very repetitive, and long, and boring. So maybe they’re structured, if they’re boring, it’s not going to help.
  3. The predictor exam says I have a good chance of passing at this point… and I studied for that on my own, I think I can handle it.

So… I don’t know. Any suggestions out there?  I definitely think it could be helpful, but is it really something I want to invest money in? Do I want to spend my first few weeks of freedom in another classroom?  What do you think? I am open to your advice!

Tags: NCLEX, Nursing School

Ani Burr

By Ani Burr

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Ani Burr has survived her years as a nursing student at CSU, Los Angeles. Sh started college as a creative writing major, and then moved on to major in graphic design when a job at a dialysis unit…

To review or not to review

Posted in health | Tagged: , , , | 3 Comments »

ATTENTION NURSES : New Nurse Asking For Advice

Posted by Sean on December 4, 2010

A new grad is asking for sage advice from his new-found fellow colleagues who have ‘been there and done that’.
Help me prove the old adage of ‘nurses eat their young’ wrong and visit his blog. Leave him a comment and help this new grad out!

Posted in random | Tagged: , , | 2 Comments »

Experiencing Experience

Posted by Sean on February 21, 2009

Experience_by_3mmIImage Source: Deviant Art

Lately ,there has been a lot of talk throughout the internets and my blogosphere about the effects of the Nursing Shortage on New Graduate Nurses, and how some New Graduate nurses are stressed, nervous and maybe even a little scared about the daunting tasks that lie before them.

The take home message is always about our patients. We all want to give the very best, and most safe care to our patients. No matter how much experience you may or may not have..

New or experienced, as a nurse our first priority has always been, and will continue to be our patients safety. From the first day of education and training till the day they retire nurses pride themselves are being THE patient’s advocate.

I wanted to share with my fellow nurses how we are not alone. We as nurses do not practice medicine, but we do contribute to the overall delivery of the practice of medicine. These day the practice of medicine could not be more difficult. With the discovery of more diseases and illness and the advent of new and innovative treatment methods, physicians are doing there best to navigate through these choppy waters and roller-coaster like storms of sickness. So if you think being a New Graduate nurse is tough, how do you think these new physicians feel?

So I found some comfort in the following article from the New York Times – Feverish Times.

It tells the story of a patient with a difficult unknown and unfamiliar illness, their journey through attempted and failed treatment regimens, and the ending successful diagnosis and appropriate treatment method.

The take home message of this story was that the differential diagnosis that successfully targeted the patients problem and was the key in treating, rehabilitating, and placing the patient on the road to recovery was discovered by a less-experienced, ‘newer’ physician.

It’s a truism in medicine that difficult diagnoses are most likely to be made by the most or least experienced doctors. The most senior have a wide set of experiences to draw on. Whatever the diagnosis, there is a good chance that they have seen it. The novice doesn’t count on experience for guidance. His head is still stuffed with all the possibilities he read about in school — the rare diseases just as common in his experience as the more usual ones. The fact that the doctors caring for this patient had no experience with this disease but were well aware of the potentially fatal consequences of treatment made a difficult diagnosis even more so. In this setting, making a diagnosis is not simply an act of reason; it is a leap of faith.

So the next time you are nervous, confused and maybe even a little scared about what tasks lie before you. If you can, remember that article. Remember your training, recall your education, continue to be that patient’s advocate and have faith in what you know you don’t know.

Carpe Diem

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Times… They are A-Changin'

Posted by Sean on October 7, 2008

The one and only constant thing in life is CHANGE. Everything else is CHANCE.

I’ve been a nurse for over 3 years now. To some this would seem a very short time. But in this day and age of the nursing world, 3 years of experience in a nursing specialty ACTUALLY is classified as a seasoned nurse.

I’ll let that one sink in.

I’m pretty sure everyone has at least ‘heard’ of the nursing shortage that we are currently in, and the potential exponential increase in the nursing shortage over the next decade. The field of nursing is losing more individuals than it’s gaining. Due to this alarming fact, the face of nursing has CHANGED.

Here’s what’s going to blow your mind. Just 10, maybe 15yrs ago, a new graduate nurse had a difficult time finding a nursing job! I’m told stories from true seasoned nurses’ who have been in the field for 10 + years, that the only jobs a nurse could find right out of school were in the long-term care facilities (nursing homes and/or retirement centers). No other jobs existed.

And if you were a new graduate nurse who was interested in pursuing a specialty, like the critical care setting (ER, ICU), you were turned away. In fact you were told to come back after you had at least 2yrs of general nursing floor (Medical-Surgical) experience.

I’ve been lucky and blessed with all the opportunities I have experienced as a nurse in the short time I have been in this field. I have worked/trained as a first assist, worked as a travel nurse, as a telemetry nurse, worked in numerous ICU settings, and now as Recovery Room (PACU) nurse. Outside of my critical care experience, everything else listed was for a very short time of 6 months or less.

Had I attempted my career as a nurse a decade ago, I would not have been afforded any of the above opportunities. While I wish I would have chosen nursing as my original career, I’m almost positive my adventures would not have been the same.

Change takes courage, adaptation and adjustment. And for some fellow colleagues this is a hard pill to swallow. Some still believe in the previous mindset of ‘getting’ your experience first. You must first learn to crawl, before you can walk. And walk before you can run. (Ergo the specialty nursing example I spoke about.)

The truth of the matter. Today’s nurse has had to learn to hit the ground running. Heck, running at a sprinter’s pace. The present day nurse has had to learn from the very beginning of their education that nothing is given to you. You need to earn everything. The learning curve may not have changed much, but the pace of the curve has.

10 years ago basic nursing education was at a minimum of 3-4 yrs. Now you can enroll in programs that are 18 months long (of course you have to have your pre-requisite courses completed before hand).

Today’s nurse is used to the fast paced learning. Most information has been shuttle-passed to them and face-slapping, eye-popping, stomach-turning return demonstration clinical exams are not only the norm, but are generally an expected portion of their basic education.

10 years ago, a new nurse, green behind the ears, with no experience under their belt being hired into an ICU was unheard of. Now it’s common.

New grads are being hired into the busiest, fastest-paced, high-octane environments and their flourishing. The goal is to simply survive, and most exceed that goal.

This generation of new grads are hungry, agile, forthright and humble. The hard part is letting them learn at their pace. A pace most seasoned nurses’ think is too fast.

This new found speed does not increase the likelihood of things being missed. In fact it encourages the opposite. The attention to detail in this ever-changing fast-paced learning environment is uncanny, and unmatched.

The next time you meet a nurse, and learn of their ‘time-in-grade’. Don’t be so quick to judge. You’d be surprised what they’ve learned, and how far they have come.

Carpe Diem

Posted in health | Tagged: , , , , | 10 Comments »

 
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