May, 2006 Archive

May 9, 2006, 3:23 pm

Nurses! Let Us Celebrate Our Week With Grand Rounds!

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Gee, five nurses to assess two fully wrapped babies?

I guess this was prior to the nursing shortage.

I haven’t seen that much white in one place since…well, since I graduated!

I need sunglasses just thinking about it!

But you won’t need any sunglasses when you go to read this week’s Grand Rounds.

This week Tara is hosting at Aetiology.

Tara’s a researcher, so expect some wonderful entries on various research topics, along with the usual varied stories, anecdotes and opinions from the medical blogosphere.

She, too, fought the good Blogger fight and has produced a great “volume” in the history of Grand Rounds!

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Also, check out my article over at The National Nurse.

It’s a look at the Office of the National Nurse from a staff nurse perspective.

I asked them to photoshop Cindy Crawford onto my face, but alas, my request was denied…..

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May 8, 2006, 9:31 pm

National Nurses Week – Time To Bring Out the Cap!

Young me

Here we find a rare photo of Graduate Nursicus

This particular specimen is from the late Jurassic era, circa 1978.

Note the navy blue shag carpet, so typical of the time period.

Note the smiling specimen, the epitome of naivete with absolutely no clue of what fate had in store for her.

Yeah, that’s me at age 20 just before our pinning ceremony. I had just met my future husband two weeks before and was engaged two weeks after this photo was taken.

My dad painted the picture behind me and I just now, after all these years noticed that it is crooked!

And I bet I didn’t bend over too far in that skirt.

But it was the first time I had appeared all in white with my cap proudly atop my not-quite-Olympic-skater wedge.

It was the most exciting day of my life.

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Now, I only wear my cap once or twice a year during National Nurses Week, as a tribute to nursing in general and as a salute to the nurses that came before me.

Many months ago I blogged on how differently the patients treat you when you are wearing the cap. I expect that I will find that I am treated with respect by my patients and their families.

I expect my colleagues to laugh until they cry and tease me unmercifully and call me “Nancy Nurse” and all sorts of fun things the entire time I wear it.

Bring it on!

I have lived for that symbol of nursing since I was nine years old.

New Me

Alas, the original cap is gone, as is the cap I used a few years ago for my commemoration duties.

Thank goodness for eBay, where I managed to find a reasonable facimile of my school cap (Ohlone College, I am proud to say).

I very carefully placed the stripes with my glue gun.

Then I thought, hey! I’ll take a pic for the blog!

So much for blogging anonymously.

I bought a disposable digital camera with deletion ability and a timer so that I could take my own photos when who should arrive, but my wonderful hubby!

Who refused to shoot more than one shot. I took the rest.

He took this shot. It’s the only one out of the 25 that is printable.

Translation: it is the only one of the 25 that does not make me look as if I have bovine qualities.

I would kill to have Photoshop right about now.

Can you say “airbrush”?

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I could say that I intend to blog about nursing for the rest of the week, but I blog about nursing every week!

So this week remember to thank a nurse, hug a nurse, kiss a nurse or in my case give a nurse one of the new MacPro Powerbooks.

Not that I’m hinting or anything, but Steve Jobs, if you’re reading…

(Call me!)

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1:53 am

When “The Office” is an Emergency Room: Should Your Colleagues Be Your Friends?

groupshot_s2.jpg

I’ve been looking for an excuse to use this photo for months.

“The Office”

The most painfully hilarious show ever produced.

By the BBC, of course!

I’ve seen the American version. It doesn’t work.

I actually learned a lot from this show about office relationships and their impact on the lives of the employees.

Quite educational in its focus on human resouces and the impersonal atmosphere of the business/work environment.

An intense look at the pressure cooker of the work environment that takes in eager workers and spits them out like so much stale gum.

Oh bull.

I just fell in love with Martin Freeman (first guy, second row on the right).

I’m such a sucker for a British accent.

And there actually is a slight connection to my topic du jour.

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How close should you get to your co-workers?

How much of your personal life should you discuss with the people you work with?

At what point does information about yourself become too much information?

Should you actually be friends with the people you work with?

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In my (almost) 28 years of experience, I have worked in nine different facilities.

(Yikes! Lest I appear to be a “job jumper”, allow me to note that two of these jobs lasted ten years each and some of the jobs were concurrent. I intend to stay in my current position until I retire – my unit ROCKS!)

I have worked with or come across every type of personality you could imagine. I have worked with everyone from “God” to the meekest of the youngest of the newest nurses on the unit.

I’ve had managers who were total incompetents in human relations and managers who inspired me to the point that I’d wash a floor with a toothbrush for them if they asked.

So, along the way I’ve learned a few things. Such as:

  • People will talk about you when you are not there. Hopefully, they will say nice things! But they will talk, one way or the other. So don’t be surprised when it gets back to you.
  • The BIGGEST line of bull in the world?
    • “Oh honey, you stay home and take care of yourself. You won’t be good for anyone at all if you come in sick. You must take care of you!”
    • Poppycock. We are ticked off that you haven’t come in and notice that you happen to call in the day that is keeping you from having a bazillion days off in a row. Yes, we notice and we talk about it.
    • We don’t care if you have a migraine, backache, nausea.
      • We want your body.
      • We will give you a shot when you get to work (non-narcotic, of course; can we all raise a glass to the restorative powers of Toradol? Yeah, bay-bee!), let you rest for 30 minutes and then expect you to function.
      • This does not include vomiting, diarrhea or fever. We don’t mind if you stay home with that. You are no good if you are in the bathroom all the time. And if you’re febrile, you are probably contagious. Sometimes we are catty, but we aren’t stupid!
      • Hospitalization is not included. If you are hospitalized, everyone believes that you are sick or potentially sick and will ask about you until you are well enough to return. And send flowers! Even for cosmetic surgery! As long as you don’t schedule it over the holidays….
  • No one is going to tell you, to your face, that you are doing something that they believe needs intervention.
    • You will find out about it at your evaluation.
    • You will never find out who complained. Or how often. Or why.
    • You will spend a lot of time trying to figure out which smiling, friendly face wrote you up and why they never said anything to you.

And I’ve also learned to keep my mouth shut, a Herculean task if there ever was one.

Do not, under any circumstances, discuss at large:

  • Your personal life, unless the information is positive.
    • No marital problems, No child-care issues.
    • If you are dating a colleague, keep it to yourself. Gooshy-mooshy looks at the nurses station have been known to turn stomachs.
    • You won’t be able to keep it private (see previous point), but do your best not to flaunt it.
    • Walking into a room and meeting silence because you were having a private conversation is really annoying.
  • Your plans to alter your shifts or to apply for a shift that is already posted.
    • Someone will listen to you, and then quietly apply for that postition without letting you know.
    • Personal anecdotal evidence: One night at work, I was excited about the new position that would be mine as of 0800. I talked of it with Colleague “X”. When I called to confirm that the position was mine I was told that Colleague “X” had walked in at 0730 and taken the job. She never said a word.
  • How much you hate your job or continual griping about things that cannot be changed.
    • No one wants to hear it.
    • You bring down the morale of the department.
    • If you are so burnt out you can’t function, take a vacation or find another area of nursing to work in.
      • I did this twice, once by switching to psych and then again about ten years later by switching to working in a clinic doing telephone advice.
        • Not only do you pick up new skills, but the change in atmosphere helps you focus back on why you went into nursing in the first place.
        • I learned more about pediatrics in my brief time doing telephone triage than I had learned in the twenty years leading up to it. Best move I made and unbelievably helpful when I returned to ER.

Okay, so having learned the above, either by experience or by observation, should you be friends with your colleagues?

After all, these are people that you share life-and-death experiences with on a daily basis. You cry together, you laugh together, you drive each other crazy, you thank god that they are working your particular weekend, you put up with their quirks and idiosyncrasies, you eat together and you spend at least 1/3 of your time with them when you are working full time, if not more.

I firmly believe that you can be friendly toward your colleagues, that you can support and help each other through the rough spots, that you can share what only health care providers can understand.

You can celebrate with them on special occasions. Wedding showers, baby showers.

You can cry with them at funerals and let them know you value them.

But you are co-workers. Professionals. Not friends, not buddies, not pals. You can care for each other and support each other and vent to each other, but you have a job to do and you are there to do it. You are expected to show up, on time and act like the professional you are.

And then you go home to your life outside the hospital.

I don’t need to go out partying and see my colleagues after five magaritas and frankly, they don’t need to see me after five margaritas (unless you see me at a Jimmy Buffett concert, then all bets are off). I don’t need to spend even more time with the people I work with when I have family I haven’t seen in days. Or months (kids in college).

It’s a matter of balance.

Mixing your personal and professional lives can lead to trouble. But every now and again, it can work to your advantage.

I happen to be “true friends” with two women I worked with years ago. We now live in different states or work at different facilities. We have bonded well outside the hosptial setting. It is possible to make a friend at work who can enrich your life outside of the hustle and bustle of health care.

But you are better off seeing and knowing your colleagues as the professionals they are. A friendly work environment is hoped for, even expected. That doesn’t mean that everyone you work with is a friend.

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About Me

My name is Kim, and I'm a nurse in the San Francisco Bay area. I've been a nurse for 33 years; I graduated in 1978 with my ADN. My experience is predominately Emergency and Critical Care, and I have also worked in Psychiatry and Pediatrics. I made the decision to be a nurse back in 1966 at the age of nine...

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