Kinda of funny story......

  1. DISCLAIMER: This is not a med-surg nurse vs. crical care nurse debate, nor am I bashing critical care nurses, thus why I'm posting in the break room.

    I was covering house supervisor the other night. Which I only do rarely during vacations and sick calls and I hate it. Supervisors also do bed placement, because they figure the house supervisor knows whats going on. So I was in CCU making rounds taking to the charge nurse. She said she had a patient to go to PCU that needed isolation. She described the patient and he was a trauma patient with resp. problems so I asked "Can the patient go to telemetry instead?"

    She said with nose in the air "eeeww why would we send any patient to a floor like that???". I said, "I'm sorry I don't understand". "Well, whenever we send get a patient from them they are such a mess.".

    Interested, I ask her to elaborate, what does "mess" mean.

    Well they are in such "distress" "in really critical condition".

    I'm starting to internally roll my eyes. I explain perhaps PCU patients are mainly cardiac and don't "appear" to be in distress when they come, but tele patients are more multi-system or respiratory and can get sicker faster.

    Then I said, "Did you know you're downtalking the unit I just transfered too". She stammered a little bit and I just smiled. She assumed I still worked in neuro. :chuckle

    Wonder what she expects in critical care? Stable non-critical patients that aren't in distress?

    The PCU and cardiac nurses really do honestly stick their noses up at med-surg telemetry. When they float to us they call us "the hole". sigh....

    Gee, sorry to have typed so much are you still awake? :chuckle
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  2. 18 Comments

  3. by   Tweety
    opps...ignore this, I was correcting a typo and goofed. sorry.
  4. by   karenG
    Tweety- sorry to hear people down talk what you do. happens all the time over here! I work as an NP in primary care and am also the lead practice nurse for my health organisation. the number of times I get asked what sort of nurse I am practicing to be......................sigh. we should respect each others skill, strengths and weaknesses more!

    now this is going to sound stupid but I dont know what telemetry is- sounds like a maths problem! so please could you explain!?

    ok- now to start another day................thanks for all the rain you sent our way- rained all night here...........stop doing the rain dance now!

    Karen
  5. by   gwenith
    Tweety Sweety I hear you wilth bells on! ICU nurse here but rabidly anit elitism that seems to have gripped this area of the profession. One of the reasons (here at least) that the elitism has crept in is that there are more ICU programs than med/surg programs post graduate. Add to this the "adrenaline" effect of "oh Gosh ICU!!". I have even had ICU nurses refuse to teach ward staff how to care for a traachy because "They should know!!" and then stand around and complain about "how badly the ward cares for trachy patients".

    I have met ICU nurses who use informational power as a mighty weapon and heaven help any one who reveals the secrets of rhythm interpretation. I know because I was the one doing the revealing, (that is ECG secrets - gee Tweety what were you thinking?)

    I have worked with nurses who refused to "float" to other wards because "why should they?" or "why should I waste MY skills?"

    GGGGRRRRRRR

    As you can tell I have the highest utmost respect for those who work on the wards or in doctors offices or in small country hospitals or out giving home care or managing psychiatric problems. No one area is "better" than another each have thier own challenges, and when your concetration is split between 10 patients it is almost impossible to identify the early markers of deterioration.

    Please don't start me on how nursing have been "sold a pup" when it comes to assessment. A lot of deterioration is missed because there is a fundamental flaw in the literature and education surrounding assessment not the nurses fault as far as I can tell it is world wide and insidious (another post another day)

    ICU nurses also forget that assessment criteria are different. Anyone who has worked in ICU for a number of years automatically equates high temperatures with severe sepsis/septic shock. They forget that people are having high temps every day inside and outside of hospital without fatal consequences.
  6. by   Tweety
    gwenith, the intent of the post was not to talk about ICU nurses, though of course wherever you take is not my business.

    I thought two things funny: "her comment about 'they are so critical when they come here'" and the fact she was bashing the floor not knowing I worked there.

    Please don't digress.
  7. by   gwenith
    Sorry I guess I have some left over angst from what my union rep described as the "bullying capital of the world" and yes this did happen and I tried very hard to change the culture that was driving it but unfortunately it was like pushing hot snow uphill with my nose.
  8. by   adrienurse
    Don't we all just work with the silliest people some times?
  9. by   karenG
    Originally posted by adrienurse
    Don't we all just work with the silliest people some times?
    I'll drink to that!! once went to lunch with a student nurse- I was staff on an ophthalmic ward- at lunch we were stopped by her friends who asked 'how are you getting on with the b******* on the eye ward!!'' she went very red and introduced me. they went a very interesting colour!!

    Karen:chuckle
  10. by   Spidey's mom
    Tweety: This is so sad. The backbiting baffles me. I try to do the same thing when confronted by this . . ask for details. Usually it is an offhand comment based on nothing in particular.

    Gwenith . . . reveal to me the secrets of ECG interpretation!!!!

    steph

  11. by   BadBird
    As a ICU nurse I can honestly tell you that I would never work med surg, why? Because those poor nurses are so dumped on, Med surg is a speciality but not treated as one, they have the least amount of staff and some of the sickest patients in the hospital. It seems the new trend is for vent patients to go to a med surg floor, with the poor staffing these patients plug and end up back in ICU. I am not bashing Med surg nurses, my hat is off to them I just would never do it. I have also noticed how ICU nurses including myself are very detail oriented and picky with our patients, we have 1 or 2 so we can fuss over them, on a med surg floor if you have 8 patients or more there is no way they can get the care they deserve. As far as attitudes, I have seen that in every unit of the hospital, people react to the stress they are under, some handle it better than others. There will always be the conflict of smokers vs. non smokers, night shift vs. day shift, it is just part of the job. I learned many years ago not to stress about the BS.
  12. by   Tweety
    Originally posted by stevielynn
    Usually it is an offhand comment based on nothing in particular.
    Beth how true. She was really just carrying on a stereotype not based on any sort of facts. I also don't like the nurse blaming nurse for patient problems. Sometimes floor patients turn critical, they are going to turn critical regardless. They are stable one round, and the next are in distress. Blaming the m/s nurse that the patient is in distress is silly.
  13. by   Tweety
    Originally posted by BadBird
    As a ICU nurse I can honestly tell you that I would never work med surg, why? Because those poor nurses are so dumped on, Med surg is a speciality but not treated as one, they have the least amount of staff and some of the sickest patients in the hospital. It seems the new trend is for vent patients to go to a med surg floor, with the poor staffing these patients plug and end up back in ICU. I am not bashing Med surg nurses, my hat is off to them I just would never do it. I have also noticed how ICU nurses including myself are very detail oriented and picky with our patients, we have 1 or 2 so we can fuss over them, on a med surg floor if you have 8 patients or more there is no way they can get the care they deserve. As far as attitudes, I have seen that in every unit of the hospital, people react to the stress they are under, some handle it better than others. There will always be the conflict of smokers vs. non smokers, night shift vs. day shift, it is just part of the job. I learned many years ago not to stress about the BS.


    Very well said! We all need to be supportive of one another. It takes a lot of skill and knowledge to take care of 8 very different sick patients, each with the potential to go into distress at any time. It takes a lot of skill to take care of 1 or 2 critical patients. We need each other.

    You're right, some conflicts are as old as nursing itself. Best to not stress.
  14. by   Tweety
    Originally posted by adrienurse
    Don't we all just work with the silliest people some times?
    I was giving report the other day as supervisor and had another unrelated story to tell the day supervisor, unrelated to this one and she said "Kids say the darnest things don't they?". :chuckle

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