A little known fact outside of the nursing profession is that there is a lot of infighting and mudslinging in the nursing field. Nurses who work in different areas of the hospital have this “circle the wagons” mentality.
Each of the units in the hospital views themselves as being better than the rest: surgical, endoscopy, the ICU, all of them.
The medical floor is where many nurses get their start, and it is viewed as one of the areas of the hospital that require the lowest level of skill and proficiency. It’s for this reason that they struggle to be respected by other units.
Labor and delivery are seen by most of the hospital as simply wanting to play with babies. The ICU are seen as the neat freaks, the ones who have OCD and simply MUST have everything perfectly in place.
However, there is one almost universal truth- the Emergency department is seen as being the cowboys. They aren’t as methodical, often improvising, adapting, and overcoming obstacles with little regard for tradition or propriety in their quest to stabilize patients. That’s why this is funny:
To say that some nurses simply HATE nurses in the emergency department is an understatement. An even larger sin amongst those particular nurses is to have begun your career as a paramedic. The nurses who dislike the RNs in the ED reserve an all new level of hate for nurses who used to be paramedics. They (paramedics) are viewed by these nurses as being knuckle-dragging Neanderthals’ who have no business in a hospital.
The odd part is that many nurses (25% to 80%) in the ED originally started their careers as paramedics. It’s a natural progression for them, because the same skills that make them good paramedics also make them good nurses. These former medics are known as great critical thinkers, improvisers, and they usually excel at starting IV lines that other nurses can’t get. Beginning your career starting IVs in the back of a moving truck, it’s a skill that isn’t unlearned.
I had a nursing instructor tell me that REAL nurses start IV’s in the hand, and never in the crook of the elbow, because it’s uncomfortable for the patient, and movement of the elbow can cause issues with IV pumps. I pointed out to her that some drugs like IV contrast dye, and Adenocard must go into that location, so saying “never” is not correct. The unfortunate thing is that she was one of my nursing instructors, she’s a screaming liberal, and since I apparently have a biological inability to shut my mouth when I think I’m correct, it cost me some grief during RN school. The same issue is what chased me out of getting my masters degree a decade ago.
It didn’t help that we had to write a paper on this cartoon, microaggressions, and how vulnerable populations must feel in the face of white privilege. I hate it, but liberal professors are the gatekeepers. There were two things that made life hard for me. Being right, and not being able to back down when I know that I’m right. That’s why I am struggling to finish my BSN. I already have Seven college degrees, with two of them being Bachelor’s degrees. It’s the nitpicky BS that I struggle with.
Misplace a comma in ONE of the APA references in your bibliography, and you just handed them the excuse to take the paper you spend two weeks on down to an 88% ‘B’ grade. I just don’t have patience for that kind of ticky-tack BS. It doesn’t help that I am in classes where I am decades older than some of my instructors.
I will make it, because I learned my lesson ten years ago, but it still burns my ass that these professors make mouthing the commie line a required rite of passage to get a degree.