vestmoria

joined 1 year ago
 

I couldn't come with a better title.

As previously explained, I changes wards, a doctor working for more than 35 years at my old unit wrote me an excellent recommendation letter and I went my merry way to my new ward, hoping to find something new.

I introduced myself to nurses and some doctors there. Because the nurses were yelling and punching tables, something I'd never seen from nurses, I started a conversation with the doctors about what abbreviations they use there (completely foreign to me), if they allow their nurses to take blood samples or arterial and venous blood gas probes, to decide if a patient needs blood cultures, to do an EKG without consulting a doctor first, what emergencies they have there...

I had lucky with one of the doctors who answered all my questions.

The next day, my new boss comes to me saying people complained about me talking to the doctors, accused me of playing being a doctor.

I asked if the doctor who answered my questions, Schimdt, complained. My boss refused to identify the person who complained.

My reaction to that was to say that this person could have talked to me instead of escalating, I also told my boss that I'm going to ask no matter what because I want to be a better nurse and the best suited people to do that are doctors (because most of the nurses only want to gossip, whereas doctors are more cerebral and explain correlations, I didn't say this out loud).

His answer was telling me to stop talking to the doctors, otherwise there would be consequences.

2 hours after he left an Anesthesiologist I didn't know came to check some PCAs, so me being me, started asking questions about the device and given that I'm thinking about studying medicine I asked about it and he told me where he studied, what he did afterwards, started showing me the documentation anesthesiologists use.

This is something I cannot avoid, I like talking to smart people. My new boss seems to be like my old one, only wanting dumbed down nurses.

Other nurses I asked at the unit told me that no, I'm not supposed to be smart, but just a drone.

It's ridiculous I have to censor myself. The best I can think of is to play theatrics while he's at the unit but be me when he leaves.

If you claim I'm talking to the doctors as an excuse not to do my job, you are wrong. I need the money and I use my downtime to learn.

It's true that people believe what they want to believe and judge you in 5 seconds.

Is there a better strategy than playing theatrics?

 

cross-posted from: https://linux.community/post/2362831

I don't know how extended this is, but apparently there are car makers selling cars with no keys. Instead you download a proprietary app and use it to access your car.

I like being practical and talking to a car to turn the volume up or down, to open the door or to turn the temperature higher are things I don't need nor want. Give me mechanical levers, reachable stalks and no proprietary bloatware. I don't need a movie theater on wheels.

Imagine an early 2000s car running on an electric motor. That's what I want.

 

I don't know how extended this is, but apparently there are car makers selling cars with no keys. Instead you download a proprietary app and use it to access your car.

I like being practical and talking to a car to turn the volume up or down, to open the door or to turn the temperature higher are things I don't need nor want. Give me mechanical levers, reachable stalks and no proprietary bloatware. I don't need a movie theater on wheels.

Imagine an early 2000s car running on an electric motor. That's what I want.

 

cross-posted from: https://linux.community/post/2326733

as a new job "perk" at a hospital I get to choose what days I work: because I get differential if I work weekends, I wrote I want to work everyday but Wednesdays and Thursdays.

Now I wonder if I should have chosen Mondays and Fridays. On Mondays people act all stressed out (beginning of the week) and on Fridays they're also insufferable (they all want to go home ASAP)

I've never inverted my weekend like this so if you ever worked like I'm about to, how was it? Any drawbacks?

 

as a new job "perk" at a hospital I get to choose what days I work: because I get differential if I work weekends, I wrote I want to work everyday but Wednesdays and Thursdays.

Now I wonder if I should have chosen Mondays and Fridays. On Mondays people act all stressed out (beginning of the week) and on Fridays they're also insufferable (they all want to go home ASAP)

I've never inverted my weekend like this so if you ever worked like I'm about to, how was it? Any drawbacks?

 

A conversation with a senior physician triggered this question. He's been 35 years on the job and recently wrote me a letter of recommendation.

I'm changing wards due to drama and a manager who only wants gossip, dumbed down nurses at her unit.

This is a physician I've only talked to like 5 times in the 18 months I've been working at my old ward, somebody every other nurse at the unit told me to leave alone, because he's a senior physician (yes, that was the reason).

My former manager put a bare C on my performance review, something I didn't sign, so I asked this doctor to write a short text numbering my duties and what I can do to show my new ward but he wrote a full fledged letter of recommendation instead.

What the doctor told me while signing it: you're good at informing patients and take the extra step sensing what analysis they need, I've never had a nurse with so much positive feedback from so many patients, you're never gonna be a good fit here because the manager is a gossip and she controls the unit and you don't talk much, if you ever want to work PACU, tell me as I know the senior doctor there. Keep doing what you do, you'll find a good fit eventually.

I've already used downtime to read and learn, but nursing being gossipy and catty, all I achieved was being accused of being lazy, unfriendly, neglecting patients and a conversation with mentioned gossip manager, because she always believed her friends over me. She never asked me for my side of the story, but accused me directly.

Back to the doctor's conversation: keep doing what I do means reading and learning during downtime at the workplace: first thing I want to do at my new unit is showing them the letter of recommendation and explaining I want to learn and I learn better alone, when I read.

I also want to tell them I'm not a talkative person (meaning I don't care about drama or gossip), but I really don't know how a group of mostly women who don't know me can react to that.

 

I don't understand why a smart person acts so condescending to anyone she perceives to be inferior to her while at the same time needing so much attention from a preceptor she apparently considers to be over her (the doctor she accidentally stabbed on the foot).

 

I've been offered a position as a nurse at a GYN ward and I don't know if I should take it:

New ward, a chance to learn new things.

But also potential for drama way worse than everything I've experienced so far.

Last so 'female' unit I worked at was obstetrics at another hospital and it was like being on a show about mean girls: territorial, emotional, gossipy, interrupting report to gossip, ignoring report completely, playing favorites, rules for me but not for thee... not worth it.

what should I do?

 

cross-posted from: https://linux.community/post/2267705

I'm a nurse thinking about expanding my job options and knowledge, maybe studying something. I don't want to work bedside till I'm old enough to cash in my 401k because then I'll have a broken back and I don't want to become one of those old angry nurses constantly on edge because she's angry at life.

To me, the way to achieve this is to learn a lot of things systematically: medicines (not the brand names, but the active components, because doctors where I work use components extensively), diagnoses that are often abbreviated, right anatomical names for bones, muscles and blood vessels..., right ranges for arterial and venous blood gas parameters and clinical chemistry...

It's tedious and repetitive and I don't want to take any drugs to study better, but I believe it fits me because I was always an introverted bookworm.

Is there any better way to learn this than the way I just described? It means 3 hours of reading and repeating concepts and ranges after my shift.

 

I'm a nurse thinking about expanding my job options and knowledge, maybe studying something. I don't want to work bedside till I'm old enough to cash in my 401k because then I'll have a broken back and I don't want to become one of those old angry nurses constantly on edge because she's angry at life.

To me, the way to achieve this is to learn a lot of things systematically: medicines (not the brand names, but the active components, because doctors where I work use components extensively), diagnoses that are often abbreviated, right anatomical names for bones, muscles and blood vessels..., right ranges for arterial and venous blood gas parameters and clinical chemistry...

It's tedious and repetitive and I don't want to take any drugs to study better, but I believe it fits me because I was always an introverted bookworm.

Is there any better way to learn this than the way I just described? It means 3 hours of reading and repeating concepts and ranges after my shift.

[–] [email protected] 3 points 1 month ago* (last edited 1 month ago) (1 children)

Since you just said “ok” without explanation or complaint, and then hung up, thats very matter of fact, straight to the point, and lacks the more emotional response most neurotypical people would have.

because I don't want drama and when I work I get, as you put it, straight to the point. Why wasting words and time? What do I achieve if I yell and insult back? I become a moron yelling to another moron.

[–] [email protected] 3 points 1 month ago (1 children)

I’ve seen people walked out for less andI work in a factory.

now I'm curious. Would you tell us about it?

[–] [email protected] 7 points 1 month ago (3 children)

The way you responded was more indicative of being autistic to an extent.

would you please elaborate? What gives me away?

[–] [email protected] 6 points 1 month ago (9 children)

me: Hi, I'm A and tomorrow I'll be working with you. Can you tell me how many patients do you have today at the unit?

her: what for? (she sounded exasperated).

me: I want to know how much I have to work.

her: are you stupid? (aggressively)

me: I beg your pardon?

her: are you stupid? [insert rant here she started I didn't listen to because when people yell at me I disconnect and if she already made up her mind not to answer me, why bother? Plus, how many of you can have a conversation with somebody yelling at you?]

me: fine [I hung up]

 

on one of my lasts posts, most of the people that answered agreed with the idea I'm on the spectrum. I don't know. I don't see anything wrong being myself.

I'd just like some serious answers from neurotypicals explaining to me why my question triggered my coworker so much:

Manager called me to ask if I can take an extra shift at a different unit because they're short staffed due to illness. I agreed.

Because that unit sometimes overfills and nurses there have to take care of more patients than the ratio agreed with the union I called the unit to ask how many patients they do have today, to have an idea if my shift tomorrow is going to be an easy or a difficult one.

The coworker started yelling and calling me an idiot and using some other choice words, so I said "ok" and hung up.

I didn't yell at her, I simply asked the question in a neutral tone, and I still don't get the animosity.

20 minutes later the same person calls to inform she called our manager and tomorrow I don't have to work at that unit.

All this stupid drama because I asked how many patients they have? I simply don't get it.

Am I really this autistic?

 

I'm a nurse. I recently wrote about how I've discovered this job can be enjoyable, provided ratios are respected, I don't work with gossips, micromanagers and drama queens. I also like working with doctors that explain to me how things work and as a novelty, I've started reading on my free time about diagnoses, procedures and medicines.

Option A: go to my new unit and do the same.

Option B: patient transporter. I'd earn the same, I wouldn't have any boss over me telling me what to do except if I lazy around and I wouldn't have to run as I sometimes do as a nurse. No drama of any kind (I'd be alone most of the time), ample opportunities to sit and read, drink coffee or do nothing while waiting for my next assignment, other opportunities to learn while watching procedures being done to patients.

Yes. It really is this relaxed. I shadowed already.

My old self always though a job is a job and I should aim for maximum income doing the less amount of job I can. I'm also an introvert and enjoy being alone. This second job seems to offer exactly that.

Except that I'd miss learning from the doctors that have shown an interest in teaching me and the adult nurses (the ones not acting like children, the gossips).

I really don't understand myself. I feel I'd be dumbing myself down, but otoh earn the same I do now.

[–] [email protected] 1 points 1 month ago

FYI, the medical community is one of the worst from the popularity contest perspective.

could you write examples of is worse here than in other industries? Are some units worse than others? Some regions worse than others?

promoting team cohesion and performance is one of our primary responsibilities, as is stepping up and leading when necessary.

are you a nurse or doctor working in a hospital?

I don't agree with your last part: it's not my fault that a unit is controlled by lazy gossips and the manager does nothing to make a more welcoming workplace for the quiet, working ones because she either is too coward to confront the lazy bullies or enjoys the attention or believes she is not going to find better employees. I do not work with people like that anymore, nor do I socialize with these kind of people, neither it's my job to promote performance and my paycheck sure reflects that. That's a manager's job.

I take this job as seriously as my coworkers. If they go smoking for an hour and let me alone to take care of the whole unit your model fails. If they spend their first 90 minutes consciously not working but gossiping and I'm the only one checking vitals and charting your model fails. If the popular and lazy ones control the narrative and paint me as the uncooperative nurse while I work and they do nothing and the manager believes them over me your model also fails. To lead up I need to see that my coworkers know their shit and that they actually do that, something I hope to find at my new unit.

This post might sound a bit abrasive, not my intention.

[–] [email protected] 1 points 2 months ago (1 children)

if OP isn’t masking then neurotypicals will likely see OP as rude, cold, or robotic.

assuming that your post is in good faith, do you understand how tiring and ludicrous it is to pretend something you are not?

Should we advice gays to pretend not being gay?

It's not my fault some of my coworkers stopped growing up immediately after leaving high school. I just want to work and go home.

[–] [email protected] 1 points 2 months ago

And folks who are neurotypical are going to find what you said a hard pill to swallow.

why? are people really this thin skinned?

fwiw these people I described are not the doctors, but like 40% of the nurses. Doctors are not the reason I quit, but these nurses are. I'm actually gonna miss working with some nurses here, the good ones, the drama free ones.

Often in life you have to pretend to “fit in”, it’s just the price of living in a society.

does that means listening to dumb stories I don't care about? My brain starts yelling me to leave.

It would be bearable if they didn't act like children (another coworker, a neurotypical one if you like, told me that).

[–] [email protected] 2 points 2 months ago

thank you for this great advice

[–] [email protected] 2 points 3 months ago* (last edited 3 months ago) (3 children)

but don't you hate your life or makes it very miserable and tiring?

I mean, expecting everyone to fuck me over would make me angrier I believe, like going to work and constantly ruminate about how every coworker and client is going to ruin my day.

If you are a cynic, how do you don't ruminate?

or is cynicism more 'no expectations no disappointments'?

[–] [email protected] 1 points 3 months ago (1 children)

You need a different manager. Distancing yourself from the one you have doesn’t sound realistic: Their job is to not be distant.

I'm lost here: what is their job?

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