I'll just leave this here....

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Funny as ****. Sad thing is that for the first 30 seconds I thought it was real.
 
Gold. This made my day.
 
lol they are spot on about pharmaceutical reps

also step on the scale
 
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The ICU nurses I knew hated the floor nurses bc they knew they were lazy.

haha yeah even the ICU nurses i know hate floor nurses. ICU nurses always ask questions, you can tell that they are interested in what they are doing and want to learn more, very proactive. Floor nurses are there just to do a job, which is fine but i have a lot less trust in them and their abilities.

Of course this is all from my experience, i'm not sure if everyone feels like this.
 
The ICU nurses I knew hated the floor nurses bc they knew they were lazy.

My only problem with ICU nurses: They all leave!!

Obviously not all of them. But a huge chunk of our best ICU nurses are young and basically just biding their time getting their mandatory ICU time in before applying to CRNA schools or NP/PA programs.

I wish we could keep them around longer.
 
hahaha, the only competent nurses are ICU nurses IMO
When it comes to actual medical competence (dealing with things when the SHTF), I'd say Flight nurses>ICU nurses>ED nurses>all else. It's not that floor nurses aren't competent- they just have a different set of skills that is more about juggling patients and dealing with piles of basic needs and rounding than they are good when things turn South.

There's always exceptions, obviously, but bad nurses just don't survive in the ICU for more than a month or two, so it works as a very effective filter for the better nurses out there.
 
My only problem with ICU nurses: They all leave!!

Obviously not all of them. But a huge chunk of our best ICU nurses are young and basically just biding their time getting their mandatory ICU time in before applying to CRNA schools or NP/PA programs.

I wish we could keep them around longer.
Oh wow! Ours were middle-aged or older and very much enjoyed acute care/ICU medicine and had been doing it for a while. I never got "dumb" calls in the middle of the night from ICU nurses the way floor nurses do (which it seems like when they're bored they have nothing else to do but to page the intern on stupid stuff (pain med order on a patient not in pain, "something for sleep", etc.). We all knew when we got paged by an ICU nurse, it was for something actually important and was time-sensitive. I can't imagine going thru all of nursing school and then working in an ICU with the goal of going back to PA school, when there are less painful routes.
 
When it comes to actual medical competence (dealing with things when the SHTF), I'd say Flight nurses>ICU nurses>ED nurses>all else. It's not that floor nurses aren't competent- they just have a different set of skills that is more about juggling patients and dealing with piles of basic needs and rounding than they are good when things turn South.

There's always exceptions, obviously, but bad nurses just don't survive in the ICU for more than a month or two, so it works as a very effective filter for the better nurses out there.
Floor nurse + Unionized (i.e. Chicago or NY) = Bad combination.
 
Oh wow! Ours were middle-aged or older and very much enjoyed acute care/ICU medicine and had been doing it for a while. I never got "dumb" calls in the middle of the night from ICU nurses the way floor nurses do (which it seems like when they're bored they have nothing else to do but to page the intern on stupid stuff (pain med order on a patient not in pain, "something for sleep", etc.). We all knew when we got paged by an ICU nurse, it was for something actually important and was time-sensitive. I can't imagine going thru all of nursing school and then working in an ICU with the goal of going back to PA school, when there are less painful routes.

We have some of those too, but they are outnumbered by the younger, upwardly mobile nurses.

Some programs, most notably CRNA, have requirements for a certain # of months experience in the ICU for admissions.
 
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We have some of those too, but they are outnumbered by the younger, upwardly mobile nurses.

Some programs, most notably CRNA, have requirements for a certain # of months experience in the ICU for admissions.
Who just happen to be slimmer and hotter eye candy, so I actually didn't mind fielding calls and talking to them.
 
Unionized anything is a bad combination.
Yes, but for some reason NYC and Chicago are especially bad (have heard horror stories from friends who went there). The ones who went to Massachusetts where nurses were unionized didn't have any complaints.
 
They're on their break
Funniest part is as much as the nurses put down the physicians - when SHTF who do they end up calling? The physician. I wish the public was aware of the hypocrisy.
 
This goes for more than just nursing
I'm more talking about the rhetoric. If anyone needs to see proof just see a VA nurse who won't hesitate to call at the slightest whim.
 
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When it comes to actual medical competence (dealing with things when the SHTF), I'd say Flight nurses>ICU nurses>ED nurses>all else. It's not that floor nurses aren't competent- they just have a different set of skills that is more about juggling patients and dealing with piles of basic needs and rounding than they are good when things turn South.

There's always exceptions, obviously, but bad nurses just don't survive in the ICU for more than a month or two, so it works as a very effective filter for the better nurses out there.

Flight nurses??


edit: OH you're talking about OR nurses?
 
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Flight nurses??
4c1ffabadbe83.image.jpg

Flight nurses. The sort that are on Life Flight, Life Star, whatever your local version of air rescue is. Around here they have to combine all the skills of ER nursing with all the skills of ICU nursing, as they have to do everything from high-risk hospital transfers of critically ill patients to on-scene rescue of badly injured patients. They're usually the best of the best- ICU nurses with 3 years of experience, EMT-Paramedic certification, hundreds of hours of extra training in procedures from needle decompression to emergency trachs to pericardiocentesis, and the sort of personality that says, "I could work in the safety of an ICU, but screw it, I'd rather be in a flying death trap for the exact same pay."
 
4c1ffabadbe83.image.jpg

Flight nurses. The sort that are on Life Flight, Life Star, whatever your local version of air rescue is. Around here they have to combine all the skills of ER nursing with all the skills of ICU nursing, as they have to do everything from high-risk hospital transfers of critically ill patients to on-scene rescue of badly injured patients. They're usually the best of the best- ICU nurses with 3 years of experience, EMT-Paramedic certification, hundreds of hours of extra training in procedures from needle decompression to emergency trachs to pericardiocentesis, and the sort of personality that says, "I could work in the safety of an ICU, but screw it, I'd rather be in a flying death trap for the exact same pay."

OOHHH the helicopter nurses, right.. i haven't worked with them but I'm sure they are good.
 
OOHHH the helicopter nurses, right.. i haven't worked with them but I'm sure they are good.
I flew with them once to observe when they were trying to recruit RTs, wanted to see if it was up my alley. They had an awful pedi trauma, literally the worst I've ever seen. The nurse and RT on the flight handled it like champs, it was amazing to watch them work. Can't imagine doing it myself- helicopter flight is just too disorienting to me, it's nothing like being on a plane. When that thing banks left, you're staring at the damn ground out the windows. It's hard to describe, but it's very different.
 
I flew with them once to observe when they were trying to recruit RTs, wanted to see if it was up my alley. They had an awful pedi trauma, literally the worst I've ever seen. The nurse and RT on the flight handled it like champs, it was amazing to watch them work. Can't imagine doing it myself- helicopter flight is just too disorienting to me, it's nothing like being on a plane. When that thing banks left, you're staring at the damn ground out the windows. It's hard to describe, but it's very different.

I've only flown on a helicopter for organ procurements, which are obviously chill flights. It's crazy to me to think of taking care of a critically ill patient in that setting. Lots of respect for the flight nurses.
 
4c1ffabadbe83.image.jpg

Flight nurses. The sort that are on Life Flight, Life Star, whatever your local version of air rescue is. Around here they have to combine all the skills of ER nursing with all the skills of ICU nursing, as they have to do everything from high-risk hospital transfers of critically ill patients to on-scene rescue of badly injured patients. They're usually the best of the best- ICU nurses with 3 years of experience, EMT-Paramedic certification, hundreds of hours of extra training in procedures from needle decompression to emergency trachs to pericardiocentesis, and the sort of personality that says, "I could work in the safety of an ICU, but screw it, I'd rather be in a flying death trap for the exact same pay."

When these nurses age a bit and decide they don't want to fly anymore, they are huge assets in the ED and ICU.
 
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I will say that floor nurses love to cover the utility room. Need a suture removal kit? Better have your ID, ssn, credit report and LOR. Meanwhile, I go anywhere else and they give me everything.
Also, the cake thing is so much truth. God forbid they ask you to have a slice. You say no and you're on their bad side. Forever.
 
I will say that floor nurses love to cover the utility room. Need a suture removal kit? Better have your ID, ssn, credit report and LOR. Meanwhile, I go anywhere else and they give me everything.
Also, the cake thing is so much truth. God forbid they ask you to have a slice. You say no and you're on their bad side. Forever.
Sorry, I'm on their side. A nurse is NICE to you and offers you cake and you say no? Sorry but that makes you a jerk.

Edit: by cake, I'm assuming you mean the bakery item, not the other thing.
 
Sorry, I'm on their side. A nurse is NICE to you and offers you cake and you say no? Sorry but that makes you a jerk.

Edit: by cake, I'm assuming you mean the bakery item, not the other thing.

Sometimes you're just not hungry. Or it's not your thing. I hate when people pressure me to eat something
 
Sometimes you're just not hungry. Or it's not your thing. I hate when people pressure me to eat something
Whether you are hungry or not is irrelevant (you 2 are thinking just like surgeons - if it doesn't have some sort of "purpose" it's not worth doing). If someone bakes a cake is sharing with their group, and is kind enough to offer you a slice, you accept. You don't have to eat it right there when you're rounding, but you can come back later. You thank the person for being so kind enough to offer, you eat it, and tell them they made such a great cake, and you appreciate it as a tired resident.

I swear, you guys act as if being kind takes a Herculean like effort. It doesn't.
 
Whether you are hungry or not is irrelevant (you 2 are thinking just like surgeons - if it doesn't have some sort of "purpose" it's not worth doing). If someone bakes a cake is sharing with their group, and is kind enough to offer you a slice, you accept. You don't have to eat it right there when you're rounding, but you can come back later. You thank the person for being so kind enough to offer, you eat it, and tell them they made such a great cake, and you appreciate it as a tired resident.

I swear, you guys act as if being kind takes a Herculean like effort. It doesn't.

It's not that I'm being a jerk. But you should be able to politely decline something without it becoming a "thing".

"Oh thank you so much but I just ate and am sooo full"
 
It's not that I'm being a jerk. But you should be able to politely decline something without it becoming a "thing".

"Oh thank you so much but I just ate and am sooo full"
Except you're probably not a good liar, and nurses probably could tell by your body language and facial expression that you were. If you said it like that, even I could tell you were lying.
 
Sorry, I'm on their side. A nurse is NICE to you and offers you cake and you say no? Sorry but that makes you a jerk.

Edit: by cake, I'm assuming you mean the bakery item, not the other thing.

What? That's ridiculous. I always refuse cake. ****'s gross, man.
 
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