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Sick of b*tchy old nurses

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Author Sick of b*tchy old nurses

thoona

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  • Joined: Nov 2007
  • Location:
  • Posts: 3

Wed Nov 28, 2007 8:11 pm

Hey all - I'm doing my medications placement at the moment and I have to vent.

I am SICK TO DEATH of b*tchy old bloody nurses who are so damned inflexible in their ways and do not want to change their ways.

I'm a div 2 (en in nsw) and am doing placement for medications admin. today this old hag would not let me do an im morph injection to a pt who was paliative coz she said it was "not appropriate". i have been nursing aged care for two years.

I am not going to do any more of my med placement there.

kobeh

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  • Joined: Jun 2007
  • Location: Melbourne
  • Posts: 16

Nov 28, 2007, 08:50 pm

Did you talk to your clinical supervisor??

What is the facility's name

Darren

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Your country needs you!
  • Joined: Mar 2005
  • Location: Adelaide
  • Posts: 179

Nov 28, 2007, 10:16 pm

Hi thoona,

welcome along! Probably not a good idea to name the facility. (I'd have to remove it anyway, I can't afford to get sued :P)

I can foresee both sides of your situation - you are on placement to get practical experience in the new skills you are learning. The RN might have just been difficult to get along with in which case discussing her behaviour with a supervisor would be a good idea, although I can also see that she might have been thinking that having students learn how to give injections on a palliative care patient who might have high pain levels and low tolerance levels might not be the best experience for the patient. She does have to advocate for the patient first and facilitating your learning must come second to that.

However, if that was the case, she should have taken the time to explain that to you properly and found other opportunities for you in my opinion. Hang in there and hopefully you will find some better colleagues to support your learning.

Ronnie

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Ronnie
  • Joined: Oct 2006
  • Location: XXXXville
  • Posts: 34

Dec 01, 2007, 01:08 am Last edited Dec 01, 2007, 01:08 am update #2

A very diplomatic response Darren. I agree with your point on advocacy as paliative pt's have many issues facing them and to be practiced on may not be appropriate. However, if rapport has been built and the pt is conducive to the injection I would think it would be ok for the practice injection to be administered. It is a tough call to make and brings the question of when or how are training nurses able to gain experience.

The point that comes to mind is that some nurses are somewhat set in thier ways and that as students it is a valuable asset to be able to recognise this and to work with them and not against them. I am unsure as to reporting the nurse because as we know the nursing environment can be a political playground. It may be the case that the person you are reporting to is on the side of the RN and this in turn may lead to adverse consequenceses.

Maybe a chill pill might be best prescribed and everyone goes home happy. I am sure that by the time thoona has had some time on the job he/she, she/he, will be more than competent giving injections. I have had similar scenarios myself but at the end of the day I am able to stand back and look at the big picture. If I was a palliative pt I would not like to be practiced on unless I was comfortable with the person who was about to jab me.

modified: Saturday 01 December 2007 1:14:10 am - Ronnie

thoona

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  • Joined: Nov 2007
  • Location:
  • Posts: 3

Dec 01, 2007, 08:15 pm

I agree that if I was a palliative (or any for that matter) I would not like to be practiced on. However, we "practiced" on oranges and sponges.

Clinical placement is not for practice, it is for supervised practical experience. If I can assist my preceptor with cleaning up this (same, palliative) soiled pt, washing them, rolling them and doing all their other nursing care, then I see no reason not to carry out full nursing care, which in this case involves IM injections. I have a lot of aged care experience and provided much care to palliative residents / pts.

If I was a casual who had come onto this ward for the first time with limited experience as a MERN, would this still be the case that I would not be permitted to administer the injection?

As student nurses, I believe we should be able to encompass the full, holistic experience of nursing care within our scope of practice. Particularly, on placement, we are on the ward without being paid, having to travel quite a long way and having to give up our paid employment time.

If I was an inexperienced teenager then maybe it would be different, but I am a mature adult who would not be sent out on a ward if I was not deemed competent enough to be partaking in the role of a MERN (as a student), when (providing NBV are timely) I will have my registration come through as a MERN in four weeks or so from now.

I believe from this case, having witnessed the full situation from the beginning and knowing the div 1 involved, that the in charge preventing me from my educational experience simply did not want me to do it as she is too set in her ways.

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