Wednesday, February 13, 2013

Oh, Your Day Will Come

So, some of the charge nurses a the new job, it turns out, have been nurses for like, 2 years.  Not hating.  I started charging at about three, but there is a major difference in this particular scenario.
I was aware of the fact that I was a fucking idiot. 
Granted, it took me some time. Yes. I've been down this road before.  I didn't get up on my high horse too much, because I recognized that no matter how awesome I was, everyone still knew that I worked in possibly the shittiest ER in the city.
But oh yeah.  I remember that time.  About one and a half years in, you start remembering things and not spazzing. You start getting comfortable with drips and other complicated shit, and you start thinking "hey, I'm getting the hang of this!".
Then at about two years, they start making you precept travelers, or putting baby nurses in your pod, or ask you to join some bullshit committee , and you're like, "Oh wow I am a bonafide badass now."
Except you're actually still a fucking idiot, but you don't know it yet.
But here, apparently, they give these girls the responsibility of charge rather than some of my little ego boosting experiences.  Now the new nurses, at the height of their hubris, are in "charge" of people more experienced then they are.  In a trauma center, no less.  I can only imagine how important I would have felt.  The attitude.  OH.  One of them actually felt it necessary to tell ER BFF(who has 5 years of experience) that she needed to give the sedative prior to the paralytic while intubating a patient.  Okay, great, thanks for your sage advice, 2 yr RN. Anyway, the attitude is the worst.  They know it all, and you totally need their help.  I would get upset, but I know how it goes down.
Let me demonstrate with another graph. You guys. I love graphs.

Look.  There was once a time when I too, felt I was a badass.  It was at about two years or so. And then everyone has that experience that knocks them on their ass, and makes them realize, "Wow, I'm not actually so badass after all!" For me, it was the day when my sweet patient who I knew was sick went into cardiogenic shock and died and there was NOTHING I could do.  He was on some drip I was unfamiliar with and I felt like maybe, MAYBE if I had been a little more on the ball and a little more well versed in what he was getting, I maybe could have saved him.  Looking back, I probably couldn't have.  
But it seems like every nurse needs that sucker punch to the nuts/ovaries to take them down a couple of pegs so they realize, "Oh.  Maybe I'm not THE SHIT after all."
Point is, the clock is ticking until the humble pie is served.  I wish I was a good enough person to say I wouldn't take the least bit of pleasure in watching it unfold, but I'd be lying.   
Mostly, I'm sure I'll feel sad.  The experience that was my turning point was up there as one of the worst days of my life.  But it made me question my judgment and learn to ask questions and think twice before I decided I just knew something.  If I knew a way to get the the conclusion without the pain, I would hand it over in an instant.  Unfortunately, though, these girls will have to learn the hard way like I did. 

8 comments:

  1. So true! Starting over in the ICU again has brought back the "you don't know as much as you think" for me again!

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  2. I have been in the ER FOR A LOOOOONNNNG and I don't come close to knowing everything. I still ask my co workers about things I don't know. That will never end.

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  3. I've been a loyal follower of this blog for awhile. Your honesty, insights, wicked humor and zero tolerance for bullshit helped get me through nursing school. When I was questioning on a daily basis why at mid-life I'd signed up for nursing school hell and a future career steeped in insanity I found inspiration in your blog. You are a bad ass, but you have learned humility, which is what makes you so good at what you do.



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  4. Again, I'm still sort of convinced you're actually me from a parallel universe. Also, I've known I don't know anything in the field of badassery nursing, but becoming a traveler made that real fucking obvious. It's like being a new grad all over again. "Doc, I swear I know how to set up a central line, I just don't know the code to get into the supply room. No biggie..."

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    1. Haha, yeah. That's me with trauma orientation. Herp derp, where do I chart the I STAT? What's this abbreviation mean? Which one's the surgeon and which one's the resident? Can you help me find my mommy?

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  5. For the record at 1 and 2 years you were not an idiot. Some of your colleagues tho......

    What is sad is that it is a major level 2 trauma center and they cant get it staffed with quality and experience.

    ER Doc

    www.serenitynowhospital.blogspot.com

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    1. Eh, I definitely had and have my stupid moments, but I'm at least smart enough to know I'm capable of being stupid. But, yeah. Quality and experience don't have to work in that kind of bullshit environment unfortunately.

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  6. I had my ER rotation this week (FINALLY!) and my preceptor had graduated from the same school a year ago. They started making her precept students 6 mos in. I was shocked. In some ways it was great because she was really patient with my awkwardness (I hadn't had the clinical opportunity to start an IV yet...ha,ha - that changed pretty damn fast) and I think I reminded her of how far she had come in a short year. In turn, I was inspired to think of where I might be a year from now. I don't feel ready to be on the floor in 84 days, that's for sure. But still, I was shocked that she would already be precepting. I have a feeling school-to-floor will be a HUGE eye opener!

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