Nursing is not like you see on TV

This is probably more a rant than a professional blog post, but I just thought it would be useful to point this out. I am tired of a lot of people assuming that nursing is easy, because it really is not.

During the 2 years of training I have had I have come across people who base their opinions on nursing on what they see on the TV.
I regularly get asked if my training is like being in hospital comedy ‘Scrubs’. No, it is not, because I am not a medical student. I am a student nurse and I work a hell of a lot harder than what you see the cast of scrubs doing!

As a successful nurse you are incredibly smart, professional, hard-working and devoted. Your life is constantly filled with literally saving lives, being an advocate and a promoter of independence and researching every different aspect of nursing out there. You will be learning for the rest of your career.
You are NOT constantly giving bed baths and cleaning up faeces. Those things are actually only a small part of your career.

Nursing on TV can be seen in two different ways. There are documentaries that feature the work of nurses such as 24hrs in A&E or One Born Every Minute. These can be very vague about the reality of nursing care, but do give viewers a fair impression.
But then there are fictional dramas based on what goes on inside hospitals such as Grey’s AnatomyHouse, Casualty and Holby City.
I’ll be honest – although these television shows may be very entertaining and based on some factual knowledge, they are far from the reality of the running of a hospital and even further away from real nursing care.

Grey’s Anatomy and House couldn’t be any further away from reality – showing doctors completing tasks such as hanging IV drugs, inserting IV cannulas, giving injections… doctors rarely do any of these things – nurses do. Doctors never give medication. This isn’t a stab at doctors; this is just me speaking the truth. Doctors also can’t perform procedures such as every kind of surgery, X-rays, CT or MRI scans and several other things – as you will learn these are all things done by people trained in each specific field such as radiologists or specialist surgeons.
Nurses are regularly portrayed as side characters who don’t really know what they’re doing and take orders from doctors. This is completely untrue. You will find that what normally happens in most situations is that when a nurse finds a patient having a problem, the nurse normally knows what is going on (on some occasions they don’t and the patient requires further examination). Nurses HAVE to learn a hell of a lot about anatomy, physiology, cell biology, medication and side effects and so on. A nurse however does need a doctor to give them the go ahead with certain procedures, or needs a doctor to sign a drug chart to authorise a new drug.

Another point I would like to make – Dr. House, however entertaining he may be, would not exist in reality. I have seen some doctors try to behave like House does, but fail when they have been put in their place or given official warnings. I can’t even tell you how many times I have seen a nurse have to give a doctor a telling off for his/her inappropriate and disrespectful behaviour!
Don’t ever let a TV show fool you into believing that a doctor is in charge of nurses – this is simply not how it works and if anyone is going to be in charge of what happens with patients, it is the senior nurses on the ward/unit.

At the same time I would like to point out that doctors are not useless – that is not what I’m trying to say. I’m just trying to explain that they are not there to make every decision and have nurses kissing their feet.

Quotes from House:

Dr. House: (after his patient collapsed) “This is exactly why I created nurses. Clean up on aisle three!”

Dr. House: “Let her vomit through the MRI, that’s what nurses are for.”
Thanks for reading!

If you’re about to become a student nurse next month…

So lots of you will begin your nursing course on September 19th at universities all across the country (my apologies to those of you who started back in May/March; I was still studying then & didn’t have time to write a post like this).

I just thought I’d write a few simple tips for you while you’re preparing for the next month. I’m sure you’re all as nervous/excited as I was, but also feeling a little lost with what to do and what to buy. So here goes.

Don’t go mad spending:
Don’t go out and spend a load of money on lots of books, every piece of stationary in Ryland’s, clothes etc etc. You will find that all you will really need is a diary, a small notebook, a good pen and highlighter, something to carry notes in and a bag big enough for whatever you carry your notes in. You’ll find that you’ll probably just want comfy clothes while you’re at uni – lecture theatres usually lack central heating & walking around campus with a big bag will put you off trying to wear trendy clothes & heels. Within a week, I’d already bought myself one of those university hoodies because I was sick of being cold during lectures.
If your uni doesn’t have a good library, you might want to buy yourself a good anatomy and physiology book, but they can be quite expensive. I bought mine for around £40 from Amazon. I also bought The Royal Marsden Hospital Manual of Clinical Nursing Procedures (Student Edition), which I find quite useful. Again, it can be quite expensive. Try and find these books at the cheapest price possible online!

Don’t be afraid of talking to other students:
Most of you will start the course alone – it’s rare for student nurses to join together. Not everyone will be 18yrs old either – if you’re worried about being the only 40yr old there, I can assure you, you won’t be. Talk to other students right away. It’s how you make friends and you will need the support during the course. Also, be nice to other students! Please don’t be part of a clicky group who become rude and unhelpful to other students. It is immature, the complete opposite to what a good nurse should be, and you have no idea how much this can truly upset and dishearten other students who could really do with some support or help.

Understand straight away that this course is HARD:
I won’t lie. Nursing is really hard. Don’t go into this profession thinking that it’s all cute uniforms and tablets. You need to get good with maths (drug calculation errors can be fatal). You won’t just be giving out two 500mg paracetamol tablets every few hours – you need to learn how to mix the correct millimetre sized vials of powdered drugs with the right amount of milligrams of saline, draw up the correct amount or inject the correct amount into the correct sized bags of IV fluids and so on! You will get used to it however – it’s all practice practice practice.
Your knowledge of anatomy and physiology needs to be as sharp as possible. There is a common misconception that the doctors are the ones who deal with all of this – this is not true. As a nurse you are the first point of call and your quick thinking based on your knowledge could save lives. But don’t worry about that just yet – as a student you are not expected to make decisions on your own.

Get a good pair of shoes. And a fob watch:
My final piece of advice is to make sure that you buy a very comfortable and supportive pair of shoes, no matter how ugly they are. They need to look after your feet, have good grip for when you’re moving and handling patients, reduce leg pain and very importantly look after your back. Crocs are usually not allowed unless you’re wearing scrubs, which you won’t be doing a lot of. Your university will tell you what kind of shoes you need to wear.
Don’t go and buy a cheap fob watch – the batteries will wear out fast and then you’ll find yourself without a watch for a while… and then buying another cheap watch out of desperation! Get a good one before you start. My mum bought me a stainless steel Rotary fob watch which was amazing… until I lost it.

So that’s all for now, I will be posting more tips soon. I hope everything is running smoothly for you so far. If there is anything I can help you with please let me know! :)

Time to stop giving patient’s overdoses…

“Interrupting a Nurse Makes Medication Errors More Likely” http://bit.ly/fLhJFm

This is kind of common sense, but it still keeps happening. A lot.
Interrupting nurses while they are preparing medication can of course lead to errors. I’ve seen this happen a few times before.
I have also seen nurses at a south Manchester hospital wearing a bright red apron saying “DO NOT DISTURB” while they’re preparing drugs, which actually worked, and was funny to look at.

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