Related: Communication, Conflict, Gossip, Learning, Nurse Relationships

It’s a wise adage: “If you don’t want something shared, don’t say it.”

As a nurse, I’ve learned that you have to assume that whatever you say is going to be shared. I’m very private regarding what personal matters I share at work. But that didn’t stop another nurse from spreading lies about me.

She was flat out lied about a work-related issue--and it was my word [...]

Related: Attitude, Bureaucracy, Career, Conflict, Mindset, Nursing Jobs, Patient Advocate, Public Health Nursing, Service Nursing, Teamwork

Part one of a two-part exclusive interview with Sally Lemke, winner of the 2007 Super Star in Community Nursing award.

It’s a conundrum: How could the recipient of the VNA Foundation’s “SuperStar in Community Nursing Award”—a $25,000 prize—get the axe a mere few days later?

Sally Lemke, who was a nurse practitioner in Chicago’s Cook County healthcare system, became a local celebrity when this unthinkable scenario played [...]

Related: Balance, Confidence, Conflict, Fear, Feelings, Healthy Living, Mindset, New Nurse, Nurse Resident Programs, Nursing Program, Quitting, Seasoned Nurses, Student Nurse, Success, Support, Truth

My first year of nursing, I considered becoming a forest ranger. Nursing was bleeding my emotions.

When I first got out of school, hospitals faced a big nursing shortage—not unlike today. The unit was understaffed, and the level of responsibility quickly overwhelmed me.

Worse, I became trapped in a destructive internal dialogue. I’d constantly tell myself: I’m not doing a good enough job. I stink at this. [...]

Related: Career, Conflict, Education, Feelings, Interview, Job Search, Nursing Jobs, Quitting, Success

Stuck. You’re in a position that just doesn’t feel right and doesn’t work, period. You feel paralyzed, petrified of looking for something new. You think, Will a new position make a difference? Will I be able to find a place where I’m respected? Will I be able to find a job that works with my schedule? What if it takes a long time?

You’re not alone. [...]

Related: Conflict, Drug Addiction, Nurse Relationships

Is it your job to be the moral conscience of your floor/unit/clinic?

A nurse recently wrote, “I caught a co-nurse slipping drugs into pocket for personal use. What should I do?

I prefer the gray answer of “it depends.” If he or she is taking Lipitor, Zyrtec, or a Z pak, I would let it go. If, however, they’re taking narcotics, that’s a different story. [...]

Related: Abuse, Assertiveness, Authority, Boundaries, Bureaucracy, Confidence, Conflict, Doctor-Nurse Relationships, Doctors, Fear, Handmaidens, Hostility, Management, New Nurse, Nurse Relationships, Power, Professionalism Sabotage, Scapegoat, Seasoned Nurses, Stress, Support, Teamwork, Truth

The new nurse was doing the best she could. But it wasn’t fast enough for the emergency room doctor. As the doctor struggled to triage the patient, he became more and more agitated. Finally, he yelled and threw a bloody sponge at the nurse—right in the middle of a procedure.

When physical and verbal abuse takes place in the workplace, immediate action should be taken. But [...]

Related: Assertiveness, Bureaucracy, Communication, Complaints, Confidence, Conflict, Doctor-Nurse Relationships, Doctors, Management, Mindset, Mistake, Nurse Relationships, Nurse Support, Patient Advocate, Power, Professionalism, Stereotypes, Teamwork

Doctors and nurses have been trained to be suspicious of each other.

So writes Suzanne Gordon, author of Nursing Against the Odds (Cornell UP, 2006). And while this has historical roots, it is particularly dysfunctional today. In this RealityRN interview, Gordon describes the complicated relationship between nurses and doctors—and gives practical advice for nurses to help remedy the situation.

RealityRN:  Describe the history of nurse/doctor relationships.

Suzanne [...]

Related: Complaints, Conflict, Nurse Relationships, Patients, Prioritizing, Teamwork

So much of whether you like your job connects back to your relationships with colleagues at work.

A new nurse recently wrote, "I tend to spend a lot of time addressing patients’ emotional needs prior to their operations (calming them, answering questions, or just being with them during the transition). I find other nurses resent me for not spending more time prepping in the operating [...]

Related: Abuse, Anger, Authority, Conflict, Doctor-Nurse Relationships, Doctors, Violence

Just the other day, a surgical nurse, nine months out of nursing school, wrote me,

"Not long ago, after a difficult surgery in which the patient died, the surgeon started swearing at me, as if it were my fault. I know this sounds crazy, but he kicked me. Yep, with his foot. I hesitate to report him. What should I do?"

Now, in my 24 years of [...]

Related: Assertiveness, Authority, Communication, Confidence, Conflict, Doctor-Nurse Relationships, Doctors, Emotions, Fear, Management, New Nurse, Nurse Relationships, Patient Advocate, Patients, Professionalism

It was the ninth hour of a 12-hour night on Labor & Delivery when my fourth patient presented with complaints of vaginal bleeding.  Exhausted, I told myself this had to be another worst-case scenario—probably placenta previa or abruption.

I initially performed a comprehensive review of symptoms and thorough patient history, which I presented to the resident. He was a cocky first-year resident, just starting his first [...]