Related: Boundaries, Bureaucracy, Management, Patient Advocate, Patients

A nurse never wants to face a HIPAA violation.

I've never experienced the ramifications of such a violation personally, but I have seen the aftermath when others have been suspected.

Often the violation stems from one of man's greatest assets: curiosity.  We're geared for acquiring knowledge; yet some things we might be better off being unaware of completely.

Once on the unit I was working, a staff [...]

Related: Boundaries, Management, New Grad, New Nurse, Nursing Jobs

I'm a new grad working in a nursing home/rehab. I've been there 4 months and I feel like everyday they seem to forget that this is all new to me.

I've been scolded for practically everything I do or don't do. They've told me, in not so direct terms, that I should take on the nursing supervisors job if need be simply becuase I'm [...]

Related: Authority, Management, Morale, New Grad, New Nurse, Nurse Relationships, Nurse Support, Power, Professionalism, Sabotage, Scapegoat, Stress, Truth

When I first graduated nursing school 25 years ago I started out on an adult Med/Surg unit. Because I worked as a nurse aide during school in the float pool, I knew many of the nurses on that floor to begin with. However, by the time I started there was a different nurse manager (back then "head nurse") and some newer faces.

The head nurse was [...]

Related: Assertiveness, Attitude, Communication, Management, Mindset, Nurse Relationships, Nurse Support, Professionalism, Quitting, Seasoned Nurses, Teamwork

In the last blog we established that if you're in a job you hate, you need to find another one. If you hate your job, how effective a nurse can you really be? That's the question I want to take a look at now.

Contrary to what my last entry may have sounded like, I believe in being a change agent for our profession. [...]

Related: Abuse, Addiction, Anger, Caregivers, Compassion Fatigue, Drug Addiction, DUI, Education, Emotions, Failure, Felony, Management, Mistake, Nurse Support, Perfect Nurse, Stereotypes, Stress, Success, Support, Weaknesses

Addiction: it’s a moral issue, right? Whoever starts abusing a drug is a bad person, making a bad choice, and should be punished. At the very least, they should be able to quit on the spot.

But it’s not that simple. According to Dr. Linda Barile, APRN, and advocate for nurses who are addicts, we need to stop blaming them and instead support them through recovery.

Here [...]

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: Communication, Delegation, Management, New Grad, New Nurse, New Nurse Tips, Problem Solving, Seasoned Nurses, Success, Teamwork

Don’t complain—problem-solve. That’s only one of several bits of advice on how new nurses can counter some of the surprises of real world nursing:

Surprise #1: Presenting problems to your supervisor

New nurses often say, “I’m overworked. I don’t have this, and I don’t have that.” Instead they should be more straightforward: “Here’s the problem, and here are some of the resources I might need.” Or “Can [...]

Related: Career, Confidence, Education, Feedback, Leadership, Management, New Grad, New Nurse, Nurse Educator, Nursing Associations, Professionalism

“What do you want to be doing in five years?”

It’s a question that 33-year veteran nurse Patti Ludwig-Beymer hates. It never helped her focus on what she really wanted to do. In fact, new nurses who are able to articulate a five-year plan are the minority. Most nurses just hope to make it through another day.

But goal setting is essential to developing as a nurse [...]

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 [...]